A TimeLine for Cancer Liaison Physician Success

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A Time-Line for Cancer Liaison Physician Success

• Phil Roland, MD
• Committee on Cancer Liaison
• Commission on Cancer
• April, 2009

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Cancer Liaison Physician Program

•  A grassroots network of physician volunteers
  willing to manage clinically-related cancer
  activities in their local facilities and
  surrounding communities. 

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Who are Cancer Liaison Physicians?

• 1,600 volunteer physicians
• 1,400 represent CoC accredited facilities
• 200 represent hospitals seeking accreditation
• General Surgeons -         44
• Hematology / Oncology - 17
• Radiation Oncology -       11
• Surgical Oncology -         10
• Pathology -                        3
• Colorectal Surgery 
• ENT
• Gyn Oncology
• Urology

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Cancer Liaison Physician Responsibilities

•  Serve as the Physician Champion within the
  cancer program.
• 2.  Serve as the liaison between the CoC and the
  cancer program.
• 3.  Serve as an agent of change within the
  community.  

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Becoming a Successful CLP

• How?
•     What?
•         When?
•             Where?

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Cancer Liaison Physician Checklist...How to Get
Started

• Provides a suggested time based agenda, over your
  3 year CLP term, for success at your institution
•  
• 1-3 Months
• 3-6 Months
• 6-9 Months
• Within 1st. Year
• Within 2nd. Year
• Within 3rd. Year

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www.facs.org/cancer
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www.facs.org/cancer
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www.facs.org/cancer
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CLP Online Resource Area
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Activities for the New CLP (1-3 months)

• Log on to CoC Datalinks
• Access from  www.facs.org/cancer
• User ID / Password from Cancer Registrar
• Update your CLP contact information
• Review contents of your CLP orientation packet
• Attend web conference presentation on role of the
  CLP
•     

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Activities for the New CLP (1-3 months)

• Log on to CoC Datalinks
• Access from  www.facs.org/cancer
• User ID / Password from Cancer Registrar
• Update your CLP contact information
• Review contents of your CLP orientation packet
• Attend web conference presentation on role of the
  CLP
• Make Contact with 3 Key People
• Local ACS field staff
• CoC State Chair
• Cancer registrar
•     

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Activities for the New CLP (1-3 months)

• Log on to CoC Datalinks
• Access from  www.facs.org/cancer
• User ID / Password from Cancer Registrar
• Update your CLP contact information
• Review contents of your CLP orientation packet
• Attend web conference presentation on role of the
  CLP
• Make Contact with 3 Key People
• Local ACS field staff
• CoC State Chair
• Cancer registrar
•     

ACS and State Chair Contact Information is
listed by State on the  CLP Resource Area Web Page
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Cancer Registry ProfessionalsRoles and
Responsibilities

• Cancer Program Management
• Data Abstraction and Follow-up
• Cancer Committee Member
• Data Analysis for Studies
• Compiling Cancer Program Annual Report
• Assess referral patterns
• Participate in cancer prevention
• Present information to cancer committee,
  physicians, administration

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Cancer Registry ProfessionalsRoles and
Responsibilities

• Cancer Program Management
• Data Abstraction and Follow-up
• Cancer Committee Member
• Data Analysis for Studies
• Compiling Cancer Program Annual Report
• Assess referral patterns
• Participate in cancer prevention
• Present information to cancer committee,
  physicians, administration

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Cancer Registrar CLP

• A close working relationship with the cancer
  registrar is critical to your success as a Cancer
  Liaison Physician, a leader in the CoC survey
  process, and your cancer program.

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CLP - Getting Started (3 to 6 months)

• Communicate Commission on Cancer updates
  at cancer committee meetings
• CoC Flash
• NewsCLiPs
• Invite local American Cancer Society Relationship
  Manager to cancer committee meetings
• Work with your cancer registrar to review Level
  II FIPS data, status, and release to ACS
•  

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Facility Information Profile System FIPS

• Data sharing project with the American Cancer
  Society
• Consumers benefit from FIPS
• Patients have access to information about your
  cancer program
• Providers benefit from FIPS
• Hospitals can increase visibility, market their
  strengths, and promote quality cancer care

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CLP - Getting Started (3 to 6 months)

• Review the CLP Focus Areas
• Quality Improvement
• Advocacy
• American Cancer Society Partnership
• Clinical Trials
• Comprehensive Cancer Control
• Staging
• Select a focus area and series of activities to
  accomplish each year that result in positive
  change for the cancer program and/or your
  community.

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CLP - Getting Started (3 to 6 months)

• Review the CLP Focus Areas
•  Quality Improvement
• Advocacy
• American Cancer Society Partnership
• Clinical Trials
• Comprehensive Cancer Control
• Staging
• Select a focus area and series of activities to
  accomplish each year that result in positive
  change for the cancer program.

Audio and .ppt slides on CLP focus areas
available using the CLP Resource Area web page
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CLP - A little later in the year (6 to 9 m)

• Use the National Cancer Data Base to evaluate and
  improve quality at your cancer program
• Instructions and 'tip sheets' on the CLP Resource
  Page
• Review NCDB Cancer Program Practice Profile
  Reports (CP3R)
•  
• Access and review your facility's NCDB Hospital
  Comparison Benchmark Reports and compare data to
  other hospitals in your category, state, ACS
  region, and nationally

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Hospital x
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Cancer Program Practice Profile Reports (CP3R)
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Additional Activities - Within 1st. Year

• Attend annual meeting (in-person or conference
  call) held by your State Chair
• Schedule regular meetings with your ACS
  Representative
• Complete CLP Activity Report
• Annual update period (July - September)
• In preparation for survey
• Make a Power Point presentation to your cancer
  committee, on the topic of your choice, using
  slide sets provided by the CoC (expand here with
  examples)

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The Seasoned CLP - Year 2

• Increase your leadership role on the cancer
  committee
• Serve as chair
• Fill a CoC-defined coordinator role
• Present your state cancer plan to the cancer
  committee
• Identify ways your facility can become involved

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Comprehensive Cancer Control

• CLPs play a unique role in comprehensive cancer
  control
• Link at the local level, partnering with multiple
  groups such as State Cancer Plan, American
  Cancer Society
• Provide expertise in implementing their State
  Cancer Plan at the local level
• Obtain a copy of your State Cancer Plan, and
  other useful resources at Cancer Control
  P.L.A.N.E.T.

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http//cancercontrolplanet.gov
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Year 2 - The Seasoned CLP (con't)

• Encourage increased enrollment in clinical trials
• Become member of ACOSOG
• Make sure there is a current listing of clinical
  trials available in your facility for patients to
  access
• Communicate with the CoC to share your best
  practices or request information to help you
  fulfill your role successfully

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The Experienced CLP - Year 3

• Attend an Annual CLP Breakfast Meeting in
  conjunction with the Fall Meeting of the American
  College of Surgeons
• CoC Cancer Program Survey
• Assist in preparation for survey
• Attend the survey, meet with surveyor

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Many CLPs receive support from their cancer
program to attend CLP breakfast at the annual
ACoS meeting.
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Cancer Liaison Physician Activity Report

• What are your colleagues doing?

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CLP Accomplishments

•  82 participated in a CoC survey
• 70 collaborate with ACS
•  56 presented NCDB data
•  46 spearhead quality studies (CP3R)
•  49 involved in data submission
•  23 are ACOSOG members

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CLP - Need for Focus

•  58 promote clinical trials
•  23 presented state plan
•  28 never communicate with SC
• 93 of SCs communicate 2 x year
•  38 participation Role of the CLP Web
  conference
•  12 do not have adequate direction
•  5 are not at all involved

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A Time-Line for Cancer Liaison Physician Success

• Thank You!