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)