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Duke Oncology Network






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    Duke Oncology Network Duke Oncology Network Presentation Transcript

    • Duke Oncology Network Overview of Affiliated Programs Public Affairs and Marketing Network May 6, 2008
    • Duke University Health System
    • Duke University Health System Long history of Reaching Out 1939 American College of Surgeons Cancer Program Accreditation 1972 Duke Designated by the NCI as a Comprehensive Cancer Center 1989 Duke Comprehensive Cancer Center Affiliations Program Established 2001 Integration of Cancer Affiliations between Cancer Center and Health System Initiatives 1974 Duke University Medical Center Clinical and Education Affiliations Established
    • Duke Oncology Network
    • Duke Oncology Network Rationale for Developing Affiliate Relationships
      • Is consistent with Duke’s goal of becoming an internationally recognized leader in oncology medicine.
      • Enhances treatment options, outcomes, and the quality of life for members of the local community.
      • Generates funds in support of its academic mission.
      • Provides the opportunity to develop new markets and new sources of patients (in DUHS Service Area).
      • Enables Duke to maintain its pre-eminent position in research and education by adding sites for additional training opportunities and clinical research.
    • The mission of the Duke Oncology Network is to provide an array of oncology related services in a regional network of community cancer programs that have made a commitment toward excellence in cancer care. The Duke Oncology Network seeks to support and strengthen the mission of the affiliated organizations by:
      • Providing state-of-art cancer care to patients in the communities we serve;
      • Providing and promoting cancer prevention, screening, diagnosis and treatment through clinical research ;
      • Offering educational opportunities to healthcare practitioners and the community at large; and
      • Enhancing the effectiveness and efficiency of cancer care delivery through performance improvement and outcomes measures.
      Duke Oncology Network Mission Statement
    • Duke Oncology Network Sites of Service Oncology Research Programs Johnston Memorial Hospital Virginia Oncology Associates CALGB Affiliates Clinical Radiation Oncology Clinics Bone Marrow Transplant Programs Clinical Medical Oncology Practices Oncology Program Development Consultative Clinics Community Memorial Healthcenter Person Memorial Hospital Northeast Medical Center Asheville VA Scotland Memorial Hospital Florida Hospital Phoebe Putney Medical Center Palm Beach Cancer Institute Southeastern Regional Medical Center Duke Raleigh Hospital Beaufort Memorial Hospital St. Mary’s Hospital Durham VA First Health Moore Regional Oncology & Hematology of Southwest Virginia Associates Memorial Hospital of Martinsville & Henry County Durham Regional Hospital Granville Medical Center Maria Parham Medical Center Comprehensive Cancer Care, PA Columbus County Hospital South Carolina Oncology Associates
      • DUMC Affiliated Counties
      • Anchor
      • Secondary
      • Triangle
      • Duke Affiliations
      • Anchor Communities
    • Duke Oncology Network Vacant Associate Director Remote Mkt Affil Julie Clayton Staff Specialist Rusty Anderson, MD Gail Leget, MD Kelvin Raybon, MD Community PDC Physicians Kaushik Sen, MD Ivy Altomare, MD DON Med Onc Faculty Marty Polovich Nursing Director & Assoc Dir Onc Clin Ops Primary Responsibilities: 1) MD practice oversight/ faculty development 2) Clinical care (MD and nursing) 3) Clinical trials (clinical aspect) 4) CME (clinical content) 5) Program development 6) Planning Primary Responsibilities: 1) Affiliated program operations (admin operations/ interface with Hospital) 2) Program development 3) DON operations 4) Clinical trials (operations) 5) Education programs (logistics) 6) Contracting 7) Planning Sharon Taylor, MD May 6, 2008 Gina Vaccaro, MD Mid-Levels Brianne Buchanan, PA Beth Moore, , PA Primary Responsibilities: 1) Affiliated program operations (QA, nursing oversight, etc.) 2) Program development 3) Clinical care Ahmad Mahmood, MD Yuri Fesko, MD Administrative (DUHS): 14.8 FTEs Clinical Providers (SOM): 6.2 FTE’s Lena Carver Staff Assistant Monica Roberson Program Coordinator Renee Muellenbach Director Duke Oncology Network Angela Latta Medical Secretary VACANT Clinic Supervisor Johnston Cancer Center Chris Marino, RN Research Nurse Annie Langley, RN Research Nurse Melanie Watson Associate Director Clinical Trials and Ed Programs Vacantt Financial Analyst III Paul Lindia Associate Vice President Clinical Program Development Linda Sutton, MD Medical Director Duke Oncology Network Vacant Linda Owen, PhD Clinical Trials Manager Beth Clapp CCRP, AAS Regulatory Specialist Rhonda Bergey Staff Specialist
    • Network Services Divisions Strategic Operations Clinical Planning and Market Research Affiliations and Market Development Corporate Relations/DHD Duke Heart Network Duke Oncology Network Specialty Outreach Programs/Contracting Services Physician Recruitment 14 Admin/Support FTEs 6 DUHS Clinical FTE 4 PDC Physicians Duke Network Services Total FTEs ~ 40
    • How Elements Work Together
        • Clinical Planning
          • Identify opportunities and strategies for clinical differentiation and new program growth
          • Extend service line vision across health system entities and network
        • Affiliations and Market Development
          • Identify opportunities for new business and new market development
          • Relationship management with CEOs and MDs in key referral markets
          • Physician sales and customer service
        • Oncology and Heart Networks
          • Build volume and share for affiliates and DUHS
          • Maintain involvement when care translates to local setting
            • Program design, development and operations
          • Advance clinical research and education
        • Affiliations Contracting
          • Off- site clinical activities and selected GME rotations
        • Outreach Clinics
          • Specialty programs in local communities
          • Advance education
        • Corporate Relations/ Duke Health Direct
          • Relationship management and sales for regional employers
        • Physician Recruitment
          • Servicing DUAP, CPDC, DUHS and selected SoM divisions
    • Defining Value of Network Services
      • Grow targeted referral volumes
        • DUH, PDC, DHRH, DRH, affiliated programs
      • Generate income from clinical activities
        • Specialty clinics and affiliated programs
      • Advance academic priorities
        • Clinical trainees and clinical trials
      • Improve access to Duke health care
        • New services to priority medical communities
    • Duke Oncology Network Affiliations
      • Tiered Affiliation Structure
        • Research Affiliation
        • Clinical Program Staffing and Management
        • Program Development Affiliation
    • Duke Oncology Network Qualifications for Affiliate Relationship
      • Patient care and the delivery of high quality services must be first and foremost.
      • Commitment from medical staff and administrative staff to work as partners and provide resources for the delivery of oncology services and to participate in clinical trials
        • Appropriate staffing
        • Adherence to regulatory requirements (IRB, etc.)
        • Senior administrative time and support
        • Information Systems
      • A long term agreement
      • Affiliate will maintain resources to support an ongoing, collaboratively developed QA/PI plan
      • Maintain JCAHO accreditation and ACoS designation
    • Research Affiliations Key Research Functions
      • Access to clinical trials
        • In-house studies
        • National cooperative groups
        • Pharmaceutical industry
        • Collaborative research
      • Offer opportunities to be recognized in publications
      • Offer opportunities to participate in grant funding
      • Provide education and training of clinical trials staff
      • Provide assistance in the establishment of a Protocol Office
      • Provide current regulatory and IRB updates and support to facility-based IRB
    • Research Affiliations Key Educational Functions
      • Participation in Tumor Boards by Duke faculty
      • Assistance in clinical training
      • Liaison with academic medical center physician colleagues
      • Recommendations for Faculty appointments
      • Coordination of medical and nursing symposia
      • Continuing nursing education for research nurses
      • Rotation for learners
      • Liaison with pharmacy contacts
    • Research Affiliations Key Research Development Functions
      • Assessment of needs
      • Opportunities for telemedicine conferences
      • Assistance in cancer control initiatives
      • Assistance with the development of Quality Improvement Programs
      • Assistance with physician referral services
      • Access to other clinical program development efforts within the Duke Comprehensive Cancer Center and Oncology Network
      • Assistance with research policy and procedure development
    • The Duke Comprehensive Cancer Center partners with Duke Oncology Network affiliates to produce a co-branded newsletter highlighting research and patient care initiatives at Duke as well as news and events from the affiliate. Strength through communication
    • Strength through communication e-newsletter for referring physicians
      • Bi-monthly e-newsletter
      • Distributed to referring physicians
      • Highlights new trials or trials having difficulty accruing
      • Links to cancer.duke.edu for a complete listing of trials
      • Features a different cluster in each issue
    • Affiliations and Market Development
    • Supporting the Duke Oncology Network Affiliations and Market Development
      • Establish and maintain relationships with medical communities in the DUHS service area
        • Serve as the central point of contact for DUHS clinical program development and outreach activities
        • Primary market intelligence
      • Grow targeted referral volumes
        • Practice (>1500/yr) and Hospital ( > 100/yr) Visits in Targeted communities
        • Marketing Materials Hand Delivered (> 1000 sites/yr)
        • New Appointments – (personally facilitated)
        • Admissions – (personally facilitated)
        • New physicians identified
      • Identify opportunities for clinical program development that create “win-win” situations between DUHS and community providers
        • Planning process used
      • Liaison between referring physicians and DUHS to improve patient outcomes and expedite care
        • 24/7 customer service for referring physicians
          • Troubleshoot access problems
      • Market new and existing DUHS programs to referring physician
      • Promote education of community physicians and other healthcare providers.
    • Subspecialty Outreach Clinics and Affiliations Contracting Services
    • Outreach Programs and Clinical Contracts Mission / Role
      • Coordinate implementation of outreach clinics and contract review process with
      • Clinical Providers
      • Operational Managers
      • Legal Counsel
      • Risk Management
      Provide Oversight in the establishment of clinics and/or contract management process to clinicians, business managers, DUHS and SoM staff Review Monitor and oversee outreach clinics and contracts to ensure compliance with regulatory requirements and contractual obligations with DUHS, DU and PDC administration, clinical care providers and sites Annually ensure alignment with DUHS and SoM strategic plans, renegotiate and/or terminate contracts for the provision of services Develop Implement Manage
    • Duke Oncology Network Defining Value
      • Grow targeted referral volumes
        • 32 services in 25 communities
        • 4 CPDC, 3 PDC medical and 3 radiation oncology physician practices
      • Generate income from clinical activities
        • Net Income to DUHS from DON
        • ~50% of Oncology patient volume from Greater Triangle and Anchor regions
      • Advance academic priorities
        • 10 med onc fellows at 5 community sites, generates funds for DOM fellowship activities
        • Numerous self-supporting CME symposia and CME lectures (unrestricted educ grants)
        • Patient accruals to clinical trials
        • Funds to Duke through CALGB accruals
      • Improve access to Duke health care
        • Duke Raleigh Hospital – Medical and Radiation Oncology
        • Durham Regional Hospital – Radiation Oncology
        • Affiliated medical and radiation oncology sites