Hardin Memorial Health Oncology Services

Transcription

1 Hardin Memorial Health Oncology Services Annual Report 2017 Hardin Memorial Health Oncology Services 2017 Annual Report Page: 1

2 Hardin Memorial Health Cancer Care Services TABLE OF CONTENTS: Mission, Vision, Uniqueness Comments from Cancer Committee Chair Comments from Cancer Liaison Physician Meet Our Cancer Care Providers Data Multidisciplinary Breast Cancer Care Multidisciplinary Lung Cancer Care Clinical Trials Community Outreach Survivorship Hardin Memorial Health Oncology Services 2017 Annual Report Page: 2

3 HMH Cancer Program Hardin Memorial Health is pleased to present its 2017 Cancer Program Annual Report. This report outlines the activities of the Cancer Program and newly diagnosed analytic cancer cases for Analytic cases are those that were either diagnosed and/or treated at our facility. Mission To exceed the physical, emotional and spiritual needs of our patients and their families by providing comprehensive, state-of-the art cancer treatments and therapies. Vision To provide hope and healing as the premier community cancer center in Kentucky. Our Uniqueness Our medical, surgical and radiation oncology specialists incorporate multidisciplinary treatments to provide advanced, cutting edge cancer expertise close to home. As an affiliate of the University of Kentucky s Markey Cancer Center, the only National Cancer Institute (NCI) designated cancer program in Kentucky, we offer patients, when appropriate, access to clinical trials and NCI medical center expertise. We are Commission on Cancer (CoC) accredited which recognizes our integrated continuum of care. Our comprehensive resources include prevention and screening, genetic counseling, nurse navigation, social work, financial counseling, an onsite dedicated pharmacy, survivorship and palliative care. We value our caring relationships with our patients and families. Hardin Memorial Health Oncology Services 2017 Annual Report Page: 3

4 Karen Johnson, M.D. Comments from Karen Johnson, M.D. Cancer Committee Chair At Hardin Memorial Health, cancer care is a top priority. We utilize advanced technology and have access to the most current treatment regimens available. Hardin Memorial Health s cancer program is a Commission on Cancer accredited program which is a special designation for centers meeting strict quality criteria for cancer care. In addition, we are accredited by the American College of Radiology as a Breast Imaging Center of Excellence. Hardin Memorial Health s cancer program has a long history of excellence with tumor conferences allowing physicians from multiple specialties an opportunity to discuss complex cancer patients with one another and coordinate care. We also are a part of the University of Kentucky s Markey Cancer Center s clinical trial program which allows us to offer clinical trials to our cancer patients and keeps patients close to home while receiving comprehensive care. Hardin Memorial Health Oncology Services 2017 Annual Report Page: 4

5 Adam Lye, M.D. Hardin Memorial Health is dedicated to providing state-of-the-art cancer care in a community setting, allowing our patients to stay close to home for their care. Our physicians are committed in the fight against cancer including utilization of cutting edge diagnostic technology and treatment. We are proud to be an active affiliate of the University of Kentucky Markey Cancer Center, which is the only NCI designated cancer center in the Commonwealth of Kentucky. Adam Lye, M.D. Cancer Liaison Physician Hardin Memorial Health Oncology Services 2017 Annual Report Page: 5

6 Meet Our Cancer Care Providers Adam Lye, M.D. Specialty: Medical Oncology Board Certified in Internal Medicine/Medical Oncology Medical School: University of Kentucky Practicing since 2013 Richard Seither, M.D. Specialty: Radiation Oncology Board Certified in Radiation Oncology Medical School: Louisiana State University Practicing since 1992 Chandler Park, M.D. Specialty: Medical Oncology Board Certified in Internal Medicine/Medical Oncology/Hematology Medical School: University of Louisville Practicing since 2016 Cora Veza, M.D. Specialty: Medical Oncology Medical School: University of Santo Tomas, Manila, Philippines Practicing since 1985 Kathryn Francescon, APRN Specialty: Medical Oncology Graduate School: Spalding University, MSN Kelly White, APRN Specialty: Medical Oncology Graduate School: Spalding University, MSN Hardin Memorial Health Oncology Services 2017 Annual Report Page: 6

7 2016 Data 2016 Top 5 Diagnoses Lung Breast Prostate Bladder Colon Top 5 Cases Top 5 Cancer Diagnoses by Year Breast, female & male Colon Trachea, bronchus, lung Bladder Prostate Hardin Memorial Health Oncology Services 2017 Annual Report Page: 7

8 2016 Stage Breakdown: All Diagnoses Stage 0 Stage 1 Stage 2 Stage 3 Stage 4 Stage Unk Cases by Service Area INDIANA Warrick Spencer Hancock Daviess McClean Ohio KENTUCKY Butler Muhlenburg Harrison Perry 43 Breckenridge 66 Grayson 54 Meade 453 Hardin 20 Jefferson Shelby Franklin 8 Bullitt 64 Larue 63 Woodford Spencer Anderson Nelson Washington Marion 7 16 Mercer Boyle Lincoln Taylor Casey Hart Edmonson Green Pulaski Adair Warren Barren Medcalfe Primary Secondary Tertiary Hardin Memorial Health Oncology Services 2017 Annual Report Page: 8

9 Multidisciplinary Breast Cancer Care HMH pioneers new tool for cancer patients Hardin Memorial Health recently began utilizing a new device to help cancer patients prevent hair loss while undergoing chemotherapy treatments. Funding from the HMH Foundation allowed HMH to be the first in Kentucky to offer the Paxman Scalp Cooling System. Jamie Owen First patient to use Paxman Cooling Caps Support Services Cancer Care Center Survivors Clinic Cancer Care Center Breast Reconstruction HMH Plastic & Reconstructive Surgeon 1 Annual Screening HMH Women s Care Center, Elizabethtown Diagnostic Imaging, Bardstown Diagnostic Center MULTIDISCIPLINARY BREAST PROGRAM Audrey Cleaver, BSN, RN Nurse Navigator Multidisciplinary Breast Program Hardin Memorial Health Office: (270) Mobile: (270) Breast Concern Clinical or Self Exam The system uses a cold cap to reduce the scalp temperature immediately before, during and after a chemotherapy treatment. The cooling reduces the blood flow to hair follicles which helps to prevent or minimize the loss of hair. HMH Cancer Care Medical Director Adam Lye, M.D. touted the technology as an additional benefit HMH can offer patients who are facing an emotional cancer journey. 3 Coordination of Care HMH Nurse Navigator 4 Diagnostic Mammogram, MRI or Ultrasound HMH Women s Care Center & Elizabethtown Diagnostic Imaging Biopsy HMH Women s Care Center 5 Patients often ask me if they are going to lose their hair, Lye said. With the Paxman Scalp Cooling System, we can try to alleviate that stressor and allow the patients to focus on their treatment. Lye said taking care of the whole patient is critically important. We know when we also take care of patients emotional and spiritual needs, it helps to optimize healing. 9 Cancer Treatment HMH Surgeon, Medical Oncologist & Radiation Oncologist 8 Breast Clinic & Case Review HMH Radiologist, Surgeon, Pathology, Radiation Oncologist, Medical Oncologist, & Plastic & Reconstructive Surgeon 7 Pathology Results/ Diagnosis 6 Hardin Memorial Health Oncology Services 2017 Annual Report Page: 9

10 Multidisciplinary Breast Cancer Care Team Audrey Cleaver, BSN, RN Nurse Navigator Sarah Callahan, M.D. Radiology Gwen Godfrey, D.O. Pathology Karen Johnson, M.D. General Surgery Ashley Kerekes, M.D. Plastic & Reconstructive Surgery Adam Lye, M.D. Hematology/Oncology Chandler Park, M.D. Hematology/Oncology Richard Seither, M.D. Radiation Therapy Sidney Verble, M.D. Pathology Hardin Memorial Health Oncology Services 2017 Annual Report Page: 10

11 Multidisciplinary Lung Cancer Care A multidisciplinary lung clinic began in November 2016 to support the large number of new annual lung cancer cases in the Lincoln Trail District to improve the timeliness of care for newly diagnosed patients with cancer. The clinic minimizes the number of visits the patient requires while providing comprehensive multidisciplinary cancer care close to home. Patients with lung nodules, worrisome diagnostic findings, or a new diagnosed lung cancer are seen on Tuesday afternoons following a lung tumor board. The clinic is led by Hardin Memorial physicians Dr. William Cundiff, Dr. Aaron Mulhall, and Dr. Navin Kaini (pulmonology), Dr. Jordan Miller (University of Kentucky thoracic surgery), Dr. Richard Seither (radiation therapy), and Dr. Adam Lye and Dr. Chandler Park (medical oncology). The comprehensive team also includes radiologists, pathologists, a nurse navigator, oncology social worker, and others. Since its inception, volumes have increased from two new cancer cases monthly to greater than 10 new lung cancers monthly. The clinic will expand from a half day clinic to a full day clinic beginning in January 2018 to be able to accommodate the increase in case volume. Dr. Lye noted that all participating physicians and patients appreciate the one stop service and obtaining cutting edge comprehensive care closer to home. Dr. Park added the multidisciplinary clinic is instrumental for patients who wish to remain in the 10 county service area of HMH. Hardin Memorial Health Oncology Services 2017 Annual Report Page: 11

12 Multidisciplinary Lung Cancer Care Team Connie Barnes, MSN, RN Nurse Navigator Jessie Bryant, M.D. Radiology William Cundiff, D.O. Pulmonary/Critical Care Gwen Godfrey, D.O. Pathology Navin Kaini, M.D. Pulmonary/Critical Care Adam Lye, M.D. Hematology/Oncology Kelli Mathew, D.O. Pulmonary/Critical Care Aaron Mulhall, M.D. Pulmonary/Critical Care Chandler Park, M.D. Hematology/Oncology Richard Seither, M.D. Radiation Therapy Sidney Verble, M.D. Pathology Ronald Wurth, M.D. Radiology Jordan Miller, D.O. Cardiothoracic Surgery UK HealthCare Hardin Memorial Health Oncology Services 2017 Annual Report Page: 12

13 Clinical Trials The National Comprehensive Cancer Network (NCCN) Believes the best management for any cancer patients is in a clinical trial. Clinical trials play a major role in advancing the science of fighting cancer at all levels. HMH oncologists follow NCCN guidelines in the treatment of their cancer patients and HMH s Cancer Center is accredited by the American College of Surgeon s Commission on Cancer. The mission of the clinical research program is to reduce the impact of cancer by increasing awareness of new evidence, trends and practice standards. It is our goal to increase the involvement of those in the community to participate in cancer research activities creating more opportunities for community based research services. When patients receive care at HMH Cancer Center, they also have access to information on clinical trials upcoming new treatments that seek to improve responses in cancer treatment, prolong live and improve quality of life. Expert care close to home. Cancer treatment clinical trials are studies involving research to find more durable and successful ways to treat cancer. Each clinical trial asks specific questions, such as: Is this more durable; is it less toxic with same outcome; or better outcome? Cancer clinical trials are strictly governed by protocols that outline each step. Every detail of the trial is reviewed to determine need, usefulness, and importance of the data collected. Each individual trial is evaluated to ensure patient safety by an Institutional Review Board (IRB), consisting of medical experts, scientists, and other impartial members. Hardin Memorial Health Oncology Services 2017 Annual Report Page: 13

14 As an affiliate of the University of Kentucky Markey Cancer Center, the state s only NCI-designated Cancer Center, we offer patients access to national clinical trials and NCI medical expertise. HMH participates in the NCI and National Clinical Trial Support Unit (CTSU) through the University of Kentucky. We are also affiliated with the Kentucky Clinical Trial Network (KCTN), sponsor for one of our current trials, Optimization of Smoking Cessation Strategies Concurrent with Treatment of Tobacco Related Malignancies (MOST). This trial focuses on patients currently undergoing treatment for tobacco related cancers wanting to stop smoking. HMH has consistently remained the top enroller for this trial among nine other sites in the state for three years. A recent trial opened is the Kentucky Lung Education Awareness Detection and Survivorship (LEADS) Trial in collaboration with the University of Kentucky, University of Louisville, Kentucky Cancer Consortium, and Lung Cancer Alliance, and is funded by a grant from Bristol- Myers Squibb Foundation. This trial focuses on provider education and importance of low dose CT in early detection and survivorship care in regards to lung cancer. In searching for a cure for cancer, knowledge increases leading to new therapies and constantly evolving treatments; that is why clinical trials research is important to the patient diagnosed with cancer. Clinical trials potentially offer access to therapies that could be years away from public use before they become available as standard of care. The clinical trials of yesterday are the standard of care today. New and better therapies are unattainable without the generosity and caring of those cancer patients who want to give a little more. Talk to your doctor about clinical trials, and for more information or to learn about eligibility requirement for the trials we offer, call the Clinical Trial Office at (270) , and ask for the Research Coordinator. We look forward to increasing our clinical trial portfolio with the exciting future and promise of clinical trials, and in the improved survival and quality of life of our patients. Chandler Park, M.D. Hardin Memorial Health Oncology Services 2017 Annual Report Page: 14

15 Community Outreach Public Reporting Outcomes Community Health Initiatives: Cancer Prevention and Screening Awareness WOW Wellness on Wheels SM mobile health unit provides regional monthly preventive health and wellness screenings in Hardin, Meade, LaRue, Nelson and Grayson counties. From January September, 338 community clients visited the WOW, and 152 clients voluntarily shared they are up to date regarding preventive cancer screening for breast, colon, skin and lung. Noting, 45% of the clients are following the American Cancer Society recommended guidelines for cancer preventive screenings for breast, colon, skin and lung. Cancer Health Initiatives on WOW Breast Colon Skin Lung Counseled regarding preventive screening Information distributed Follow up to encourage appointment Hardin Memorial Health Oncology Services 2017 Annual Report Page: 15

16 CANCER PREVENTION % SCREENED COUNSELED INFORMATION FOLLOW UP INITIATIVES Regarding Preventive Screenings BREAST HEALTH 91% COLON HEALTH 91% SKIN HEALTH 38% LUNG HEALTH 39% Demographics: Male: 53 Female: 99 African American: 11 Hispanic: 0 Caucasian/Other Nationality: 141 Tobacco/Smoking Cessation Adult Focus Hardin Memorial Health offers a variety of assistance to help individuals become tobacco free: Cooper/Clayton Method of Stop Smoking, and Live Smoke Free! smoking cessation support group. However, no courses were implemented due to lack of registration. Tobacco cessation resource packets were mailed in conjunction with telephonic counseling for 12 community participants who inquired about assistance along with referrals to the Quit Line. Wellness coaching through a Well@Work worksite wellness provided assistance to a local employer working with employees to earn health insurance incentives for becoming tobacco free. Ninety clients indicated they were tobacco users. Clients were referred to the QUIT NOW Kentucky tobacco cessation assistance phone line. Ten employees completed the Quit Line earning a certificate for telephonic tobacco cessation. Of the 10 employees, one employee became tobacco free and two other clients indicated a significant decrease in tobacco usage continuing on the path to becoming tobacco free. Hardin Memorial Health Oncology Services 2017 Annual Report Page: 16

17 Youth Focus Recognizing smoking is the leading cause of lung cancer linked to 80-90% of lung cancers, in January 2017 Hardin Memorial Health implemented Botvin Life-Skills Training evidence-based tobacco prevention program for middle school students; reaching an average of 180 6th grade students at LaRue County Middle School. The initial pilot focused on the comprehensive approach of health information, life skills and drug resistance skills specifically addressing the dangers of tobacco abuse and promoting healthy alternatives to risky behaviors teaching activities to resist social (peer) pressures to smoke. Botvin LifeSkills prevention program cuts tobacco use by up to 80% with effect lasting up to 6 years. Therefore, for the school year, 194 incoming 6th grade students started the program with the returning students from 2016 now in 7th grade continuing the program this winter. Pre-Post Test Results from school year 6th grade students: Pre-Tests with the following results to the question: How likely would you be to say No when someone offered you a cigarette were administered to Group 1 and Group 2. Group 1: 91 pre-tests administered, however post-test was unavailable due to teacher not returning post-tests. Group 2: 93 students participated in pre & post-testing. PRE-TEST RESULTS GROUP 1 GROUP 2 POST-TEST RESULTS GROUP 1 GROUP 2 Definitely Would Say No : 77.0% 87.1%. Definitely Would Say No: 0.0% 89.0% Probably Would Say No : 2.0% 3.2% Probably Would Say No : 0.0% 5.0% Not Sure If I Would Say No : 2.0% 0.0% Not Sure If I Would Say No : 0.0% 1.2% Probably Would Not Say No : 0.0% 1.0% Probably Would Not Say No : 0.0% 0.0% Definitely Would Not Say No : 8.0% 7.5%. Definitely Would Not Say No : 0.0% 2.4% No Answer To The Question: 2.2% 1.2% No Answer To The Question: 0.0% 2.4% The 7th grade students (previously) 6th grade students, will be pre-tested and not post-tested until after the completion of the entire program. Additionally, we plan to ask if they would choose to smoke; if they have tried; or if they are currently using any tobacco products. Upon conclusion of the entire pilot, a post-test will be administered to 8th grade students which includes the questions regarding life skills content. Hardin Memorial Health Oncology Services 2017 Annual Report Page: 17

18 Other Prevention And Screening Initiatives Dress in Blue Day March 3, 2017 In recognition of Colorectal Cancer Awareness Month, HMH collaborated with Kentucky CancerLink to provide OC-Light FIT fecal immunochemical test screening method for hemoglobin in stool as an early screening method to detect colorectal cancer. The community outreach awareness event encouraged individuals to learn risk factors for colorectal cancer and discover recommended prevention screening guidelines for colorectal cancer. Starting in March, 26 FIT kits were distributed with 19 kits returned to KY CancerLink for follow up regarding test and discussion of findings. Results from 3/3/17-10/25/17 26 kits distributed Kits returned testing negative: 12 female, 5 male Kits returned testing positive: 1 female (had colonoscopy follow up-all clear) Kits never returned: (patient was contacted by Kentucky CancerLink three times and last attempt letter was mailed with no response) 5 females 2 males 1 male did not complete the kit, however he completed a colonoscopy (results: client had 2 polyps removed). Hardin Memorial Health Oncology Services 2017 Annual Report Page: 18

19 Purses, Pumps and Prevention: A Cancer Awareness Social April 20, 2017 Recognizing April is National Cancer Control Month, Hardin Memorial Health held its second annual community cancer prevention awareness program featuring a fashion show, dinner and educational program for participants to learn about breast, colorectal, cervical, skin and lung cancer prevention to the 190 attendees. Cancer prevention educational handouts were provided in addition to local support and resources. A pre and-post cancer survey was administered to participants to encourage adult individuals to recognize cancer prevention screening recommended guidelines and seek appropriate medical assistance. Hardin Memorial Health Oncology Services 2017 Annual Report Page: 19

20 Purses, Pumps and Prevention: A Cancer Awareness Social Statistics Average Age: 50 Ethnic Origin: Caucasian: 68 Hispanic: 2 Asian: 1 Mixed: 2 Native American: 1 Pre-Event Questionnaire Background Yes No N/A Do you have a family history of cervical cancer? Do you have a family history of colon cancer? Do you have a family history of skin cancer? Do you have a family history of breast cancer? Do you have a family history of lung cancer? Do you use tobacco products? I am a cancer survivor *1 is a current cancer patient Within the past year, I have completed: Annual physical by my primary care provider (PCP) Pap Smear Colonoscopy Routine skin self-exam Mammogram Monthly breast self-exam Post-Event Questionnaire Yes No Already Scheduled Annual physical by my primary care provider (PCP) Pap Smear Colonoscopy Routine skin self-exam Mammogram Monthly breast self-exam *About 50% of participants turned in a questionnaire. Of these 50%, numerous questions were left unanswered. Hardin Memorial Health Oncology Services 2017 Annual Report Page: 20

21 Screening Programs Screening Program: Skin Cancer Screening June 9, 2017 In recognition of National Skin Cancer Detection and Prevention Month, a free skin cancer screening was provided: 64 community members screened following the American Academy of Dermatology (AAD) screening guidelines with the assistance of 3 local dermatologists. Educational materials from the American Academy of Dermatology and National Cancer Institute were distributed to promote skin cancer prevention. Demographics below: Average Age: referred for follow-up (15 males and 13 females) 10 biopsies recommended General Cancer Awareness/Prevention Activities Numerous regional festivals and organizational health fairs offered the opportunity to provide 10 educational cancer prevention encounters reaching over 3,000 community members. Topics of focus from colorectal, skin, breast and lung aligned with the National Cancer Awareness Health Observance months. Healthcare professionals also shared prevention tips from dietary, exercise and behavior modification to encouraging early detection through screening. Submitted by: Karen G. Blaiklock, MS, RN Communications and Community Relations Director, HMH Community Outreach Coordinator, Cancer Committee Hardin Memorial Health Oncology Services 2017 Annual Report Page: 21

22 Survivorship At Hardin Memorial Health (HMH), patients completing curative treatment receive a survivorship care plan and treatment summary. The cancer committee develops, monitors and evaluates the dissemination process of these care plan and treatment summaries, annually. The Institute of Medicine report From Cancer Patient to Cancer Survivor outlines the importance of providing cancer survivors with a comprehensive summary of treatment received, post treatment needs and follow-up care to improve health and quality of life. The American Society of Clinical Oncology (ASCO) defines the minimum data elements to be included in the treatment summary. The HMH Cancer Center uses Journey Forward disease specific templates. A survivorship nurse navigator identifies appropriate patients who have completed curative therapy. Curative therapy includes surgery, chemotherapy, immunotherapy, and or radiation. The survivorship nurse navigator meets with the patient to review the survivorship care plan within the requirements for timely delivery. A copy of the care plan is shared with the Primary Care Physician. The Commission on Cancer introduced this standard in 2012 with a gradual roll out beginning in For 2017, 50% of the patients completing curative treatment must receive a survivorship care plan. DeAnna Werle, RN, BSN, OCN Survivorship Nurse Navigator Hardin Memorial Health Oncology Services 2017 Annual Report Page: 22

23 521 Robinbrooke Blvd Elizabethtown, Kentucky Hardin Memorial Health Oncology Services 2017 Annual Report Page: 23