http://www.masoniccanceralliance.org/cancer-survivorship-echo-series.html
Christian Sinclair, MD, FAAHPM Palliative Care Lauren Nye, MD Medical Oncology Shawna Wright, PhD, LP Associate Director of KU's Center for Telemedicine & Telehealth Jennifer R. Klemp, PhD, MPH Director, Cancer Survivorship
AGENDA The COVID-19 Infodemic: How is your practice Flexing or Responding?
Continuing Education Statement Physicians: The University of Kansas Medical Center Office of Continuing Medical Education is accredited by the • Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Kansas Medical Center Office of Continuing Medical Education designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity. APRN/Nurses : The University of Kansas Medical Center Area Health Education Center East is approved as a provider • of CNE by the Kansas State Board of Nursing. This course offering is approved for 1.0 contact hours applicable for APRN, RN, or LPN relicensure. Kansas State Board of Nursing provider number: LT0056-0749. Mary Beth Warren, MS, RN, Coordinator. Social Workers: The University of Kansas Medical Center Area Health Education Center East, as an approved provider • of continuing education by the Kansas Behavioral Sciences Regulatory Board presents this offering for a maximum of 1 hour credit applicable for relicensure of LASWs, LBSWs, LMSWs and LSCSWs. Kansas Provider Number 12-002. Mary Beth Warren, MS, RN, coordinator. Attendance requirement for nurses and social workers : Participants missing more than 10% of this offering will • not receive continuing education credit Certificates of attendance are available to other participants upon completion of documentation of attendance and • evaluation
Conflict of Interest Disclosure The following presenters do not have any relevant financial relationships with any proprietary entities • producing, marketing, re-selling, or distributing healthcare goods or services consumed by, or used on patients related to the content of their presentation: Shawna Wright, PhD; Lauren Nye, MD; Christian Sinclair, MD The following planning committee members do not have any relevant financial relationships with any • proprietary entities producing, marketing, re-selling, or distributing healthcare goods or services consumed by, or used on patients related to the content of their presentation: Hope Krebill, RN, BSN, MSW, Executive Director, Traci McCarty, Education Program Manager and Trish Long, PA, Navigation Program Director with the Masonic Cancer Center, KU Cancer Center and Mary Beth Warren, MS, RN, Executive Director, KUMC AHECs and Office of CE/PD The following presenter and planning committee member has disclosed potentially relevant financial • relationships with proprietary entities producing, marketing, re-selling or distributing healthcare goods or services consumed by, or used on, patients related to the content of their presentation: Jennifer Klemp, PhD, MPH, Associate Professor, KU Cancer Center Medical Oncology, received honoraria from Novartis, Pfizer Oncology and Astra Zeneca.
Continuing Education Credit & Certification of Attendance ACTIVITY IDENTIFICATION CODE: 71yald DEADLINE TO ENTER CODE AND COMPLETE EVALUATION: April 22, 2020 at 5:00 PM Using your mobile phone, you can text the activity identification code to (828) 216-8114. OR Accessing www.eeds.com from a mobile device or PC and entering the activity identification code; OR Downloading the eeds mobile app (iOS, Android) and using the activity identification code to sign-in to events.
Funding Source This project was developed by Cooperative Agreement number DP17-1701, funded by the Centers for Disease Control and Prevention. Additional support from the KU Cancer Center and the Masonic Cancer Alliance.
Check-In Advent Health Cancer Center Shawnee Mission Organizations American Cancer Society Ascension Via Christi, Pittsburg Ascension Via Christi, Wichita Blue Cross Blue Shield of Kansas City Bryan Health- Crete Area Medical Center Cancer Wellness for Life Susan G. Komen Kansas + Western Coffeyville Regional Medical Center Central Care Cancer Center Missouri LMH Health Stanford Mosaic Lifecare The Breast Center at St. Catherine Newton Medical Center Hospital North Kansas City Hospital The University of Kansas Health System Olathe Health The University of Kansas Cancer Prisma Health Cancer Institute Center ECHO Institute St. Francis Campus Rehabilitation Hospital of Overland Park Hays Med Salina Regional Health Center Truman Medical Centers Sarah Cannon Wesley Medical Center/KU Wichita
Recording We will be recording this Cancer Survivorship ECHO for educational and quality improvement purposes. By participating in this ECHO clinic you are consenting to be recorded. https://echo.unm.edu/
Some Helpful Hints • Test both audio & video • Mute microphone when not speaking • Bottom left of your screen • Remember to unmute before speaking • Your participation is important! • Speak clearly • Short and to the point comments are best • Use chat function • Position webcam effectively • Show your face • Have a good light source from the front • Avoid being backlit
Polling Questions Poll Question Share Group Response
Lets Try Out a Poll Question: Answer by Poll or in Chat Box Does your organization currently managing patients with Cancer, who have also tested positive for COVID-19?
The COVID-19 Infodemic: How is your practice Flexing or Responding? • The 'infodemic' of inaccurate information about COVID-19 can have adverse consequences. Examples: • Facebook recently starting removing posts that claim that social distancing doesn’t help prevent the spread of COVID-19 • Google banned the Infowars app (Android store) when the founder, Alex Jones, disputed the need to quarantine to prevent the spread of COVID-19 • Important to ensure and value accurate content and responsible use of social media.
Fact or Fiction? https://reutersinstitute.politics.ox.ac.uk/types-sources-and-claims-covid-19-misinformation
How d do we think about t the risk to p o patie ients from C COVID-19 19 and nd from Cancer er?
Risk of Harm from COVID-19 Patient Interactions Low High Low Risk of Harm from Cancer High
Poll Question Question: Answer by Poll or in Chat Box Which Population Falls into the Low/Low Risk Box?
Poll Question Question: Answer by Poll or in Chat Box Which Population Falls into the High/High Risk Box?
Risk of Harm from COVID-19 Patient Interactions Low High Survivorship checkup Symptom control Maintenance therapy Routine labs & scans Low Complication from tx Risk of Hospitalization Harm from New early cancer dx Immunosuppression Cancer Progressive adv cancer Cytotoxic treatments High Major surgery Stem cell transplant
How M Migh ght t Patients P ts Perce ceive Th Their r own R Risk?
Risk from COVID-19 Patient Perception Low High Low Risk Discuss from cancer prognosis Cancer Discuss High short-term break from treatment
Risk from COVID-19 Patient Perception Low High Review COVID-19 best practices Low Risk Review time- from sensitive cancer Cancer treatment plan High
Case Question? • What are COVID-19 Best Practices for Cancer Patients? • How do cancer patients differentiate cancer/treatment related symptom's from COVID-19 symptoms?
Poll Question Question: Answer by Poll or in Chat Box Have the Telehealth services in your practice changed since the COVID-19 Pandemic?
Telehealth Resources Federal CMS Telehealth Billing: https://www.cms.gov/Medicare/Medicare-General-Information/Telehealth/Telehealth-Codes State Medicaid Telehealth Billing: https://www.kmap-state-ks.us/ Private Payers Telehealth Billing: Check websites first when possible All Telehealth Billing: Work with billing staff to understand Place of Service Codes (POS) and Telehealth Modifiers (GT, 95) Clinical Support/Training: State and national professional organizations and National Telehealth Resource Centers
Quick Tips for Setting-up a Telehealth Space Private w/ support available if needed Quiet & Free from distractions Well-lit Good internet connectivity / WiFi
KUMC Telehealth Resources KU Center for Telemedicine & Telehealth: http://www.kumc.edu/community- engagement/ku-center-for-telemedicine- and-telehealth.html Telehealth Bytes KUMC Project ECHO: http://www.kumc.edu/community- engagement/project-echo.html Telehealth ECHO will launch Thursday, April 9 (noon – 1:00 PM) and meet weekly for 4 weeks
Poll Question Question: Answer by Poll or in Chat Box What are other topics related to the COVID-19 Pandemic that would be informative as part of this series?
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