National Cancer Institute - NCI Division of Cancer Treatment and ...
National Cancer Institute - NCI Division of Cancer Treatment and ... National Cancer Institute - NCI Division of Cancer Treatment and ...
partnerships between the institutions stimulate increasing minority and underserved patients’ participation in clinical trials of new cancer therapies and improve patient access to quality cancer treatments. The CDRP program also will increase the likelihood of detecting population differences in response to treatments. The results achieved under this RRP program have been impressive. Less than halfway through the six-year program, there are 58 research protocols active and accruing 125 patients at the sites. Many additional patients have been provided navigation services by Patient Navigators at the awardees’ sites. TELESYNERGY® systems are growing in utilization and being used in unique ways in solid support of the awardee-mentor relationships to ensure the safe and effective conduct of clinical research in community hospitals serving minority populations. The CDRP program runs until 2008. A thorough outcome and process evaluation will be conducted over the next two years to ensure appropriate implementation, to facilitate midcourse corrections, and to help RRP determine whether to re-fund and reissue the CDRP program. It is the intention of RRP to request renewal and possible expansion of this innovative program. TELESYNERGY® http://www3.cancer.gov/rrp/CDRP/ telesynergy_info.html For patients located in medically underserved areas such as rural or economi- cally disadvantaged locales, access to cutting-edge medical care and physician The “Walking Forward” program is an example of the CDRP approach in action. It is a scientific collaborative program between a CDRP grant recipient—the Rapid City Regional Hospital— and its primary partner, the University of Wisconsin Comprehensive Cancer Center. The Rapid City Regional Hospital serves approximately 100,000 Native Americans from surrounding communities and reservations. The Pine Ridge Reservation is currently the poorest in the United States and suffers from some of the highest cancer mortality rates. Because conventional courses of cancer treatment lasting six to eight weeks may be a barrier to care, RRP-sponsored investigators are conducting innovative clinical trials with a shortened course of treatment. A molecular predisposition to treatment side effects is also being explored. Native American blessing ceremony for the new radiation therapy system installed at Rapid City Regional Hospital in 2004. This cutting-edge technology is being used by the CDRP program to enhance Native American participation in clinical trials. Kevin Molloy, RN, Patient Navigator, Rapid City Regional Hospital, photographer. R A D I A T I O N R E S E A R C H P R O G R A M ■ 123
With TELESYNERGY® as a link, health care institutions that attend to underserved areas can now develop and sustain clinical trials and become part of the national cancer research effort. TELESYNERGY® also makes distance learning possible for health care providers. specialists is often unobtainable and participation in clinical trials unlikely. The leadership at RRP sought to bridge this gap by developing a telemedicine system called TELESYNERGY®. RRP investigators worked together with researchers from the NIH Center for Information Technology (CIT). TELESYNERGY® is a combination of computer hardware, telecommunica- tions software, medical equipment, and human expertise that allows clinicians to collaborate as if they were in the same room. With the system, cancer center specialists can consult on cases all over the nation and abroad and mentor investigators who work with patients in underserved areas to promote participation in clinical trials. Currently, 22 institutions in the United States and five international organizations are linked via the system. 124 ■ P R O G R A M A C C O M P L I S H M E N T S 2 0 0 6 TELESYNERGY® Functionalities ■ Videoconferencing – Simultaneous video and audio streams – Compatible with all video- conference systems on the open market, including PolyCom® and PictureTel® ■ Data Exchange – DICOM image transfer (store and forward) – Data transfer, any type ■ Image Manipulation and Analysis – X-rays, CT, MRI, ultrasound, etc. ■ Clinical and Research Microscopy ■ Interactive Discussions and Teaching Sessions ■ Imaging Add-ons as Needed – Retinal camera, ultrasound machine, video colposcope, video laryngoscope, and others ■ Health Insurance Portability and Accountability Act of 1996 (HIPAA)–Compliant TELESYNERGY® units also link researchers globally. Currently, there are international systems situated in places such as Dublin, Belfast, Belgium, and Amman. RRP continues to deploy TELESYNERGY® systems throughout the country and Europe. It also provides installation, training, and ongoing technical troubleshooting support and coordinates multisite TELESYNERGY® conferences.
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With TELESYNERGY® as a link, health care institutions that attend to underserved<br />
areas can now develop <strong>and</strong> sustain clinical trials <strong>and</strong> become part <strong>of</strong><br />
the national cancer research effort. TELESYNERGY® also makes distance learning<br />
possible for health care providers.<br />
specialists is <strong>of</strong>ten unobtainable <strong>and</strong> participation<br />
in clinical trials unlikely.<br />
The leadership at RRP sought to bridge<br />
this gap by developing a telemedicine<br />
system called TELESYNERGY®. RRP investigators<br />
worked together with researchers<br />
from the NIH Center for Information<br />
Technology (CIT).<br />
TELESYNERGY® is a combination <strong>of</strong><br />
computer hardware, telecommunica-<br />
tions s<strong>of</strong>tware, medical equipment, <strong>and</strong><br />
human expertise that allows clinicians to<br />
collaborate as if they were in the same<br />
room. With the system, cancer center<br />
specialists can consult on cases all over<br />
the nation <strong>and</strong> abroad <strong>and</strong> mentor investigators<br />
who work with patients in underserved<br />
areas to promote participation in<br />
clinical trials. Currently, 22 institutions in<br />
the United States <strong>and</strong> five international<br />
organizations are linked via the system.<br />
124 ■ P R O G R A M A C C O M P L I S H M E N T S 2 0 0 6<br />
TELESYNERGY® Functionalities<br />
■ Videoconferencing<br />
– Simultaneous video <strong>and</strong> audio<br />
streams<br />
– Compatible with all video-<br />
conference systems on the open<br />
market, including PolyCom® <strong>and</strong><br />
PictureTel®<br />
■ Data Exchange<br />
– DICOM image transfer (store<br />
<strong>and</strong> forward)<br />
– Data transfer, any type<br />
■ Image Manipulation <strong>and</strong> Analysis<br />
– X-rays, CT, MRI, ultrasound, etc.<br />
■ Clinical <strong>and</strong> Research Microscopy<br />
■ Interactive Discussions <strong>and</strong><br />
Teaching Sessions<br />
■ Imaging Add-ons as Needed<br />
– Retinal camera, ultrasound<br />
machine, video colposcope, video<br />
laryngoscope, <strong>and</strong> others<br />
■ Health Insurance Portability<br />
<strong>and</strong> Accountability Act <strong>of</strong> 1996<br />
(HIPAA)–Compliant<br />
TELESYNERGY® units also link researchers<br />
globally. Currently, there are international<br />
systems situated in places such as Dublin,<br />
Belfast, Belgium, <strong>and</strong> Amman.<br />
RRP continues to deploy TELESYNERGY®<br />
systems throughout the country <strong>and</strong><br />
Europe. It also provides installation,<br />
training, <strong>and</strong> ongoing technical troubleshooting<br />
support <strong>and</strong> coordinates<br />
multisite TELESYNERGY® conferences.
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