NCI NCCCP Pilot Launch
Catholic Health InitiativesJune 25-26, 2007
Presenters
Debbi Honey, RN, MHA
CHI Vice President Clinical Operations
CHI liaison and contact for NCCCP Pilot
Mark Krasna, M.D.
Medical Director, St. Joseph Cancer Institute, Towson, MD
Principal Investigator, Catholic Health Initiatives NCCCP sites
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Catholic Health Initiatives
Nation’s second largest Catholic healthcare system - not for profit
Facilities • 72 hospitals
• 43 long-term, assisted-living and residential care facilities
• 5 community-based health ministries 19 States Approximately 500,000 acute care admissions annually Approximately 66,000 full and part-time employees $8.8 billion in assets $7.1billion in NPSR 11% or $797 million as quantifiable community benefit (as
percent of total revenues)
Quantifiable community benefit (provided to the poor and broader community) as a percentage of total revenues: 11% or $797 million
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Basis for Participation – Quality of Care
The broad geographic, size and service level diversity demands discipline and rigor to support quality care
Goal for all patients in a CHI facility to receive comparable high levels of quality care in services provided
System commitment to continual improvement in quality and patient safety STEEEP
Central standardized information repository
Coordinated standard competency process
Active intra-facility collaboration increasing with oncology most active and engaged
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Basis for Participation – Strategic Alignment
Mission and Vision Creating Healthier communities
Commitment to serve disparate and underserved persons and populations
Supports strategic direction of organization Focus on key service lines
Alignment and partnership with community providers
Enhancing and continually improving services available to patients in our communities
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Basis for Participation – Strategic Alignment
Growth Strategy Local– MBO oncology service line growth and
development
National – Advancement of clinical services through an integrated approach across CHI
Innovation Creating a culture that fosters innovation
Promoting transfer of new ideas and proven practices
Focused clinical service-line innovations: oncology, cardiology, ortho/neuro
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Basis for Participation – Strategic Alignment
Research and Development CHI Board initial commitment of $25M to new R&D
function
Focus on creative approaches to transforming healthcare delivery
National partnerships and linkages will be key component
Integrated approach to clinical research activities across CHI
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Basis for Participation – Distinctive Disparities
St. Joseph Medical Center, Towson, MPeople Served - 1.8 million
35% are African American Over 26.2% are older adults considered Highest incidence of thoracic malignancies
Penrose-St. Francis Health Services, Colorado Springs, COPeople Served – 564,776
Medically Underserved designation in primary market area Health professional shortage designation in primary care for low
income populations.
Nebraska Hospitals – Good Samaritan Hospital, Kearney; St. Elizabeth Regional Medical Center, Lincoln; St. Francis Medical Center, Grand Island
People Served – Collectively 920,000 Large rural geographic areas with limited access due to distance and
economic and personal issues. Limited number of available trials makes Nebraska a prime target for
an increase in both trial numbers and participant levels.
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Basis for Participation – CHI MBO Complement to NCI Cancer Centers
CHI Acute MBO Cancer Programs (40)
Source: www3.cancer.gov/cancercenters/descriptionmap.html; modified on 4/09/06
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Basis for Participation – System Advantages
Rural and Urban hospitals
National resources
Financial support
Clinical Expertise
Infrastructure for clinical and knowledge transfer
Infrastructure for standardized information in place to support outcome measurement
Leadership support, engagement and excitement at all levels of the organization
System-wide approach to service line strategies – example CHON
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Local Considerations
Challenges Collaboration
Physician referrals Building confidence at
“community” level
Changing established referral patterns
Disparate population participation Awareness
Access
Unanticipated resource needs Infrastructure
Equipment
Human Resources
Opportunities Access to leading edge care
for cancer patients
Expansion of outreach opportunities
Sharing of resources and scarce expertise
Positively supports one of the system’s identified strategic service lines
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“Extra Local” Considerations
Clinical Expertise – Sharing and Supporting Specialty providers
Clinical and technical providers
Genetic counselors
Coordination with local agencies
Garnering collaboration between hospitals for service designation
Encourage and enhance ability to near “real-time” share lessons learned and best practices
Reputation for multidisciplinary care
Focus on innovation
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Community Experience
Enjoy excellent reputation with consumers
Patients voice the desire to receive care at or near home when possible
High level patient satisfaction in facilities
State-of-the-art cancer facilities in several markets; commitment to enhance markets in development
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Physician Experience
Medical staff actively involved
Believe hospitals/CHI are committed to quality and the community and actively partner with the facilities
Asked and participate in strategic planning activities
Actively participate in cancer committees at local level and participate in intra-facility
Complements existing private practice in local markets
Physician alignment – Strategies for recruiting and working with partner providers
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NCCCP PILOT: NCI and CHI Synergy
Microcosm of U.S. Healthcare System
Geographic Diversity and Scope
Leadership Commitment
Commitment to Local Communities
National Infrastructure and Resources
National Information Strategy
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System Dissemination and Integration
CHON Development of a network for all CHI facilities with cancer
programs to work together
Teleconferencing
Enhance ability to actively participate in clinical research and trials
Infrastructure enhancements
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Catholic Health Oncology Network - CHON
Goals:
Research Multi-d Care
• Become a highly sought after partner in the clinical development of new therapeutic approaches for cancer treatment
•Establish multi-disciplinary care as the standard for treating oncology patients across CHI
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CHON: Strategic Rationale
• Providers that support clinical trials are viewed as being on the leading edge
• Clinical research provides best cancer care
• Clinical research across CHI is not organized, managed or marketed in a unified program
• CHI is not benefiting from the advantages associated with being a leading research-focused system
• CHI can address the many needs of research sponsors:
access to large, diverse pools of patients in a variety of disease areas
Participation by highly qualified, proven clinical investigators
Systems to acquire and deliver quality clinical data in a timely manner
• Access to all therapeutic options; fully involving all team members improves quality of care
• Cancer is by nature multidisciplinary, requiring services from several specialists
• Multi-d teams allow the cancer program to address the continuum of patient care
• Multiple benefits to building multidisciplinary oncology programs in a community setting:
For patients: make more informed decisions and receive better care (access, wait times)
For providers: provide better care, communication and work environment
For programs: build unique capabilities and market share
Clinical Research Multi-disciplinary Care
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Business and Research Alignment:
The benefits to be gained from a CHON will be best realized by implementing systems and processes which:
Align CHI’s strategic, business and clinical objectives
Integrate and coordinate resources and activities to create efficiencies
Ensure properly shared infrastructures and uniform approaches to key activities
Foster timely and efficient communication and learning throughout the network
Enhance existing programs by complementing/partnering with other CHI sites/central office
Catholic Health Oncology Network - CHON
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Create a coordinated team of dedicated specialists who willprovide the highest quality, compassionate care to patientswith malignancies, in an efficientand patient-friendly manner
Reinforce the positive clinical benefit of multidisciplinary care to patients, nurses and physicians
The Cancer Institute at SJMC: The Mission
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CHON: A Vision for the Future
Goals
Multidisciplinary care as the paradigm throughout CHI facilities
Provide access to multidisciplinary conferences
Facilitate live video/consultation or referral within the network to all specialties
Provide access to “state of the art care” at all rural CHI sites
Collaborate on new research initiatives
Offer state of the art access to clinical research trials
Collaborate with industry partners
Increase oncology market share
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Questions
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