Page 10 - Summa Health Cancer Institute 2016 Outcomes

What is the Oncology
Care Model?

A cancer diagnosis can be devastating to patients and families.
A rising incidence, advances in care and improving mortality leads
to an increasing impact of cancer on healthcare resources. Costs
associated with advances do not necessarily correlate with outcome.
Thus, focusing on value is extremely important.

In lieu of the above challenges, Centers for Medicare Care plans involve clear communication with patients
and Medicaid (CMS) Innovation Center introduced the regarding their:
Oncology Care Model (OCM) which was implemented • Cancer characteristics
nationally as well at Summa Health in July 2016. OCM • Prognosis
aims to provide higher quality, more highly coordinated • Goals of treatment
oncology care at the same or lower cost to Medicare. • Advance care planning
Summa Health Medical Group was selected by CMS after • Financial counseling to address total and
submitting a grant in 2015.
out-of-pocket costs
Summa Health is the only group in the Akron/ • Psychosocial evaluation with action plan
Canton region, and one of only 12 in Ohio, to • Survivorship plans
have received and implemented this grant.
“This program basically takes care of all of the
What are the practice requirements comprehensive needs of the cancer patient,” says Sameer
for OCM? Mahesh, M.D., Summa Health Medical Group— Oncology.
“And because advanced care planning is a requirement,
Treat patients with therapies consistent with patients get a chance to plan ahead. For example, access
nationally recognized clinical guidelines to behavioral health during their cancer diagnosis is
Document a care plan for every OCM patient that helpful; access to social work is helpful. This doesn’t differ
contains the 13 components in the Institute of from the way our team practices in principle, but it has
Medicine Care Management Plan differed in the aspect of implementation. We are more
Provide core functions of patient navigation pro-active than re-active and, as a result, patients are
Provide 24/7 patient access to an appropriate clinician benefiting from this.”
who has real-time access to patient’s medical records
Use an ONC-certified EHR and attest to Stage 2 of Under the OCM, physician practices have entered
meaningful use (MU) by the end of the third model into payment arrangements that include financial
performance year and performance accountability for episodes of care
Utilize data for continuous quality improvement surrounding chemotherapy administration to cancer
patients. CMS is also partnering with 16 commercial
payers nationally in the model and SummaCare is one
of them. While CMS requires practice transformational
activities only for Medicare beneficiaries, Summa Health
Cancer Institute has implemented these activities for all
patients regardless of payer.

Membership - NRG Oncology
NRG Oncology is a non-profit research organization formed to conduct oncologic clinical research and to
broadly disseminate study results for informing clinical decision making and healthcare policy. It brings together
the National Surgical Adjuvant Breast and Bowel Project (NSABP), the Radiation Therapy Oncology Group (RTOG),
and the Gynecologic Oncology Group (GOG) — each recognized internationally as a research leader.

10