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James D. Bearden, III, MD, FACP Principle Investigator Gibbs Cancer Center, Spartanburg, SC. Gibbs Cancer Center Our NCCCP Journey. Gibbs Cancer Center. 538 beds, Tertiary Medical Center Multi-hospital system 1674 new analytic cancers diagnosed in 2009 More than 500 physicians.
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James D. Bearden, III, MD, FACP Principle Investigator Gibbs Cancer Center, Spartanburg, SC Gibbs Cancer Center Our NCCCP Journey
Gibbs Cancer Center • 538 beds, Tertiary Medical Center • Multi-hospital system • 1674 new analytic cancers diagnosed in 2009 • More than 500 physicians. • Community Clinical Oncology Program (CCOP) since 1983 • Magnet Hospital Certification • Comprehensive Community Cancer Center Certification by the ACoS CoC with the Outstanding Achievement Award in 2006 & 2009. • QOPI Certification Pending • MD Anderson Affiliation since 2005 • Advanced Technology—i.e. IMRT, TomoTherapy, Stereotactic Radiosurgery, Robotic Surgery
What has NCCCP meant to Gibbs CC? • Increased recognition by hospital and medical staffs, and community-resulting in national and community gifts and grants of greater than $15M including two Endowed Chairs. • Enhanced collaboration among MDs for clinical and research work in a substantial way. • CEO support for institutional investment in programs. • Hard dollar support for outreach, survivorship, and research.
Difference between CCOP & NCCCP • CCOP - clinical trials only • NCCCP • Program development in all pillar areas • Infrastructure • Best Practices & benchmarks • COPs & Medical Oncology Credentials • Quality Measures: • QOPI • RQRS-”safety net”
Differences from Other NCI Programs • Integrates activities in disparities, quality of care and IT across the cancer continuum • Creates linkages with and integrates many NCI programs • Translates knowledge gained from NCI programs into community settings • Develops a strong hospital-based community cancer center network to support NCI goals • Supports the research infrastructure
Conditions of Participation Credentialing • Played significant role in establishing our culture. • Increased MDC attendance • Increased accruals to clinical trials • Required support for clinical research programs • Increased use of NCCN & ASCO guidelines • Supported quality improvement activities
Collaborations NCI Academic Center • Medical University of South Carolina • MOU • Clinical Trials Collaborative Project • Biospecimen Project • Lay Navigator Project • MD Anderson • Affiliation, Quality Program • Wake Forest Comprehensive Cancer Center • Clinical Trials Collaborative Project • Duke University NCCCP sites • St Joseph Chandler, Savannah, Ga. • St. Joseph Medical Center, Towson, MD
Reaching Underserved Populations • Minority Lay Navigator for Clinical Trials • Community Outreach • Targeting faith based AA/medical underserved • Screening • Increased minority(AA) screenings by 30%-50% • New Mobile Mammography Unit • Community Partnerships • Access Health • FQHC-ReGenesis • Foundations (Fullerton/Duke Endowment) • Free Clinic • Churches
NCCCP Network Builds Community-based Research Capacity • Increase overall accruals including: • Underrepresented and disadvantaged patients • Types of trials • Physician participation in trials • Identify infrastructure necessary to perform early phase trials in community hospitals. • Network collaboration supports accelerating progress. • Readiness for research projects/relationships: • In collaboration with NCI-designated cancer centers • NCCCP sites are agile: • accrue rapidly • target underrepresented populations efficiently.
NCCCP Aligned with Health Reform Goals • Key themes for ACO: • Improve care coordination • Promote care that meets national guidelines • Expand access to end of life & advance care planning • Expand team-based care and provider accountability • Ensure access to care • Increase use of health IT • Physician alignment The Advisory Board 2010
Lessons Learned • Build relationships with key leaders. • Link strategic goals & common interests. • Must be mutually beneficial. • MOU: defining roles & responsibilities. • Requires ongoing effort. • Recognize the differences between academic and community cancer center models. • Realization that there will be successes and failures.
Thank you Questions