CDRP Program Steering Committee Dwight E Heron MD

CDRP Program Steering Committee Dwight E. Heron, MD UPMC Mc. Keesport February 2, 2007 Tampa, FL

UPMC Mc. Keesport Highlights l Supplemental funding received for clinical trials effort at UPMC Mc. Keesport site – Provides for • CRC (1 FTE) hired • Data Coordinator (. 5 FTE)-pending

UPMC Mc. Keesport Highlights l Barriers to clinical trials effort at UPMC Mc. Keesport – Several physicians have no formal affiliation with UPMC Health System or University of Pittsburgh (IRB of record for Mc. Keesport) l 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 Mc. Keesport Highlights l Navigator Study Defined and data collection begun l Notification by Commonwealth of Pennsylvania of eligibility for Health Formula Funds (tobacco settlement monies) – Appropriation of $58 k – UPMC Mc. Keesport has dedicated funds to our research efforts

UPMC Mc. Keesport Highlights l 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 Mc. Keesport

Status All Trials (2006 Summary)

Navigator & Behavioral Trials l UPMC Mc. Keesport/ROCOG Radiation Oncology Minorities Outreach Program Patient Navigator – Mc. Keesport, Mercy, New Castle, Somerset l 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 – Mc. Keesport, Murtha, New Castle

Navigator Study l 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) l 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) Eligibile Non-White ·Medicaid, Selfpay, Medicare without Supplement · 80 and older Sample: All Not Eligible Sample: All Not participated Eligible but not participated Sample N=30 Patients in Murtha Cancer Center Eligible for Navigator program Electronic data from UPMC Cancer Network (Sample: All eligible patients) Not Eligible Sample: None

TELESYNERGY Use 2006 l CDRP Collaboration Conferences – 4 – Conference with other CDRP sites l CDRP Staff – 2 – Conference with CDRP staff/NOVA l Community Sessions – 2 l Mentor Sessions – 6 l Tumor Board – 45 l Tumor Board (thoracic) – 12

TELESYNERGY Use

Publication Summary 2006 l Peer Reviewed Manuscripts Published – 26 (D. Heron lead or co-author) l Manuscripts Accepted for Publication – 5 (Schwaderer, Morgenlander, et al) l Manuscripts Submitted – 1 (Lin, et al) l Abstracts/Presentations – 10 (ASTRO, RSNA, ATA, PAC 3, ICCC, Disparities Summit, Academy Health representing national and state venues)

Manuscripts Accepted for Publication Schwaderer: 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 & Presentations 2006 10 th 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 multiinstitutional 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)