lowell smith sr. director, business & communication research administration moffitt cancer...
TRANSCRIPT
Panel Presenters
Lowell SmithSr. Director, Business & CommunicationResearch AdministrationMoffitt Cancer Center
Jeanine Stiles Chief Administrative OfficerAssociate Director for AdministrationUC Davis Comprehensive Cancer Center
Deidre B. Pereira, PhDAssociate ProfessorDepartment of Clinical and Health PsychologyCollege of Public Health and Health ProfessionsUniversity of Florida
Open Discussion
Distress Screening & Survivorship: Definitions
Distress Screening - identify psychosocial symptoms (e.g., depression, anxiety) to determine needs and offer appropriate levels of psychosocial care
Survivorship - management of potential long-term and/or late effects of cancer and its treatment
Quality of life - an assessment of a patient’s well-being or lack thereof including all emotional, social, and physical aspects of the individual's life
Distress Screening & Survivorship:Background
Growing national interest and emphasis in area(s)
Clinical & research areas include: Patient and family centered care Cancer care delivery research Health Care Reform Search for cost savings Precision medicine Emphasis on better outcomes
Funding opportunities Patient-Centered Outcomes Research Institute (PCORI)
~$650M a year in funding Not limited to oncology Competitive
Distress Screening & Survivorship: Topics To Consider
How is research area organized at your Center? A research program by itself? Is it an aim? Subset of an aim/focus?
How integrated are your clinical and research areas? Recruitment - how challenging? Training
how formal is training and education in this research area? R25/T32s?
How has the Affordable Care Act impacted the research? Funding
Has the advent of PCORI funding impacted priorities for these program(s)? Are there other funding sources besides PCORI?
Has anyone included distress screening or survivorship as research in the community?
Others thoughts? Relationship between Clinical and Research Efforts Role of External Advisory Committee and other advisory groups
Distress screening & Survivorship Research:
Moffitt Cancer Center Structure
American College of Surgeons accredited Clinical – 2 separate departments Research – Integrated into one program (& department) Administration – Patient & Family Services Department
Longstanding research in the area Growing emphasis on Cancer Care Delivery
Supportive Care MedicineSPECIALIZED INTERDISCIPLINARY HEALTH CARE THAT REDUCES THE PHYSICAL, EMOTIONAL AND SPIRITUAL CHALLENGES OF ILLNESS TO IMPROVE PATIENT AND FAMILY QUALITY OF LIFE AND WELL-BENG.
Clinical and Academic Department Includes
Behavioral medicine Palliative care Integrative Medicine
10 physicians including Chair About half involved in research Currently no CCSG Members
Internal & Hospital MedicineMEETS THE NEEDS OF PATIENTS WITH ACUTE COMPLICATIONS.
WORKS WITH CANCER SUBSPECIALISTS TO BRIDGE THE GAP BETWEEN HIGHLY SPECIALIZED CANCER CARE & GENERAL MEDICINE.
Clinical and Academic Department Includes
Senior Adult Oncology (clinical program) Moffitt's Direct Referral Center (DRC) provides urgent care
10 physicians including Chair Less than half involved in research Currently 1 CCSG Member
Health Outcomes & Behaviorto contribute to the prevention, detection, and control of cancer through the study of health-related behaviors, health care practices, and health-related
quality of life.
Academic Department Research Program
21 CCSG Members including Program Leader $5.8M current annual direct funding Rated “Exceptional” last CCSG review (2011) Involves research across the disease spectrum – from initiation, to detection, to
treatment, and final outcomes Aims
1. To understand the determinants of behaviors that can lead to prevention and early detection of cancer and develop effective methods of promoting those behaviors;
2. To understand and improve the quality of life (QOL) of patients and family members throughout the disease course;
3. To synthesize existing evidence and examine delivery of health services in order to improve the quality of cancer care; and
4. To understand and intervene upon the social, cultural, and behavioral determinants of cancer-related health disparities.
Examples of Research in the Area
PCORI “Navigator Guided e-Psychoeducational Intervention for Prostate Cancer Patients and
their Caregivers” (Rivers)
ACS “Self-Administered Stress Management for Latinas Receiving Chemotherapy” (RSG,
Jacobsen) “Behavioral and EmotioNal Impact of BRCA Testing in African Americans (BENITA)” (RSG,
Vadaparampil)
NCI “HRQoL Values for Cancer Survivors: Enhancing PROMIS Measures for CER” (R01, Craig) “Behavioral Oncology Education & Career Development” (R25, Jacobsen) “Internet-Assisted Cognitive Behavior Intervention for Targeted Therapy Fatigue” (R21,
Jacobsen) “Sickness Behaviors During Chemotherapy for Gynecologic Cancer” (R01, Jim)
Summary Clinical setting vital for research
Collaboration important, but Stick to stringent membership guidelines Strong aim(s) can exist without physician-scientists on CCSG
Future plans rely on expanding this area Lots of competition for expertise Unlikely to develop into its own program
New funding opportunities PCORI, like NCI, is very competitive
Distress Screening & Survivorship: Topics To Consider
How is research area organized at your Center? A research program by itself? Is it an aim? Subset of an aim/focus?
How integrated are your clinical and research areas? Recruitment - how challenging? Training
how formal is training and education in this research area? R25/T32s?
How has the Affordable Care Act impacted the research? Funding
Has the advent of PCORI funding impacted priorities for these program(s)? Are there other funding sources besides PCORI?
Has anyone included distress screening or survivorship as research in the community?
Others thoughts? Relationship between Clinical and Research Efforts Role of External Advisory Committee and other advisory groups