THERAPEUTIC AREAS

  • Infectious Diseases

  • WHAT WE’VE DONE RECENTLY:

    In 2020, we delivered a Zoom to Facebook webcast and on-demand activity in Spanish directed to the Latin American audience entitled “Actualización en Micología Médica.” Uptake has been tremendous and we look forward to delivering more of these live/on-demand virtual initiatives.  Als0 2020, Terranova partnered with the Society of Infectious Diseases Pharmacists to create an accredited continuing education (CE) online program on viral, bacterial, and fungal infections in the hematopoietic cell transplantation setting. This interdisciplinary activity covers a range of topics on the prevention and management of infectious complications in this immunosuppressed population, including prevention and management of Clostridioides difficile and cytomegalovirus infections and treatment of hospital-acquired and ventilator-associated pneumonia.

    As the official educational partner for the Mycoses Study Group Education & Research Consortium (MSGERC), Terranova Medica has been successful in developing educational offerings since 2010. Terranova recently developed an update to the Antifungal Toolkit that includes a review of SUBA-itraconazole and a live and enduring activity from IDWeek 2018 on invasive mold infections. We are now exploring internationally focused educational initiatives.

    Terranova has collaborated on educational efforts to address sexual health, HIV risk, and HIV prevention in the primary care setting, including a live meeting on this topic and enduring activities with regionally customized resources for use across the state of Colorado. We also created a CME activity that appeared in the Winter 2018 issue of Colorado Family Physician. And through our collaboration with the Colorado Health Network, the Colorado Academy of Family Physicians, and the Postgraduate Institute for Medicine, we addressed patient support services and links to care in this grass-roots effort. With the patient-level outcomes achieved in this activity, we were pleased to reach Level 6 outcomes and improve patient health literacy. Visit http://primarycarehivprevention.org to learn more.

  • WHY WE HAVE THE RIGHT TOOLS…

    Lisa Tushla, PhD, H(ASCP), completed her doctoral work and postdoctoral work focusing on important topics in infectious diseases—from the role of the neutrophil in mediating the response to endotoxemia to the role of defensins in mediating colonization vs infection of leg ulcer fluids. Subsequently, Lisa worked on various infectious disease projects in the areas of otitis media, intra-abdominal infections, skin surface infections, and fungal infections. Her special interest in fungal infections can be attributed to her long-standing collaborations with the MSG since 2005, when she helped launch the Front-Line Fungus project with Peter Pappas, MD.

  • WHAT PEOPLE ARE SAYING…

    I am honored to participate in the educational efforts of the MSGERC with Terranova Medica, LLC. The activity I chaired at IDWeek 2018 was very well done, and the enduring is packed full of knowledge and does justice to the dynamite material from the speakers.

    Beyond that, I appreciate Terranova’s expertise in supporting the MSGERC’s efforts to reach out to Latin America and Asia. We have extensive experience with invasive fungal infections and antifungal therapies, and with educational and advocacy programs, we would like to help these areas with their management of these serious infections through educational means and organization of experts. Fungal infections are tough, but with partners to help we can all meet the challenges of these tough infections.

    John Perfect, MD
    President, Mycoses Study Group Education & Research Consortium
    President, International Society for Human and Animal Mycology

    The Colorado Health Network is excited to provide our patients with referrals to medical providers who are knowledgeable about HIV prevention and care. We have the tools to help your patients access and pay for prevention medications that work in stopping the spread of HIV. Please visit primarycarehivprevention.org to find out more about how we can work together to end this epidemic.

    Jessica Kobylinski
    Program Quality Officer, Colorado Health Network, Inc.

    Can we see additional updates and content on prevention of [fungal] transmissions in ICUs, ONC, transplant units?

    Participant in the 2018 IDWeek fungal symposium

    Amazing.
    Thanks for the excellent program!

    Participants in the 2017 Fungal Frontiers enduring activity

  • Melanoma

  • WHAT WE’VE DONE RECENTLY:

    One of our proudest accomplishments in our long-standing collaboration with AIM at Melanoma is the establishment of the Melanoma Nursing Initiative (MNI), a comprehensive resource about immunotherapies and targeted therapies created for oncology nurses and advance practice providers to assist them in caring for their patients with melanoma. The initiative was developed to meet several goals—the most pressing being the need to improve the early recognition and management of side effects associated with newer melanoma therapies, particularly in the community setting. The initiative’s website, TheMelanomaNurse.org, serves as a one-stop shop for all MNI materials. It houses the MNI consensus statements (featuring care step pathways) as published in a 7-article supplement to the Clinical Journal of Oncology Nursing (CJON). Two additional publications, a 2019 supplement to the Journal of the Advanced Practitioner in Oncology (JADPRO) and a 2020 supplement to JCO®, Oncology Practice, provide case-based scenarios and guidance on incorporating the care step pathways into melanoma care. Both are available as CE activities.  In 2020, we also released a CME/CNE activity on BRAF testing and targeted therapy decision-making in melanoma, using a case-based, interview-style format.

    Another area we have been focused on is providing reliable, user-friendly information for patients. We partnered with Lisa Kottschade, APRN, MSN, to create a Q&A compendium for questions about BRAF in melanoma. A downloadable pamphlet is supported by short videos addressing the most common questions patients have concerning this mutation and its impact on prognosis and treatment. We have also worked with our expert faculty to create a downloadable pamphlet to support shared decision-making with patients as they navigate the complicated landscape of therapeutic options available for stage III melanoma.

    To date, the MNI initiative has reached over 25,000 learners in 127 countries and every states. The content has been translated into 39 languages. The demand for the MNI materials was so great across tumor types that it led to the development of the Immuno-oncology Essentials Initiative as well as international expansion with the BRAF content.

  • WHY WE HAVE THE RIGHT TOOLS…

    Lisa A. Tushla, PhD, H(ASCP), has a deep history in melanoma. In her postdoctoral work at the University of Pennsylvania, she worked in collaboration with her late husband, dermatologist William P. Carey, Jr, MD, and Tom Kieber-Emmons, PhD, on melanoma clinical and animal models. With the launch of PharmAdura, LLC in 2003 (now Paradigm Medical Communications), Lisa drew on her relationships and knowledge in the field to help secure the Melanoma Care Coalition project, still ongoing at Paradigm, which also helped her attain a 2007 Alliance for CME Award for outstanding collaboration. In recent years, Lisa has dived back deep in the field of melanoma and is looking forward to expanding the collaborations to the CME arena.

  • WHAT PEOPLE ARE SAYING…

    Please continue [this education]. It’s excellent.

    Participant in the melanoma CME/CE on aimatcancerce.org

    I have been working with Terranova on melanoma projects for several years. Put simply, they “get it”– whether it’s the science, the clinical gap, or the unmet educational need for patients and clinicians. Beyond that, they have long-term and strong relationships with many of their melanoma experts, which means their collaborations go smoothly and productively.

    Today, we are seeing a large shift in the management of melanoma—more than 80% of patients are being treated in the community setting, by clinical teams who manage a variety of tumors and may see relatively few melanoma cases. Added to that is the challenge of identifying and treating the side effects of the newer melanoma therapies, many of which are unique, immune-mediated, and very different from those seen with chemotherapy. As a result, there is a huge unmet educational need for clear, concise, and easy-to-access education for these busy community-based professionals.

    I look forward to continuing to work with Terranova on future medical education and patient education projects!

    Valerie Guild, MBA, MS
    President, AIM at Melanoma Foundation

    The emergence of immunotherapy (specifically the checkpoint inhibitors) as a mainstay treatment for advanced melanoma highlights the importance of nursing involvement in the care of patients on these therapies. Never before has the field witnessed such a rapidly evolving and dramatic paradigm shift in the availability of effective therapies for so many patients. While oncology nurses are thought of as experts in these areas, the toxicity associated with checkpoint inhibitors and the associated management strategies vastly differ from traditional chemotherapy.  The MNI faculty have a wealth of experience using these regimens and are in the best position to provide the expert guidance on their optimal use. That is the idea of the initiative—to empower our nursing colleagues in the community with the necessary information and tools to provide the best care possible for patients receiving immunotherapy.

    Krista Rubin, MS, FNP-BC
    Nurse Practitioner, Center for Melanoma, Massachusetts General Hospital Cancer Center

  • Immuno-oncology (pan-tumor)

  • WHAT WE’VE DONE RECENTLY:

    The rapidly moving landscape of immuno-oncology (IO) requires a platform that can be updated frequently. Starting in 2019, we added an International Resources section to the IO Essentials Initiative website at aimwithimmunotherapy.org. This comprehensive website, which was launched in late 2018, encompasses resources for both oncology professionals and patients, including care step pathways and patient action plans for common immune-related adverse events (irAEs). The faculty is a group of advanced practice providers and other members of the healthcare community who have extensive knowledge about cancer immunotherapies and the specific tumor types for which they are approved. Since its launch, the IO Essentials Initiative has reached over 20,000 HCPs across its website and social media platforms and has been well received throughout the world.

    To support clinical utilization of IO Essentials resources, we worked with our advanced practice provider faculty to publish a February 2020 supplement in JCO® Oncology Practice. This CE activity uses case-based scenarios to illustrate the optimal interdisciplinary management of irAEs for physicians and other healthcare professionals involved in the care of oncology patients.

  • WHY WE HAVE THE RIGHT TOOLS…

    Terranova’s founder and president, Lisa A. Tushla, PhD (formerly Faltyn), founded PharmAdura, LLC (now Paradigm Medical Communications) in 2003 and was instrumental in taking the company through the accreditation process. She is the recipient of 2 Alliance for Continuing Education in the Health Professions awards for outstanding activities, 1 in melanoma and the other in multiple myeloma. Lisa’s experience in oncology, solidified at QuestMedEd, an arm of P4 Healthcare, spans across tumor types, with a particular expertise in genitourinary cancer, hematologic malignancy, and GI cancer.

  • WHAT PEOPLE ARE SAYING…

    For the IO Essentials Initiative, we brought together a group of 10 faculty who have expertise in each of these tumor types, looked at the materials created for the MNI, and then tailored that content for the specific tumor types. Our team is so excited to have this comprehensive range of resources available for oncology providers.

    Brianna Hoffner, MSN, AOCNP, RN
    Chair, IO Essentials Initiative

    The I-O Essentials is a fabulous educational resource for healthcare providers as well as patients.

    Marianne Davies DNP, ACNP, AOCNP
    IO Essentials melanoma expert

    The Immuno-Oncology Essentials is a great resource to help guide my approach to management of immune-related adverse effects. It is also indispensable for me to have a forum where I can discuss challenging cases with other clinicians and learn from their experience!

    Laura J. Zitella, MS, RN, ACNP-BC, AOCN®
    IO Essentials hematology/oncology expert

  • Skin Cancer

  • WHAT WE’VE DONE RECENTLY:

    In 2019 we collaborated with AIM to develop the Skin Cancer Education and Research Foundation to create a comprehensive skin cancer portal This patient-centered website contains sections on how to prevent skin cancer and find a specialist. It also provides specific information on the management of squamous cell skin cancer and basal cell carcinoma along with links to its companion website, the AIM at Melanoma portal. To further support patients, the skin cancer portal features an “Ask an Expert” option where patients can send questions to an advanced practice provider.

  • WHY WE HAVE THE RIGHT TOOLS…

    The staff at Terranova have been working dermatology and oncology for over 25 years. With extensive experience in patient education and dermatologic surgery, the team was well equipped to generate this new website.

  • WHAT PEOPLE ARE SAYING…

    Patients with nonmelanoma skin cancer needed a place to go for reliable information specific to their needs and a social community to connect with. We are pleased by this opportunity to make a difference in nonmelanoma skin cancer, expanding our network and resources further to fight skin cancer more globally.

    Valerie Guild, MBA, SCERF

    This is a great resource for patients with nonmelanoma skin cancer to learn about their diagnosis and treatment options as well as ways to prevent future skin cancers.

    Laura Ferris, MD, PhD
    Associate Professor of Dermatology at University of Pittsburgh

  • Multiple Sclerosis

  • WHAT WE’VE DONE RECENTLY:

    Terranova is a founding member of the Multiple Sclerosis (MS) Educational Alliance, a collaborative medical education partnership, and has been working with this group for more than 10 years to develop and deliver MS-related educational activities for healthcare professionals.

    In February 2020, through our collaboration with the Consortium of Multiple Sclerosis Centers, we released an interactive, web-based program entitled The Art of Multiple Sclerosis Therapies: Applying Immunologic Principles that is available for CE credit for physicians, nurses, and pharmacists. This activity, which reviews the immune-pathophysiology of MS and presents recent findings on immune-reconstitution therapies, also contains downloadable patient materials to assist in the risk-benefit discussion.

  • WHY WE HAVE THE RIGHT TOOLS…

    Terranova Medica, LLC staff members have been active in many areas of neurology continuing education, including Alzheimer’s disease, cognitive aging, cervical dystonia, narcolepsy, sleep, and particularly, MS. UNMC CCE works closely with the course chair, Lisa A. Tushla, PhD, H(ASCP), of Terranova, a biomedical scientist who has been working on neurology educational initiatives for over 15 years. Terranova’s program director, Tom Davis, has expertise in the program management and development of MS education for over 5 years. Terranova has worked with an experienced medical writer who has extensive training in neurology.

  • WHAT PEOPLE ARE SAYING…

    I could not agree more about the importance of emphasizing patient education and patient empowerment as part of healthcare provider education in MS. Providers need to be able to discuss the disease and how the drugs work in simple language that patients can understand. Clinic appointments can be stressful and overwhelming. Sending the patient home with patient-friendly handouts that can be read at home and shared with family is a great way to help ensure that patients have the tools they need to fully participate in the decision-making process and the care plan.

    Kirk Munsch
    Patient Advocacy Manager, Rare Patient Voice