The Role of a Public-Private Partnership: Translating Science to Improve Cancer Care in the Community

O’Brien, Donna M.; Kaluzny, Arnold D.

doi:10.1097/00115514-201401000-00005

Cited by 12 publications

(9 citation statements)

References 2 publications

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“…Also, all sites had at least one affiliated or employed oncology practice participating in the American Society of Clinical Oncology Quality Oncology Practice Initiative (QOPI) abstraction during the reporting period, which may have led to an increased focus on quality improvement at the sites since many RQRS measures are also QOPI Measures. Furthermore, the NCCCP program design required management engagement and co‐investment (e.g., support for RQRS, increased navigation), which led to enhanced infrastructure .…”

Section: Discussionmentioning

confidence: 99%

The National Cancer Institute Community Cancer Centers Program (NCCCP): Sustaining Quality and Reducing Disparities in Guideline-Concordant Breast and Colon Cancer Care

et al. 2017

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This study builds on analyses performed as part of an original comprehensive National Cancer Institute Community Cancer Centers Program evaluation and examines improvements in quality of care. The following research questions are addressed: (a) have improvements in concordance rates with the five quality of care measures been sustained since 2010 and (b) how does the change in concordance for minority/underserved patients compare to the change for nonminority/nonunderserved patients through 2013?

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Section: Discussionmentioning

confidence: 99%

The National Cancer Institute Community Cancer Centers Program (NCCCP): Sustaining Quality and Reducing Disparities in Guideline-Concordant Breast and Colon Cancer Care

et al. 2017

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“…Shared goals between institutions resulted in improved outcomes for injured children in an area previously without local access to specialized pediatric trauma care. Community-academic partnerships have been previously described in the adult literature to improve clinical care for vulnerable populations such as cancer survivors [13] and at-risk elders [14][15][16]. However, community-academic partnerships have been rarely described in pediatric trauma care delivery [17].…”

Section: Discussionmentioning

confidence: 99%

Academic-community partnerships improve outcomes in pediatric trauma care

Kelley-Quon¹,

Crowley²,

Applebaum³

et al. 2015

Journal of Pediatric Surgery

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a b s t r a c t a r t i c l e i n f oBackground: To address the specialized needs of injured children, pediatric trauma centers (PTCs) were established at many large, academic hospitals. This study explores clinical outcomes observed for injured children treated at an academic-sponsored community facility. Methods: In partnership with an academic medical center in a major metropolitan area, a not-for-profit community hospital became a designated Level II PTC in October 2010. Data for injured children b15 years old treated prior to PTC designation from January 2000 to September 2010 were prospectively collected using the Trauma and Emergency Medicine Information System and compared to data collected after PTC designation from January 2011 to December 2013. Results: Overall, 681 injured children were treated at the community hospital from January 2011 to December 2013. Children treated after PTC designation were less likely to undergo computed tomography (CT) (50.9% vs. 81.3%, p b 0.01), even when controlling for age, gender, injury type, injury severity, and year (OR 0.18, 95%CI 0.08-0.37). Specifically, fewer head (45.7% vs. 68.7%, p b 0.01) and abdominal CTs (13.2% vs. 26.5%, p b 0.01) were performed. Hospital length of stay was significantly shorter (2.8 ± 3.7 days vs. 3.7 ± 5.9 days, p b 0.01). Mortality was low overall, but also decreased after PTC designation (0.4% vs. 2.0%, p = 0.02). Conclusions: These results indicate that academic-community partnerships in pediatric trauma care are a feasible alternative and may lead to improved outcomes for injured children.

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“…Co-investment also promoted financial stewardship and allowed for greater sustainability for research positions and efforts beyond program funding. 13 …”

Section: Four Strategies To Enhance Research Culturementioning

confidence: 99%

Creating a “culture of research” in a community hospital: Strategies and tools from the National Cancer Institute Community Cancer Centers Program

et al. 2015

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BackgroundThe value of community-based cancer research has long been recognized. In addition to the National Cancer Institute’s Community Clinical and Minority-Based Oncology Programs established in 1983, and 1991 respectively, the National Cancer Institute established the National Cancer Institute Community Cancer Centers Program in 2007 with an aim of enhancing access to high-quality cancer care and clinical research in the community setting where most cancer patients receive their treatment. This article discusses strategies utilized by the National Cancer Institute Community Cancer Centers Program to build research capacity and create a more entrenched culture of research at the community hospitals participating in the program over a 7-year period.MethodsTo facilitate development of a research culture at the community hospitals, the National Cancer Institute Community Cancer Centers Program required leadership or chief executive officer engagement; utilized a collaborative learning structure where best practices, successes, and challenges could be shared; promoted site-to-site mentoring to foster faster learning within and between sites; required research program assessments that spanned clinical trial portfolio, accrual barriers, and outreach; increased identification and use of metrics; and, finally, encouraged research team engagement across hospital departments (navigation, multidisciplinary care, pathology, and disparities) to replace the traditionally siloed approach to clinical trials.LimitationsThe health-care environment is rapidly changing while complexity in research increases. Successful research efforts are impacted by numerous factors (e.g. institutional review board reviews, physician interest, and trial availability). The National Cancer Institute Community Cancer Centers Program sites, as program participants, had access to the required resources and support to develop and implement the strategies described. Metrics are an important component yet often challenging to identify and collect. The model requires a strong emphasis on outreach that challenges hospitals to improve and expand their reach, particularly into underrepresented populations and catchment areas. These efforts build on trust and a referral pipeline within the community which take time and significant commitment to establish.ConclusionThe National Cancer Institute Community Cancer Centers Program experience provides a relevant model to broadly address creating a culture of research in community hospitals that are increasingly networked via systems and consortiums. The strategies used align well with the National Cancer Institute—American Society of Clinical Oncology Accrual Symposium recommendations for patient-/community-, physician-/provider-, and site-/organizational-level approaches to clinical trials; they helped sites achieve organizational culture shifts that enhanced their cancer research programs. The National Cancer Institute Community Cancer Centers Program hospitals reported that the strategies were challenging to ...

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The Role of a Public-Private Partnership: Translating Science to Improve Cancer Care in the Community

Cited by 12 publications

References 2 publications

The National Cancer Institute Community Cancer Centers Program (NCCCP): Sustaining Quality and Reducing Disparities in Guideline-Concordant Breast and Colon Cancer Care

The National Cancer Institute Community Cancer Centers Program (NCCCP): Sustaining Quality and Reducing Disparities in Guideline-Concordant Breast and Colon Cancer Care

Academic-community partnerships improve outcomes in pediatric trauma care

Creating a “culture of research” in a community hospital: Strategies and tools from the National Cancer Institute Community Cancer Centers Program

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