Transcript Prostate Cancer Symposium Detroit

2nd Annual Prostate Cancer Forum
September 22, 2012 • Charles H. Wright Museum of African American History • Detroit, MI
Welcome
Please
• Check in for continuing education credits &
complete the evaluation upon completion of
the Symposium
• Turn all cell phones/pagers to vibrate
• Refreshments provided throughout the
program
2nd Annual Prostate Cancer Forum
September 22, 2012 • Charles H. Wright Museum of African American History • Detroit, MI
2nd Annual Prostate Cancer Forum
September 22, 2012 • Charles H. Wright Museum of African American History • Detroit, MI
2nd Annual Prostate Cancer Forum
September 22, 2012 • Charles H. Wright Museum of African American History • Detroit, MI
Thank You
• Jeffrey Albaugh, PhD,APRN, •
CUCNS
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• Robert Chapman, MD
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• Carol Christner
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• Terry Foster
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• Jerry Lee Hardy
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• Elisabeth Heath, MD
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• Joe Ezell
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• Bester King
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• Kristen Kingzett, MD
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Steven Lucas, MD
Jordan Maier, MD
Ruthie Maples, MSW
Michael Poole
Isaac Powell, MD
Roderick Samuels
Virgil Simons
Kathryn Smolinski
Jeffrey Triest, MD
Ulka Vaishampayan, MD
2nd Annual Prostate Cancer Forum
September 22, 2012 • Charles H. Wright Museum of African American History • Detroit, MI
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Thank You to Our Sponsors
Abbott
Astellas
Dendreon
Endo Pharmaceuticals
Ferring Pharmaceutical
Janssen Biotec
Medivation
Millennium
Sanofi-Aventis
Veridex
2nd Annual Prostate Cancer Forum
September 22, 2012 • Charles H. Wright Museum of African American History • Detroit, MI
Virgil Simons, MPA, MBA
Founder & President
The Prostate Net
2nd Annual Prostate Cancer Forum
September 22, 2012 • Charles H. Wright Museum of African American History • Detroit, MI
Health Initiatives in the Era of
Healthcare Reform:
Can We Afford the Care We Need
Prostate Cancer in America
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$11 Billion Spent on Care
U. S. Population Is Aging
New Therapeutics Come at a High Price
Quality Adjusted Life Year (QALY) Standards
Value$ Spent: Who Determines
2nd Annual Prostate Cancer Forum
September 22, 2012 • Charles H. Wright Museum of African American History • Detroit, MI
Do We Pay to Die
or
Invest to Live
2nd Annual Prostate Cancer Forum
September 22, 2012 • Charles H. Wright Museum of African American History • Detroit, MI
Carol Christner
Director, Government Relations
Karmanos Cancer Institute
2nd Annual Prostate Cancer Forum
September 22, 2012 • Charles H. Wright Museum of African American History • Detroit, MI
Politics and Prostates
Oral Chemotherapy Access
Oral Chemotherapies
• Biualutamide (Casodex ®),Flutamide
(Eulexin®),Niutamide (Nilandron®)
• Oral chemotherapies work by targeting and
attacking only cancer cells.
• 10% of available chemotherapies
• 25 – 35% of medications in the oncology
development pipeline.
Intravenous vs Oral Chemotherapy
Insurance Coverage
1. Intravenous/Injected
– Typically covered under “Medical Benefit”
– Office visit co-pay
– No fee for the drug
2. Oral
– Typically covered under “Pharmacy Benefit”
– Highest tier of plan’s cost-sharing system
– Co-pay can be percentage of drug cost
Michigan Senate Bills 540-541 and
House Bills 5132-5133
• Bills do NOT:
– Mandate coverage of oral or IV chemotherapy.
– Require health plans to have a pharmacy benefit.
• Bills DO:
– Require that oral and IV chemotherapies be
covered in the same manner.
– Ensure that patients have real access to the
medications deemed most appropriate by their
physician.
2nd Annual Prostate Cancer Forum
September 22, 2012 • Charles H. Wright Museum of African American History • Detroit, MI
Rodrick Samuels
National Salon and Barber Educator
Profile Barber Institute/The Andis Company
Who in the Prostate is Rodrick Samuels?
Cutting Out Prostate Cancer with your
host…Rodrick Samuels?
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National Educator
Philanthropist
School Owner
Master Barber
Mentor
Business Developer
Lover of Health
Prostates
Social Media is social…STALK ME!
Improving doctor-patient communication
Doctors need to hear patients desires for
quality of life
Patients need to understand what the doctor is
telling them
Treatment and Life after Cancer
Doctors…
Patients…
2011 PROSTATE CANCER
STATISTICS SUMMARY
240,890 New Cases
33,720 Deaths a
Year
92 Deaths a Day
4 Deaths an Hour
Barber Shops Impact the Community
• The place to be
• Place of security and
comfort
• Cultural institution
• An avenue to
disseminate health
education information
THE ROI…
• Information conduit for
the medical community
• Increased service for the
client community
• Enhanced leadership
profile for the Med Ctr.
• Better service interaction
between communities
• Increased Med Ctr.
traffic/revenue/market
share
• Increased Clinical Trial
accrual
• Barber satisfaction in being
an agent for change
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2
Annual Prostate Cancer
Symposium
Patient Doctor Communication
Building Effective Disease
Management Dialogues
9/22/12
Prostate Cancer at HFH
Stage at
Diagnosis
Stage at
Diagnosis
– I: 13.6%
– II: 71.9%
– III: 5.9%
– IV: 5.2%
– UKN: 3.4%
– I: 13.7%
– II: 66.2%
– III: 4.4%
– IV: 10.5%
– UKN: 5.2%
Communication Opportunities
In the Lay Community
– Within the Family
– Through church or place for religious
gathering
– Education through the workplace
Primary Care
– Screening decisions
Specialty Care
– Diagnostic, Staging, and treatment decisions
One Approach
Question Prompt List (QPL) Development
– Lay Community input
– Physician review
Randomized Prospective testing
– Usual care v QPL v QPL + Counseling
– Videotaping and analyzing Dr. / Patient
discussion during decision making visits