National Coalition for Cancer Survivorship Strategies for Designing a System for Survivorship Care Wednesday, June 3, 2015 3:00pm-4:30pm EDT

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NCCS Mission Advocate for quality cancer care for all people touched by cancer

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NCCS Public Policy Priorities …ensure that every cancer patient has access to cancer care planning and coordination services

©2014 National Coalition for Cancer Survivorship. All Rights Reserved.

Cancer Policy Advocate Training

• Late and long-term effects – recent research findings • Survivorship care plans • Cancer care workforce challenges • New value-based cancer care payment systems – do they foster better survivorship care • Disparities in survivorship care [email protected]

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June 25-26, 2015 Washington, DC

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Dr. Smita Bhatia

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©2014 National Coalition for Cancer Survivorship. All Rights Reserved.

Strategies for designing a System for Survivorship Care

Smita Bhatia, MD, MPH

Why Cancer Survivorship? A generation ago. . . • Less than half of those diagnosed with cancer survived more than 5 years • Treatment was less precise and more disabling • Cancer was a topic shrouded in social silence

CA Cancer J Clin 2005;55:271-280

Estimated number of Cancer Survivors in the US 1971 to 2008 16,000,000

4.0%

Cancer Survivors (in millions)

14,000,000 Cancer Epidemiol Biomarkers and Prev , 2011

12,000,000 10,000,000 8,000,000 6,000,000 4,000,000

1.5%

2,000,000 2014

2010

2007

2004

2001

1998

1995

1992

1989

1986

1983

1980

1977

1974

1971

0

Cancer Survivors: Time from Diagnosis by Gender

Cancer Epidemiol Biomarkers and Prev , 2011

Cancer Survivors (in millions)

2.5

>65% = 5+ year survivors

2

1.5

Males Females

1

0.5

0 0 to