- - PowerPoint PPT Presentation

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
• f 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
• f 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

Organizations

 Advent Health Cancer Center Shawnee Mission  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  Central Care Cancer Center  Coffeyville Regional Medical Center  LMH Health  Mosaic Lifecare  Newton Medical Center  North Kansas City Hospital  Olathe Health  Prisma Health Cancer Institute  ECHO Institute  Rehabilitation Hospital of Overland Park  Salina Regional Health Center  Sarah Cannon  Susan G. Komen Kansas + Western Missouri  Stanford  The Breast Center at St. Catherine Hospital  The University of Kansas Health System

 The University of Kansas Cancer Center  St. Francis Campus  Hays Med

 Truman Medical Centers  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

• patie

ients from C COVID-19 19 and nd from Cancer er?

Patient Interactions Risk of Harm from COVID-19 Low High Risk of Harm from Cancer Low 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?

Patient Interactions Risk of Harm from COVID-19 Low High Risk of Harm from Cancer Low

Survivorship checkup Maintenance therapy Symptom control Routine labs & scans Complication from tx Hospitalization

High

New early cancer dx Progressive adv cancer Immunosuppression Cytotoxic treatments Major surgery Stem cell transplant

How M Migh ght t Patients P ts Perce ceive Th Their r own R Risk?

Patient Perception Risk from COVID-19 Low High Risk from Cancer Low High

Discuss cancer prognosis Discuss short-term break from treatment

Patient Perception Risk from COVID-19 Low High Risk from Cancer Low High

Review COVID-19 best practices

Review time- sensitive cancer treatment plan

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?

Summary

• Know and access accurate and reliable sources of up-to-date information. COVID-19

guidelines and resources are fluid and it is vital to stay up-to-date.

• Telehealth is part of our ”new normal”, building comfort, practice (practice, practice),

patient/family engagement, billing and policy, etc.…. are all part of the process.

• Self care for HCPs needs to be addressed on an on-going basis, identification and use
• f tools is vital to support our care team members.

WRAP UP

• Thank you for your participation!
• Make sure to sign in your name in the chat box.
• ACTIVITY IDENTIFICATION CODE: 71yald

Text the activity identification code to (828) 216-8114 or

• www.eeds.com
• Next Session: COVID-19 and Cancer Mini-Series (FINAL SESSION)
• Wednesday, April 22 from 4:30-5:30PM
• http://www.masoniccanceralliance.org/cancer-survivorship-echo-series.html
• Review materials in the Toolbox