Improving Resilience And Equity In Cancer Screening: Innovations To Increase Screening | February 11, 2021 | Virtual Meeting
Meeting Information: February 11, 2021
This workshop was the fifth in the President’s Cancer Panel’s (the Panel) 2020–2021 series on cancer screening. Previous workshops in the series focused on barriers and opportunities related to screening for lung, colorectal, cervical, and breast cancer, including those relevant to the healthcare system disruptions caused by the coronavirus disease (COVID-19) pandemic.
Cancer screening has potential to reduce the burden of cancer through early diagnosis and, in some cases prevention, of cancer. The President’s Cancer Panel has determined that suboptimal implementation of cancer screening—evident prior to COVID-19 and significantly amplified during the pandemic—is a critical issue facing the National Cancer Program. The 2020–2021 series of Panel meetings focused on opportunities to improve the resilience and equity of cancer screening. In fall 2020, four meetings were held to discuss barriers and opportunities related to lung, colorectal, cervical, and breast cancer. The last meeting in the series—held virtually on February 11, 2021—brought together stakeholders from advocacy and community organizations, technology companies, media outlets, healthcare systems, insurance companies, academic institutions, and government agencies to discuss innovations to improve cancer screening in three areas—public health and community engagement; electronic health records (EHRs), data sharing, and professional training; and telehealth, remote care, and insurance.
Public health and community engagement. Participants emphasized the need to work with partners within communities and train them as needed to serve as ambassadors for health and cancer screening. Diversity within communities necessitates multipronged, flexible strategies. Trusted sites—like libraries, barber shops, and churches—and preferred communication outlets (e.g., radio) can help with delivery of messages. Messages should be consistent and persistent and clearly define actions to be taken. There are opportunities to create linkages between research and health institutions (e.g., National Cancer Institute-designated cancer centers) and local organizations.
EHRs, data sharing, and professional training. Technological advances provide opportunity to enhance patient engagement with health information and systems, facilitate provider workflows, and support learning healthcare systems to ensure patients receive the right care at the right time. In many cases, technology is best used to inform and support—not replace—person-to-person interactions. Limited use of standardized taxonomies and structured data and lack of interoperability currently impede data sharing and optimal application of technology to support patient care. Collaborations among technology developers, domain experts, and educators can help ensure that tools are robust and usable.
Telehealth, remote care, and insurance. Telehealth and remote care have potential to enhance patient access to high-quality care; however, effective application depends on access to technology and broadband. Innovative payment models and reimbursement policies were discussed as strategies to promote remote care and incentivize patient completion of screening and recommended follow-up care. Also, many providers would benefit from training to optimize telehealth visits.
The President’s Cancer Panel will consider input and proposed recommendations from this workshop and previous workshops in this series. Findings and recommendations from the series will be presented in the Panel’s 2021 Report to the President of the United States.
Agenda
February 11, 2021
| Time | Agenda Item |
|---|---|
| 10:00 - 12:00 p.m. |
Innovations in Public Health and Community Engagement Present relevant screening priorities and identify opportunities to accelerate implementation through innovation
|
| 12:00 - 1:00 p.m. |
Break |
| 1:00 - 3:00 p.m. |
Innovations in EHR's, Data Sharing, and Professional Training (Continuing and Graduate Medical Education) Present relevant screening priorities and identify opportunities to accelerate implementation through innovation
|
| 3:00 - 4:00 p.m. | Break |
| 4:00 - 6:00 p.m. |
Innovations in Telehealth, Remote Care & Insurance Present relevant screening priorities and identify opportunities to accelerate implementation through innovation
|
Participants
| Name | Title & Affiliations |
|---|---|
| Tracy A. Battaglia, MD |
Associate Professor of Medicine General Internal Medicine Boston University School of Medicine/Boston Medical Center Boston, MA |
| Jay Bhatt, DO, MPH, MPA |
Principal and Founder JDB Strategies Faculty Member University of Illinois at Chicago School of Public Health Chicago, IL |
| Kathleen Biesecker |
Director, Communications Clinical Product CVS Health Purcellville, VA |
| David Chambers, PhD |
Deputy Director for Implementation Science National Cancer Institute National Institutes of Health Rockville, MD |
| Peter W. Chauncey, MSPH |
Principal PWC Solutions LLC Durham, NC |
| Doug Clarke, MD, MBA |
Medical Officer Center for Medicare and Medicaid Innovation Center for Medicare & Medicaid Services Baltimore, MD |
| Katherine Crew, MD |
Associate Professor of Medicine and Epidemiology Irving Medical Center Director Clinical Breast Cancer Prevention Program Herbert Irving Comprehensive Cancer Center Columbia University New York, NY |
| Roslyn Y. Daniels |
President Black Health Matters Haledon, NJ |
| L. Allen Dobson, Jr., MD |
CEO (Retired) Community Care of NC, Inc. Mount Pleasant, NC |
| Ann M. Geiger, PhD, MPH |
Scientific Director NCORP Cancer Care Delivery Research Division of Cancer Control and Population Sciences National Cancer Institute National Institutes of Health Rockville, MD |
| Venus Ginés, MPH |
President Dia de la Mujer Latina Pearland, TX |
| Daniel F. Harris, MD |
Regional Quality Advisor Mid-Atlantic Permanente Medical Group Springfield, VA |
| Todd G. Hartley |
CEO WireBuzz Scottsdale, AZ |
| Judd Hollander, MD |
Senior Vice President Healthcare Delivery Innovation Associate Dean Strategic Health Initiatives Thomas Jefferson University Villanova, PA |
| Robert A. Ingram |
Member President's Cancer Panel General Partner Hatteras Venture Partners Durham, NC |
| Louis Jacques, MD |
Senior Vice President Chief Clinical Officer ADVI Washington, DC |
| Maureen R. Johnson, PhD |
Executive Secretary President's Cancer Panel Special Assistant Office of the Director National Cancer Institute National Institutes of Health Bethesda, MD |
| John Kairys, MD |
Chief Medical Information Officer Jefferson Health Philadelphia, PA |
| Gregory C. Kane, MD, MACP |
Professor and Chairman Department of Medicine Thomas Jefferson University Hospital Philadelphia, PA |
| Warren A. Kibbe, PhD |
Vice Chair and Professor of Biostatistics and Bioinformatics Duke University Durham, NC |
| Daniel Knecht, MD, MBA |
Vice President Transformation Clinical Product CVS Health Woonsocket, RI |
| Gary L. Kreps, PhD |
University Distinguished Professor Director Center for Health and Risk Communication George Mason University Gaithersburg, MD |
| Alex H. Krist, MD, MPH |
Professor Family Medicine and Population Health Virginia Commonwealth University Richmond, VA |
| Earnestine Yvonne Lewis |
Founding Director National Center for African American Health Consciousness Flint, MI |
| Sara Lomax-Reese |
President and CEO WURD Radio, LLC Philadelphia, PA |
| Ana Maria Lopez, MD |
Professor and Vice Chair Sidney Kimmel Cancer Center Thomas Jefferson University Philadelphia, PA |
| Jennifer Malin, MD, PhD |
Senior Medical Director Oncology and Genetics UnitedHealthcare Minneapolis, MN |
| Abner A. Mason |
Founder and CEO ConsejoSano Los Angeles, CA |
| Shivan J. Mehta, MD |
Assistant Professor of Medicine and Health Policy University of Pennsylvania Perelman School of Medicine Philadelphia, PA |
| Edith P. Mitchell, MD, MACP, FCPP |
Member President's Cancer Panel Clinical Professor of Medicine and Medical Oncology Department of Medical Oncology Director Center to Eliminate Health Disparities Associate Director of Diversity Affairs Sidney Kimmel Cancer Center Thomas Jefferson University Philadelphia, PA |
| Ryan M. Moog, MBA |
Director and Solution Executive of Research Cerner Corporation Kansas City, MO |
| Phuong Khanh (P.K.) Morrow, MD |
Vice President, Global Development Therapeutic Area Head, Hematology Amgen Thousand Oaks, CA |
| Martin J. Murphy, PhD |
Chief Executive Officer Shanghai TuoXin Health Promotion Center Durham, NC |
| Heidi D. Nelson, MD |
Professor Health Systems Science Kaiser Permanente Bernard J. Tyson School of Medicine Pasadena, CA |
| Andrea Noel, MD |
Clinical Informatics Team Epic Systems Corporation Verona, WI |
| Jayant Parthasarathy, PhD |
CEO Astrin Biosciences Minneapolis, MN |
| Shez Partovi, MD |
Worldwide Lead Healthcare, Life Sciences, and Genomics Amazon Web Services Seattle, WA |
| Rakesh Patel, MD |
Chair High-Risk Breast Program Medical Director Radiation Oncology Good Samaritan Hospital Los Gatos, CA |
| Wyatt Pickner, MPH | Research Manager American Indian Cancer Foundation Minneapolis, MN |
| Joseph Ravenell, MD | Associate Professor of Population Health and Medicine New York University Grossman School of Medicine New York, NY |
| Mary Reid, PhD | Distinguished Professor of Oncology Chief and Director Cancer Screening, Survivorship, and Faculty Mentoring Department of Medicine Roswell Park Comprehensive Cancer Center Buffalo, NY |
| Thomas J. Schuch, MD, MPH | Chief Information Officer South Boston Community Health Center South Boston, MA |
| Bimal Shah, MD, MBA | Chief Medical Officer, Product and Analytics Teledoc Health Purchase, NY |
| Shravya Shetty, MS | Engineering Director Google Health San Francisco, CA |
| Melissa A. Simon, MD | George H. Gardner Professor of Clinical Gynecology Vice Chair of Research Department of Obstetrics and Gynecology Northwestern University Feinberg School of Medicine Chicago, IL |
| Prentiss Taylor, MD | Vice President for Medical Affairs Doctor On Demand Telemedicine Forest Park, IL |
| Reginald Ware | CEO BlackDoctor.org Chicago, IL Armenta L. Washington Research Coordinator Senior Office of Diversity and Outreach Abramson Cancer Center University of Pennsylvania Perelman School of Medicine Philadelphia, PA |
| Kevin B. Weiss, MD | Chief Officer Sponsoring Institutions and Clinical Learning Environments Accreditation Council for Graduate Medical Education Chicago, IL |
| Karen Wernli, PhD | Associate Investigator Kaiser Permanente Washington Health Research Institute Seattle, WA |
| John P. Williams, MD, FACS | Chair President's Cancer Panel Medical Director Breast Cancer School for Patients Gainesville, VA |
| Cheryl L. Willman, MD | Director and CEO University of New Mexico Comprehensive Cancer Center Albuquerque, NM |
| James B. Wilson, JD, MA | CEO Emeritus BlueCross BlueShield of NC Raleigh, NC |
| Susan Woods, MD | Physician Southern Maine Health Care Biddeford, ME |
Summary
The current workshop brought together stakeholders from various sectors to discuss innovations in the areas of public health and community engagement, data sharing and professional training, and remote care and insurance that could contribute to development and implementation of resilient and equitable cancer screening programs. The workshop was available to the public via live feed, and members of the public were invited to submit written comments and questions during and after the workshop. Participants were encouraged to live-Tweet at #ImprovingCancerScreening.
Meeting Outcomes
Identified opportunities to accelerate cancer screening through innovation