OSMO Spring 2019 Oncology Conference

March 9, 2019 7:30 AM - 1:00 PM (PST)


Register Here for Event 

Friday, March 8, 2019

  • 6:00pm-7:30pm
    Evening Networking Reception at the Oxford Hotel
  • 7:30pm-9:00pm
    OSMO Practice Member Dinner-same location

Saturday March 9, 2019 

Registration and Breakfast with Exhibitors

Welcome & Introductions
James L. Gajewksi, MD, President, OSMO

Cancer Care Delivery in Canada: The BC Model
Stephen Nantel, MD, FRCPC Vancouver General Hospital/BC Cancer

Providing current “standard” cancer therapies in a publicly funded system has many challenges. These are magnified in an era when patients have ready access to data about advances in therapy.

Proximity to the US often leads to patient confusion about what is “standard”. Drug approvals by Health Canada often lag a bit behind those of the FDA. Even when a drug is “approved” by Health Canada there are other issues to be considered before Provincial funding is granted and patients are able to access the therapy.

British Columbia has developed a Model that attempts to provide a consistent framework around which funding decisions are made. While imperfect this provides Oncology specialists in BC with a defined framework around which they work.

Advances in knowledge and new drug development will continue to put a strain on limited resources.

Coupled with this is the challenge of geography. Providing necessary care to patients in more remote areas, far from major Cancer Centres, has required innovative solutions made possible by adherence to Provincial protocols, a unified Cancer Information System and individuals trained in the delivery of these therapies.

Novel (Expensive) Cell Therapies in a Constrained, Single Payer System
Chris Bredeson,MD, MSc, FRCPC of U of Ottawa Canada

The Canadian Health Care system has 5 poorly understood underlying principles for which it is known: public administration, universality, comprehensiveness, portability and accessibility. While laudable, reality often bumps up against these principles when the national mandate is administered under provincial authority. It is also true that keeping up with Uncle Sam is often a preoccupation for Canadians, even when they can’t see but the shiny façade. What happens when everyone wants everything, and we are too polite to say no? Join me as we look at these issues using the big ticket items of hematopoietic cell transplants and CAR T Cells in Canada. When we are done, hopefully you will agree that while the Canadian Health System has challenges, the underlying principles matter and help foster care that is both egalitarian and excellent.

Review of the HERC and its Decision Making Process
Kevin Olson, MD Providence

Break in Exhibitor Hall

Sexual Discrimination in Medicine Among Physicians
Esther Choo MD MPH

Gender inequities and sexual harassment continue to plague medicine. This talk presents the current data on the problem - and the case for fixing it, now.

12:00pm-12:15pm Announcement of Board of Directors for 2019-2021

12:15pm-12:45 pm 
Update on Ways to Make E/M Coding More Effective and MACRA Update for Cancer Providers
James L. Gajewski, MD, MACP

2019 will be a momentous year of change for practice of medicine. MACRA becomes fully active with reporting of average patient cost per physician with ranking of providers by specialty. MACRA was a bipartisan legislation to try to pay for value rather than quantitative components of health care services. Providers will now be judged on costs for defined episodes of care. The push to move providers to risk sharing arrangements for Medicare patients will continue to escalate. CMS is also having a pilot program asking for detailed clinical summaries of patients for advance radiological imaging. This will be mandatory in 2020. The Medicare Administrative Contractors are increasing the number of local coverage decisions focusing on cancer care which will be nationally vetted, but implemented with only partial public scrutiny.  Provider documentation requirements for medical decision making and comorbidities will as a consequence become much more comprehensive and onerous to maintain. CMS with it patients over paperwork initiative is committed to reform of documentation requirements for the evaluation and management services. These changes will over next 2 years affect how we document services for patients. There will be a shift from paying for evaluation and management codes to paying for care management services. Physician, especially in oncology will need to change how they bill for services. These changes will be highlighted. Finally, with all these changes, incentives for care will change. The vulnerable populations may face access to care for providers as value based payment systems lack proper acuity adjustment for complex medical situations and complex social determinants. The community of medical providers will need to adapt but also push back against some of the deleterious impacts of these reforms. Changes are coming and the medical oncology community must be prepared.    

12:45pm-1:30pm Lunch with Exhibitors –Meeting Adjourned

All Practicing Physicans/NPs/PAs and their supporting staff are welcome to attend at no cost!

*If you are Industry employed please contact Liz Cleland osmoLIZ@comcast.net as attendance invitations are given based on corporate membership levels please do not register on this site


Breakfast and Registration begins at 7:30am, welcome and introductions at 8:00am, meeting adjourned and lunch at 1:00pm


The Oxford Hotel

10 NW Minnesota Avenue, Bend, OR, 97703, United States

Contact Information

Oregon Society of Medical Oncology | OSMO
Name: Liz Cleland
Phone: 580.595.0596
Email: osmoLIZ@comcast.net
Details: Please contact Liz Cleland for additional information.

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