Financial Assistance for Cancer Patient by lcl10735

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									St. Joseph Hospital Cancer Center
        & Cancer Institute

    NCCCP Pilot Project
SJO Service Area Characteristics
                Dense urban population
                Ethic diversity
                  – 53.7 % Latino
                  – 17.3 % Asian
                  – 25.9 % White
                ~ 25% Undocumented migrants
                53% Managed care
                > 30 Hospitals in region
                  – 7 within 3 mi of SJO
 Cancer in Orange County
14,000 New Cases per
  Year
    2,300 Breast
    2,300 Prostate
    1,700 Lung
    1,400 Colorectal
    1,200 Leukemia,
      Lymphoma and
      Myeloma
     600 Melanoma
St. Joseph Hospital Cancer Center
        & Cancer Institute

    Pilot Project Interest
    Aligned Goals & Initiatives
   Site-specific multidisciplinary care
   Patient navigation
   Cancer physician credentialing
   EMR
   Research expansion
   Cancer genetics expansion including
    biospecimens
   Improved support for disadvantaged patients
Increase National Collaboration
   NCI
    –   Expand linkages with NCI Comprehensive
        Cancer Centers
    –   Align SJO IT initiative with CaBIG development
    –   Contribute and influence future of cancer care
   Other Pilot programs
    –   Identify new approaches and best practices
    –   Collaboration with programs of similar vision
     Enhance Patient & Program
              Support
   Access to care & financial support guidance

   Navigation for disadvantaged patients

   Research expansion

   Cancer Genetics/Biospecimen expansion

   IT Integration of Survivorship plans
Challenges & Opportunities
  Fragmented Care - Challenges
 Private practice MDs    (Local)

 Multiple care locations     (Local)

 Managed care   (Regional)

 Access to care   (Local, Regional, State)

 Isolated data and patient information           (Local)

 Disparate IT systems or none          (Local)
 Fragmented Care - Opportunities
 New cancer center (Local)
 Site-specific multidisciplinary teams (Local)
 Navigators (Local)
 Cancer specialist credentialing (Local)
 NCCN Guidelines (National)
 Benchmarked outcomes (National)
 IT connectivity (Local and National)
 Research (Local, National)
Healthcare Disparities - Challenges

    Cultural and language barriers
    Undocumented patients
    Financial limitations to access to care
    ER frequent source for primary care
    Financial assistance coordination
    Lack of comprehensive approach to care
    Lack of consistent approach to care
Healthcare Disparities - Opportunities

   Mission Integration (Local)
   Strong financial assistance program (Local)
   Staff Recruitment/interpreter services (Local)
   Community partnerships & outreach
    (Local, Regional & National)

   Nurse practitioner for underserved (NCCCP)
   Financial Assistance Counselor (NCCCP)
Expansion of Research &
Biospecimen Repository - Challenges
  MD awareness of available trials
  Limited time/resources for private practice MDs
  Not second nature for private practice MDs
  Participant identification fragmented
  Limited staff and resources – Hospital
  Limited trials meeting patient needs and MD
   interest
  Access to data for research capture and
   integration
Expansion of Research &
Biospecimen Repository - Opportunities
   Linkages with NCI Centers
   Common EMR for participant ID and data capture
   Hospital research team efforts
   Navigator extension of research staff efforts
   Philanthropic and external funding support
   Hospital operations support for cancer research
   Diverse patient populations for biospecimen
    sources
Community and Physician
     Experience
Strong Organizational Values and
Commitment to Care for Community

   Mission Integration
   Strong financial assistance program
   Philanthropy to assist unmet care needs
   Organizational support for non-reimbursed
    services (dietician, counseling, RN navigators)
   Cancer center design and services
     – Resource Center
     – Supportive care
     – Common infusion center design
Physician- Led Multidisciplinary Teams

     Oncology Steering Committee (Leadership)
     Site-specific & program multidisciplinary
      teams
       – Case conferences
       – Business plans
       – Research
       – Website
     Oncology Council (Guidelines)
     Cancer Research (Oversight)
Cancer Center - Integration of Community,
    Patients, Physicians and Hospital

     Comprehensive services in single location
     Patient participation in design and philanthropy
     Community shared conference center
     Dedicated Multidisciplinary Center for
      integration of clinical expertise and support
     Infusion timeshare to reduce overhead and
      invite increased program collaboration
     Oncology EMR
      –   individualized care/survivorship plans
      –   MD connectivity

								
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