AACI 2008 State Funding for Cancer Centers Shelton Earp, MD

AACI 2008 AACI 2008 State Funding for Cancer State Funding for Cancer

CentersCenters

Shelton Earp, MDShelton Earp, MD

Our StateOur State

611 miles on Rte 64

250 miles

UNC Lineberger: UNC Lineberger: The Public Comprehensive Cancer The Public Comprehensive Cancer

CenterCenter

Economic Development

Health Disparities Research

Rural African American PopulationsExpanding Hispanic Population

Dissemination & Outreach

AHEC, community & clinical practice State Health Dept.

Clinical Research: Diagnostics & Therapeutics

Basic research: Molecular discovery

Clinical Care: Patient-centered

Excellence

Population SciencesEpidemiology & Health Outcomes

A 1950s TB SanatoriumA 1950s TB Sanatorium

NC Cancer HospitalNC Cancer Hospital

Clinical home of the UNC Lineberger Comprehensive Cancer Clinical home of the UNC Lineberger Comprehensive Cancer Center Center

““Where we take the team approach to cancer care”Where we take the team approach to cancer care”

Physicians Office Building: Opened July 2008Physicians Office Building: Opened July 2008NC Cancer Hospital: Fall 2009NC Cancer Hospital: Fall 2009

How These Things How These Things Happen:Happen:

A UNC StoryA UNC Story

Politics 101: Basic Politics 101: Basic TenetsTenets

Build relations over timeBuild relations over time Stability of leadershipStability of leadership

Cancer Center Director and staffCancer Center Director and staff Dean’s office support for cancer and the Dean’s office support for cancer and the

centercenter Community board with political influenceCommunity board with political influence

Some continuity in board leadershipSome continuity in board leadership Geographic distributionGeographic distribution

Service to the StateService to the State

Combination with research objectivesCombination with research objectives Prevention and early detectionPrevention and early detection Minorities disparities Minorities disparities Economic developmentEconomic development

Prevention and Control

Community College NetworkCommunity College Network

HPV Vaccination – Social MarketingHPV Vaccination – Social Marketing

Barbershop OutreachBarbershop Outreach

Pregnant SmokersPregnant Smokers

Navigators - EvaluationNavigators - Evaluation

Colorectal Screening - UnderservedColorectal Screening - Underserved

NC SPEED – Outreach NetworkNC SPEED – Outreach NetworkJeanne Hopkins Lucas StudyJeanne Hopkins Lucas Study

Oncology Workforce AnalysisOncology Workforce Analysis

NC Central Cancer RegistryNC Central Cancer Registry

UNC Cancer Survivorship CohortUNC Cancer Survivorship Cohort

Service to the StateService to the State

Combination with research objectivesCombination with research objectives Prevention and early detectionPrevention and early detection Minorities disparities Minorities disparities Economic developmentEconomic development

Carolina Breast Cancer Carolina Breast Cancer Study: Phase IIIStudy: Phase III

Population-based Population-based Molecular etiology to clinical outcomesMolecular etiology to clinical outcomes

Improve state tumor registryImprove state tumor registry Recruit: epidemiology & population Recruit: epidemiology & population

biostatisticianbiostatistician Expand rapid-case ascertainmentExpand rapid-case ascertainment

Strategy 1

Senator Jeanne Lucas

Service to the StateService to the State

Combination with research objectivesCombination with research objectives Prevention and early detectionPrevention and early detection Minorities disparities Minorities disparities Economic developmentEconomic development

Project 1DeSimone

Project 2DeSimone

Project 6Juliano

Project 5Ramsey

Project 4Lin

Project 3Zhou

Small Animal Imaging Core

Lin

Combinatorial Library Core

Liu

PharmacodymanicsCore

Szoka

Animal Model Core

Van Dyke

PI & CSC

Carolina Center of Cancer Nanotechnology Excellence

Rudy Juliano & Joe Desimone, Co-PIs

A UNC Start-Up

Clinical CareClinical Care

Multidisciplinary expertiseMultidisciplinary expertise Rapid access for priority patientsRapid access for priority patients Balancing “market share” vs Balancing “market share” vs

community oncologist support for the community oncologist support for the centercenter

Multidisciplinary Multidisciplinary ClinicsClinics

Bone & Soft Tissue

Bone & Soft Tissue

BMT

Breast

Genetics

GI

GYN

Leukemia & Lymphoma

Head & NeckMelanomaBrain TumorPediatrics

Thoracic

Urologic

57,638

104,848

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Psycho- Oncology

Skull-Base Tumors Ocular Tumors

Federal and State Level Federal and State Level

Cultivate Cultivate legislative legislative championschampions

University Cancer Research University Cancer Research FundFund

“only for the purpose of cancer research under UNC Hospitals, the Lineberger Comprehensive Cancer

Center or both

July 31, 2007

UCRF OversightUCRF Oversight

Erskine Bowles, Chair

Quarterly meetings