In 2015, The Methodist

Transcription

1 2016 Annual Report

2 METHODIST JENNIE EDMUNDSON CANCER CENTER Annual Report Jennie continues to reach further into our communities in an effort to enhance both the quality and accessibility of cancer care, close to home. In 2015, The Methodist Jennie Edmundson Cancer continued its mission of bringing the best cancer care to residents of southwest Iowa. Proudly, we still remain the only nationally accredited cancer program in southwestern Iowa. This accreditation, from the Commission on Cancer of the American College of Surgeons, is testimony to the quality and accessibility of cancer care we make available to the many communities we serve. In addition, our Breast Health Center maintains accreditation by the National Accreditation Program for Breast Centers and by the American College of Radiology for Mammogram, Breast Ultrasound and Breast Stereotactic Biopsy. These high standards keep the program focused on continually improving patient care through the cancer services we offer. The MJE Cancer Center team now also partners with the Genetic Counseling staff from Omaha s Methodist Estabrook Cancer Center, giving patients the opportunity to receive genetic counseling here at Jennie and closer to home. Genetic counseling is important not only to the cancer patient, but to members of their family who may be at future risk. And once again, with the ongoing support of the Methodist Jennie Edmundson Foundation, the cancer program is able to provide supportive services to our patients that include coverage for travel and housing, as well as financial support for diagnosis and treatment. Jennie continues to reach further into our communities in an effort to enhance both the quality and accessibility of cancer care, close to home. Donna Hubbell, BSN MHA VP Patient Safety and Quality Cancer Program Administrator 1

3 2015 cases Accessioned 2015 cases Accessioned (continued) Site Group Total Cases Breast 95 Lung/Bronchus-Non Small Cell 60 Colon 21 Kidney And Renal Pelvis 15 Non-Hodgkin's Lymphoma 15 Rectum & Rectosigmoid 13 Prostate 13 Lung/Bronchus-Small Cell 12 Bladder 10 Larynx 8 Other Nervous System 7 Unknown or Ill-Defined 6 Leukemia 5 Hodgkin's Disease 5 Pancreas 4 Cervix Uteri 4 Thyroid 4 Tongue 3 Small Intestine 3 Other Hematopoietic 3 Site Group Total Cases Melanoma of Skin 3 Corpus Uteri 3 Esophagus 2 Stomach 2 Liver 2 Salivary Glands, Major 1 Mouth, Other & Nose 1 Tonsil 1 Oropharynx 1 Nasopharynx 1 Hypopharynx 1 Anus, Anal Canal, Anorectum 1 Gallbladder 1 Other Digestive 1 Myeloma 1 Soft Tissue 1 Ovary 1 Testis 1 Ureter 1 Brain 1 ALL SITES

4 Top Ten cancers (All Sites) 2015 AJCC Stage at Diagnosis % 5.7% 7.5% 29.7% 21.3% % 16.2% 10 0 Breast Lung & Bronchus Colorectal 15 Kidney & Renal Pelvis Non-Hodgkin's Lymphoma Prostate Bladder Larynx Leukemia Hodgkin s Cancer Stage Site Cases % of Cases Breast % Lung & Bronchus % Colorectal % Kidney & Renal Pelvis % Non-Hodgkin's Lymphoma % Prostate % Bladder % Larynx 8 2.9% Leukemia 5 1.8% Hodgkin's 5 1.8% Total % Stage Cases % of Cases Stage 0 (in situ) % Stage I % Stage II % Stage III % Stage IV % Not Applicable % Unknown 2 0.6% Total % 4 5

5 patient Age at diagnosis Southwest iowa Cancer referrals to mje MONONA CRAWFORD CARROLL % (1) Male Female HARRISON 2.7% (9) SHELBY 5.7% (19) AUDUBON 0.3% (1) POTTAWATTAMIE 62.5% (208) CASS 4.8% (16) MILLS 9.6% (32) MONTGOMERY 2.4% (8) ADAMS 0.3% (1) Age at Diagnosis Male % of Male Female % of Females % 2 1.0% % 4 1.9% % % % % % % % % % % % 4 1.9% % 1 0.5% Totals % % FREMONT 3.9% (13) OTHER COUNTIES Guthrie 0.3% (1) Webster 0.3% (1) Woodbury 0.3% (1) PAGE TAYLOR 3.3% (11) 0 OUT OF STATE Nebraska 3% (10) 6 7

6 2015 mje distribution of major primary sites ACOS NCDB CP3R 2015 Measures 30% Oncology Metric MJE Expected Performance Rate The ACoS Commission on Cancer has defined eleven Cancer Program Practice Profile Reports (CP3R) that must be evaluated in 2015 for accreditation. 25% 20% MJE ACS - IA (Projected) ACS - US (Projected) BCSRT Radiation therapy is administered within 1 year (365 days) of diagnosis for women under age 70 receiving breast conserving surgery for breast cancer. HT Tamoxifen or third generation aromatase inhibitor is considered or administered within 1 year (365 days) of diagnosis for women with AJCC T1c or Stage IB-III hormone receptor positive breast cancer % 100% 90% 90% or upper bound of 95% 15% MASTRT Radiation therapy is considered or administered following any mastectomy within 1 year (365 days) of diagnosis of breast cancer for women with >=4 positive regional lymph nodes. 100% 90% or upper bound of 95% 10% 5% MAC Combination chemotherapy is recommended or administered within 4 months (120 days) of diagnosis for women under 70 with AJCC T1cN0, or stage IB III hormone receptor negative breast cancer. ACT Adjuvant chemotherapy is recommended or administered within 4 months (120 days) of diagnosis for patients under the age of 80 with AJCC stage III (lymph node positive) colon cancer. nbx Image or palpation-guided needle biopsy to the primary site is performed to establish diagnosis of breast cancer. 100% Not Applicable 100% Not Applicable 97.20% 80% 0% 12RLN At least 12 regional lymph nodes are removed and pathologically examined for resected colon cancer % 85% (65-100%) Breast (Female) Lung/ Bronchus Colon Kidney & Renal Pelvis Non Hodgkins Lymphoma RECRTCT Preoperative chemo and radiation are administered for clinical AJCC T3N0, T4N0, or Stage III; or Postoperative chemo and radiation are administered within 180 days of diagnosis for clinical AJCC T1-2N0 with pathologic AJCC T3N0, T4N0, or Stage III; or treatment is recommended; for patients under the age of 80 receiving resection for rectal cancer. 100% 85% Breast (Female) Lung/ Bronchus Colon Kidney & Renal pelvis Non Hodgkins Lymphoma MJE 28.5% 21.6% 10.2% 4.5% 4.5% ACS - Iowa 13.3% 13.4% 9.0% 3.7% 4.6% ACS - US 14.0% 13.3% 8.0% 3.7% 4.3% G15RLN At least 15 regional lymph nodes are removed and pathologically examined for resected gastric cancer. LNoSurg Surgery is not the first course of treatment for cn2, M0 lung cases LCT Systemic chemotherapy is administered within 4 months to day preoperatively or day of surgery to 6 months postoperatively, or it is recommended for surgically resected cases with pathologic lymph nodepositive (pn1) and (pn2) NSCLC. (no cases qualified) (no cases qualified) 100% 85% 85% 85% *All measures meet or exceed the defined Confidence Interval, given the number of cases classified for the measures by the NCDB. 8 9

7 2015 Cancer Screening Summaries 2015 Cancer Screening Summaries 3 53 Colorectal Screening - March 56 Participants 3 Abnormal Result Normal 7 Prostate Cancer Screening - September 7 Participants / 0 Abnormal Results Normal Abnormal 8 27 Head & Neck Cancer Screening - April 35 Participants / 8 Abnormal results Normal Abnormal Binational Health Week Women s Event/Breast Screening - October 29 Participants / 6 Abnormal Results 11 Screening Mammograms 2 Diagnostic Mammograms 4 Ultrasounds 141 Skin Cancer Screening - June 208 Participants / 67 Abnormal results (5 Basal Cell Carcinomas, 1 Melanoma) Normal Basal Cell Carcinoma Normal Screening Mammogram Melanoma Abnormal Diagnostic Mammogram 1 5 Other Abnormal Ultrasound Based upon the 2015 Community Needs Assessment, Cancer screenings address the following barriers to care: Access to Care, Nutrition and Weight Status, Sexually Transmitted Disease, and Substance Abuse

8 2015 Community Outreach Activity summary 2015 Community Outreach Activity summary Patient Navigation Process Driven by Community Needs Assessment - Address health care disparities and barriers to care of patients. The barriers identified are: improve resident s health status; increase their life spans, and elevate their overall quality of life; to reduce the health disparities among residents; and to increase accessibility to preventive services for all community residents. Cancer Prevention Program / Education Cancer prevention programs identify risk factors and use strategies to modify attitudes and behaviors to reduce the chance of developing cancer. When applicable, pre and post evaluation scores are obtained (i.e. Brief Symptom Inventory 18 and Perceived Health Status). 01/06/15 Getting Back on Track with Your Weight to Decrease Breast Cancer Recurrence - Young Women s Breast Cancer Support Group / C. Reeder (6 attended) Focused on healthy lifestyle choices to fuel the body and provide essential nutrients. 10/06/15 Refuel for Health and Energy A Time to Heal / C. Reeder (12 attended) Focused on the role of nutrition in healing, present good nutritional strategies for cancer patients, and offer ideas for quick and easy meals with high nutritional content. 10/20/15 Renewing My Body, Regaining My Strength - A Time to Heal / M. Bartels (12 attended) Focused on how to rehabilitate the body after cancer treatment to improve muscle strength and endurance, and choosing an exercise program that is right for the individual. Information about coping with common physical side effects of treatment such as lymphedema is also discussed. 11/03/15 Adventures / Misadventures in Supplement Jungle A Time to Heal / M. Ryan (12 attended) Focused on navigating the ocean of information on vitamins, nutritional supplements, and herbal remedies being marketed to breast cancer patients. Information given about how to choose supplements that are research based, compatible with other medications, and safe for cancer survivors. Pottawattamie and surrounding counties. According to the IA Department of Public Health, the tobacco related disease burden is as follows: Tobacco Related Disease Burden (age-adjusted rate / 100,000 population) County Cancer Death Rate Adult Cigarette Smoking Prevalence % Youth any Tobacco Use Prevalence % Cass Crawford Fremont Harrison Mills Montgomery Page Pottawattamie Shelby State of Iowa In 2015, the FRC nurse has received a total of 1,974 requests for educational information on smoking cessation which has increased from 1,434 or 37.7% in Approximately 1,600 or 80% of these requests are generated when a patient presents to the hospital that is identified as a smoker through the admitting process, a physician s order, or self- referral. Educational packets are also distributed at hospital cancer screening events and health fairs. All those who receive smoking cessation information are encouraged to contact Quitline IA. According to Quitline Iowa, the counts of registered participants are as follows: Cancer Prevention Program Smoking Cessation - Methodist Jennie Edmundson provides a cancer prevention program targeted to meet the needs of the community designed to reduce the incidence of tobacco use and related sequelae. This prevention program was chosen due to the prevalence of tobacco usage in 12 13

9 2015 Community Outreach Activity summary 2015 Community Outreach Activity summary Quitline Iowa Registered Participants FY 2015 County Registered Participants Cass 76 Crawford 47 Fremont 42 Harrison 73 Mills 66 Monona 47 Montgomery 70 Page 107 Pottawattamie 454 Shelby 33 State of Iowa Participants at these events are provided with educational information specific to the cancer type (i.e. healthy diet, exercise, tobacco cessation, sun protection, and self-health awareness). Effectiveness: Overall, 335 patients participated in these cancer screening events with 6 cancers identified, which are now seeking care for their disease. This is decreased 10% from 2014, with 366 participants and 12 cancers identified. There were a total of 84 abnormal findings identified. These cancer screening participants were notified by letter of any abnormal findings, and were then followed with a phone call to encourage the patient to seek additional medical care. All cancer screening participants are encouraged to complete an evaluation summary to assess screening usefulness and effectiveness. 231 / 281 or 82% completed the evaluation form and 99% responded favorably. Effectiveness: The Quitline Iowa program of registered participants is reported as 55.2% of current smokers have attempted to quit smoking in the past 12 months. A key finding reported for FY15 is that 27% of the registered users have not smoked cigarettes or used other tobacco products in the past 30 days. Cancer Screenings- Methodist Jennie Edmundson provides Cancer Screenings for 5 different anatomic sites annually. These sites correspond to the top incidence of cancers reported at our institution. The cancer screenings follow NCCN and other guidelines appropriate to the specific site screened (i.e. American Society of Colon and Rectal Surgeons, American Academy of Dermatology, American College of Obstetrics and Gynecology, and American Urological Association). Cancer screenings are intended to address the access to care barrier, and decrease the number of patients diagnosed with late-stage disease by detecting the cancer at an earlier stage

10 2015 Community Outreach Activity summary 2015 Community Outreach Activity summary Fundraisers / Health Fairs / Races Methodist Jennie Edmundson participates in many community outreach activities to provide educational and promotional material to participants. The purpose is to encourage participants to become proactive with their health care needs and raise awareness of the services the hospital has to offer. Information includes breast education, healthy lifestyle choices, and smoking cessation materials. 1ST QUARTER River City Expo - Breast Health Center Booth 1,600 participants Wings of Hope Winter Fundraiser 200 participants Omaha Boat, Sports & Travel Show - BHC Booth 4,200 participants Carter Lake Health Fair 100 participants Longfellow Health Fair 384 participants Kirn Jr. High s Family Night Health Fair 225 participants 2ND QUARTER Live Well Council Bluffs Health Fair 200 participants The Center s Health Fair 250 participants Council Bluffs Pride Parade 2,000 participants The Bald & The Brave Lock Up 125 participants The Bald & The Brave Challenge 650 participants Pottawattamie County Relay for Life 461 participants Wheels of Courage 325 participants 3RD QUARTER Spirit of Courage Weekend 850 participants BCBS Safe & Healthy Expo 900 participants 4TH QUARTER Komen IA Race for the Cure Des Moines 2,000 Materials IWCC Pink-Out Football Game 500 participants Wings Of Hope Annual Dinner 40 participants IWCC Pink-Out Soccer Games 200 participants Gubernatorial Signing for Breast Cancer Awareness Month 13 participants MJE Council Bluffs Pink-Out & Mayoral Proclamation participants St. Albert Pink-Out Football Game 260 participants MJE Pinkercise 55 participants MJE Save Second Base Pub Crawl 75 participants Glenwood s Pink-Out Volleyball Game 150 participants MJE Pink-Out Glenwood Mayoral Proclamation 110 participants MJE Pink-Out Malvern Mayoral Proclamation 60 participants Loess Hill Harley Davidson Ride and Bra Embellishment 180 participants Wings Of Hope Women Helping Women Dinner 100 participants IWCC Pink-Out Volleyball Game 175 participants Great American Smoke-out 150 participants Wings of Hope Virtual Bike Ride Dr. Warner s Weekly Radio Program House Calls 16 17

11 2015 Cancer Committee Members Rick Blodgett Volunteer Chaplain Becky Bussey Physical Therapist Jean Thomsen, MD Chairman* Pathologist* Connie Casson / Mary Jo Mattheis Oncology Nurse Michelle Haessler, MD / Roger Holland, MD Radiation Oncologist Annabel Galva, MD Diagnostic Radiologist* Donna Hubbell Cancer Program Administrator Quality Improvement Coordinator* Sakeer Hussain, MD / Stacy Parker-Brueggemann, MD Medical Oncologist Tammy Johnson Breast Health Nurse Navigator Barbara Kricsfeld Oncology Nurse / Radiation Oncology Carol Kroft Cancer Registry Quality Coordinator* Carol Reeder Dietitian Michael Romano, MD Family Practice Melanie Ryan Pharmacist Kathryn Bartz Clinical Research Representative* Brent Wakefield, MD Urologist Dee Wicks Psychosocial Services Coordinator* Michael Zlomke, MD Cancer Liaison Physician* Community Outreach Coordinator* Michelle Kaufman Cancer Conference Coordinator* *designates individuals or positions that are required by the American College of Surgeons Cancer accreditation program

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