b'Research Projects: Update with MOQC around thinking about solutions. They also found that 90-100% of member representatives would be interested in MIGHT:THEIMPORTANCEOFFAMILYHISTORYIN utilizing resources to address financial toxicity of patients if MOQC ONCOLOGYmade them available. From their interviews with POQC and MOQC The Michigan Genetic Hereditary Testing (MiGHT) project teammembers representing a variety of roles, they learned that systems has been working hard to prepare the project for introduction toin place to address financial toxicity have known strengths, as well as MOQC practices. The goal of this project is to increase the collectionneeds to better address the wide-range of issues that fall under the of a complete family history as well as referral of high-risk patientsumbrella of financial toxicity that patients face.to genetic counseling and testing. Identifying patients and familyNext steps for Dr. Patel and Dr. Hamel are to secure funding to members at increased risk of inherited susceptibility to cancer willsupport efforts to work with MOQC to better address financial save lives. Only 1 in 3 patients with cancer in MOQC currently has atoxicity experienced by patients. complete family history.In order to facilitate collecting a complete family history, we will be offering our practices access to a free web-based Family HistoryResearch Projects: RecruitingHealth Survey (FHHS) tool. The tool walks a patient through enteringONCOLOGISTSATTITUDESREGARDINGthe cancer history of their first and second degree relatives andCHEMOTHERAPYFORPATIENTSNEARTHEEND includes age of diagnosis. Upon completion of the FHHS, the resultsOFLIFEand a pedigree are immediately available to the patients care teamHowYouCanHelp for use in clinical care. Dr. Chithra Perumalswami is conducting an IRB-approved research The FHHS tool is undergoing its final testing and will be readystudy to improve our understanding of what factors influence to deploy in the first group of MOQC practices in June 2021. Alloncologists decision making near the end of life. You are invited to MOQC practices will be asked to participate in MiGHT and will beprovide valuable information on a subject of great importance to offered the FHHS tool as well as assistance in incorporating the toolpolicy makers and researchers that traditionally has had little input into clinical practice. The FHHS tool will be introduced into MOQCfrom physicians themselves.The first two parts of the study (a practices in a stepwise fashion over the next 3 years. Practices willround of interviews and fielding of a survey) are completed, and the be contacted in advance of their assigned start date to begin thethird part (another round of interviews) will begin later this month. implementation process. Data from the QOPI measure looking at theFor clinicians who participate in a 45-minute interview, you will be proportion of patients with a complete family history documentedprovided an honorarium in appreciation of your time ($50 for the will be used to determine the impact of introducing the FHHS tool. interview, which can be done over the phone or over Zoom).If you have any questions about the MiGHT project, please contactYour responses are unique and cannot be replaced. If you have MOQC Project Coordinator, Shayna Weiner, at any questions or would like more information, please contact Dr. shaynaw@med.umich.edu. Chithra Perumalswami at cperumal@med.umich.edu or her research associate, Ms. Emily Chen, at emilypc@med.umich.edu. FINANCIALTOXICITYINCANCERCAREDELIVERYThis study has been reviewed and approved by the MOQC Data In Fall 2020, Dr. Minal Patel from the University of Michigan SchoolIntegration, Research, and Publications Committee.of Public Health, and Dr. Lauren Hamel from the Karmanos Cancer Institute and Wayne State School of Medicine attended both the POQC meeting, and MOQC regional meetings. They presented theirPractice Physician Champion interests in research to address financial toxicity in cancer care delivery, and learn from our membership around their interests andUpdate needs in this area.For practices to claim participation credit towards MOQCs value-Dr. Patels research program focuses on the development andbased reimbursement (VBR), at least one physician from each evaluation of behavioral interventions to address medical financialpractice must complete all CME evaluations for each session of the burden, and unmet social needs in chronic care management.meeting (excluding breakouts), including theDr. Hamels research program focuses on clinical communication4 BCBSM evaluation questions. and the improvement of organizational outcomes, including howTwo biannual meetings are scheduled each year for medical patients and physicians discuss direct and indirect patients, costs ofoncology and gynecologic oncology practices, and only one meeting cancer treatment, and how those discussions are related to patientsmust be attended to meet part of the participation requirements for experience of financial toxicity.the annual VBR. During the regional meetings, Dr. Patel and Dr. Hamel posed questions to members around their interests in working on addressing financial toxicity. Across regions, they found that between 70-100% of member representatives agreed that a better system is needed to address medical financial hardship that patients face in seeking cancer care and would be interested in collaborating 6'