Clinical Trials

Clinical trials have been experiencing slow enrollment for years. It has been found that:

  • less than 4% of cancer patients enroll in trials each year;
  • less than 20% of trials actually meet their original enrollment timelines;
  • nearly 1/3 of trial budgets are spent on recruitment.

This should not be the case. We have TWO simple plans that can fix this.

PLAN  “A”

Patients are becoming increasingly savvy with their medical decisions and medical records. Practice Today offers a Personal Edition where the patient can easily manage their medical records. It is very similar to our Professional Edition that physicians have been using for decades. Both editions include a Clinical Trials database for easy access.

Here is our FIVE part solution to address slow enrollment, solved from the PATIENT perspective:

1. There is a BIG problem with clinical trials descriptions. They are all written in “doctor speak”. How can a patient reach out to you if they can’t understand the nature of your research? Listen to what one patient has to say:

Do you have a “Lay Language” description for your clinical trial, maybe three or four paragraphs describing what you do? We will include it in our database for easy access by patients that use our software to manage their personal healthcare data. We can also include a Spanish translation. If you don’t have time for this task, we have a wordsmith that can do it for you.

2. Create a video where you actually TALK to the patient about your clinical trial, and provide us a link.  You can provide two video links if you wish, one in English, another in Spanish. We will display the link near your Lay Language description so the patient can easily click on it to hear your presentation. Remember, even though the patient is ill, he/she must still be “sold” on your research idea.

3. You can make sure your Clinical Trial listing floats to the top of all “Keyword” searches. For example, if the patient searched for all “diabetes” trials in Los Angeles, California, a list of 29 trials will be found. You want your trial to be at the TOP of that list, and highlighted in COLOR, much like the screenshot below.

Remember, our keyword listing order is determined by the order that you come onboard with our services. So, it is best to signup now, rather than later.

4. Provide a list of diagnosis codes and/or Snomed codes that best define your research interest. Think about it. If the patient has a rare disease, or a disease that has a name that is difficult to spell, the patient may never find you with a keyword search. A diagnosis or Snomed search is so simple. And YES, patients are familiar with ICD-10 and Snomed codes, because both databases are included in our Practice Today (Personal Edition) software.

5. Our software enables the patient to upload their medical record to your secure website. This is done using a format that is completely interoperable within the Practice Today platform.

Here is a 3-minute video that demonstrates Plan “A”.

You can get started with Plan “A” right now by following these four steps:

1. Purchase Plan “A” by clicking here. Purchase details are here.

2. If you want us to prepare the Lay Language descriptions for you, purchase the Plan “A” Supplement by clicking here.

3. If you need time to prepare your Lay Language descriptions or video, we can hold your place in line with a small deposit by clicking here.

4. Complete our fill-able Intake Form by clicking here.
(If the form does not appear fill-able, you should save it on your local drive, then open it with Adobe Reader.)

5. We will send you a “preview download” link within a few days. Download Practice Today, install the software, and review your submission.

We hope we have provided enough information about Plan “A” such that you can make an informed decision. But, if you have any questions, please call us at (888) 881-0038. Our product is our passion.

PLAN  “B”

Here is our solution to address slow enrollment, solved from the PROVIDER perspective:

You need qualified patients. This is how we can help you find them.

Patients are seen by doctors.

Doctors keep detailed medical records. They have huge silos of patient data. This data is highly coveted, and seldom shared. However, doctors are free to share “de-identified” patient data.

“De-identified” patient data … that’s the key. Even NISTIR says that’s ok. They say so right here.

So, here’s the plan. We ask clinicians for de-identified patient records. We have a tool to easily perform this task for them.

Then, we scan the data for patients that meet your eligibility requirements, and we produce a list. We contact the clinician with our list, she re-identifies the patients using her “Re-Identify Key Report”, and decides if your trial is a good fit.

You now have genuinely eligible patients and a primary care doctor on board. This is how it should be done. This is so much better than trying to use “social media”, TV commercials, print ads, or surveys.

Let me demonstrate how this works.

The clinician is probably using medical software that is Meaningful Use Stage 2 certified. If so, she can easily prepare a CDA for every patient. CDA stands for Clinical Document Architecture. It’s the format clinicians use to share healthcare information. If the clinician is not using MU2 software, don’t worry, we can handle that too.

So now there’s a folder full of CDA’s. But you can’t touch it. You provide the doctor with our software tool called “Practice Today CDA Transformer”. Super easy to use. Just point and click. That’s all.

CDA Transformer

Notice that the doctor can decide what type of data to include.

Presto. Now you have a folder full of de-identified patient records.

Now, we are going to import these records into your Practice Today Clinical Trials Software and prepare your eligibility query.

Here’s a sample eligibility statement from a real Clinical Trial. These are the requirements:

[NCT00308386]
Inclusion Criteria:

– Type 2 diabetes
– Age > 18 years, and at high risk based on any of the following criteria:
– HbA1C > 8.5
– LDL > 130
– BP > 140/90 within the last 6 months

Exclusion Criteria:

– Patients who are pregnant upon entry to the trial
– Unable to communicate in either English or Spanish
– In nursing homes (and therefore unable to attend outpatient visits)

We select our query, and click GO.

Presto, a list of eligible patients.

“What if zero patients are found?” you ask. Good question. We can re-tweak our query. In this example, maybe the clinician does not keep track of whether the patient is in a nursing home. If so, removing it from our query will increase your output.

We can also eyeball the data by opening the data tabs to see what’s there. Perhaps the clinician uses another title for her lab results. Again, we can re-tweak our query, and run again.

The ability to adjust, and re-adjust your query is a powerful tool for finding eligible patient.

So, now we have a truly eligible patient list. We take our list back to the clinician, and she can match up and consent the patients.

You can take it from there.

We can cure your slow enrollment TODAY.

You can get started with Plan “B” right now by following these three steps:

1. Purchase Plan “B” by clicking here.

2. We will send your personalized “download” link within three days. Download Practice Today, and install the software.

3. Make an appointment with our support staff for training. We offer on-line training classes every week.

We hope we have provided enough information about Plan “B” such that you can make an informed decision. But, if you have any questions, please call us at (888) 881-0038. Again, our product is our passion.