No Slide Title
Upcoming SlideShare
Loading in...5
×
 

Like this? Share it with your network

Share

No Slide Title

on

  • 359 views

 

Statistics

Views

Total Views
359
Views on SlideShare
359
Embed Views
0

Actions

Likes
0
Downloads
0
Comments
0

0 Embeds 0

No embeds

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment
  • Thank you – this is an honor and privilege…. Etc.
  • Talk about the medical foundation and the strong partnering that makes Billings Clinic an ideal model for this pilot. The goals and objectives of the organization are aligned and solid. Perhaps state that this model has afforded Billings Clinic to participate in multiple national projects and has moved the organization into the national spotlight for patient safety, quality and ……
  • This is key to the presentation… why did we want to participate in this pilot… what influenced us as an organization to seek out this partnership…what did we see within our community that we haven’t met the need? So… We know advancing research, reaching the underserved/underrepresented and contributing to the advances of cancer information is the right thing to do We, both Billings Clinic and the Billings Clinic Cancer Center, have the infrastructure to accomplish the pilot project objectives. and… our location …
  • Frontier Geographic challenges to reach the people in the region.
  • Size, population
  • No NCI centers within a 5 state region surrounding Billings.
  • Describe our infrastructure and how our partnership with the NCI will be enhances by the foundation that is already established.
  • Current region… describe how this is changing, growing for cancer care.
  • More on the infrastructure. The cancer outreach sites are not on this map, but they range from the highline from Glasgow to Williston, from Livingston to Miles City and down to Cody and Sheridan,Wy.
  • Cancer and outreach are on the top of Billings Clinic priorities You may want to mention the new cancer center
  • Specifics on the infrastructure for the cancer center.
  • This is key information that they want to have described Statistics about our regional - factors that led us to seek out this partnership with the NCI
  • What challenges do our patients have and what are the challenges and opportunities we have to meet those challenges.
  • Talk about the close relationships we have with these organizations
  • Describe how we interact and communicate with coalitions and organizations in the region. What is important about these influences/relationships.
  • This is to address what we currently do within the “extra-local” community – both for patients and providers. Note that some of this is repetitive, but really goes into more detail/ specifics.
  • continued
  • Communication with region through telemedicine
  • This is key for the presentation Describe what our experience in now with the communities we serve… patients, both locally and regionally. FY… Title XV is the breast and cervical cancer program.

No Slide Title Presentation Transcript

  • 1. Billings Clinic Cancer Center and the NCCCP June 25, 2007 Prepared For: NCCCP Pilot Launch Prepared By: Tom Purcell, MD, Director, Cancer Center, PI NCCCP Jon Ness, Chief Operating Officer
  • 2.
    • A medical foundation built upon the following cornerstones:
      • An obsessive dedication to quality and service
      • A multi-specialty physician group practice in which a “community of physicians” work together – 280 providers
      • The partnering of 3,000 physicians, administrators, professional staff, and volunteers
      • Not-for-profit, community-owned and governed
      • 272-bed hospital
    What is Billings Clinic?
  • 3.
    • Our Mission
      • Health Care, Education, Research
    • Our Vision
      • By 2010, Billings Clinic will be recognized as the health care organization providing the best clinical quality, patient safety and service experience in the nation
  • 4. Why are we interested in being a part of the NCCCP pilot program?
    • because …
            • Compatibility with our quality vision
            • Enables our physicians and program leaders to learn from our pilot program partners
            • Enables Billings Clinic to better serve our large geographic area
  • 5. Our Backyard
  • 6. Montana: 147,138 square miles and 922,002 people
  • 7. Geographical Challenges in Accessing NCI Cancer Centers Billings
  • 8. Factors Influencing Billings Clinic - NCI Partnership Decision
    • 3 rd largest private employer in Montana
    • Largest health care organization in Montana
    • 8 regional branch clinic locations
    • 20 Telemedicine Sites
    • 13 Teleradiology Sites
    • Seven CAH rural affiliations
    • Challenges to access to care in region
    • Strong cancer program; strong infrastructure
    • Mission / commitment to serve the large geographic region
  • 9. Billings Clinic Service Area Riverton Fremont Casper Powell Park Cody Hot Springs Thermopolis Bighorn Lovell Greybull Washakie Worland Sheridan Sheridan Johnson Buffalo Campbell Gillette Crook Lincoln Flathead Sanders Mineral Lake Glacier Missoula Ravalli Beaverhead Granite Deer Lodge Powell Toole Pondera Teton Lewis & Clark Cascade Jefferson Silver Bow Broadwater Madison Gallatin Park Sweet Grass Stillwater Meagher Wheatland Judith Basin Chouteau Liberty Hill Blaine Fergus Golden Valley Carbon Big Horn Yellowstone Musselshell Petroleum Phillips Valley Garfield Rosebud Treasure Powder River Carter Custer Fallon Prairie Wibaux Dawson McCone Richland Roosevelt Sheridan Daniels Missoula Anaconda Butte Dillon Bozeman Havre Lewistown Livingston Big Timber Columbus Billings Red Lodge Hardin Roundup Forsyth Miles City Baker Glendive Sidney Culbertson Wolf Point Glasgow Primary Secondary Tertiary Population Sq. Miles Yellowstone 130,219 2,635 Secondary 54,146 26,101 Tertiary 335,141 92,630 TOTAL: 519,506 121,366 Source: Claritas, Inc. 2002 Population Estimate US Census Bureau Land Area Sizes Area larger than 44 states, 49 th in population
  • 10. Service Region Locations Riverton Fremont Casper Powell Park Cody Hot Springs Thermopolis Bighorn Lovell Greybull Washakie Worland Sheridan Sheridan Johnson Buffalo Campbell Gillette Crook Lincoln Flathead Sanders Mineral Lake Glacier Missoula Ravalli Beaverhead Granite Deer Lodge Powell Toole Pondera Teton Lewis & Clark Cascade Jefferson Silver Bow Broadwater Madison Gallatin Park Sweet Grass Stillwater Meagher Wheatland Judith Basin Chouteau Liberty Hill Blaine Fergus Golden Valley Carbon Big Horn Yellowstone Musselshell Petroleum Phillips Valley Garfield Rosebud Treasure Powder River Carter Custer Fallon Prairie Wibaux Dawson McCone Richland Roosevelt Sheridan Daniels Missoula Butte Dillon Havre Lewistown Livingston Columbus Billings Red Lodge Hardin Roundup Forsyth Miles City Baker Glendive Sidney Wolf Point Glasgow Weston Natrona Great Falls Kalispell I-15 I-90 I-25 Williams Williston Divide McKenzie Dickinson Golden Valley Billings Dunn Stark Slope Bowman Adams Hettinger I-94 HWY 2 Scobey Big Timber Colstrip Bozeman Affiliate Management Services Columbus - Stillwater Hospital Colstrip - Colstrip Clinic Forsyth - Rosebud Healthcare Lovell - North Big Horn Hospital Red Lodge - Beartooth Hospital Big Timber - Pioneer Medical Center Livingston - Livingston Healthcare Scobey - Daniels Memorial Hospital Branch Locations & Number of Providers Billings Clinic - Cody (6 MDs, 1 PA) Bozeman OB/Gyn (6 MDs, 2 NPs, 1 PA) Billings Clinic - Forsyth (1 PA) Billings Clinic - Wellness Center (1 MD, 1 PA) Billings Clinic - West (8 MDs, 1 PA) Billings Clinic - Miles City (10 MDs, 4 PAs) Billings Clinic - Red Lodge (4 MDs) Billings Clinic - Columbus (2 MDs, 1 NP) Billings Clinic - Heights (4 MDs, 1 PA) Counties with Affiliate or Branch Clinic Other Service Area Counties Jan. 3, 2006
  • 11. Cardiovascular Muscular- Skeletal Neurosciences Cancer Maternity/ Children's Services Best in Nation Adult Medicine Diagnostic- Ancillary Services Critical Care Services Surgical Services Specialty Medicine Branch Clinic Performance West Billings Medical Complex Physician Recruitment/ Retention Convert Affiliate Models (3) Regional Emergency/Trauma Fixed-Wing/Helicopter Regionalize Clinical Research Physician Referral Management Focus Specialty Outreach Sites/Telemedicine Direct to Consumer Expand Surgical OR Capacity P1 P1 P1 P2 P2 P3 P2 P1 P2 P3 Cancer P1 Initiatives as of March 2006 Adult Medicine Primary Care P1 Equity ownership Livingston Healthcare/Beartooth Hospital Business Development Plan Initiatives P1
  • 12. Billings Clinic Cancer Center
  • 13. Billings Clinic Cancer Center
    • 1350 Analytical Cancer Cases per year
      • Top five cancers: Breast, Colorectal, Lung , Melanoma, Prostate
    • 9 Outreach Medical Oncology Clinics
    • 6 Multidisciplinary Programs
      • Breast, Gastrointestinal, Genitourinary Gynecologic, Hematologic, Thoracic
    • 11 Providers
      • 5 Medical Oncologists, 2 Radiation Oncologists, 1 Gynecologic Oncologist, 1 Naturopath, 1 Medical Oncology Nurse Practitioner, 1 Gynecologic Oncology Physician Assistant
    • 7 Care Navigators
      • Breast (1 diagnostic, 1 treatment), GI, GU, GYN, Heme, Thoracic
  • 14. Healthcare Disparities
    • Rural – distance to care, lack of access, 48/55 counties are designated as Health Professional Shortage Areas (HPSA), Medically Underserved Areas (MUA) and/or Physician Scarcity Areas (PSA)
    • Uninsured – 18.4% Montanans (10 th highest in nation)
    • Poverty rate – 14.3% (10 th lowest in nation)
    • American Indians – 4%, seven reservations
    • Health insurances – “no clinical trials” clauses in contracts
  • 15. Local and Regional Challenges/Opportunities
    • Distance to travel for care vs care within the rural community
      • Implementing regional screening programs
      • Penetrating the Indian Health Services
      • Managing Clinical Trials within rural areas
      • Cost of providing care with uninsured
    • Lack of primary care providers in large geographic areas
    • Access to regional expertise to develop, implement and manage program components
      • Nurse navigator
      • Rural provider participation
  • 16. Local, Regional and National Networks – resources that help
    • Montana Cancer Control Coalition
    • American Cancer Society
    • County Health Departments
    • Regional Affiliated Hospitals
    • Outreach Specialty Clinics
    • Eastern Montana Telemedicine Network
    • Care Navigation
    • Hospice Affiliations
    • Mary Crowley Medical Research Center
  • 17. Regional Health Care Philosophy
    • Formalize partnerships with physicians and community hospitals in the region to preserve access to quality, local health care
    • Advocate partnerships that are based on trust, shared vision, values and goals
    • Deploy information technology (EMR, Teleradiology)
    • Utilize progressive management methods to achieve optimal operational, financial and clinical outcomes
    • Promote stewardship with regional and critical access hospitals
  • 18. Current Rural Services Provided
    • Medical Oncology Outreach Clinics
      • Nine sites throughout region
      • Local tumor boards within rural communities
    • Telemedicine (EMTN)
      • Weekly tumor boards with community providers
      • Research and medical oncology clinics
    • Teleradiology (GE PACs)
    • Reference Laboratory
  • 19. Current Rural Services Provided
    • Critical Access Hospitals
      • Locally coordinated patient management
    • Information Technology Services
      • EMR (Cerner)
        • Access at outreach clinics
        • Web based access for community physicians
      • Regional IS technical support services
    • Care Navigation
      • Site specific care coordination by RN navigator
  • 20.  
  • 21. Community Experiences
    • Care Navigation (6 RN treatment navigators, 1 RN breast diagnostic navigator)
    • Telemedicine
    • Survivor Programs (TLC, Hope for Tomorrow , City of Hope program, Survivor Day event)
    • Support Groups (General, Here and Now )
    • 8-9% of cancer patients are currently enrolled in clinical trial
    • Community Education Programs (Lunch & Learns, Smoking Cessation, etc)
    • Screening Programs (Title XV, colorectal)
  • 22. Questions ?