Cancer Committee Report to the Community

Transcription

1 2014 Cancer Committee Report to the Community

2 2014 CANCER COMMITTEE MEMBERS Martha Hosford, MD Chairperson & Medical Oncology Jamil Khatri, MD Cancer Conference Coordinator Elizabeth Lowe, MD Breast Program Leadership & General Surgeon Justin Sausville, MD Cancer Liaison Physician, Specialty Surgeon (Urologist) Sunjay Shah, MD Radiation Oncologist Richard Szumel, MD Pathologist Timothy Wozniak, MD Medical Director of Oncology Horatio Yeung, MD Diagnostic Radiologist Tracy Anderson, RN Manager, Breast Health Center & Breast Program Leadership Laurie Beyer, CPA, MBA Cancer Program Administrator & CFO Zohra Ali-Khan Catts, MS, LCGC Genetic Counselor Helen F. Graham Cancer Center Jean-Marie Donahoo, BA, MPH-HP Community Outreach Coordinator David Jaspan, RPh, CCP Director of Pharmacy Davida Kamara Cancer Program Research Coordinator Amanda Klockars-McMullen, RN, MSN, CPHQ Quality Improvement Anne Lara, Ed.D., RN, CPHIMS CIO Gene Manuel Palliative Care Chaplain Kathryn McKinney Director, Public Relations & Marketing Beth Money, BSN, RN, OCN Director, Oncology Services, Infusion Services & Bioethics Margaret Ronallo Clinical Research Nurse Ann Shiber, MPT, CLT-LANA Rehabilitation Specialist Amy Shives, MSW, LGSW Social Worker, Psychosocial Services Coor, Mental Health Professional, Palliative Care Mary Sorrelle, CTR Certified Tumor Registrar, Cancer Registry Coordinator Theresa Young American Cancer Society DELIVERING HIGH-QUALITY, CONVENIENT, COST-EFFECTIVE CARE At Union Hospital, our mission is to deliver the best cancer care to Cecil County and surrounding communities. Our Cancer Program is designed to provide patients with high-quality, convenient, cost-effective care, and our Cancer Committee continues to take steps to strengthen that mission. Each year, members of the Cancer Committee develop, analyze, and document the required studies that measure the quality of care and outcomes for patients with cancer. This year, the committee evaluated two studies of quality: Mammography Follow-Up and Colon Cancer CEA Testing. You can read more about these two studies on pages 28 and 29 of this calendar. Because cancer care requires a collaborative effort from a team of experts, our multidisciplinary conference continues to meet weekly to offer a prospective evaluation of difficult clinical cases. The patient s needs are addressed from all aspects of care, and a comprehensive plan is rendered. Members of medical oncology, radiation oncology, and surgical oncology, as well as primary care physicians attend these meetings. In addition, non-physician professionals attending include experts in genetic counseling, psychosocial counseling, social work, research nurses, and nutrition. Our Survivorship program, which was developed to address the needs of patients who have completed active treatment, has been well received. Medical experts assess the patient s overall health, disease and disease treatment and develop a health maintenance plan. We look forward to continuing this important program in 2015 and beyond. Thanks to our dedicated administration, the Cancer Program at Union Hospital is widely recognized as a center of excellence. Rest assured we will continue to provide caring, compassionate healthcare to all who need it. The Cancer Program at Union Hospital Kristine Henry, MA, RD, LDN, CNSC Nutrition

3 COMMUNITY EDUCATION PROGRAMS BREAST CANCER SUPPORT GROUP FREE Third Tuesday of every other month (even months), 12-1:30 p.m., 6:00 p.m. - 7:30 p.m. Support groups are an excellent complement to medical care. Those faced with breast cancer can join us and receive support, understanding, guidance and education to help you stay strong and positive. For additional information, call CAREGIVERS SUPPORT GROUP FREE Third Wednesday of each month, 4:00 p.m. - 5:00 p.m. Support group for caregivers, family members and friends of an elderly, ill or dependent person. The group offers emotional support, tips about managing your loved one and information about community resources. The program is sponsored by Union Hospital s Adult Day Services program and meets at the Adult Day Care Center, 152 Railroad Avenue, Elkton. Anyone caring for a loved one either at home or in a nursing facility is invited. If you wish, bring your loved one. Staff is available to provide care while you join us for the meeting. Contact for more information. I CAN COPE CANCER EDUCATION PROGRAM American Cancer Society & Union Hospital Co-Sponsor FREE Third Wednesday of each month, 6:00 p.m. - 8:00 p.m. The I Can Cope program gives participants an opportunity to share their concerns with others having similar experiences and to design ways to cope with the challenges that arise from a cancer diagnosis. Guest speakers include professionals in the field of cancer management. In addition, videos, print materials and class discussion provide up-todate information for patients, family and friends. Light dinner is served. For more information call KIDS CAN COPE FREE Second Wednesday of each month, 5:30 p.m. - 6:30 p.m. This support group is for children ages 6-16 who have a parent or other loved one with cancer or other chronic illness. Creative activities are designed to help participants identify and cope with feelings and build resiliency they will need during difficult times. RSVP required; call , ext LOOK GOOD...FEEL BETTER FREE This program offers women and men with cancer a chance to learn how to enhance their appearance while undergoing treatment. A licensed cosmetologist assists those with cancer in looking their best. Call the Cancer Resource Center at

4 2014 CANCER PROGRAM STUDY OF QUALITY: MAMMOGRAPHY FOLLOW-UP RATES Standard 4.7: Each year, based on category, the quality improvement coordinator, under the direction of the cancer committee, develops, analyzes, and documents the required studies that measure the quality of care and outcomes for patients with cancer. STUDY TOPIC: Medical Imaging Efficiency Outpatient CMS Core Measure Outpatients who had a follow-up mammogram, ultrasound or MRI of the breast within 45 days after a screening mammogram. IMPORTANCE OF EVALUATION: An assessment of the National Initiative on Cancer Care Quality suggests that 90% of patients should be seen within 3 weeks of an abnormal screening mammogram for a diagnostic mammogram. Approximately 75% of US women report having at least one screening mammogram to detect breast cancer. Generally, literature supports a follow-up rate lower than 8% may result in missed cancer diagnoses. Follow-up rates >14% may indicate unnecessary follow and overutilization of resources. Recommended target = 8% to 14%. CRITERIA FOR EVALUATION: Inclusion criteria used to determine sample for study: All outpatient and in-patients who received a mammogram or ultrasound within 45 days after an abnormal screening mammogram during calendar year 2013 (CY13) at the Breast Health Center at Union Hospital. Data from CY13 was reviewed from PenRad. Sample included patients 18 and older, both male and female. SUMMARY FINDINGS: The study resulted in an observed CY13 overall mammogram follow-up rate within 45 days of an abnormal screen of 11% (n=6372), which is within the national benchmark. CANCER PROGRAM AT UNION HOSPITAL

5 2014 CANCER PROGRAM STUDY OF QUALITY: COLON CANCER CEA TESTING Standard 4.7: Each year, based on category, the quality improvement coordinator, under the direction of the cancer committee, develops, analyzes, and documents the required studies that measure the quality of care and outcomes for patients with cancer. STUDY TOPIC: Carcinoembryonic antigen (CEA) is one of the most widely used tumor markers worldwide and is usually present only at very low levels in the blood of healthy adults. Its main application is mostly in gastrointestinal cancers, especially in colorectal malignancy. The CEA test measures the amount of the protein that may appear in the blood of some people who have certain kinds of cancers, especially cancer of the large intestine (colon and rectal cancer). CEA measurement is mainly used as a tumor marker to monitor colorectal carcinoma treatment, to identify recurrences after surgical resection, for staging or to localize cancer spread through measurement of biological fluids. The interpretation of post-op CEA dynamics in relation to pre-operative CEA values remains unclear. However, it is believed that early postoperative CEA level is a better prognostic indicator than is preoperative CEA level in predicting prognosis of patients with curable colorectal cancer. IMPORTANCE OF EVALUATION: Determination of standard CEA collection and monitoring for Union patients. CRITERIA FOR EVALUATION: All primary colon/rectum malignancies diagnosed between SUMMARY FINDINGS: A survey of pre-operative CEA documentation was evaluated by the Cancer Committee. Performance was rated and steps were taken to maintain compliance with the NCCN Guidelines for Treatment of Cancer.