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 March 17, 2021 Mandi L. Pratt-Chapman, PhD
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
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).
Learning Outcomes • Identify potential barriers to implementing your survivorship goal(s) • Identify strategies to address identified barriers • Review action planning to implement your goal
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
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
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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