CDRP Program Steering Committee

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

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

3. 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

4. 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

5. 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

6. Status All Trials(2006 Summary)

7. 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

8. 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

9. 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?

10. 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)

11. 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

12. TELESYNERGY Use

13. 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)

14. 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

15. Manuscripts Submitted Lin, et al: Breast Cancer Risk Assessment in Socioeconomically Disadvantaged Urban Communities

16. 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)

17. 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)