Randall A. Oyer, MD, was named the Association of Community Cancer Centers (ACCC) President for 2020-2021 at the ACCC 46th Annual Meeting & Cancer Center Business Summit held March 4-6 in Washington, D.C.
ACCC invites each president to select a theme for their year in office that addresses a timely issue in cancer care through the creation of programs and resources. Dr. Oyer announced that the theme of his presidency will be “Community Oncology Can Close the Gap in Cancer Research.”
“Over the past year ACCC has heard from our members that there are gaps in community research,” said Dr. Oyer. Respondents to ACCC’s “2019 Trending Now in Cancer Care Survey” identified their top three challenges to offering patients with cancer clinical trials as staff resources and training (53%), program infrastructure (50%), and lack of patient understanding of the clinical trials process (46%). Citing these survey findings, Dr. Oyer remarked: “We have a serious imbalance in our clinical trials work. Our patients are in the community, yet the trials are at academic medical centers. And I believe that ACCC is uniquely situated to close this gap.”
Among the plans to achieve this goal outlined by Dr. Oyer were the following:
“We would like to improve our care and access for traditionally underserved communities. We would like to increase sensitivity, awareness, and understanding of the needs specific to geriatric oncology. And we would like to bring precision medicine into the community by understanding how to use the new precision diagnostics and radiology techniques to make sure that our patients have access to these services.”
The resources and tools that will be developed in conjunction with Dr. Oyer’s President’s Theme will be posted to this webpage as they are available.
Community Oncology Can Close the Gap in Cancer Research
By Amanda Patton
Although multidisciplinary cancer care is synonymous with access to cutting-edge treatment options, including clinical trials, improving nationwide patient participation remains a challenge. Learn how this large independent oncology practice in northwest Arkansas grew its research program to offer patients access to phase I, II, and III trials in the communities where they live and work.
By Sibel Blau, MD
As the COVID-19 pandemic continues to devastate our homes and businesses, its fallout on our economy and health system is growing. Our healthcare system is fragmented and costly, particularly within the cancer care sector. The pandemic has highlighted how challenging it is for cancer care providers when healthcare resources are limited. All practices and programs, whether a small community practice in a rural area or a large hospital-affiliated specialty program in an urban area, have been deeply affected by the pandemic. As the need for cancer care has, of course, never stopped, we have been compelled to provide the same care with new limitations, including reduced personnel, changes in operations with the requirement of PPE use, physical space limitations, the expansion of telehealth, and limited access to clinical trials.
To proactively mitigate the ongoing negative impact of the pandemic on cancer care, cancer organizations including the American Society of Clinical Oncology (ASCO), the Community Oncology Alliance (COA), the Quality Cancer Care Alliance Network (QCCA), and others have assembled task forces to address the problems posed by COVID-19.
Northwest Medical Specialties
Located in the picturesque pacific northwest in Seattle, Washington, Northwest Medical Specialties (NWMS) is a mid-sized independent oncology practice and member of QCCA. Washington boasts significant cancer care resources, including a world-class academic cancer center, numerous community cancer practices, and hospital systems with affiliated cancer programs. As a founding member of QCCA and the organization’s president, I am active in working with all member practices to bring value-based oncology care to patients in their local communities across the country. NWMS is also a member and supporter of ASCO, ACCC, and COA. As such, NWMS has participated in several COVID-19 task forces formed to rapidly provide needed resources in the wake of the pandemic.
The Road to Recovery
In December 2020, ASCO released its Road to Recovery report, the result of the work of a task force in which I participated that came together to evaluate the adaptations in care delivery, research operations, and regulatory oversight the oncology community has made in response to the coronavirus pandemic. Specifically, task force members presented a series of recommendations for moving forward in cancer care as the pandemic recedes.
This collaborative work is the product of the contributions of a diverse group of individuals with different professional backgrounds, but all focused on clinical cancer research. Some of their recommendations were of long-overdue changes that were proven effective by the pandemic, including the use of telehealth during clinical trials and the movement toward electronic signatures and documentation. Task force members also noted that the willingness of clinical trial sponsors and CROs to interact with clinics remotely has enabled patients to access clinical trials more efficiently, expanding access.
Some of the significant realizations I took away from my participation in the task force include:
ASCO’s Road to Recovery report describes the challenges to conducting oncology clinical trials during COVID-19 and the importance of using lessons learned during the pandemic to improve such trials. NWMS has a large research department and is affiliated with the newly formed QCCA research network. As this network was preparing to launch in early 2020, it was faced with the coronavirus crisis. The participating cancer practices, CROs, and sponsors that are associated with the QCCA Network quickly implemented changes to their programs after collectively deciding to go ahead with their research during the pandemic. Since launching its clinical trial program in summer 2020, QCCA members, including NWMS, have strengthen it by incorporating the ongoing lessons learned during COVID-19.
The collective work of the task force that produced Road to Recovery has also yielded insights about telehealth to the benefit of cancer practices across the country. Telehealth is a relatively new tool that has expanded during the pandemic, enabling cancer practices to continue to provide high-quality care without interruption. Because cancer practices and programs incorporated telehealth services into patient care much faster than other specialties, oncologists were able to communicate their lessons learned early on during the pandemic.
As with many other oncology practices, NWMS implemented telehealth services in March 2020. As cases of COVID-19 rapidly increased in Washington state in the early days of the pandemic, NWMS physicians began using telehealth for patient care. Patients suffering from both COVID-19 and cancer received their services via telehealth, which was especially important when patients were symptomatic and support staff had to make critical decisions (such as whether to send patients to the hospital for care). When patients were deemed safe to receive cancer treatment in person, telehealth enabled physicians to proceed with treatments in isolation clinics, avoiding further delay in care. The ability to effectively use telehealth saved lives by enabling cancer care to continue without interruption.
The pandemic has forced all of us to think outside of the box about the way we provide cancer care, and collaboration among cancer institutions and practices has provided guidance during this journey. The cancer community has responded well to the challenges presented by COVID-19. We hope that we can continue to take these lessons we learned from the pandemic and make the world a better and easier place for all patients with cancer wherever they live.
Sibel Blau, MD, is a medical oncologist who is in clinical practice in the Pacific Northwest. Dr. Blau has taken on several leadership roles, including developing a breast cancer program of excellence in her region. She is involved with clinical research programs as a PI and sub-PI in clinical trials at Northwest Medical Specialties, where she is the medical director of the hematology-oncology division and the clinical research program. Dr. Blau is also the editor-in-chief of Oncology Issues, the peer-reviewed journal published by ACCC. She is one of the founding members and the president of the Quality Cancer Care Alliance Network, a national clinically integrated oncology organization devoted to bringing value-based oncology care to patients in their communities. Dr. Blau is a past president of the Washington State Medical Oncology and a member of All4cure.
Development of an actionable framework to address cancer care disparities in medically underserved populations in the United States: expert roundtable recommendations
Jan 19, 2021
Published in the Journal of Oncology Practice
Presented at the 2020 JADPRO Live Virtual Meeting
Presented at the 2020 ASCO Quality Care Symposium
In the current oncology clinical trials landscape, many barriers
remain to clinical trial enrollment that affect both the oncologist
and the patient. Among these are trial locations, strict eligibility
requirements, insufficient resources to support appropriate clinical
trial education and screening, as well as patient and provider
attitudes about trials.
Research nurse Joannne Riemer, RN, BSN, started her position at Johns Hopkins Medical Institution in 2010. Within six months, she was working with checkpoint inhibitors. From her vantage point in clinical trials research, she discusses the many changes in IO clinical trials patient selection over the last eight years.
combatCOVID.hhs.gov provides important information and links to access the most current treatment guidelines and inpatient and outpatient clinical trials.
An expert panel reviews currently available data on cancer care disparities, discusses the needs of disadvantaged populations, and shares practical solutions and methods for implementing bias training.
An expert panel of past ACCC Presidents will share their perspectives on changes to clinical research during the pandemic.
Optimal care delivery changes from place to place—what works best for one location and patient population may not be ideal for another. The same applies to cancer research. Understanding the needs of your patient population is critical to trial design and implementation. How can you proactively involve your community in cancer research activities? (January 27, 2021)
Key issues in high integrity tissue acquisition facing community cancer programs. (December 17, 2020)
Learn how to identify key disparities in clinical trial access for patients with multiple myeloma and explore strategies that can help improve access for underserved communities. (October 21, 2020)
Key results from a recent nationwide survey on the role of APs in cancer clinical research. (November 2, 2020)
Learn more about resources which already exist, successful models for pharmacist integration into oncology research teams, and the unique skills which pharmacists offer the interdisciplinary team. (October 30, 2020)
Join Nadine J. Barrett as she details strategies to improve clinical trial accrual for racial and ethnic minorities, as well as other at-risk groups. (July 24, 2020)
A Conversation With ASCO’s Dr. Richard Schilsky
January 28, 2021
Oyer Underscores Importance of Innovation and Collaboration in Cancer Care
Ongoing Minority Underrepresentation in Clinical Research Leads to Efforts to Bridge the Divide
Sep 22, 2020
ASCO-ACCC collaboration aims to make clinical trial diversity ‘part of our DNA'
July 31, 2020
Oncologists Scramble to Shift Resources, Develop New Protocols in Response to Novel Coronavirus
Apr 17, 2020
ACCC President Talks Community Oncology and Bridging the Research Gap
March 26, 2020
Challenges for Clinical Trials and Treating Patients With Cancer in Light of the Coronavirus
March 20, 2020
Randall A. Oyer, MD, Becomes President of the Association of Community Cancer Centers
March 11, 2020
Randall Oyer, MD, shares goals as the incoming President of ACCC
March 10, 2020
We sat down with journalist Mary Elizabeth Williams, one of the first patients treated with combination immunotherapy, to discuss her experience as an IO patient and how to bridge communication gaps among patients, doctors, and researchers.