Monthly Webinar Series March 2019 Todays Agenda - - PowerPoint PPT Presentation

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Monthly Webinar Series March 2019 Todays Agenda - - PowerPoint PPT Presentation

Monthly Webinar Series March 2019 Todays Agenda Announcements/Trial Updates Ellen Mowry & Scott Newsome Mt. Everest & Rowing Competition Christina Grabarits Top Enroller Christina Grabarits February Webinars Polling Results


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Monthly Webinar Series

March 2019

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Today’s Agenda

Announcements/Trial Updates Ellen Mowry & Scott Newsome

  • Mt. Everest & Rowing Competition

Christina Grabarits Top Enroller Christina Grabarits February Webinar’s Polling Results & Lessons Learned Karen Lane Recruitment Tips and Trends Karen Lane Q&A All

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Announcements/Trial Updates

ELLEN MOWRY & SCOTT NEWSOME

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Study Updates – Enrollment

THANK YOU to activated sites for continuing to screen and enroll patients! We now have 39 sites activated and 107 patients enrolled as of 3/5/19! REMINDERS: When consenting patients for the trial, please document the consent process, as detailed in the protocol and MOP, and upload signed consent form and completed DOC process form to VISION database under Source Docs tab, item # 10. PLEASE ENTER VISIT DATA WITHIN 1 WEEK OF THE VISIT AND UPLOAD PDFs of SOURCE DATA SO WE CAN MONITOR THE DATA! We need all visit CRFs to verify the data. CRFs may be scanned as a single PDF, if preferred, and uploaded under Source Docs tab, item # 9. ______________________________________________________________________________

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Other Study Updates

The in-person Study Advisory Committee (SAC) meeting was held last week and we want to thank all investigators and stakeholders who participated! Ideas to improve recruitment were shared and we have begun to implement some of them:

  • NMSS is sending another trial alert email to new states with activated sites on 3/25/19.
  • We have added a map to our trial website showing cities/states with participating sites.
  • We are exploring with the CMSC an outreach effort aimed at private practice neurologists

and clinicians who may refer to the trial (utilizing our IRB approved provider flyer).

  • Stay tuned for additional ideas! We welcome your suggestions and are here to help you!
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Happy National MS Awareness Month!

MS in the news!

Watch this Good Morning America interview with actress Selma Blair, who recently was diagnosed with MS and is raising awareness to help those like her!

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Hot off the press!

Monthly Bulletins are rolling out and are chock full

  • f important information!

These bulletins can be used as a point of reference for site personnel throughout the study!

  • Just last month Blake Dewey’s 11 MRI Refreshers

were featured.

  • Be sure to print out that issue & make sure your team

members each have a copy on hand!

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Where to find recruitment materials and bulletins

http://treat-mstrial.org/

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The Mount Everest Climb

CHRISTINA GRABARITS

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ELEVATION

Mount Everest Contenders

*Not fit to scale

40.5 65.6

  • 1. RWJ Barnabas Multiple Sclerosis Comprehensive Care Center
  • 5. Icahn School of Medicine

27.7

  • 2. Georgetown University

23.5

  • 6. University of Michigan

Activated Sites

20.2

  • 7. Wayne State University

30.4

  • 4. Hackensack University Medical Center

31.1

  • 3. Oklahoma Medical Research Foundation
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SLIDE 11

Activated Sites

  • 1. Johns Hopkins University
  • 21. University of Washington
  • 2. Christiana Care
  • 22. Central Texas Neurology Consultants
  • 3. Advanced Neurology Specialists
  • 23. University of Miami
  • 4. University of Vermont
  • 24. Ohio Health
  • 5. New York University School of Medicine
  • 25. University of Utah
  • 6. University of Florida Gainesville
  • 26. University of Maryland
  • 7. Swedish Medical Center
  • 27. Neurology Specialists of Tidewater
  • 8. Norton Neurology Services
  • 28. Dignity Health Sacramento
  • 9. University of Alabama at Birmingham
  • 29. Providence Health
  • 10. University of Rochester
  • 30. Allegheny Health Network
  • 11. University of California at San Francisco
  • 31. Billings Clinic
  • 12. University of Kansas Medical Center
  • 32. Massachusetts General Hospital
  • 13. Columbia Presbyterian
  • 33. Cedars Sinai
  • 14. Mayo Clinic
  • 34. University of California San Diego
  • 15. University of South Florida Health
  • 35. Barrow Neurological Institute
  • 16. Stony Brook University
  • 36. Rush University Medical Center
  • 17. Vanderbilt University Medical Center
  • 37. University of California Los Angeles
  • 18. University of Louisville
  • 38. University of Massachusetts Worcester
  • 19. Baylor Scott & White Health
  • 39. Geisinger Clinic
  • 20. University of Cincinnati
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Rank Activated Sites Final Points

1 Christiana Care 134.5 2 Norton Neurology Specialists 130.9 3 Baylor Scott & White Health 120.3 4 Columbia Presbyterian 112.6 5 Central Texas Neurology Consultants 104.1 6 University of Cincinnati 102.5 7 Dignity Health Sacramento 93.0 8 Allegheny Health Network 91.5 9 University of California San Diego 89.1 10 Advanced Neurology Specialists 85.3

Mount Everest Standings

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The Rowing Competition

CHRISTINA GRABARITS

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Rowing Competition Standings

1- Team E (32 points) 2- Team A (30 points) 3- Team F (25 points) 4- Team D (24 points) 5- Team G (22 points) 6- Team C (19 points) 7- Team H (14 points) 8- Team B (12 points)

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Individual Site Competition

Site Points

  • 1. Norton Neurology

92

  • 2. Advanced Neurology Spc

65

  • 3. UAB

63

  • 4. UFL Gainesville

61

  • 5. Swedish

52

  • 6. Christiana Care/NYU

46

  • 7. U Washington

43

  • 8. U Kansas Med Ctr

38

  • 9. Allegheny Health

35

  • 10. Providence

31

Rowing Competition Standings

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Rowing Competition

https://treat.preludedynamics.com

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Activated Sites

*AS OF TUESDAY 03/05/19

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Recent Enrollments

*AS OF TUESDAY 03/05/19

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Monthly Randomization Race

February’s Top Performers:

Site Randomizations

Norton Neurology Services 6 Johns Hopkins University 3 New York University School of Medicine 2 Mayo Clinic 2 Baylor Scott & White Health 2

Total in February 21

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February’s Top Enroller: Norton Neurology Services $50

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KAREN LANE CLINICAL COORDINATING CENTER JOHNS HOPKINS UNIVERSITY

Poll Results from the February Webinar

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23.5%

0.0% 64.7% 58.8%

  • A. COMMUNITY CLINICIANS AT

ACTIVATION

  • B. COMMUNITY CLINICIANS

REPEATEDLY

  • C. DEPARTMENT CLINICIANS AT

ACTIVATION

  • D. DEPARTMENT CLINICIANS

CONTINUOUSLY

Poll #1: Physician flyers are/were sent to: (check all that apply)

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16.0% 12.0% 4.0% 68.0%

  • A. YES, AT EVERY MEETING
  • B. YES, OCCASIONALLY
  • C. YES, AT ACTIVATION
  • D. NOT YET USED THIS TECHNIQUE

Poll #2: Physician flyers are distributed at rounds and departmental meetings continuously

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5.9% 76.5% 64.7%

  • A. PRINTED IN NUMBERS ≥100 COPIES
  • B. PRINTED WITH LOCAL TEAM CONTACT INFO
  • C. APPROVED BY MY LOCAL IRB

Poll #3: Physician flyers have been: (check all that apply)

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4.3% 17.4% 65.2% 8.7% 4.3%

  • A. STRONGLY AGREE
  • B. AGREE
  • C. TOO EARLY TO KNOW
  • D. DISAGREE
  • E. STRONGLY DISAGREE

Poll #4: Physician flyers have been effective at my site

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5.6% 33.3% 83.3% 50.0% 38.9%

  • A. WITH RECENTLY

DIAGNOSED PATIENT APPOINTMENT MAILERS

  • B. IN WAITING AREAS
  • C. FROM CLINICIANS

DURING THE 1ST VISIT

  • D. AFTER REFERRAL TO

STUDY TEAM

  • E. IF REQUESTED

Poll #5: New patients get the patient brochure: (check all that apply)

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45.0% 25.0% 5.0% 20.0% 5.0%

  • A. NONE
  • B. LESS THAN 10
  • C. 11-25
  • D. 25-50
  • E. >50

Poll #6: How many patient brochures have you distributed?

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4.5% 13.6% 9.1% 100.0%

  • A. TRIAGE NURSE HANDS A

BROCHURE IN THE NEW PATIENT KIT

  • B. COORDINATOR REVIEWS CLINIC

SCHEDULE 1 WK. AHEAD & CALLS THE PATIENT

  • C. COORDINATOR MAILING
  • D. PHYSICIAN DURING THE FIRST

APPOINTMENT

Poll #7: New patients may be first aware of the TREAT-MS study when a: (check all that apply)

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5.6% 11.1% 5.6% 0.0% 83.3%

  • A. SENT ONCE TO

DEPARTMENT COLLEAGUES

  • B. CONTINUOUSLY PUT OUT

AT ROUNDS/MEETINGS

  • C. SENT TO COMMUNITY

CLINICIANS

  • D. GIVEN TO RESIDENTS

MONTHLY

  • E. CONSIDERED BUT NOT

YET USED

Poll #8: Deck cards have been: (check all that apply)

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0.0% 12.5% 12.5% 87.5%

  • A. DISTRIBUTED IN NUMBERS ≥20

COPIES

  • B. PRINTED WITH LOCAL CONTACT

INFO

  • C. APPROVED BY MY LOCAL IRB
  • D. CONSIDERED BUT NOT YET

USED

Poll #9: Deck cards have been: (check all that apply)

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Recruitment Tips and Trends

KAREN LANE CLINICAL COORDINATING CENTER JOHNS HOPKINS UNIVERSITY

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Results & Call for Your Contributions

Thank you for helping TREAT-MS know more about your recruitment methods.. Send an email with your best tip or suggestion! For instance, have you used MyChart of Cohort ID for screening?

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The Limits Of Materials

That’s what we need you to do!

  • Huge challenge to reflect in a brochure what

motivates people

  • Content is limited in what can be said and

approved

  • The right opportunity or not?
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Best Practices

A Quick Review

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Have a plan

Not a seat-of-the-pants approach “Successful people achieve success through the help of others, practice, and opportunity” “Deliberate practice" makes you world-class in any endeavor

Recruiting for TREAT-MS…

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Screening Methods to Consider

Clinic: Daily approach colleagues who are screening new patients Clinic: Blitz use of brochures

  • Patient/public

awareness

  • Colleague awareness

Preview appointment schedules

  • Current week
  • Future weeks

Notification systems

  • Automated (EMR,

MyChart)

  • Manual (triage staff,

meetings)

EMR based methods

  • EPIC panels /reports
  • Electronic alerts (leverage

existing and add simple trigger)

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Potential Barrier

Lack of a single voice in favor of considering the TREAT-MS option Lack of internal referrals

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Coordinated campaign

The larger team

  • You cannot do it alone
  • Get buy-in
  • Single voice for TREAT-MS
  • ption at your site

Fast-paced June goal, needing as much help as possible

  • Rewards system: “Thank

you!”

  • Recognition goes a long

way

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Site Expectations

Designated Screens per week Designated Enrollments per week Have a Recruitment Plan

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Have a written plan and review weekly with checklists/logs

Who is assigned to run weekly meetings & monitor success Who is assigned to engage colleagues, where, & how often Who is assigned to reconnoiter new patients? What schedules and rosters do you want to use every week? What clinic coverage do you have?

Who Days/hours

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Base your plan against your census

We have a robust expectation of enrollments per site now through June

01

Use your plan to pace your weekly performance

  • # entries into the log
  • # enrollments
  • Who is assigned to what goal
  • ASSIGN GOALS TO SPECIFIC TEAM

MEMBERS

02

SCREEN IN PERSON DAILY Try new methods

03

DAILY/WEEKLY MAKE REPORT Talk with your site team EACH DAY/WEEK about your new patient census, referral activity, and recruitment activity

04

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Protocol

The treating physician does not have to be the PI!

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Hopkins patient care examples

Providers keep their patients

  • One provider keeps patients
  • Remains the treating physician

Providers transfer patient care

  • Sends all possible candidates to

Ellen or Scott

  • If enrolled, Ellen or Scott

become the treating physician going forward

  • If not eligible, the patient

returns to referring physician

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Write it all down in a recruitment plan and screening log

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Monitor Your “Find the New Patients” Efforts

Meet

  • Meet weekly to review

especially opportunities missed

Document and review

  • Document and review what types of exclusions

you are seeing and why subjects are declining to participate (Exclusions, Refusals, Coverage)

Document and review

New patients (opportunities) missed entirely

  • Cohort comparisons
  • Clinic schedules
  • Colleague discussions

Measure

  • Measure against the census weekly
  • Trial promotion and training
  • Be willing to CHANGE - AGILE
  • DON’T GIVE UP
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Coordinated campaign

Recruit colleagues to speak directly to new patients Be available at any time Give the patient several methods to contact you Early answers lead to enrollment

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Thank you and keep going!!

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Your Commitment is KEY!

Activated sites before February 13,2019 have received the commitment letter from the trial PIs at Johns Hopkins along with this commitment pledge Sign and send back your commitment pledge ASAP

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Sites Returned Commitment Pledge Last Month

Site Date Signed Letter Received from Site

Cedars Sinai 26-Feb-2019

Allegheny Health Network

18-Feb-2019

Rush University

26-Feb-2019

Dignity Health Sacramento

26-Feb-2019 Providence Health 28-Feb-2019 UCSD 1-Mar-2019

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Sites Pending Return of Commitment Pledge

Site Date Letter Sent to Site Date Signed Letter Received from Site

University of Cincinnati 11-Dec-18 University of California at San Francisco 11-Dec-18 Vanderbilt University Medical Center 11-Dec-18 University of Louisville 11-Dec-18 Baylor Scott & White Health 11-Dec-18 Stony Brook University 11-Dec-18 University of Rochester 11-Dec-18 Swedish Medical Center 12-Dec-18 University of Utah 12-Dec-18 Christiana Care 12-Dec-18 Norton Neurology Services 12-Dec-18 Neurology Specialists of Tidewater 12-Dec-18 Ohio Health 12-Dec-18 University of Florida Gainesville 12-Dec-18 Dignity Health St Joseph’s 25-Feb-19 Billings Clinic 25-Feb-19 Massachusetts General 25-Feb-19

Please sign the commitment pledge, emailed to your site during the second week of December, to secure your dedication to this very important trial!

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Op Open en fo for Q r Que uest stio ions ns

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Thank You for attending today’s webinar!

Encore tomorrow at 9 AM EST!

April’s Monthly Webinar will be held on the 3rd at 3 PM and 4th at 9 AM EDT