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American Community Mutual. American Cancer Society. Prostat

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American Community Mutual. American Cancer Society. Prostate ... American Cancer Society, Great Lakes Division. Michigan Department of Community Health ... – PowerPoint PPT presentation

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Title: American Community Mutual. American Cancer Society. Prostat


1
Clinical Trials Action Plan
  • By the year 2005 double the number and increase
    the diversity of participants enrolled in
    clinical cancer research

2
Current Strategies to Implement Action Plan
Objectives
  • Baseline Survey of Michigan Oncologists to
    Determine Clinical Trial Participation
  • Consensus Document for Reimbursement of Routine
    Patient Care Costs
  • Increased Access to Trials in the Community
  • Professional Education Efforts to Showcase
    Michigans Research Initiatives
  • Minority Recruitment Coalitions

3
Clinical Trials Baseline Survey
4
Elements of the Survey
  • Demographics of Michigan oncologists
  • Current level of clinical trial participation
  • Actual and perceived barriers to clinical trial
    participation
  • Attitudes about clinical research

5
Survey Development Delivery
  • Partnership with Pharmacia Corporation
  • Educational design resources
  • Financial sponsorship
  • Compile and report data
  • Recruited Authors of Survey
  • Community and academic physicians
  • Researchers and those who do not participate in
    clinical trials
  • Michigan Society of Hem/Onc to administer
  • Endorsement
  • Distribution

6
MSHO Clinical Trials Participation Survey Sample
Questions (Strongly Agree to Strongly Disagree)
7
Anticipated Survey Benefits
  • Measure current participation levels
  • Use survey results to identify research concerns
    and barriers oncologists report
  • Identify possible behavioral change opportunities
    for physicians who do not enroll patients on
    studies
  • Use subsequent survey to measure progress

8
Consensus Guidelines for Coverage of Routine
Patient Care Costs for Those Enrolled in Clinical
Trials
9
Essential Steps Preceding Consensus Guideline
Draft
  • Awareness and education programs
  • Coalition of major stakeholders in the care of
    Michigan cancer patients
  • - Providers - Legislators
  • - Payers - Patient Advocates
  • recruited to form The Michigan Working Group to
    Improve Cancer Outcomes.

10
Michigan Working Group to Improve Cancer Outcomes
  • Ford Motors
  • General Motors
  • Kellogg
  • UAW
  • Economic Alliance for Michigan
  • Henry Ford Health System
  • Karmanos Cancer Institute
  • MSU Cancer Center
  • U of M Cancer Center
  • St. Johns Health System
  • St. Joseph Mercy Hospital
  • MI Department of Community Health
  • NCI Cancer Information Service
  • MI Society of Hem/Onc
  • Coalition of National Cancer Cooperative Groups
  • Blue Cross Blue Shield of Michigan
  • Health Alliance Plan
  • MI Association of Health Plans
  • Aetna US Healthcare
  • Michigan Farm Bureau
  • American Community Mutual
  • American Cancer Society
  • Prostate Education Support Network
  • Leukemia Lymphoma Society
  • Amgen
  • Pharmacia Corporation
  • Senator Schwartz
  • Senator Shugars
  • MI Hospital Association

11
Timeline
  • March 5, 1999 - MSHO, MSMS and ACS stages
    Clinical Trials Building Partnerships for the
    Future forum
  • November 3, 1999 - Senator Schwarz convenes
    meeting at the Capitol members charged to
    develop non-mandated solution to coverage of
    patient care costs
  • February 23, 2000 - The Michigan Working Group to
    Improve Cancer Outcomes is formed and empowers
    an Executive Group to draft consensus guidelines
  • April 6 December 7, 2000 Executive Group
    collaborates to draft a viable document
  • February, 2001 Michigan Working Group will
    review Consensus Document and present to their
    constituencies for endorsement

12
Michigan Working Group to Improve Cancer
OutcomesExecutive Group Membership
13
Outline of the Consensus Document
  • Clinical Trial Definitions and Exclusions
  • Rationale for Supporting Clinical Research
    Efforts
  • Criteria for Approved Clinical Trials
  • Costs Associated with Cancer Clinical Trials
  • Policy Issues and Concerns
  • Essential Elements of Consensus Guidelines

14
Increase Access to Clinical Trials in the
Community
15
Growth of CCOPs in Michigan
  • Ann Arbor Regional CCOP
  • Kalamazoo CCOP
  • Grand Rapids CCOP

16
Growth of Clinical Trial Networks
  • Academic centers partner with community hospitals
  • Local programs strengthened by expanded resources
  • Access to quality trials increases for physicians
    and their patients

17
Clinical Trial Professional Education Efforts
18
Continuing Medical Education
  • ASH Updates
  • ASCO Updates
  • MSHO Showcase of MI Research Initiatives

19
Nursing Education
  • Todays Treatments Were Yesterdays Clinical
    Trials MSHO Nurse Network Retreat
  • Clinical Trials Workshop
  • (Partnership with MSHO/Bristol)

20
Minority Recruitment Efforts
21
Exploratory Meeting/ African American Thought
Leaders
  • MDCH identifies and invites prominent African
    American leaders to meet with the directors of
    Michigans research programs.
  • Feasibility of a Blue Ribbon advisory panel
    will be proposed for collaboration on strategies
    to resolve insufficient minority participation in
    clinical research.

22
The Secret of our Success?
23
BRING THE RIGHT PEOPLE TO THE TABLE
Identify the essential institutions/agencies
Invite the Decision Makers in that group
24
HAVE ENOUGH TO COMPLETE THE PROJECT
25
CONSISTENT ADMINISTRATIVE SUPPORT
  • Scheduling
  • Membership maintenance
  • Reports, agendas, minutes
  • Follow-up
  • Follow-up
  • Follow-up

26
What Does the Future Hold?
27
Partnering
  • Capitalize on networking contacts cultivated in
    the Michigan Working Group to Improve Cancer
    Outcomes
  • Identify and develop partnering opportunities
    with pharmaceutical companies using their
    marketing, education and funding resources.

28
Building on Achievements
  • Use survey results to assess physician bias and
    misperceptions.
  • Expand the potential of the Michigan Working
    Group to Improve Cancer Outcomes from approval of
    research to support.
  • Use CMEs to update awareness of MI research
    initiatives

29
Engage MCC Resources
  • Develop and maintain central web-based registry
    of Michigan clinical trials
  • Form Michigan Commission on Clinical Research to
    review trials which are not slam dunks within
    the context of the Consensus Guidelines
  • Designate a neutral body to monitor and measure
    research initiatives

30
Staying on Target
  • Revisit Action Plan Strategies
  • Work Plan
  • Timeline
  • Implementation
  • Progress Monitoring
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