Table 1 Adoption of KT-MCC Strategy intervention components & local consensus processes, by MCC team
KT-MCC Strategy Component | MCC Team 1 | MCC Team 2 | MCC Team 3 | MCC Team 4 |
|---|---|---|---|---|
Local Consensus Processes | -Deadline for case submission -Maximum number of cases defined -Maximum discussion time per case defined -Requirement to attend MCCs on time -Requirement for MRP to attend (or send surrogate) in order to present case | -Deadline for case submission -Maximum number of cases defined -Deadline to submit imaging -Requirement for MRP to attend (or send surrogate) in order to present case -Types of cases to be discussed defined | -Deadline for case submission -Maximum number of cases defined -Maximum discussion time per case defined -Requirement to attend MCCs on time | -Deadline for case submission -Deadline to submit imaging |
Standard Intake Form; Synoptic Discussion Checklist | -Agreed to use synoptic checklist -Clear clinical question and original treatment plan required on intake form -Agreed to collect data regarding rate of decision change following discussion -Treatment plan to be articulated by chair -Chair agreed to invite members of each specialist group to participate in discussion | -Agreed to use synoptic checklist -Chair to control discussion to a moderate extent -Treatment plan to be articulated | -Agreed to use synoptic checklist -Clear clinical question and original treatment plan required on intake form -Agreed to collect data regarding rate of decision change following discussion -Treatment plan to be articulated by chair and disseminated back to group | -Agreed to use synoptic checklist -Clear clinical question and original treatment plan required on intake form -Agreed to collect data regarding rate of decision change following discussion -Treatment plan to be articulated by the chair -Chair agreed to invite members of each specialist group to participate in discussion |
Chair Training | – | – | – | – |
Team Training | – | – | – | – |
Audit and Feedback | A&F for -Rate of decision change -Time spent per case -Cases discussed per round -Quality of information -Quality of teamworking | A&F for -Rate of decision change -Time spent per case -Cases discussed per round -Quality of information -Quality of teamworking | A&F for -Rate of decision change -Time spent per case -Cases discussed per round -Quality of information -Quality of teamworking | A&F for -Rate of decision change -Time spent per case -Cases discussed per round -Quality of information -Quality of teamworking |