6.2.2 Community Hospital Site Selection

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The selection of community hospitals where the satellite care of pediatric oncology patients can occur within the scope of practice defined in Sub-Section 2.3 Scope of Satellite Practice will depend on:

1. Expressed interest.
2. Designation of local caregivers who will pursue necessary professional education and commit to ongoing participation in the program (Sub-Section 6.5.2 POGO Satellite Clinic Partners’ Role in the POGO Satellite Program).
3. Commitment to participate in education for satellite practice, both initial and ongoing (Sub-Section 6.5.2 POGO Satellite Clinic Partners’ Role in the POGO Satellite Program).
4. Ability and commitment to meet infrastructure, policy and practice requirements (Sub-Section 2.3 Scope of Satellite Practice; Sub-Section 6.5.2 POGO Satellite Clinic Partners’ Role in the POGO Satellite Program).
5. Entry into Affiliation Agreements: Community hospitals will enter into appropriate agreements with each specialized childhood cancer program and POGO (Sub-Section 6.5.2 POGO Satellite Clinic Partners’ Role in the POGO Satellite Program).
6. Commitment to ensure appropriate conditions to participate in care delivery to children enrolled on clinical trials, including participation in the Ontario Cancer Research Ethics Board (OCREB) process designed to streamline ethics approval for these trials AND a signed  research agreement between community and tertiary hospital(s) (Section 7.0 Research).
7. Commitment to participate in a formal evaluation of the POGO Satellite Program model of pediatric oncology care delivery (Sub-Section 6.5.2 POGO Satellite Clinic Partners’ Role in the POGO Satellite Program).
8. Agreed geographic catchment area, rationalized according to the potential, forecasted size of the program’s patient population. An accumulated minimum caseload of 20–30 patients is believed to be optimal. The optimal volume of service delivery has been set with regard to:
   1. The level expected to allow the maintenance of skill and interest;
   1. The economy of infrastructure, communication and consultation requirements each new POGO Satellite Clinic will have in relation to the specialized childhood cancer program(s); and
   1. The importance of the appropriate degree of centralization of care such that coordinated, integrated, state-of-the-art pediatric oncology practice is retained across the province.

The creation of Ontario Health Teams may influence catchment areas; however, the need for a minimum caseload should not be affected.

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