CONTENTS. 04 Expanded Services and Highlights Cancer Committee Membership Cancer Conference Report. 07 Cancer Registry Report

Transcription

1 205 ANNUAL REPORT

2 CONTENTS 04 Expanded Services and Highlights Cancer Committee Membership Cancer Conference Report 07 Cancer Registry Report Primary Sites Patients by State This annual report reflects Cancer Registry data from 204, as this is the latest data available. The remainder of the information reflects innovation and highlights from 205.

3 Nancy Hesse Interim President and CEO Cancer Treatment Centers of America (CTCA) at Eastern Regional Medical Center Our unwavering commitment to always provide the very best in cancer care continued to guide us throughout 205. For the past decade, Eastern Regional Medical Center (Eastern) has been guided by the CTCA Mother Standard of care and the leadership of our former President and CEO, John McNeil. As we celebrate John s tenured career at Eastern, we honor his steadfast commitment to providing a patient experience that is second to none. Over the past 0 years, this dedication has enabled us to grow into a recognized, award-winning leader in cancer care. I am honored to continue CTCA s legacy of leadership in patient care as I embark on the role of Interim President and CEO at Eastern. Our unwavering commitment to always provide the very best in cancer care continued to guide us throughout 205. It marked the introduction of impactful new initiatives including the opening of Eastern s beautiful new Patient Gallery and an onsite Image Recovery Center, as well as the expansion of several clinical services. We now offer more innovative robotic surgery options, backed by a new team devoted entirely to urology; enhanced microvascular reconstruction surgery capabilities; and fat grafting for breast reconstruction and wound care. We are now also one of the region s few collection centers for the National Marrow Donor Program, which allows us to collect lifesaving stem cell donations for patients around the world. Our dedication to improving cancer care earned Eastern a Five-Star Patient Experience Summary Hospital Rating by the Centers for Medicare & Medicaid Services, as well as the Outstanding Achievement Award from the Commission on Cancer. Locally, we were named a Best Place to Work for the fourth year in a row by the Philadelphia Business Journal. Beyond our hospital walls, our staff members or, as we call them, Stakeholders are sharing their expertise as recognized leaders of the health care community. Last spring, our nurses attended the 40th Annual Oncology Nursing Society Congress, proudly representing CTCA with eight podium presentations and five research posters. In addition, our Skin, Wound and Ostomy team was honored nationally by 3M and the Wound, Ostomy and Continence Nurses Society for Excellence in Skin Safety. Through the hard work and dedication of our Stakeholders, we ended 205 serving more patients and providing more treatments than we did for a similar period in 204. To continue this trend, our dedication to organizational efficiency is essential. Our Operational Excellence Task Force is concentrating on strategic cost containment and team resourcefulness. Some early successes include improving patient retention rates and decreasing payment denials. Our patients and fellow Stakeholders truly inspire us every day. As we celebrate our 0th anniversary and reach the milestone of providing the Mother Standard of care to our 0,000th patient, Eastern should be proud of all we have accomplished in the past year and decade. We have built a strong, sturdy foundation for many future decades. Sincerely, Nancy Hesse Interim President and CEO 205 ANNUAL REPORT EASTERN REGIONAL MEDICAL CENTER 03

4 Expanded Services and Highlights NEW UROLOGY SERVICES This year, Eastern welcomed three new team members to the surgical staff under the leadership of Chief of Surgery and Director of Gynecologic Oncology and Robotic Surgery Justin Chura, MD, MBA, FACS. The team opens up many new treatment options and urology services for patients at Eastern. While primarily specializing in robotic surgery for kidney and prostate cancers, they also have expertise in treating issues relating to quality of life, such as incontinence and erectile dysfunction, which potentially can lead to increased stress and lack of confidence. BE THE MATCH APHERESIS CENTER On April 3, 205, Eastern was honored to be approved as an apheresis donor site by the Be The Match National Marrow Donor Program. Through this program, Eastern is now a collection site for unrelated donors from the Be The Match donor registry in the Philadelphia region. Being a donor site provides the hospital with new opportunities to serve communities near and far in a continued and collaborative fight against cancer. The partnership allows the stem cell transplant team to collect stem cell products via apheresis and perform bone marrow procedures for volunteer donors. The donations are sent to patients in need all around the world. PATIENT GALLERY AND IMAGE RECOVERY CENTER In the fall of 205, renovations were completed on a brand-new Patient Gallery a space to enhance the overall hospital experience for patients. The Patient Gallery offers a number of new amenities for patients, including: Image Recovery Center a salon and spa that helps patients achieve increased confidence during cancer treatment and recovery, complete with specialized hair, wig, skin and nail care as well as customized bra fittings for postmastectomy, lumpectomy or reconstruction surgery garments. On-site Retail Pharmacy makes it easy for patients traveling from all over the country to ensure they have the proper medication during their treatment. Café and Gift Shop provides patients and caregivers with a quick breakfast or an afternoon snack, as well as a variety of items like birthday and get-well gifts for patients, caregivers and guests to browse or purchase. SPIRITUAL OUTREACH PROGRAM Over the last year, the Spiritual Outreach program was formed to help train and equip faith communities to holistically care for those living with cancer. Eastern recognizes that good spiritual health can offer great benefits to those living with cancer and their caregivers. One of the vehicles used for supporting spiritual health is Our Journey of Hope an event held quarterly that brings church leaders to the hospital for two days of training by hospital pastors and clinicians, and provides congregations with workshops and DVD lessons on how to form a cancer care ministry in their own communities. The Spiritual Outreach team also offers a speaker series on key topics related to cancer. They travel to church communities and provide this service in seminar and workshop formats as a way of providing continuous education and support to churches. 205 ANNUAL REPORT EASTERN REGIONAL MEDICAL CENTER 04

5 204 Cancer Committee Membership REQUIRED ATTENDEES Fernando U. Garcia, MD Cancer Committee Chair/Pathologist Russell Reisner, MD, FACS Cancer Liaison/Surgeon Scott Price, MD Diagnostic Radiologist Sramila Aithal, MD Medical Oncologist Curt Heese, MD Radiation Oncologist Gary Simkus Cancer Program Administrator/Controller Deborah Baldassarre, MSN, RN, OCN, HN-BC Oncology Nurse Evelyn Palko, MSW Social Work Livia Cohen, MS, CTR Certified Cancer Registrar Melanie Corbman, MS, LCGC Genetic Counselor Jane Fridman, MS, CTR Cancer Registry Quality Coordinator Nicole Worthington, CPHQ Quality Improvement Coordinator Faith Williams Community Outreach Coordinator JJ Hale, BS, CCRC, CCRP Clinical Research Coordinator Lynn Bornfriend, MD Psychosocial Services Coordinator 205 ANNUAL REPORT EASTERN REGIONAL MEDICAL CENTER 05

6 204 Cancer Conference Report CTCA at Eastern holds two weekly Cancer Conferences. One conference is a General Cancer Conference with discussions of patients with various cancer sites; the other conference is a site-specific Breast Cancer Conference. Both conferences are attended by a multidisciplinary team that discusses individual patient treatment. The conferences encompass the patient s history and physical, family history of cancer, radiology films presented by a radiologist, pathology presented by a pathologist, and discussions by surgeons and oncologists of treatment planning using evidencebased treatment guidelines. The patient s cancer stage, prognostic indicators and options for clinical trial participation are also discussed. Cancer Conferences allow for multidisciplinary treatment planning, helping to ensure our patients benefit from the collaboration of our team of dedicated experts and contributing to physician and allied medical staff education. The most frequently discussed cancer cases reflect our top five cancer sites, which are lung, breast, colon, pancreas and prostate. However, discussions are not limited to these sites and often include unusual and challenging cases. The Cancer Conference members use the information shared at the conferences to help make treatment decisions, which benefits not only the patients who are discussed, but all patients in our care. By bringing a multidisciplinary team together, the Cancer Conference gives its members the opportunity to discuss new diagnostic and treatment options. These discussions ensure that our patients receive the benefits of the latest techniques in cancer care. Cancer Conferences are an added benefit to the continuing education of our medical and supportive cancer care teams. 205 ANNUAL REPORT EASTERN REGIONAL MEDICAL CENTER 06

7 Cancer Registry Report Established in 2006, the Cancer Registry at CTCA at Eastern is an information system designed for the collection, management and analysis of data on our patients. The information collected includes, but is not limited to, demographic information, diagnostic findings, cancer site, type and extent, cancer therapy, and follow-up. Once collected, the information is continuously reviewed for quality assurance by the Cancer Registry staff and physicians for correctness and completeness of data. The Cancer Registry database retains cancer patient information from 2006 through 204 on 3,750 patients who were treated for initial diagnosis and treatment, as well as 4,744 patients treated for their cancer progression or metastasis. In 204, the Cancer Registry collected data on 54 patients who were treated for their initial diagnosis and treatment and 485 patients who were treated for their cancer progression or metastasis. The Cancer Registry database is used to provide information to many departments, including Research, to help determine the appropriateness of specific clinical trials at Eastern, and to administrators who may use the data to review Eastern s patient population to identify areas for continuous patient care improvement. In 204, the Cancer Registry provided 73 on-demand statistical data reports. Examples of the type of data available are shown in the charts on the right NUMBER OF PATIENTS TREATED AT EASTERN BY AGE GROUP ( ) Other TOP FIVE CANCERS TREATED AT EASTERN MALE Colon Pancreas Bronchus & Lung FEMALE,790 Breast Prostate The majority of our patients treated at Eastern from 2006 through 204 are between the ages of 40 and 69, with a mean age of 54. The national mean age at cancer diagnosis is 67 (American Cancer Society). Eastern treats patients who are younger than the national average at diagnosis. Eastern consistently treats more women with lung cancer than men, even though national statistics show more men than women are diagnosed with lung cancer (American Cancer Society). As well as providing accurate data, the Cancer Registry coordinates and staffs Cancer Conference and Breast Conference meetings. It is also an integral part of the Cancer Committee. The Cancer Registry reviews the American College of Surgeons Commission on Cancer standards and communicates any changes in the standards to the Cancer Committee. Working with various departments, the Cancer Registry creates and maintains all documentation for the standards to ensure Eastern s continuing accreditation as a Commission on Cancerapproved cancer program NUMBER OF PATIENTS TREATED AT EASTERN SINCE This chart reflects the number of patients treated each year at Eastern since ANNUAL REPORT EASTERN REGIONAL MEDICAL CENTER 07

8 204 Primary Sites SUMMARY BY BODY SYSTEM, SEX, CLASS, STATUS AND BEST CS/AJCC STAGE REPORT Sex Class of Case Stage Distribution Analytic Cases Only PRIMARY SITE TOTAL (%) M F ANALY NA STG 0 STG I STG II STG III STG IV 88 ORAL CAVITY AND PHARYNX 22 (2.%) Tongue 7 (0.7%) Salivary Glands 4 (0.4%) Gum & Other Mouth (0.%) Nasopharynx 3 (0.3%) Tonsil 4 (0.4%) Oropharynx (0.%) Hypopharynx 2 (0.2%) DIGESTIVE SYSTEM 30 (29.4%) Esophagus 7 (0.7%) Stomach 37 (3.6%) Small Intestine 3 (.3%) Colon Excluding Rectum 86 (8.4%) Cecum Appendix Ascending Colon Transverse Colon Splenic Flexure Descending Colon Sigmoid Colon Large Intestine, NOS Rectum & Rectosigmoid 4 (4.0%) Rectosigmoid Junction Rectum Anus, Anal Canal & Anorectum 4 (0.4%) Liver & Intrahepatic Bile Duct 30 (2.9%) Liver Intrahepatic Bile Duct Gallbladder (0.%) Other Biliary 6 (0.6%) Pancreas 72 (7.0%) Retroperitoneum (0.%) Peritoneum, Omentum & Mesentery 2 (0.2%) Other Digestive Organs (0.%) RESPIRATORY SYSTEM 43 (4.0%) Nose, Nasal Cavity & Middle Ear 4 (0.4%) Larynx 6 (0.6%) Lung & Bronchus 34 (3.0%) BONES AND JOINTS (0.%) is the most complete data due to capturing complete treatment on each case. 205 ANNUAL REPORT EASTERN REGIONAL MEDICAL CENTER 08

9 SUMMARY BY BODY SYSTEM, SEX, CLASS, STATUS AND BEST CS/AJCC STAGE REPORT Sex Class of Case Stage Distribution Analytic Cases Only PRIMARY SITE TOTAL (%) M F ANALY NA STG 0 STG I STG II STG III STG IV 88 SOFT TISSUE (INCLUDING HEART) SKIN (EXCLUDING BASAL AND SQUAMOUS) (.%) (.7%) Melanoma Skin 6 (.6%) Other Non-Epithelial Skin (0.%) BASAL AND SQUAMOUS SKIN (0.%) BREAST 99 (9.3%) FEMALE GENITAL SYSTEM 07 (0.4%) Cervix Uteri 20 (2.0%) Corpus and Uterus, NOS 37 (3.6%) Corpus Uteri Uterus, NOS Ovary 39 (3.8%) Vagina 2 (0.2%) Vulva 5 (0.5%) Other Female Genital Organs 4 (0.4%) MALE GENITAL SYSTEM 55 (5.4%) Prostate 52 (5.%) Testis 2 (0.2%) Penis (0.%) URINARY SYSTEM 5 (5.0%) Urinary Bladder 23 (2.2%) Kidney & Renal Pelvis 27 (2.6%) Other Urinary Organs (0.%) EYE & ORBIT (0.%) BRAIN AND OTHER NERVOUS SYSTEM 0 (.0%) Brain 9 (0.9%) Cranial Nerves Other Nervous System (0.%) ENDOCRINE SYSTEM 2 (2.%) Thyroid 9 (.9%) Other Endocrine (including Thymus) 2 (0.2%) LYMPHOMA 3 (3.0%) Hodgkin Lymphoma 5 (0.5%) Non-Hodgkin Lymphoma 26 (2.5%) NHL Nodal NHL Extranodal MYELOMA 3 (.3%) ANNUAL REPORT EASTERN REGIONAL MEDICAL CENTER 09

10 SUMMARY BY BODY SYSTEM, SEX, CLASS, STATUS AND BEST CS/AJCC STAGE REPORT Sex Class of Case Stage Distribution Analytic Cases Only PRIMARY SITE TOTAL (%) M F ANALY NA STG 0 STG I STG II STG III STG IV 88 LEUKEMIA 23 (2.2%) Lymphocytic Leukemia 0 (.0%) Acute Lymphocytic Leukemia Chronic Lymphocytic Leukemia Myeloid & Monocytic Leukemia (.%) Acute Myeloid Leukemia Acute Monocytic Leukemia Chronic Myeloid Leukemia Other Leukemia 2 (0.2%) Other Acute Leukemia Aleukemic, Subleukemic & NOS MESOTHELIOMA 5 (0.5%) MISCELLANEOUS 3 (.3%) TOTAL, Patients by State 204 TOTAL NEW CASES BY STATE FOR,026EASTERN REGIONAL MEDICAL CENTER VIRGIN ISLANDS INTERNATIONAL RESIDENCE ANNUAL REPORT EASTERN REGIONAL MEDICAL CENTER 0

11 CTCA cancercenter.com 206 Rising Tide