CANCER PROGRAM ANNUAL REPORT Clark. Memorial Hospital. A Norton and LifePoint Partnership

Transcription

1 CANCER PROGRAM ANNUAL REPORT 2017 Clark Memorial Hospital A Norton and LifePoint Partnership

2 CANCER COMMITTEE REPORT CANCER COMMITTEE MEMBERS This annual report highlights the services provided through the Cancer Care Program at Clark Memorial Hospital, which offers patients access to a multi-disciplinary team and a range of care. A strong cancer program can t exist without involvement from the medical community. Clark Memorial Hospital has a dedicated group of physicians who participate in a bi-monthly Tumor Board to prospectively discuss and plan the care of patients diagnosed with cancer. The Tumor Board includes surgeons and oncologists directly involved in the patient s treatment, as well as radiologists, pathologists, hospice physicians, oncology nurses, social workers, dieticians and the chaplain. This wide representation ensures that our Tumor Board truly covers every aspect of patient care. To maintain the ongoing quality of the care we provide, our Cancer Care Program is measured against benchmarks developed by the American College of Surgeons Commission on Cancer. The quality and performance goals established by the College ensure that consistent, quality care is provided to all Cancer Care patients. Clark Memorial Hospital continues to increase awareness of various prevalent cancers in our community at events providing screenings and relevant information. Sincerely, Dr. David Musich Radiation Oncologist Cancer Committee Chair Dr. David Musich, Chair, Radiation Oncology Dr. Damian Hazlett, Cancer Liaison Physician, Radiology Kathy Neuner, Cancer Program Administrator Dr. Troy Davis, QA Coordinator, CAP, Diagnostic Pathology Bill Greene, QI Coordinator Alicia Rousseau RN, BSN, Manager, Community Outreach Cindy Strickland, CTR, Cancer Conference Coordinator Jill Aemmer, CTR, resigned from the committee Dana Dobson, RN, Oncology Unit Manager Dr. Wendell Bailey, General Surgery Dr. Elisabeth vonbun, Medical Oncology Dr. Mian Mushtaq, Medical Oncology Dr. Matthew Henning, Thoracic/Vascular surgery Janice Martin, BSW, Social Services Case Manager Joanie Pruneski, Behavior Health Therapist Debbie Pirtle, Norton Nurse Navigator, resigned Debbie Phillips, Norton Social Service Navigator Joe Bradley, Chaplain Jodi Edeburn, Pharmacy Linda Jenks, Radiology Manager Rhonda Harrison, MS, RD, CD Ellen Schroeder, American Cancer Society Tami Lyons, Surgical Associates S IN, Survivorship Kathy vancampen, Provider Relations and Industry Bill Taylor, Norton Cancer Registry

3 CANCER RATES FOR DISTRICT l l l l l l l l l l Per100,000 persons Colon and Rectum Lung and Bronchus Female Breast 84.7 Prostate n Indiana n District 9 Public Health District 9 (District 9) is comprised of Clark, Dearborn, Decatur, Floyd, Franklin, Harrison, Jefferson, Jennings, Ohio, Ripley, Scott and Switzerland counties. It lies in the southeast corner of the state. Cancer screening and education events developed based on Clark County cancer rates and the Community Needs Assessment. (2015 Community Needs Assessment located on the Clark Memorial Hospital website. clarkmemorial.org) Cancer Incidence Rate Comparisons for Counties in District 9, All Cancers Prostate Female Breast Lung Colon and Rectum (Male-only disease) Count Rate Count Rate Count Rate Count Rate Count Rate Indiana 163, , , , , Clark 2,

4 CANCER IN OUR COMMUNITY Number of Community Outreach events 183 Number of cancer focused events 25 Location # of Events # of Lives Touched Community based events Business based events School based events Church based events Event # Provided Blood pressure screenings Blood glucose screenings Cholesterol screenings Heart health assessments Flu shots CT Lung screenings Mammograms...6,700 SCREENINGS, OUTREACH AND EVENTS Community Health Fair held June 3, in attendance 67 osteoporosis screenings 161 cholesterol/glucose/a1c screenings 1 Lung CT 55 hearing screenings 1 Vascular screening 230 colon cancer screening kits distributed 107 skin screenings Informational booths provided cancer awareness/education/ screening included Endoscopy (colon), Women s Imaging (breast), Thoracic & Vascular (lung), Colon Cancer Prevention Project (Inflatable walk through colon), Norton Healthcare (skin/derma scans), Tobacco Prevention & Cessation Coalition, American Cancer Society, Norton Cancer Resource Center Child Safety Day held August 19, in attendance Events partnered with 13 Family Health Center Events partnered with 18 Tobacco Prevention and Cessation Events partnered with 6 Norton Cancer Resource Center Nutrition/Healthy Eating/ 5 Weight Management presentations 20 car seat checks 50 hearing screenings 60 scoliosis screenings Informational booths provided skin cancer awareness and prevention, Tobacco Prevention & Cessation, Nutrition and Healthy eating resources including weight management, exercise and family meal planning, as well as other resources for safety and over health and wellbeing.

5 CANCER IN OUR COMMUNITY 2017 activities for specified cancers: Breast Booth at Community Health Fair with information and resources on mammogram guidelines and self-breast exams; drawing for those who scheduled a mammogram that day. Lobby Talk held in October for Breast Cancer Awareness and screenings; Dr. Marconi hosted talk and discussed screening guidelines, risk factors, treatment options, etc. Partnered with the Family Health Center and the BCCP program throughout October for screening mammograms through promotion, incentives and educational materials. Initated the direct mail of reminder cards for women over the age of 40 to schedule a screening mammogram with available resources and breast cancer facts included on card. Lung Presentations given in January, September and November on Lung Cancer awareness, including information on risk factors, Radon, screening guidelines, the Lung Nodule Clinic and Lung CT screenings available through Medicare and self-pay options. Lobby Talk held in November for Lung Cancer awareness and Lung CT screening information; Marla Beeler with Thoracic and Vascular Surgery to host talk and discuss risk factors, screening guidelines and Clark Memorial s lung screening process and Lung Nodule Clinic; Tobacco Prevention and Cessation hosted booth at this event as well. Partnered with the Tobacco Coalition to host the Great American Smoke Out on CMH campus on November low dose Lung CTs performed with results discussed immediately after screening with Radiologist with follow-up recommendations and referral into the Lung Nodule Clinic, if needed. Lung screenings: 12 with suspicious findings with follow-up recommended; of those 12, 9 had the follow-up within the recommended time frame in The other 3 have not reached the recommended time for follow-up as of 11/30. SCREENINGS, OUTREACH AND EVENTS Colon Two presentations given in March for colon cancer awareness, risk factors, screening guidelines and resources. Booth at Community Health Fair with information and resources on colon cancer, risk factors, screening guidelines, screening options, including cologaurd and FOBT, and distribution of 230 take home colon screening kits. Inflatable walk through colon was present at the CHF to help raise awareness. Initiated the direct mail of reminder cards for men and women over 50 to schedule colonoscopy or appointment with their PCP to discuss appropriate screening; card included risk factor and screening guideline information. Hosted booths at the Kicking Butts Southern Indiana Awareness Fair event on March 9 and at the Kicking Butts 5K run held August 28; both promoting colon cancer awareness and screenings with distribution of 40 take home colon cancer screening kits. Prostate Booth at Community Health Fair with information and resources on men s and women s GU health including prostate cancer awareness, screening guidelines and free screening event during fair. Partnered with First Urology to offer free prostate screenings during Community Health Fair: CMH provided free shuttle service to and from locations; 50 screenings performed with 6 abnormal results found and 6 follow-up appointments scheduled with First Urology.

6 TOBACCO PREVENTION and smoking cessation The Clark County Tobacco Prevention and Smoking Cessation (CCTP&SC) program was involved in more than 70 events throughout the community in Event # Provided Community 39 Schools 9 Businesses 13 Government 11 Partnered with Norton Cancer Resource Center to offer Freedom from Smoking classes. Attended Tobacco Free Advocacy day at the Statehouse to submit signatures from Hoosiers supporting the increase tax on tobacco products. Hosted booths at a variety of community fairs, including Relay for Life, 4H club, Child Safety Day, Goodwill and Stand Down for Veterans. Hosted the Great American Smoke Out in November at Clark Memorial Hospital. The CCTP&SC program and the Clark Memorial Community Outreach Program collaborated on 18 events in 2017 to promote a smoke-free and healthier lifestyle for our residents. The Tobacco Prevention and Smoking Cessation coalition lead by the CCTP&SC program is working for a stronger smoke-free ordinance for Jeffersonville to include no smoking in ALL businesses, local bars and taverns. This included the program coordinators and coalition members attending the MidWest Academy Training in Indianapolis for strategies on developing a stronger coalition and how to successfully work with local government on passing stronger smoke free air ordinances and enforcing the current codes. ITPC is aggressively working with health care providers to help patients quit smoking and stay tobacco free; programs aid providers who are prepared to support and encourage their patients to quit smoking through tobacco cessation methods such as ASK, ADVISE, REFER and Indiana s FREE state resource Indiana Tobacco Quitline phone or fax referral offered through Health Care Providers. CCTP&SC were awarded a new grant which will take their efforts through 2019 to continue to provide education and resources to the community, including the promotion of the Quit Now program. The Indiana Tobacco Quitline is a free phone-based counseling service that helps Indiana smokers quit. Services include: One on one coaching for Tobacco Users who have decided to quit. Resources for Healthcare Providers who want to improve patient outcomes. Best Practices for Employers who want to implement smoke-free policies. Support for Family and Friends who want to help loved ones stop smoking. Tools for Tobacco Control partners to complement their current programs. Services are available to you 7 days-a-week in more than 170 languages. A trained quit coach will work with you and provide solutions tailored to your needs. For support information call us today at QUIT-NOW ( ).

7 TOBACCO PREVENTION and smoking cessation TOBACCO AND HEALTH IN CLARK COUNTY Percent of adults who smoke Lung cancer deaths per 100,000 residents Smoking and pregnancy Births affected by smoking low birth weight, SIDS, reduced lung function Cost of smoking related births 196 $266,554 Percent of pregnant women who smoke Indiana % Clark County % Cardiovascular disease deaths per 100,000 residents Asthma related emergency room visits per 10,000 residents Smoking deaths Deaths attributable to smoking 192 Deaths due to secondhand smoke 23 Economic burden of secondhand smoke: $36.8 million Smoking related illness 5,746

8 THE NORTON CANCER INSTITUTE PAT HARRISON RESOURCE CENTER Number of Visits by Diagnosis Jan-Oct l l l l l l l l l l l l Anal Breast Colorectal GU Head/Neck Leukemia Lung Lymphoma Mult. Myeloma Prostate Uterine Interactions by Type of Service Jan-Oct n Massage n Music n Pt Ed n Yoga n Reiki n Prosthetic n Wigs n Hope Scarves n Post Surgical Bra The Norton Cancer Institute Pat Harrison Resource Center at Clark Memorial opened its doors in February of This center has had more than 3,000 interactions this year with cancer patients and their families. This incuded hosting 3 Look Good Feel Better programs in The dedicated staff at the Resource Center understands that cancer affects the entire family, not just the person diagnosed. That s why they offer up-todate information on cancer prevention and treatment, as well as a variety of free support services to address the physical, emotional and spiritual needs of all those impacted by the disease. Look Good Feel Better is dedicated to improving the quality of life and self-esteem of people undergoing cancer treatment. The program offers complimentary group, individual, and online sessions that teach beauty techniques to help people with cancer to face their diagnosis with greater confidence.

9 CANCER PROGRAM REPORT The Cancer Program Practice Profile Reports (CP3R) is a web-based reporting tool that promotes continuous practice improvement at the local level and permits hospitals to compare their patient care to that of other providers. The aim is to empower clinicians and staff to work cooperatively and collaboratively to identify problems in practice and delivery, and to implement best practices to improve clinical management and quality of care across Commission on Cancer (CoC) accredited cancer programs. Below are the 2015 performance rates for Clark Memorial Hospital in comparison to the National performance rates for all Commission on Cancer accredited facilities. CP3R for 2015: Clark Memorial Performance Rate Commission on Cancer National Stardards Breast Radiation is administered within 1 year (365 days) of diagnosis for women under 100% 90% the age of 70 receiving breast conservation surgery for breast cancer (Accountability) Tamoxifen or third generation aromatase inhibitor is recommended or 100% 90% administered within 1 year (365 days) of diagnosis for women with AJCC T1c or stage IB-III hormone receptor positive breast cancer (Accountability) Radiation therapy is recommended or administered following any mastectomy no cases 90% within 1 year (365 days) of diagnosis of breast cancer for women with >= 4 positive regional lymph nodes (Accountability) Image or palpation-guided needle biopsy to the primary site is performed to 89.10% 80% establish diagnosis of breast cancer (Quality Improvement) Lung Systemic chemotherapy is administered within 4 months to day preoperatively 100% 85% or day of surgery to 6 months postoperatively, or it is recommended for surgically resected cases with pathologic lymph node-positive (pn1) and (pn2) NSCLC (Quality Improvement) Colon At least 12 regional lymph nodes are removed and pathologically examined for 90.5% 85% resected colon cancer (Quality Improvement)