Advancing Patient-Centered Cancer Survivorship Care Workshop - Michigan Inter-Tribal Council Session II

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Advancing Patient-Centered Cancer Survivorship Care Workshop - Michigan Inter-Tribal Council Session II
Advancing Patient-Centered
Cancer Survivorship Care
Workshop

Michigan Inter-Tribal Council
Session II

March 17, 2021
Mandi L. Pratt-Chapman, PhD
Advancing Patient-Centered Cancer Survivorship Care Workshop - Michigan Inter-Tribal Council Session II
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Advancing Patient-Centered Cancer Survivorship Care Workshop - Michigan Inter-Tribal Council Session II
Agenda & Housekeeping
Agenda
11:00 a.m.   Welcome, Introductions & Icebreaker
11:10 a.m.   Debrief on Session I
11:35 a.m.   Intro to Root Cause Analysis
11:50 a.m.   Small Group Activity: Revisit Prioritization Matrix & Conduct
             Root Cause Analysis
12:20 p.m.   Break
12:30 p.m.   Large Group Activity: Share
12:35 p.m.   Round Robin: Report Out
12:40 p.m.   Intro to Prioritized Solutions
12:45 p.m.   Large Group Activity: Walk through One Clinic’s Solutions
1:10 p.m.    Intro to Action Plan and Measures
1:25 p.m.    Wrap Up and Evaluation
Advancing Patient-Centered Cancer Survivorship Care Workshop - Michigan Inter-Tribal Council Session II
Ice Breaker

    What are you most looking forward to
     post-pandemic?
Advancing Patient-Centered Cancer Survivorship Care Workshop - Michigan Inter-Tribal Council Session II
Acknowledgments & Disclosures

The development of this slide deck was
funded through a Patient-Centered
Outcomes Research Institute (PCORI)
Eugene Washington PCORI Engagement
Award (EA #12744).
Advancing Patient-Centered Cancer Survivorship Care Workshop - Michigan Inter-Tribal Council Session II
Learning Outcomes

• Identify potential barriers to implementing
  your survivorship goal(s)
• Identify strategies to address identified
  barriers
• Review action planning to implement your
  goal
Advancing Patient-Centered Cancer Survivorship Care Workshop - Michigan Inter-Tribal Council Session II
Ground Rules for Discussions
• Be present, keep video on
• Mute your line unless speaking
• Put away cell phones or other distractions
• Only one person talk at a time
• Be open, honest and respectful
• We want to hear from everyone: If we do not
  hear from you, we may call on you to ask for
  your thoughts
• Permission requested: I may need to interrupt at
  times to keep moving forward
Advancing Patient-Centered Cancer Survivorship Care Workshop - Michigan Inter-Tribal Council Session II
Regroup of Session I
Advancing Patient-Centered Cancer Survivorship Care Workshop - Michigan Inter-Tribal Council Session II
Case Example: Sault Tribe

What is the primary care role for:
• Screening and surveillance
• Resources and information to address
  long-term and late-effects
• Meaningful communication
• Emotional and social support
• Care coordination
Advancing Patient-Centered Cancer Survivorship Care Workshop - Michigan Inter-Tribal Council Session II
Hannahville Survivorship Toolkit
Hannahville Survivorship Toolkit
Hannahville Survivorship Toolkit
What was your top priority?

• What was your top priority coming out of
  session I based on your Prioritization
  Matrix?
• Has this changed based on the
  conversation we just had?
Introduction to Root
Cause Analysis Activity
Low Need/High Feasibility          High Need/High Feasibility

high
Feasibility

                    Low Need/Low Feasibility           High Need/Low Feasibility
low

              low                               Need                                high
Small Group Activity: Root Cause
Analysis Activity
Break
Bring back something that makes you smile
Large Group Activity: Share
Introduction to Prioritized
Solutions Activity
Large Group Activity: Prioritized
Solutions
Example Action Plan
CREATE YOUR ACTION PLAN

GOAL:

                                                                  WHAT RESOURCES OR HELP DO YOU
WHAT ACTIVITIES WILL YOU DO TO   PERSON(S) RESPONSIBLE FOR THIS                                   DATE TO BE   HOW WILL YOU MEASURE
                                                                  NEED TO ACCOMPLISH THIS
ACCOMPLISH YOUR GOAL?            ACTIVITY                                                         COMPLETED    PROGRESS?
                                                                  ACTIVITY?
From GWCC Survivorship Report: http://bit.ly/2016SurvivorshipReport
Other Ways to Measure Success
Assess use of survivorship care plans   ●   Percentage of oncology care providers providing a
                                            survivorship care plan to eligible patients as defined
                                            in the Commission on Cancer Standard 3.3
                                        ●   Percentage of post-treatment cancer survivors who
                                            have received a survivorship care plan
                                        ●   Percentage of primary care providers who are aware
                                            of survivorship care plans
                                        ●   Percentage of primary care providers who have used
                                            a survivorship care plan to inform follow-up care for
                                            post-treatment cancer patients in their practice
                                        ●   Number of channels used to disseminate findings to
                                            increase evidence-base, such as professional
                                            conferences, white papers, publications and/or
                                            websites

     From GWCC Survivorship Report: http://bit.ly/2016SurvivorshipReport
Other Ways to Measure Success
Assess current tobacco cessation efforts and        ●   Percentage of referrals to existing cessation
potential barriers among health care practices that     services
treat or care for cancer survivors                  ●   Needs assessment on how to assist health care
                                                        practices to improve tobacco cessation efforts
Assess current tobacco status, knowledge,         ●     Number of channels used to disseminate findings to
attitudes and beliefs about tobacco cessation and       increase evidence-base, such as professional
barriers to cessation among post-treatment cancer       conferences, white papers, publications and/or
survivors                                               websites
                                                  ●     Percentage of survivors who have attempted to quit
Pilot-test and evaluate a tailored evidence-based ●     Percentage of survivors who are aware of existing
tobacco cessation intervention based on findings        cessation services
or existing research                              ●     Percentage of survivors who cease tobacco use
                                                  ●     Assessment of tobacco cessation needs of
                                                        subpopulations with higher tobacco use
                                                   ●    Ways interventions were tailored for specific
                                                        subpopulations based on needs assessment
    From GWCC Survivorship Report:
                                                   ●    Number of channels used to disseminate findings to
     http://bit.ly/2016SurvivorshipReport               increase evidence-base, such as professional
                                                        conferences, white papers, publications and/or
                                                        websites
Other Ways to Measure Success
Assess knowledge, attitudes and beliefs        ●   Measures depend on assessment focus –
about cancer screening, surveillance,              recommend reviewing any academic
psychosocial needs and follow-up care              literature and adapting a validated or
among survivors                                    previously implemented survey for your
                                                   needs
Pilot-test and evaluate a tailored evidence-   ●   Number of channels used to disseminate
based intervention based on findings               findings, such as professional conferences,
                                                   white papers, publications and/or websites

   From GWCC Survivorship Report: http://bit.ly/2016SurvivorshipReport
Resources
•   GW Cancer Center Cancer Survivorship E-Learning Series: gwccacademy.com

•   GW Cancer Center Survivorship E-Learning Series Report 2020: bit.ly/E-Series2020Report

•   GW Cancer Center Advancing Cancer Survivorship Care Toolkit:
    http://bit.ly/AdvancingCancerSurvivorshipCareToolkit2019

•   National Cancer Survivorship Center Toolkit (clinical survivorship care guidelines checklists):
    smhs.gwu.edu/gwci/survivorship/ncsrc/national-cancer-survivorship-center-toolkit

•   GW Cancer Center Survivorship Report: http://bit.ly/2016SurvivorshipReport

•   GW Cancer Center’s Cancer Control Portal: cancercontroltap.org

•   GW Cancer Center’s Online Academy: gwccacademy.com

•   ACS “Addressing Risk Factors for Cancer Survivors” Tip Sheet: https://www.acs4ccc.org/wp-
    content/uploads/2021/01/CCC-Tip-Sheet-Survivors-v07-FF.pdf

•   National Institutes of Health’s Evidence-Based Practices & Programs:
    prevention.nih.gov/research-priorities/dissemination-implementation/evidence-based-practices-
    programs

•   Research-tested Intervention Programs (RTIPS): rtips.cancer.gov

•   The Community Guide: thecommunityguide.org
Wrap up & Evaluation
Discussion

                                 This Photo by Unknown Author is licensed under CC BY

1. What went well?

2. What could have been done differently?
Post-Workshop Survey
 Please
 complete the
 pre-workshop
 survey as we
 wait for
 everyone to
 join. You can
 access the
 survey at:
 https://is.gd/SurvivorshipWorkshopPost
                         Photo credit: Green Chameleon, Unsplash.com
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Connect with the GW Cancer Center

     Follow us on Twitter: @GWCancer
         www.gwcancercenter.com
 Sign-up for the GW Cancer Center’s Patient Navigation
  and Survivorship E-Newsletter: bit.ly/PNSurvEnews

  Sign-up for the GW Cancer Center’s Cancer Control
  Technical Assistance E-Newsletter: bit.ly/TAPenews
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