Witness CARES, LLC De Debora rah O. O. Erwin, n, PhD Dee Johnson, BA Patrick Emmerling, PhD Roswell Park Cancer Institute, Buffalo, NY
Outline O Nature of our intervention O What we wanted and needed & Why O Pains and Gains of the process & our business model O Commercialization process O Where we are now…
The Pains… O In Buffalo, CRC incidence is 20% higher & mortality rates are 18% higher in Blacks v. HUGE opportunity to increase screening Whites for the medically O In NYS: 835,102 (25% of NYS pop) are underserved, but… Black/African American men & women 50- 79 who should be screened for CRC. O At least 233,829 Black men & women are unscreened O 92%+ of NY has health insurance coverage O “Gaps in Care” = only about 30% of *Medicaid/M caid/Medicare dicare patients are screened *
There are huge barriers… Individual O Willingness and intent to be screened O Understanding the process O Myths, fears, stories of others O Time off/prep issues Structural O Transportation O Appointment/Capacity
Witness CARES NCI R01 MPIs: Erwin, Kiviniemi, Jandorf O Goal: Understand factors influencing screening decisions for CRC & to impact these factors at a community level. O Aim m 1: 1: Group intervention to influence African Americans’ engagement in CRC screening O Explo lorat ratory y Aim m 2: Explore contextual factors that may influence the process of behavior change O SPRINT invitation…
How do we go from A to B??? Transitioning from research to a business? How do we commercialize a process that we think can be so effective, when we have always felt like we’re selling a product nobody wants to buy? SPR PRINT INT
SPeeding Research-tested INTerventions (SPRINT) PAINS & GAINS… O INTENSE!!! 8 Weeks - >20% Effort O 4 days in-person + 20 hours webinars O 52 in-per erson/t son/teleph elephone one inter ervie iews ws O “Get out of the office!” O Market Research/Peer Review on steroids O Mind- set Transformation …
Finding Commercialization Potential O National Witness Project (NWP) (501c3) O Contracts with multiple Insurers & NYS O ONLY for mammogram and Pap- screening O Potential Customers – O Credibility with NWP & RPCI … O Increasing metrics for Star & HEDIS scores O Foundation for a commercialization process…?
Pain Relievers/Gain Creators
2016 Presidential Election GROWING PAINS AND CHALLENGES !
Pain Relievers/Gain Creators (Value Proposition Canvas) O Customers – Health Insurance Companies & Clinical Practices O End-users – CRC Screening Non-adherent Medicaid/medically underserved patients O Witness CARES, LLC provides comprehensive services, for lower income patients to optimize colonoscopy (and other CRC screening) O Based on R01 data and research over 30 yrs O HighTech/Big Gap: Predicting CRC screening in this low screening population O NEED to prove we can put this all together and get someone to pay for it! STTR application
Business Model Canvas
Back to Ms. Stone…
Where we are now… O Incorporated in NYS October 2016 (LLC) O Tax ID # & Bank Account O Articles of Organization & Agreement O NYS Minority/Women Business Enterprise O Health Insurance “early adopter” partner O Primary Care Clinic “early adopter” partner O MWEE (Minority/Women Entrepreneurial Enterprise) Class O Fledgling website (underconstruction), draft logo O RPCI Tech Transfer Board Application for pilot funds O STTR Phase I to prove feasibility (Jan 2018)
Lessons Learned from SPRINT O Commercialization can be learned O You get out what you put in O Don’t be afraid to pivot; Pivot or fail O Have to look through new O Opens up a whole new
Acknowledgements O Cynthia Vinson, April Oh, Ed Pendleton, Elizabeth Good Mazhari & SPRINT team O Our colleagues in training O NCI/NIH R01 CA171935 O Dee Johnson & Patrick Emmerling O All of the individuals willing to talk to us and inform us about what we didn’t know…
Questions?? WitnessCARESLLC.com
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