Big data has the power to significantly speed up the process from discovery to clinical adoption, according to a presentation at the Association of Community Cancer Centers 2015 Annual Meeting in Arlington, VA. Amy Abernethy, MD, PhD, Chief Medical Officer and Senior Vice President of Oncology, Flatiron Health, New York, NY, and Director, Duke Cancer Care Research Program, Duke Cancer Institute, Durham, NC, first described an encounter she had in 2009 while working in a melanoma clinic with an emergency department nurse named Janet, who presented with Stage IIIB melanoma.
I grew up in a lower middle class household. My dad was an insurance salesman, and we needed to live within a budget. The thought that we might buy something without considering the cost was unfathomable. As a doctor now, I wonder how we expect our patients to make healthcare purchases without this information. Why do we need to even justify discussing cost with patients?
If your rheumatology practice is physician owned, I am willing to bet that staying independent is very important to both the doctors and managers. In short, you do not want to “work for the man” that runs the health system, hospital, or multispecialty group down the street.
Oncology Practice Management recently conducted the following interview with Lillie D. Shockney, RN, BS, MAS, Administrative Director, The Johns Hopkins Breast Center; Director, Cancer Survivorship Programs at the Sidney Kimmel Cancer Center at Johns Hopkins; and Associate Professor, Johns Hopkins University School of Medicine and School of Nursing, Baltimore, MD. Ms Shockney is also a cancer survivor and the editor-in-chief of the Journal of Oncology Navigation & Survivorship.
We have all had that patient—the patient who is prescribed a new targeted therapy and cannot comply with it because it is just too expensive. When asked directly about the reasoning for the noncompliance, the patient suggests that taking the treatment is just too expensive and, in fact, it is cheaper to die.
Long Beach, CA—As I was packing up my bags to return home from the National Organization of Rheumatology Managers (NORM) 8th Annual Conference, I had the television on in the background.
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