4295.1 Lessons from a Multilevel Collaboration to Develop Community-based Oncology Programs for Disenfranchised Populations

Tuesday, November 6, 2007: 4:30 PM
Collaborative research, education and health service delivery models have become ubiquitous requirements within projects whose outcomes target a reduction in health disparities. However, it is rare for the locus of control within this relationship to shift away from academia and for significant grant funding to be provided directly to the community-based organizations. The Cancer Disparities Research Partnership Program (CDRP) within the National Cancer Institute has created this rare opportunity by providing research funding directly to community hospitals serving minority and indigent populations. The UPMC McKeesport/Radiation Oncology Community Outreach Group Minorities Outreach Project (ROCOG) has addressed the CDRP goals through a variety of collaborative relationships, including: (1) meeting neighborhood needs and engagement of at-risk populations through local, credible agencies, (2) improvement in access-to-care through integration of patient navigation within community treatment programs, (3) utilization of telecommunications technology to stimulate collaboration and (4) development of collaborative governance and shared program infrastructure. ROCOG is a core consortium of five community hospitals which have partnered with key agencies within their service areas and with four academic “mentors” to assist with the development of community-based clinical research. Our goals in these roundtable discussions are to present the strengths and difficulties associated with each of these collaboration strategies and to stimulate a highly interactive discussion with our participants, focusing upon their own comparative experiences with collaboration and their impression concerning the efficacy of the ROCOG model.
Session Objectives: At the end of this session, participants will be able to: • Identify the key policy and operational issues associated with the Cancer Disparities Research Partnership (CDRP) funding model and how this model may represent a new opportunity for enhancing community-based research; • Identify at least one key collaborative relationship and the proposed value of the relationship among grant staff, partner academic institutions, community hospitals, community physicians, community agencies and patients/cancer survivors; • Critique the program design in relation to the extensive level of collaboration required and suggest modifications for future project replication.

Table 1
Direct Funding to the Community: Lessons from a Multilevel Collaboration to Develop Community-based Oncology Programs for Disenfranchised Populations
Keith H. Morgenlander, MPH, Barbara Klewien, BS, Sibyl McNelly, BSN, MS, Larry Schenken, PhD, Karen Schwaderer, RN, BSN, OCN, Chyongchiou Jeng Lin, PhD and Dwight E. Heron, MD
Table 2
Establishing Research Infrastructure in the Community Hospital
Barbara A. Klewien, BS, Keith Morgenlander, MPH and Dwight E. Heron, MD
Table 3
A Collaborative Effort to Address Insurance Issues with Underinsured Patients through Patient Navigation
Karen Schwaderer, RN, BSN, OCN, Jessica Seabury, SM, Leslie Bachurski, BA, Elaine F. Martz, BS, Laura Hoffman, BS, Tammie McKenzie and Raymond Cosgrove
Table 4

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: Community Health Planning and Policy Development
Endorsed by: Community Health Workers SPIG, Community-Based Public Health Caucus

CE Credits: CME, Health Education (CHES), Nursing