1.1 History & Overview
Early recommendations for a formal pilot study of satellite care were put forward in POGO’s “Childhood Cancer Services Study” (C. Greenberg, 1988) and in subsequent POGO blueprints for childhood cancer care in Ontario (“Integration of Oncology Care for the Children of Ontario into a Provincial Cancer Strategy”, C. Greenberg, 1992; “Provincial Pediatric Oncology Working Group Report”, C. Greenberg & M. Greenberg, 1994).
Between 1983 and 1997 the oncology programs of The Hospital for Sick Children (SickKids); Children’s Hospital, London Health Sciences Centre (formerly Children’s Hospital of Western Ontario); and Children’s Hospital of Eastern Ontario (CHEO) managed the care of some patients living at distances from the hospitals in an ad hoc fashion.
In 1994, at the invitation of the Ministry of Health (MOHLTC) and its instrument, the Provincial Cancer Network (PCN), POGO struck the Provincial Pediatric Oncology Working Group (PPOWG), and charged it to submit a comprehensive report on childhood cancer control to the PCN by the end of that year. A formal proposal was made by POGO to the MOHLTC to fund a provincial pediatric oncology satellite program in 1994, following extensive consultation on the subject from a cross-section of caregivers and parents geographically distributed across Ontario.
In 1995, the development of a pilot pediatric oncology satellite program defined by a consensus driven specification of the components of care that might effectively and safely be located outside the tertiary centers was approved by the MOHLTC, with funding, initially for blueprint development and later for implementation, phased in during the period 1995 to 1997.
The attached document outlines a formal, well integrated, satellite level of pediatric oncology practice, which has been regularly updated. The original document was the result of the collaboration of POGO-affiliated programs and potential satellite partners, as the Clinical Oncology Committee (CLOC) Working Group and its task forces, 1995 – 1997. The group worked within the terms of reference of POGO’s proposal for an integrated system for the care of children with cancer, as presented in the PPOWG Report (November, 1994), and was informed by: a) An in-depth review and analysis of the literature on international experiences with partnered practice in the care of children with cancer – its scope, division of labour, and inherent strengths and risks; b) Consultation with prominent childhood cancer programs; c) A survey of Ontario’s community and tertiary-based physicians who then shared care of this population via informal arrangements (POGO, 1988); d) Proceedings from satellite site visits; input of a widely representative Satellite Cluster Group, appointed by POGO (1994) to advise and inform the Blueprint submitted by the PPOWG to the MOHLTC.
The satellite program and the satellite manual continued to evolve. In 2014, a multidisciplinary panel was struck to again perform in depth review and update of the blueprint document. As a result of the efforts of over a 100 health care professionals, a new document was born. Recognizing that the Satellite system was now far beyond a planning stage, but instead a mature and sophisticated system, this new document has been dubbed the POGO Satellite Manual. 2016 saw the first publication of the manual online. This web based resource will serve as the definitive source for satellite clinical and research practice guidance. The electronic format will permit rapid review, update and turnaround as practices change.
Welcome to the POGO Satellite Manual!