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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 .

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cdrp program steering committee

CDRP Program Steering Committee

Dwight E. Heron, MD

UPMC McKeesport

February 2, 2007

Tampa, FL

upmc mckeesport highlights
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 highlights3
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 highlights4
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 highlights5
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
navigator behavioral 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
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
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 cont10

Patients in Jameson

Consented and participated in the program (N=79)

Not participated

Not Eligible

Sample: All

Eligible but not participated

Sample N=30

  • Eligibile
  • Non-White
  • Medicaid, Selfpay, Medicare without Supplement
  • 80 and older
  • Sample: All

Not Eligible

Sample: None

Patients in Murtha Cancer Center

Eligible for Navigator program

Electronic data from UPMC Cancer Network (Sample: All eligible patients)

Navigator Study (cont)
telesynergy use 2006
TELESYNERGY Use 2006
  • CDRP Collaboration Conferences – 4
    • Conference with other CDRP sites
  • CDRP Staff – 2
    • Conference with CDRP staff/NOVA
  • Community Sessions – 2
  • Mentor Sessions – 6
  • Tumor Board – 45
  • Tumor Board (thoracic) –12
publication summary 2006
Publication Summary2006
  • Peer 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 publication
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
Manuscripts Submitted

Lin, et al: Breast Cancer Risk Assessment in Socioeconomically Disadvantaged Urban Communities

abstracts presentations 2006
Abstracts & Presentations2006

10th 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
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)