[Author Name]. (2014, June). [Title of Presentation]. Podium presentation at the 7th Biennial Cancer Survivorship Research Conference, Atlanta, GA.

Transcription

1 June 18-20, 2014 Atlanta, Georgia Please Note: Reference to material from the following presentation should be acknowledged by citing the author, title of the presentation, and title of the conference as shown below. [Author Name]. (2014, June). [Title of Presentation]. Podium presentation at the 7th Biennial Cancer Survivorship Research Conference, Atlanta, GA.

2 Advancing Survivorship Care through Multilevel Collaboration Developing and implementing survivorship care in community cancer centers in the United States Andrew L. Salner, MD Director, Gray Cancer Center Hartford Hospital, Hartford, CT

3 THEMES Need for providing care and support Looming shortage of oncologists suggests moving follow-up care to PCPs and others Insufficient manpower and resources to add comprehensive services for every patient Develop and utilize evidence based guidelines Education and SCPs to providers Stratify and deploy care according to need-self care/community care/specialist care Multiple components-surveillance, long term and late effects, 2 nd neoplasms, wellness, psychosocial, rehabilitation

4 Need for providing care and support Current lack of systematic approach Many unmet needs-inadequate surveillance, psychosocial, rehabilitation, late effects assessment and intervention Need buy-in for systematic approach from stakeholders-patients, family, oncand PCP, hospitals and community stakeholders CoC, ASCO, ACS others to help facilitate

5 Oncologist shortage International and US Need to be deployed to have biggest impactdx and acute care, high risk follow-up care Embed APRNs in cancer centers Transfer care/scp to trained PCPs(MD/APRN) Educational curriculum in med schools, APRN programs, residencies

6 Resource shortages Increasing number of survivors! Diversity of needs/new therapies Limited national/healthcare resources Value based care-part of oncology/welness bundle Quality care to meet needs will lower cost by prevention and early detection Creative strategies-self care, automated tailored messaging Payors, CMS, ACO s

7 Evidence based guidelines Research is lacking! Patients want comprehensive and holistic approach Need to fund research testing models Need to engage primary care and nursing organizations to collaborate with oncology organizations, cancer centers, hospitals, medical groups

8 Education and SCPs PCPs, specialists, APRNs not well educated in this discipline When educated all do well!!! Need triage system with access One time visit limited Standard curriculum Tailored TS and SCP well communicated to patient, family and providers-living document Medical/nursing schools, residencies, web learning Compensation

9 Stratify and deploy One size does not fit all Utilize web based systems of support and self care Empower our patients and families Collaborate with technology partners Web based portals of EHRs-hospitals, cancer centers, medical groups Ready access to additional services

10 Multiple components Integration of surveillance, long term and late effects monitoring, screening, psychosocial, rehabilitation, wellness into single program Guideline based Referral access to specialist as needed Collaboration on ideal models Training and implementation Cost effectiveness research-acos, health plans

11 Conclusions Superb presentations by our colleagues Similar themes suggesting we don t meet needs well-silos, focus on cancer Rx Resources-human and $ not available New paradigms will add comprehensive tailored risk stratified survivorship care as part of oncology and wellness bundle Quality added will more than justify cost

12 THANKS for being part of the solution!