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

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 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 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

Status All Trials (2006 Summary)

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 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) 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 (cont) Patients in Jameson Consented and participated in the program (N=79) Not participated Eligibile Non-White  Medicaid, Selfpay, Medicare without Supplement  80 and older Sample: All Not Eligible Sample: All Patients in Murtha Cancer Center Eligible for Navigator program Electronic data from UPMC Cancer Network (Sample: All eligible patients) Eligible but not participated Sample N=30 Not Eligible Sample: None

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

TELESYNERGY Use

Publication Summary 2006 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 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 Lin, et al: Breast Cancer Risk Assessment in Socioeconomically Disadvantaged Urban Communities

Abstracts & Presentations th 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) 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)