duke oncology network
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Duke Oncology NetworkOverview of Affiliated Programs
Public Affairs and Marketing Network
May 6, 2008
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Duke University Health System
Duke University Health SystemLong history of Reaching Out
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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 InitiativesD U K E
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1974 Duke University Medical Center Clinical and Education Affiliations Established
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Duke Oncology Network
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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.
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Duke Oncology NetworkMission Statement
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Duke Oncology Network Sites of Service
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Oncology Research Programs
Southeastern Regional Medical Center
Johnston Memorial Hospital
Duke Raleigh Hospital
Beaufort Memorial Hospital
Virginia Oncology Associates
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
CALGB Affiliates
Clinical Radiation Oncology Clinics
Bone Marrow Transplant Programs
Clinical Medical Oncology Practices
Oncology Program Development
Consultative Clinics
Maria Parham Medical Center
Comprehensive Cancer Care, PA
Columbus County Hospital
South Carolina Oncology Associates
Community Memorial Healthcenter
PersonMemorial Hospital
NortheastMedical Center
AshevilleVA
ScotlandMemorialHospital
Florida Hospital
Phoebe PutneyMedical Center
Palm Beach Cancer Institute
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DUMC Affiliated Counties
AnchorSecondaryTriangle
Duke AffiliationsAnchor Communities
Duke Oncology Network
VacantAssociate DirectorRemote Mkt Affil
Julie ClaytonStaff Specialist
Rusty Anderson, MD
Gail Leget, MD
Kelvin Raybon, MD
Community PDCPhysicians
Kaushik Sen, MD
Ivy Altomare, MD
DON Med OncFaculty
Marty PolovichNursing Director &
Assoc DirOnc 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 CarverStaff Assistant
Monica RobersonProgram Coordinator
Renee MuellenbachDirector
Duke Oncology Network
Angela Latta Medical Secretary
VACANTClinic Supervisor
Johnston Cancer Center
Chris Marino, RNResearch Nurse
Annie Langley, RNResearch Nurse
Melanie WatsonAssociate Director
Clinical Trialsand Ed Programs
VacanttFinancial Analyst III
Paul LindiaAssociate Vice President
Clinical Program Development
Linda Sutton, MDMedical Director
Duke Oncology Network
Vacant
Linda Owen, PhD
Clinical Trials Manager
Beth Clapp CCRP, AAS
Regulatory Specialist
Rhonda Bergey
Staff Specialist
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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 PhysiciansDuke Network Services
Total FTEs ~ 40
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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
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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
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Duke Oncology Network Affiliations
Tiered Affiliation Structure
Research Affiliation
Clinical Program Staffing and Management
Program Development Affiliation
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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
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Research AffiliationsKey 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
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Research AffiliationsKey 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
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Research AffiliationsKey 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
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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
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Strength through communicatione-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
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Affiliations and Market Development
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Supporting the Duke Oncology NetworkAffiliations 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.
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Subspecialty Outreach Clinics and Affiliations Contracting Services
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Outreach Programs and Clinical ContractsMission / 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
Develop
Im
plem
ent
Manage
Rev
iew
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
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Duke Oncology NetworkDefining 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