1. James D. Bearden, III, MD, FACP Principle Investigator Gibbs Cancer Center, Spartanburg, SC Gibbs Cancer Center Our NCCCP Journey 1

2. 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 2

3. 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. 3

4. 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” 4

5. 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 5

6. 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 6

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8. 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 8

9. 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 9

10. 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.

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14. 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 14

15. 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. 15

16. Thank you Questions 16