CANCER BUZZ Association of Cancer Care Centers

The 4R Oncology® Model facilitates enhanced patient engagement and timely care provision by streamlining delivery of complex interdependent care. Implementation of the 4R Oncology® model in breast and lung cancer clinics has improved patients’ involvement in organizing their care, enabled the development of high-functioning multidisciplinary care teams, and helped to optimize the timing and coordination of sequence of care. In this episode, CANCER BUZZ speaks with Raymond Liu, MD, director of research of Hematology-Oncology in Kaiser Permanente Northern California, director of cancer survivorship in Kaiser Permanente San Francisco, and assistant clinical professor at UCSF, who shares how successful implementation of the 4R Oncology® model empowers patients and clinicians and coheres care teams.
 
“When people could see that plan, and they could bring that home with them, and they saw that it was all guideline-based and mapped through in a very, very detailed way, they were empowered to answer their questions, especially for their loved ones, and to really reflect on what was said [in the doctor-patient consultation] at home.” –Raymond Liu, MD
 
“Care is so complex now; our innovations are really, really going fast but we have not been able to deliver the care in a way that’s understandable sometimes, and so by putting it in a single care plan, the patients really engage with it, and we found that the call volumes came down.” –Raymond Liu, MD
 
Raymond Liu, MD
Director of Research of Hematology-Oncology
Kaiser Permanente Northern California
Oakland, CA
 
Director of Cancer Survivorship
Kaiser Permanente San Franciso
San Franciso, CA
 
Assistant Clinical Professor
University of California San Francisco
San Francisco, CA
 
This episode was developed in connection with the ACCC program Care Action Plans for People with Cancer. ACCC, in partnership with the Center for Business Models in Healthcare, is making 4R Care Sequences® available at no cost to ACCC members. 4R Oncology® is the intellectual property of CBM-HC (Executive Frameworks, Ltd.), but is not a commercial product or service. 4R Care Sequence® templates were developed based on studies sponsored by Genentech, Inc.
 
Resources:
4R Oncology®
JCO Article Fostering High-Functioning Team 
JCO Impact of 4R Oncology® Model 

While advancements in oral medicine are improving the treatment landscape for head and neck cancer, routine dental care and preventative oral cancer screenings can help identify head and neck cancers early. In this episode, Alessandro Villa, DDS, PhD, MPH, chief of Oral Medicine, Oral Oncology, and Dentistry at Baptist Health South Florida’s Miami Cancer Institute, emphasizes the proactive role dentists can play in early identification of cancer—as well as the need for equitable access to dental care—and explores how a cross-disciplinary cancer care team and patient education work in tandem to better manage complications from head and neck treatment.
 
“It is widely known that any patient with a diagnosis of head and neck cancer who is scheduled to receive treatment with chemo and radiation therapy should see a dentist prior to starting cancer therapy. We should make sure that access is available for this patient.” —Alessandro Villa, DDS, PhD, MPH
  
Alessandro Villa, DDS, PhD, MPH
Chief of Oral Medicine, Oral Oncology, and Dentistry
Miami Cancer Institute, Baptist Health South Florida
Miami, FL
 
This episode was made in connection with the ACCC education program Multidisciplinary Approaches to Head & Neck Cancer Care in partnership with Head and Neck Cancer Alliance and the American Society of Radiation Oncology (ASTRO) and with support provided by EMD Serono. 
   
Resources:   
Multidisciplinary Approaches to Head & Neck Cancer Care 
 
Head and Neck Patient and Caregiver Resources 
 
Making the Case for Head & Neck Cancer Patient Care Navigators 
 

Advancements in clinical data and research have shown the immunotherapeutic potential of bispecific antibodies as treatment for hematologic cancers and solid tumors. In this episode, CANCER BUZZ speaks with Aaron Cumpston, PharmD, pharmacy clinical specialist for bone marrow transplant and Christine Barrett, PharmD, BCOP, medical oncology clinical pharmacy specialist who discuss the challenges of care coordination and therapy and share operational best practices for the delivery of bispecific antibodies in the community setting.  
 
“I think we’re finding these drugs to be highly effective and having high response rates and also very durable response rates in very refractory patients.”—Aaron Cumpston, PharmD, BCOP
“I know that in community practice it can be really difficult, but there is a network of institutions out there that have taken on administering these BiTE therapies and have a lot of experience that can be very helpful for those in community practice.” —Christine Barrett, PharmD, BCOP
 
Aaron Cumpston, PharmD, BCOP 
Pharmacy Clinical Specialist – Hematologic Malignancy, Transplant, and Cellular Therapy
WVU Medicine 
WVU Cancer Institute - Mary Babb Randolph Cancer Center 
Morgantown, WV 
 
Christine Barrett, PharmD, BCOP 
Medical Oncology Clinical Pharmacy Specialist 
WVU Medicine 
WVU Cancer Institute - Mary Babb Randolph Cancer Center 
Morgantown, WV 
 
This episode was developed in connection with the ACCC education program Sharing Operational Insights for the Delivery of Bispecific Antibodies in Solid Tumor and is supported by Amgen.
Resources:
Expanding Access to Cellular and Bispecific Therapies – Considerations and Recommendations by ACCC and SITC 
Sharing Operational Insights for the Delivery of Bispecific Antibodies in Solid Tumor 
Best Practices in Expanding Access to Bispecific Antibodies and Adverse Event Management 

As the need for access to guideline-concordant biomarker testing for underserved populations continues to grow, hear what care teams need to know about coverage for Medicaid beneficiaries and the legislative outlook for 2024. In this episode, CANCER BUZZ speaks with Hilary Gee Goeckner, MSW, director of State and Local Campaigns for the American Cancer Society Cancer Action Network (ASC CAN), who shares policy perspectives and the latest on state legislation to expand coverage for biomarker testing for Medicaid beneficiaries. 
 
“There are a lot of challenges around implementation—getting the legislation passed is just the first step…It is also important for providers to be aware of the new rules that affect many plans and their states so they are able to order testing that may not have been covered or rejected previously.” –Hilary Gee Goeckner, MSW
 
Hilary Gee Goeckner, MSW
Director, State and Local Campaigns, Access to Care
American Cancer Society Cancer Action Network
Washington, D.C.
This episode was developed in connection with the ACCC education program Improving Access to Biomarker Testing in Medicaid Populations and is made possible with support by Foundation Medicine and Exact Sciences.
Resources:
The Cost of Biomarker Testing: Moving from Support-Based to Sustainable Solutions 
Comprehensive Cancer Care: The Role of Biomarker Testing 
Biomarker Testing for Medicaid Beneficiaries (Podcast) 
Access to Biomarker Testing - American Cancer Society Cancer Action Network  
The Road to Comprehensive Biomarker Testing for All – ACCC Buzz Blog 
Improving Access to Biomarker Testing in Medicaid Populations 
Precision Medicine in Rural and Underserved Areas – ACCC Buzz Blog 
Patient Perceptions of Biomarker Testing – Oncology Issues 
Cancer Diagnostics - Biomarkers 
Eliminating Precision Medicine Disparities  
 

The ACCC Oncology Reimbursement Meetings (ORMs) help all members of the multidisciplinary cancer care team navigate the annual changes in oncology reimbursement and regulations— while improving their knowledge on effective strategies for success in an everchanging oncology landscape. In this episode, CANCER BUZZ speaks with Jordan Karwedsky, financial counselor, Green Bay Oncology, about her session at the ORMs last fall, where she discussed best practices cancer care teams can adopt as they prepare for the open enrollment season.
 
“If you have a patient who is uninsured or underinsured, make a note that is a reminder for you so come November when open enrollment begins, you can reach out to them and help them optimize their insurance. In the meantime, if they need treatment, then work with the drug companies to save them as much money on their treatment.”
 
“Highlights from recent ORMs include how to work with your legislature, either at the state or federal level, to advocate for laws that will help patients.”
 
Jordan Karwedsky
Financial Counselor   
Green Bay Oncology  
 
In one of the upcoming ORMs this spring, Karwedsky will share strategies for patient navigation in the digital age. For more information, please visit the ACCC website.
Resources:
·      Preparing for Open Enrollment
·      ACCC Financial Advocacy Network
·      ACCC Financial Advocacy Boot Camp
·      ACCC Patient Assistance & Reimbursement Guide
·      Patient Navigation: Taking Stock of the Past and Looking to the Future

While social determinants of health can impact access to care and treatment options for many patients with cancer, when combined with the complexities of acute myeloid leukemia, these factors become critical to treatment outcomes and quality of life for patients. In this episode, CANCER BUZZ speaks with Linda Hayward, patient financial advocate at the University of Maryland, Kaufman Cancer Center at Upper Chesapeake Health, about the challenges of treatment and strategies to address disparities in access and care for patients with acute myeloid leukemia.
“When patients are financially underserved [this] plays a major factor in a patient getting treatment…if we [financial advocates] were not here to help our patients, many would forgo treatments.” –Linda Hayward, Patient Financial Advocate
“Patient financial advocates can help patients navigate different resources……if we [financial advocates] were not here to help our patients, many would forgo treatments.” –Linda Hayward, Patient Financial Advocate
 
Guest:            
Linda Hayward
Patient Financial Advocate
University of Maryland, Kaufman Cancer Center at Upper Chesapeake Health
Bel Air, Maryland
 
This episode was developed as a part of the ACCC education program Addressing Disparities in Access to Care for Acute Myeloid Leukemia, designed to explores the current challenges in care coordination and therapy options for patients with acute myeloid leukemia and highlights strategies and best practices to improve outcomes for these patients. This episode was made possible with support by AbbVie.
 
Additional Reading/Sources
·       Strategies to Addressing Disparities in Patients with AML [Video Podcast]
·       Improving Care Delivery for Transplant-Ineligible Patients with AML
·       ACCC Financial Advocacy Service Guidelines
·       AML Care Coordination in the Community Setting [Video Podcast]
·       Critical Conversation Strategies for Patients with AML [Video Podcast]
·       Shared Decision-making in Acute Myeloid Leukemia
·       Achieving and Maintaining Better Outcomes for Patients with AML
·       Talking about Acute Myeloid Leukemia (Cancer Support Community)
·       Shared Decision-making: Practical Implementation for the Oncology Team (ACCC)