Overview of Pilot Activities NCCCP Pilot Introductions

1. Overview of Pilot ActivitiesNCCCP Pilot Introductions Donna O’Brien MHA NCI Consultant June 25, 2007

2. NCCCP Pilot: WELCOME!!! • Billings Clinic, Mont. • Hartford Hospital, Conn. • St. Joseph’s/Candler, Ga. • Our Lady of the Lake Regional Medical Center, La. • Sanford USD Medical Center, S.D. • Spartanburg Regional Hospital, S.C. • St. Joseph Hospital, Orange Calif. • Christiana Hospital, Del. • Ascension Health, based in Mo. • Catholic Health Initiatives, based in Colo.

3. Overview • Introduce sites • Complexity of Program • Many moving parts • Need institutional commitment for success • Importance of Working Together • Time commitment

4. The Larger Cancer Enterprise -NCCCP Compliments many NCI Programs Clinical Trials InformationTechnology Disparities Biospecimens Cancer Centers Program Community Clinical Oncology Program(CCOPs) Minority-Based Community Clinical Oncology Program(MB-CCOPs) Cooperative Groups Cancer Trials Support Unit(CTSU) Cancer Centers Program CommunityNetwork Program(CNP) Cancer Disparities Research PartnershipProgram (CDRP) Patient NavigationResearch Program (PNRP) Cancer Information Service (CIS) Cancer Centers Program NCI Best Practicesfor BiospecimenResources The CancerGenome Atlas Cancer Centers Program caBIGTM(cancer Biomedical Informatics GridTM) Electronic Medical Records–HHS Centers of Excellence in Cancer Communications Research (CECCR) NCI Community Cancer Centers Program Cancer Continuum Prevention Screening Treatment Palliative Care Follow-up Survivor Support End-of-life Care

5. The Larger Context The whole is greater than the sum of its parts.

6. Central Theme – Collaboration Collaboration Within communities Across pilot sites Across the larger Cancer Enterprise Across an NCCCP Network

7. Collaboration:Why is it important? • “If an increasing amount of economic/ healthcare/research activity continues to occur across, rather than within, the boundaries defined by formal ownership of one organization - managers, clinicians and researchers will have to understand (learn) how to work with partners rather than subordinates.” When Giants Learn to Dance - Kanter, 1989

8. Collaboration takes many forms collaboration Collaboration Collaboration collaboration collaboration collaboration collaboration

9. Collaboration • Within communities • Partnering with other resources to serve all in community, especially the underserved. • Coordination with primary care providers. • Coordination for follow up care, survivorship, and end of life.

10. Collaboration • Across pilot sites • Share learnings and challenges • Share best practices • Provide technical assistance • Group problem solving/group reports

11. Collaboration • Across the Larger Cancer Enterprise – organized approach to explore synergies e.g. • American College of Surgeons – COC, CAP, Joint Commission, ASCO, ACS • State Cancer Plans, National Advocacy groups • CMS • NCI-designated Centers, Academic Research Institutes • Industry – for industry sponsored trials

12. Collaboration • Across a network of NCCCP Pilot sites “A Knowledge Exchange Network” • To recognize that optimal cancer care in the future will need to transcend organizational boundaries • To realize potential of the new science of “personalized” medicine – accelerate research

13. An NCCCP Knowledge Exchange Network • Pilot group will look to future to explore ways to “institutionalize” network concept • Explore processes for coordination of patient care and research across organizations to plan for the delivery of personalized medicine • Consider most appropriate functions and structure for a network of community cancer centers

14. Knowledge Exchange Networks are based on Commitment “Good partnerships….. take effort and commitment and enthusiasm ……to realize the hoped for benefits. -Ohmae, 1989

15. NCCCP - A True Partnership • What can NCI learn from sites? • Model is a work in progress – need input • What can sites learn from • NCI and its excellent resources • One another • Other external organizations • What can we all create together?

16. Summary • Looking to this group to work together and make a time commitment at many levels • Can’t be successful without executive leadership and institutional support • Encourage you to get to know one another during these two days • Excited about our work together!!!!!

17. “Let the learning begin!”

18. Pilot Site Introductions

19. Site Presentation Outline • Why interested in pilot? • Factors which influenced decision to partner with NCI • Interest in health disparities

20. Site Presentation Outline • Challenges/Opportunities • Local factors • Extra-local factors – national • Experience with patients and physicians • Disparities

21. Health Systems Presentation Outline • Mechanisms within your organization to share Pilot experience and lessons learned across system

22. NCCCP Sites

23. NCCCP Pilot Sites • Billings Clinic, Mont. • Hartford Hospital, Conn. • St. Joseph’s/Candler, Ga. • Our Lady of the Lake Regional Medical Center, La. • Sanford USD Medical Center, S.D. • Spartanburg Regional Hospital, S.C. • St. Joseph Hospital, Orange Calif. • Christiana Hospital, Del. • Ascension Health, based in Mo. • Catholic Health Initiatives, based in Colo.