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OVERVIEW OF CLINICAL DIRECTORS NETWORK. CDN: Past, Present & Future. An informal network of clinical leaders who practice as primary care providers in low-income and minority communities A clinical research and educational organization

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Overview of clinical directors network

OVERVIEW OFCLINICAL DIRECTORS NETWORK


Cdn past present future
CDN: Past, Present & Future

  • An informal network of clinical leaders who practice as primary care providers in

    low-income and minority communities

  • A clinical research and educational organization

  • A means to translate clinical research into clinical practice


Cdn corporate structure
CDN Corporate Structure

  • 501 ( c ) (3) Tax Exempt Non-Profit Corp

  • Headquarters in NYC with CEO & Staff

  • Board of Directors consists of 17 volunteers

    • Active Clinical Leaders practicing in Low-Income/Minority Practice Settings including Health Centers and Health Plans in NY, NJ, PR,VI

    • Physicians, Dentists, Nurses

    • Elected by the CDN Membership at Annual Meeting

  • Linked to a for-profit subsidiary, QPSD Quality Professional Systems Development, Inc.


Why clinical networks
Why Clinical Networks?

  • Target: Clinicians working in community, migrant, homeless and HIV health centers

  • Reduce the sense of isolation, stress, burnout

  • Update clinicians in latest health improvements & advances

  • Collect & share information, skills & technical assistance

  • Introduce in the communities latest developments in health care and business practices


Who are the underserved

Poor/Low Income

Uninsured/Underinsured/Medicaid recipients

Unemployed

Women

Children/Adolescents

Minorities: African American, Latino, Asian, Pacific Islander,

Native American/Indian, Native Hawaiian, Native Alaskan

Migrant/Seasonal Farmworkers

Homeless

Drug/Alcohol Users

Rural residents

Refugees

Immigrants (Legal and Illegal)

Persons Living with HIV/AIDS

Gay, Lesbian, Bisexual and Trans-sexuals

Prisoners/Releasees/Parolees

Mentally Impaired/Mentally Ill

Sex Workers

Disabled/Handicapped

Elderly/Frail Elderly

Who are the Underserved?

Source: National Association of Community Health Centers


Who are the underserved national statistics by age and gender
Who are the Underserved?National Statistics by Age and Gender

Source: NY HRSA (1997)


Advantages of participating in clinical research
Advantages of Participating in Clinical Research

  • Earlier access to new drugs and technologies

  • Ongoing Training for Primary Care Providers

  • Improved quality of care due to:

    • expert protocols reviewed by experts, NIH, FDA

    • more frequent follow-ups

    • standardized assessments

    • ongoing quality assurance/quality improvement

    • external monitoring of data & patient care

    • feed-back to clinical sites & providers


Financial benefits to participants
Financial Benefits to Participants

  • Low/No-cost of care to patients

  • Patient incentives, transportation, enablers

  • Payments for Provider Time

  • Covers costs of Visits, Tests, Medications

  • Improved access to equipment

    • diagnostic

    • therapeutic

    • data processing

    • education and training


Where cdn conducts research

New York

New Jersey

Puerto Rico, Virgin Islands

Connecticut

Florida

Utah

California (dental)

Missouri

Maine, Massachusetts

Rhode Island, Vermont

New Hampshire

Virginia, West Virginia

Maryland, Delaware

Pennsylvania, DC

Texas

Oklahoma

Where CDN Conducts Research


Cdn s research portfolio

HIV/AIDS

Cancer Control

Depression

Stress Management

Hypertension

Diabetes

Immunizations

Migraine/Headache

Anemia

Asthma

NIAID HRSA NIMH AmFAR BMS DMP Roche

NCI AHCPR

NIDA SAMHSA

NIMH

NHLBI Pfizer

HRSA

CDC HRSA

Merck

Ortho Biotech

EPA HRSA DEP

CDN’S RESEARCH PORTFOLIO


Current cdn research projects
Current CDN Research Projects

  • FUNDERS: PROJECT TITLE:

  • NCI Prevention Care Manager

  • NIMH SMART/EST Women’s II

  • NHLBI Blood Pressure Adherence

  • EPA HRSA Home/Environmental NJDEP Asthma Management

  • HRSA CDC Immunizations


Ny prevention care manager project
NY Prevention Care Manager Project

  • Funded by NCI

  • PI - Allen Dietrich, MD, Dartmouth

  • 8 Health Centers in NYC metro area

  • Randomized Controlled Trial (n=1400)

  • To test case management strategies to improve breast, cervical and colorectal cancer early detection services for women


Smart est women s project ii
SMART/EST Women’s Project II

  • Funded by NIMH

  • PIs - Stephen Weiss, PhD MPH- U Miami & Jonathan N. Tobin, PhD - CDN

  • 12 Health Centers in NYC,NJ, Miami

  • Randomized Controlled Trial (n=450)

  • To test cognitive behavioral stress management training and health education to reduce distress and improve medication adherence for adult women with HIV/AIDS


Antihypertensive lipid lowering to prevent heart attack trial allhat
Antihypertensive & Lipid Lowering to Prevent Heart Attack Trial (ALLHAT)

  • Funded by NHLBI

  • PI - Jonathan N. Tobin, PhD - CDN

  • 3 Health Centers in NY & NJ [Nationally: 623 sites]

  • Randomized Controlled Trial (n=126) [42,450 pts]

  • To compare 4 classes of blood pressure drugs against each other without a placebo to improve blood pressure control, lipids and outcome for hi-risk hypertensive adults


Improving blood pressure medication adherence and bp control
Improving Blood Pressure Medication Adherence and BP Control Trial (ALLHAT)

  • Funded by NHLBI

  • PI - William Gerin, PhD - Mt Sinai

  • 12 Health Centers in NYC & upstate

  • Randomized Controlled Trial (n=450)

  • To test home blood pressure monitoring and telephone nurse case management to improve medication adherence and blood pressure control for poorly controlled hypertensive adults


Improving home environmental asthma management
Improving Home/Environmental Asthma Management Trial (ALLHAT)

  • Funded by EPA, HRSA Reg II, NJ DEP

  • PI - Jonathan N. Tobin, PhD - CDN

  • 12 Health Centers in NY,NJ,PR,VI,PA,MO

  • Randomized Controlled Trial (n=250)

  • To test home visits and telephone nurse case management for health education and support to improve asthma control for pediatric asthmatics


Improving immunization rates
Improving Immunization Rates Trial (ALLHAT)

  • Funded by HRSA & CDC

  • PI - Jonathan N. Tobin, PhD - CDN

  • 20+ Health Centers in NY,NJ

  • CQI/Observational Studies (n=18,050)

  • To test assessment and feedback of immunization rates, individualized Technical Assistance, Office Systems Development and Follow-up Support on Immunization Completion Rates (4-3-1-3-3)


Study link
STUDY LINK Trial (ALLHAT)

  • Funded by Title I Ryan White CARE Act

  • HIV/AIDS Research Coordinators Network

  • Database of all enrolling HIV/AIDS clinical research in NYC

  • Warmline/Single phone number for access to information and referrals to research studies

  • Marketing clinical research to clinicians, case managers, AIDS service organizations


Cdn s educational activities
CDN’s Educational Activities Trial (ALLHAT)

  • Annual Clinical Leadership Conference

  • Information Management for Clinical Leaders

  • Community Health Center Rounds

  • Dental Quality Assurance Peer Review

  • Customized Training & Office Systems Consultation

  • eCME: Video-teleconferences & Webcasts http://CDN.horizonlive./com ON-SITE AND ON-LINE


Community health center rounds
Community Health Center Rounds Trial (ALLHAT)

  • Detection of HIV/AIDS & Oral Cavity Cancer

  • Cancer Control, Early Detection & Prevention

  • Screening for Colo-rectal Cancer in Primary Care

  • Reducing Perinatal Transmission of HIV/AIDS

  • Detection of Depression in Primary Care

  • Quality Improvement in Immunizations

  • Detection & Prevention of Domestic Violence

  • Basics in Fundraising & Grant Writing

  • Internet Access: How to Surf & Search the Web


Cdn s educational activities1
CDN’s Educational Activities Trial (ALLHAT)

  • eCME: Video-teleconferences & Webcasts http://CDN.horizonlive./com

  • Bringing the latest in clinical and management information and technology to Health Center Clinicians both On-site and On-line

    • Live at Health Centers

    • Live Webcasts

    • Archived Webcasts available 24 x 7


Long term goal clinical research to set standards for clinical practice

Long-term Goal: Trial (ALLHAT)Clinical Research to Set Standards for Clinical Practice

To recruit every practice,

every provider and every patient

to participate

in at least one clinical trial


Cdn s future directions
CDN’S FUTURE DIRECTIONS Trial (ALLHAT)

  • Develop & Market Products to strengthen links between Patient Care, Education, Training, Research and Business Practices

    • Electronic Medical Publishing

    • Distance Education/Web-based Training

    • Electronic Medical Records

    • Clinical Decision Support Tools

  • Patient Recruitment/Medical Marketing

  • Industry-sponsored Clinical Trials


Clinical directors network

CLINICAL DIRECTORS NETWORK Trial (ALLHAT)

Jonathan N. Tobin, PhD

President/CEO

CDN

Clinical Directors Network, Inc.

54 West 39th Street - 11th Floor

New York City NY 10018 USA

Tel (212) 382-06-99 ext 34

Fax (212) 382-06-69

Email: [email protected]

Web Site: www.CDNetwork.org


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