2016 Cancer Program Outcomes Report

Transcription

1 2016 Cancer Program Outcomes Report 1

2 2016 Community Outreach Report Cancer Program Accreditation by The Commission on Cancer Central Florida Health Cancer Program was accredited by the Commission on Cancer in February 2016 as an Integrated Network Cancer Program with commendation, Silver Level. The Villages Regional Hospital and Leesburg Regional Medical Center were previously accredited as Community Hospital Cancer Programs. CoC accreditation demonstrates to payers, providers, the government, and the public that systems are in place to ensure cancer patients receive high-quality, coordinated care, and that supportive services and resources addressing the full continuum of care are available in our community. Central Florida Health is committed to providing high quality of care for our cancer patients with continuous quality improvement. Central Florida Health is one of only 1500 CoC-accredited cancer programs in the U.S. and Puerto Rico, representing 30 percent of all health care facilities. CoC-accredited facilities diagnose and/or treat more than 70 percent of all newly diagnosed cancer patients. The Cancer Care Committee establishes specific goals and provides oversight to the cancer program. CEO Cancer Gold Standard Award Central Florida Health (CFH) was awarded Certificate of Accreditation by the CEO Cancer Gold Standard in recognition of our commitment to fighting cancer and saving lives through programs that promote cancer prevention, early detection and access to quality care for employees and their families. CFH is one of three hospitals in the state of Florida with this accreditation. A workplace wellness accreditation program, the CEO Cancer Gold Standard provides a framework for employers to have a healthier workplace. All of the requirements of the CEO Cancer Gold Standard are based on scientific evidence, and the program is carefully reviewed annually to ensure that it remains comprehensive and up to date. By focusing on risk reduction, early detection and quality care, the Gold Standard program can help save the lives of employees and curb operational costs. CFH is honored to receive this award and have validated our ongoing commitment to cancer prevention. 2

3 Community Education and Screening As part of our commitment to improving the health of the communities we serve, our staff participates in community health fairs and events where programs are held to educate the community about the importance of cancer prevention and early detection. Skin Cancer Prevention and Screening Program Central Florida Health is located in sunny Florida, and skin cancers are quite common in the elderly population that we serve. The Cancer Care Committee focused on skin cancers to educate the community about the importance of prevention and screening and being sun sensible to reduce the risk of skin cancer. Skin cancer is the most common of all cancer types. In fact, more skin cancers are diagnosed in the United States each year than all other cancers combined. The number of skin cancer cases has been going up over the past few decades. More than 3.5 million cases of non-melanoma skin cancers are diagnosed each year in the United States, and more than 73,000 cases of melanoma (the most serious form of skin cancer) were expected to be diagnosed in The good news is that there are many ways to protect against skin cancer, or catch it early for effective treatment. The American Cancer Society also promotes early detection of skin cancer in adults through regular skin self-exams, and an examination for skin cancer should be part of periodic health exams. Sunglasses help protect your eyes and sensitive skin around them. If you have skin cancer, finding it early is the best way to make sure it can be treated with success. 3

4 Sun Safety Central Florida Health participated in the Hearts for our Hospital Bicycle Challenge where several riders were offered four ride options: 17, 32, 64 or 100 miles. Central Florida Health participated in the Cycling Expo and Health Fair on Friday, November 11th at LaHacienda Recreational Center, The Villages, partnering with Suncoast Skin Solutions to offer skin cancer screenings. Fifty-three individuals were screened for skin cancer screening using the American Dermatology Association Interventions and Guidelines. Several benign abnormalities were noted; additionally appropriate referrals to local dermatologist for further evaluation and possible treatment where indicated. Limit the amount of time you spend in direct sun, especially when the sun s rays are most intense, generally from 10 a.m. to 4 p.m. Wear protective clothing when out in the sun, including long sleeves; sunglasses; and a hat that shades your face, neck, and ears. Wear sunscreen with broad spectrum protection and an SPF of 30 or higher on all skin that isn t covered. Protect your skin even on cool or cloudy days. 4

5 Tobacco Cessation In the 21st century, health experts including the U.S. Surgeon General recognized that smoking causes health problems, such as cancer and heart problems. Smokers can increase health care costs for themselves and are more prone to illness. A smoking cessation program continues to be available through the Florida Area Health Education Center (AHEC) to offer IQuit with AHEC. This proven program educates participants on the health effects related to tobacco use, but more importantly, teaches participants how beneficial quitting tobacco is and what to expect when quitting. A highly-trained Tobacco Cessation Specialist or trained facilitator guides participants as they identify triggers and withdrawal symptoms and brainstorm ways to cope with them. Additionally, employees with the hospital insurance are offered nicotine replacement at no charge. Central Florida Health partnered with the American Cancer Society to promote the Great American Smoke out held on Thursday, November 17th, at The Villages Regional Hospital and Leesburg Regional Medical Center. Individuals who indicated they would like to quit smoking were provided kits and resources to assist them with their stop smoking goals. 5

6 Colorectal Cancer Screening 80% by 2018 Central Florida Health continues to be committed to the movement, 80% by 2018, to eliminate colorectal cancer as a major public health problem and work towards the shared goal of reaching 80% screened for colorectal cancer by Colorectal cancer screening and prevention continues to be a main focus when participating in Health Fairs and other Health Expos as it is a major public health problem: Colorectal cancer is the third leading cause of cancer death in men and women in the U.S., and a cause of considerable suffering among more than 140,000 adults diagnosed with colorectal cancer each year. When adults get screened for colorectal cancer, it can be detected early at a stage when treatment is most likely to be successful, and in some cases, it can be prevented through the detection and removal of precancerous polyps. About 1 in 3 adults between 50 and 75 years old about 23 million people are not getting tested as recommended. Screening can save lives but only if people get tested. There are several recommended screening test options, including: colonoscopy, stool tests (guaiac fecal occult blood test [FOBT] or fecal immunochemical test [FIT]), and sigmoidoscopy. The American Cancer Society awarded Central Florida Health with a Colorectal Cancer Partnership Award to support colorectal cancer activities. We will be promoting screening of colorectal cancer in the communities that we serve to meet the goal of 80% by Cancer Program Monitoring of Compliance with Evidence-Based Guidelines The Cancer Care Committee completes an in-depth analysis to assess and verify that cancer program patients are evaluated and treated according to evidence-based guidelines. This year, the committee evaluated Stages I and II Colon Cancers that were treated at Leesburg Regional Medical Center and The Villages Regional Hospital in 2015, comparing actual treatment plans to the state-of-the art National Comprehensive Cancer Network (NCCN) Colon Cancer Treatment Guidelines. The NCCN is a not-for-profit alliance of 27 of the world s leading cancer centers devoted to patient care, research and education dedicated to improving the quality, effectiveness and efficiency of cancer care so that patients can live better lives. Forty primary colon cancers were identified with Stages I and II Colon Cancer. All patients meeting criteria for evaluation were diagnosed appropriately and were staged clinically and pathologically according to the American Joint Committee on Cancer (AJCC). Staging assesses the extent of disease and treatment plans are developed accordingly. Treatment plans were appropriate for all patients in this assessment group. These types of assessments are important for cancer patients to ensure they are diagnosed adequately and receive appropriate treatment for best survival. 6

7 2016 Cancer Program Improvements Several patient care improvements were noted in 2016: A dedicated inpatient Oncology Unit at The Villages Regional Hospital using Oncology Nursing Society Guidelines was created offering improved patient care ensuring convenient and continuity of care for all oncology patients. The Unit includes a resource library for patients. Oncology Coordinators, also referred to as navigators, were recruited to assist oncology inpatients and outpatients with their cancer journey to overcome barriers to receiving care and facilitating timely access to clinical services and resources. Navigation services depend upon the particular type, severity and/or complexity of the identified barriers and disease status. Weekly, inpatient multidisciplinary rounds were initiated for Leesburg Regional Medical Center and The Villages Regional Hospital where physicians and representatives from nursing, pharmacy, pastoral care, case management, rehabilitation and social work meet with the patient to identify medical and/or psychosocial issues needing further resources or referrals. A new, more effective Distress Management Screening Tool was created and given to all new oncology inpatients and outpatients to measure the psychosocial issues in the following areas: Practical Problems, Family Problems, Emotional Problems, Spiritual/Religious Concerns and Physical Problems. Based on the information collected, the patient s oncology team is able to identify and examine the psychological, behavioral and social problems of the patient that interfere with their ability to participate fully in their health care and manage their illness and its consequences. This evaluation confirms the presence of physical, psychological, social, spiritual, and financial support needs and indicates the need to link patients with psychosocial services offered on-site or by referral. Monthly education presentations by physicians, Cornerstone Hospice and other healthcare professionals were initiated for the oncology staff to increase the core skills of oncology and palliative care at Leesburg Regional Medical Center and The Villages Regional Hospital. For more information about the Central Florida Health Cancer Program, contact us at

8 Leesburg Regional Medical Center / 600 E. Dixie Ave.Leesburg, FL / / leesburgregional.org The Villages Regional Hospital / 1451 El Camino Real, The Villages, FL / / thevillagesregionalhospital.org 8