Transcript Code STEMI

Gibbs Cancer Center
Our NCCCP Journey
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James D. Bearden, III, MD, FACP
Principle Investigator
Gibbs Cancer Center,
Spartanburg, SC
Gibbs Cancer Center
• 538 beds, Tertiary Medical Center
• Multi-hospital system
• 1674 new analytic cancers diagnosed
in 2009
• More than 500 physicians.
• Community Clinical Oncology
Program (CCOP) since 1983
• Magnet Hospital Certification
• Comprehensive Community Cancer
Center Certification by the ACoS CoC
with the Outstanding Achievement
Award in 2006 & 2009.
• QOPI Certification Pending
• MD Anderson Affiliation since 2005
• Advanced Technology—i.e. IMRT,
TomoTherapy, Stereotactic
Radiosurgery, Robotic Surgery
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What has NCCCP meant to Gibbs CC?
• Increased recognition by hospital and medical staffs,
and community-resulting in national and community
gifts and grants of greater than $15M including two
Endowed Chairs.
• Enhanced collaboration among MDs for clinical and
research work in a substantial way.
• CEO support for institutional investment in programs.
• Hard dollar support for outreach, survivorship,
and research.
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Difference between CCOP & NCCCP
• CCOP - clinical trials only
• NCCCP
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Program development in all pillar areas
Infrastructure
Best Practices & benchmarks
COPs & Medical Oncology Credentials
Quality Measures:
• QOPI
• RQRS-”safety net”
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Differences from Other NCI
Programs
• Integrates activities in disparities, quality of care and
IT across the cancer continuum
• Creates linkages with and integrates many NCI
programs
• Translates knowledge gained from NCI programs
into community settings
• Develops a strong hospital-based community cancer
center network to support NCI goals
• Supports the research infrastructure
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Conditions of Participation
Credentialing
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Played significant role in establishing our culture.
Increased MDC attendance
Increased accruals to clinical trials
Required support for clinical research programs
Increased use of NCCN & ASCO guidelines
Supported quality improvement activities
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Collaborations
NCI Academic Center
– Medical University of South Carolina
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MOU
Clinical Trials Collaborative Project
Biospecimen Project
Lay Navigator Project
– MD Anderson
• Affiliation, Quality Program
– Wake Forest Comprehensive Cancer Center
• Clinical Trials Collaborative Project
– Duke University
NCCCP sites
– St Joseph Chandler, Savannah, Ga.
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– St. Joseph Medical Center, Towson,
MD
Reaching Underserved Populations
• Minority Lay Navigator for Clinical Trials
• Community Outreach
– Targeting faith based AA/medical underserved
• Screening
– Increased minority(AA) screenings by 30%-50%
– New Mobile Mammography Unit
• Community Partnerships
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Access Health
FQHC-ReGenesis
Foundations (Fullerton/Duke Endowment)
Free Clinic
Churches
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NCCCP Network Builds
Community-based Research Capacity
• Increase overall accruals including:
– Underrepresented and disadvantaged patients
– Types of trials
– Physician participation in trials
• Identify infrastructure necessary to perform early phase trials in
community hospitals.
• Network collaboration supports accelerating progress.
• Readiness for research projects/relationships:
– In collaboration with NCI-designated cancer centers
• NCCCP sites are agile:
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accrue rapidly
– target underrepresented populations efficiently.
PRO-CTCAE
Accruals
Started 1/10/2011
60
55
50
38
40
32
30
25
20
20
9
10
6
0
0
0
0
Our Lady of the
Lake (NCCCP)
Hartford
Hospital
(NCCCP)
MD Anderson Christiana Care
Cancer Center
(NCCCP)
Spartanburg
(NCCCP)
St. Joseph
Hospital Orange, CA
(NCCCP)
Mayo Clinic
Memorial
Duke
Dana-Farber
Cancer Center Sloan-Kettering Comprehensive Cancer Institute
Cancer Center 11
40
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PRO-CTCAE
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Minority Accruals
31
30
White
26
Black/AA
Asian
Hispanic
25
20
17
16
15
12
10
10
6
4
5
2
0
4
2
1
6
5
3
2
0
3
2 2
0 0
0
2
0 0 0 0
0
1
0 0 0 0
0 0 0 0
0
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PRO-CTCAE
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Performance Status 2-4
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18
16
15
14
12
10
8
7
6
5
4
4
2
1
0
0
0
0
0
Our Lady of the
Lake (NCCCP)
Hartford
Hospital
(NCCCP)
MD Anderson Christiana Care
Cancer Center
(NCCCP)
Spartanburg
(NCCCP)
St. Joseph
Hospital Orange, CA
(NCCCP)
Mayo Clinic Memorial SloanDuke
Dana-Farber
Cancer Center
Kettering
Comprehensive Cancer Institute
Cancer Center
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NCCCP Aligned with Health
Reform Goals
• Key themes for ACO:
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Improve care coordination
Promote care that meets national guidelines
Expand access to end of life & advance care planning
Expand team-based care and provider accountability
Ensure access to care
Increase use of health IT
Physician alignment
The Advisory Board 2010
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Lessons Learned
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Build relationships with key leaders.
Link strategic goals & common interests.
Must be mutually beneficial.
MOU: defining roles & responsibilities.
Requires ongoing effort.
Recognize the differences between academic
and community cancer center models.
• Realization that there will be successes
and failures.
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Thank you
Questions
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