“Physician Engagement”

Bret Friday, MD, PhD-NCORP PIEssentia Health Community Cancer Research

Program

Alliance Spring Meeting 2017

“CRP View of Engagement”

Presentation Objectives

Ø Why Physician Engagement is ImportantØ Challenges to Engaging PhysiciansØ Tools to Improving Engagement

History of Cancer Research at Duluth Clinic/Essentia Health

1977 – Founding member of NCCTG1983 – NCI support awarded – CCOP2006 – Pediatric clinical trials initiated – COG2010 – Essentia Central initiates program - Brainerd2011 – Essentia West initiates program - Fargo2014 – NCI support awarded – NCORP

Catchment area covers portions of 3 states-MN, WI, ND

Essentia Health Community Cancer Research Program

Approximately 65 ongoing clinical trials

Ø NCORP/NCTNØ CCDRØ IndustryØ Investigator initiatedØ Foundation

Definition of Research Engagement?

Ø Engagement = AccrualsØ LeadershipØ Meeting attendanceØ Investigator initiated projectsØ Personal interest

Engagement Variability-EHCCRP

Physician Encounters Accrual EngagementA 2932 30 10.2B 2376 18 7.5C 2188 9 4.1D 412 1 2.4E 1704 4 2.3F 1424 2 1.4G 2413 3 1.2H 372 0 0

Total accruals = 67If Engagement = 10 for all, accruals = 138

Why is Engagement Important?

Ø Maintain group membershipØ NCORP grant renewal/fundingØ COC AccreditationØ Optimal patient careØ Importance of physician to enrollmentØ Ensure research infrastructureØ Timely completion of studiesØ Advance knowledge – Moonshot

2011-40% CCOP MDs enrolled 0 patients

Physician Challenges to Engagement

Ø CompensationØ Work-Life BalanceØ Comfort with complex trialsØ Leadership/Practice supportØ Access/Knowledge of trialsØ Patient acceptance/attitudeØ Research staff supportØ Study design/timelines

Engagement-Data

Model Tested

Data Sources

Ø 2011 CCOP Progress ReportØ 2011 CCOP Administrators SurveyØ 2011 CCOP Physician SurveyØ 2012 AMA Physician Masterfile

Study Results

Study Results

Positive - Organization Peer pressureSupport screen/enrollAccrual requirement

Attitudes Personal valueTrial relevance

Personal PI

Negative - Attitudes Trial complexityPersonal Age

non-oncology

Study Results-My Interpretation

ØHire good physiciansØOrganization can’t fix bad physiciansØSupport physicians with research staffØ Incentivize physiciansØEducate physicians about studiesØGet physicians directly involved

Improving Physician Engagement

EHCCRP Initiatives

ØPhysician KnowledgeØPhysician RecognitionØPatient/Community outreachØStaff Support for MDØPhysician Involvement

Physician Knowledge

Physician Recognition

Patient/Community Outreach

Patient/Community Outreach

Staff Support for MD

ØStudy staff screen all new patientsØFollow up orders placed by research teamØOutreach travel as neededØAttend tumor boards

Physician Involvement

ØCancer Research CommitteeØ Investigator initiated project supportØEncourage meeting attendanceØScientific Review

Conclusion

ØEngagement is importantØEngagement level is not fixedØNo single solution

•Questions? Ideas?