Structuring Oncology Care: A Nurse-Led Transformation to High Efficiency
In a context of rising patient loads, CHV prioritized raising the standard of care. Discover how they leveraged a nurse-led strategy to transition from reactive to proactive monitoring, ensuring early detection of toxicities and delivering optimal safety and support for every patient.
Dec 18, 2025
5 minutes
After an initial stalled attempt in 2021, the Centre Hospitalier de Valenciennes (CHV) successfully relaunched its Remote Therapeutic Monitoring (RTM) program to address rising patient loads and limited physician time. The key to success lay in a strategic reset driven by the care team to ensure the solution was not just an add-on, but a workflow standard.
To deploy the solution systematically and ensure immediate clinical value, the following steps were taken:
- Empowering Nurse Coordinators to advocate for the solution as a necessity for managing their workload, which was the catalyst for securing physician buy-in.
- Standardizing inclusion to make RTM a standard part of the care pathway, shifting from reactive to proactive care to provide patients optimal care with early detection and management of toxicities and symptoms.
- Optimizing triage to achieve nurse autonomy in alert handling, focusing on priority issues, which helps reduce their daily stress and allows for timely and effective clinical decisions.
Discover in this case study how this standard, clinician-empowered approach achieved a significant operational transformation and shifted a stalled pilot into a model of systematic efficiency.

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