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AACI 2008 State Funding for Cancer Centers Shelton Earp, MD
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Our State 611 miles on Rte 64 250 miles
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UNC Lineberger: The Public Comprehensive Cancer Center Economic Development Health Disparities Research Rural African American Populations Expanding 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 Sciences Epidemiology & Health Outcomes
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A 1950s TB Sanatorium
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NC Cancer Hospital Clinical home of the UNC Lineberger Comprehensive Cancer Center Where we take the team approach to cancer care Physicians Office Building: Opened July 2008 NC Cancer Hospital: Fall 2009
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How These Things Happen: A UNC Story
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Politics 101: Basic Tenets Build relations over time Build relations over time Stability of leadership Stability of leadership Cancer Center Director and staff Cancer Center Director and staff Deans office support for cancer and the center Deans office support for cancer and the center Community board with political influence Community board with political influence Some continuity in board leadership Some continuity in board leadership Geographic distribution Geographic distribution
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Service to the State Combination with research objectives Combination with research objectives Prevention and early detection Prevention and early detection Minorities disparities Minorities disparities Economic development Economic development
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Prevention and Control Community College Network HPV Vaccination – Social Marketing Barbershop Outreach Pregnant Smokers Navigators - Evaluation Colorectal Screening - Underserved NC SPEED – Outreach Network Jeanne Hopkins Lucas Study Oncology Workforce Analysis NC Central Cancer Registry UNC Cancer Survivorship Cohort
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Service to the State Combination with research objectives Combination with research objectives Prevention and early detection Prevention and early detection Minorities disparities Minorities disparities Economic development Economic development
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Carolina Breast Cancer Study: Phase III Population-based Population-based Molecular etiology to clinical outcomes Molecular etiology to clinical outcomes Improve state tumor registry Improve state tumor registry Recruit: epidemiology & population biostatistician Recruit: epidemiology & population biostatistician Expand rapid-case ascertainment Expand rapid-case ascertainment Strategy 1 Senator Jeanne Lucas
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Service to the State Combination with research objectives Combination with research objectives Prevention and early detection Prevention and early detection Minorities disparities Minorities disparities Economic development Economic development
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Carolina Center of Cancer Nanotechnology Excellence Rudy Juliano & Joe Desimone, Co-PIs A UNC Start-Up
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Clinical Care Multidisciplinary expertise Multidisciplinary expertise Rapid access for priority patients Rapid access for priority patients Balancing market share vs community oncologist support for the center Balancing market share vs community oncologist support for the center
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Multidisciplinary Clinics Bone & Soft Tissue BMT Breast Genetics GI GYN Leukemia & Lymphoma Head & Neck Melanoma Brain Tumor Pediatrics Thoracic Urologic Psycho- Oncology Skull-Base Tumors Ocular Tumors
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Federal and State Level Cultivate legislative champions
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University Cancer Research Fund only for the purpose of cancer research under UNC Hospitals, the Lineberger Comprehensive Cancer Center or both July 31, 2007
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UCRF Oversight Erskine Bowles, Chair Quarterly meetings
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