cdrp program steering committee dwight e. heron, md upmc mckeesport february 2, 2007 tampa, fl
TRANSCRIPT
CDRP Program Steering Committee
Dwight E. Heron, MD
UPMC McKeesport
February 2, 2007
Tampa, FL
UPMC McKeesport Highlights
Supplemental funding received for clinical trials effort at UPMC McKeesport site– Provides for
• CRC (1FTE) hired• Data Coordinator (.5FTE)-pending
UPMC McKeesport Highlights
Barriers to clinical trials effort at UPMC McKeesport– Several physicians have no formal affiliation
with UPMC Health System or University of Pittsburgh (IRB of record for McKeesport)
Solution– Working with local mentor (U Pitt) to
establish affiliation with Pitt for these docs– Assisting with coordination of eligibility
requirements necessary to conduct trials
UPMC McKeesport Highlights
Navigator Study Defined and data collection begun
Notification by Commonwealth of Pennsylvania of eligibility for Health Formula Funds (tobacco settlement monies)– Appropriation of $58k– UPMC McKeesport has dedicated
funds to our research efforts
UPMC McKeesport Highlights
Patient navigation program initiated in 2 additional sites for a total of 4 hospitals served (spanning 3 health systems in the W. Pa. region)– Somerset Oncology Center– UPMC McKeesport
Status All Trials (2006 Summary)
27
16
7
310
227
119
44
30
0
Dec-06
Jun-06
Jan-06
Behavioral
Navigator
Clin Trials
Navigator & Behavioral Trials
UPMC McKeesport/ROCOG Radiation Oncology Minorities Outreach Program - Patient Navigator– McKeesport, Mercy, New Castle, Somerset
How can radiation oncologists better serve their patients? A randomized study to determine whether radiation oncologists can improve patient satisfaction by attempting to meet their patients' preferences– McKeesport, Murtha, New Castle
Navigator Study
Aims– Assess outcomes between patients in
navigator program (Jameson [intervention site]) and non-navigator program (Murtha [control site])
– Assess outcomes between eligible patients who participated in navigator program and those who did not participate in the program at Jameson
Navigator Study (cont)
Research questions– Did more navigated patients receive
treatment that those not navigated?– Did more navigated patients receive
treatment sooner than those not navigated?
– Did radiation treatment occur consistent with what was prescribed?
Navigator Study (cont)Patients
in Jameson
Consented and participated in the program (N=79)
Not participated
Eligibile Non-WhiteMedicaid, Selfpay, Medicare without Supplement80 and olderSample: All
Not EligibleSample: All
Patients in Murtha Cancer Center
Eligible for Navigator program Electronic data from UPMC Cancer Network (Sample: All eligible patients)
Eligible but not participatedSample N=30
Not Eligible
Sample: None
TELESYNERGY Use 2006
CDRP Collaboration Conferences – 4– Conference with other CDRP sites
CDRP Staff – 2– Conference with CDRP staff/NOVA
Community Sessions – 2Mentor Sessions – 6Tumor Board – 45Tumor Board (thoracic) –12
TELESYNERGY Use
0
5
10
15
20
25
30
35
40
45
50
2004 2005 2006
Tumor Board
Tumor Board Thoracic
CDRP Staff
CDRP Collab
Community
Staff Mtg
Present Out
Present In
Mentor
Test
Publication Summary2006Peer Reviewed Manuscripts Published
– 26 (D. Heron lead or co-author)Manuscripts Accepted for Publication
– 5 (Schwaderer, Morgenlander, et al)Manuscripts Submitted
– 1 (Lin, et al)Abstracts/Presentations
– 10 (ASTRO, RSNA, ATA, PAC3, ICCC, Disparities Summit, Academy Health representing national and state venues)
Manuscripts Accepted for PublicationSchwaderer: Bridging the health care divide with patient
navigation: Development of a research program to address health care disparities; Clinical Journal of Oncology Nursing
Morgenlander, et al: Use of community-based participatory research to influence local health policy; Journal of Health and Social Policy
Morgenlander, et al: A community hospital-based collaborative research program to reduce radiation oncology disparities: an organizational case study; Journal of Health and Social Policy
Morgenlander, et al: A community hospital-based, collaborative research program to reduce radiation oncology disparities: Evaluation of formative development; Journal of Health and Social Policy
Morgenlander, et al: A community hospital-based collaborative research program to reduce radiation oncology disparities: initial infrastructure, program and evaluation ...; Journal of Health and Social Policy
Manuscripts Submitted
Lin, et al: Breast Cancer Risk Assessment in Socioeconomically Disadvantaged Urban Communities
Abstracts & Presentations200610th Biennial Symposium on Minorities, the Medically
Underserved and Cancer April 19, 2006: Breaking barriers: A navigator program of cancer care for the underserved populations (poster)
American Telemedicine Association May 9, 2006; A multi-institutional regional/mobility model: Deployment for TELESYNERGY Telemedicine Systems (poster)
ASTRO 2006; A comprehensive outcomes-based planning and evaluation program for implementing TELESYNERGY and other videoconferencing approaches in radiation oncology (poster)
ASTRO 2006; The utility of TELESYNERGY videoconferencing systems for support of QA/CQI and professional communications in radiation oncology facilities (poster)
Abstracts & Presentations 2006 (cont)
RSNA 2006; Can therapists contribute to pain management in a community radiation oncology practice? (poster)
RSNA 2006; Diverse S-video input/output connections: Enhancing TELESYNERGY and other videoconferencing systems … (poster)
Cancer Health Disparities Summit 2006; CDRP site Partnerships (oral)
Pa. Cancer Control Consortium Summit 2006; Patient navigation: Weathering the storm (oral)
Pa. Cancer Control Consortium Summit 2006; Breast cancer risk assessment among underserved community residents (oral)
Academy Health 2006; Evaluation of the Tailored Patient Navigator Programs for the Underserved Populations with Cancer (poster)