St. Mary Mercy Livonia Cancer Services 2012 Annual Report Utilizing 2011 Data

Transcription

1 St. Mary Mercy Livonia Cancer Services 2012 Annual Report Utilizing 2011 Data

2 2012 CANCER COMMITTEE MEMBERSHIP James Boal, MD Palliative Care Andrea Bridson American Cancer Society Helen Burns, ANP-BC High Risk Coordinator Laurine Catalano, RN, MSN 4-West Director and Palliative Care Mary Cuevas, RD Dietary Belinda Dokic Six Sigma, Performance Improvement Michelle Eggenberger, LMSW Oncology Social Worker Rose Ermete, RN, BSN, OCN, CCRP Research Coordinator Paul Friedman, MD General Surgery John Harb, MD Urology Ann Hill, LMSW Manager, Case Management Father Luke Iwuji Pastoral Care Teresa Juarez, RPh Pharmacy Debbie Karabatakis Outcomes Management Amit Mohindra, MD Hematology/Oncology, ACoS Physician Liaison Ramesh Mohindra, MD Hematology/Oncology, Educational Coordinator Veda Muthleb, MD Pathology Harmesh Naik, MD Hematology/Oncology Samir Narayan, MD Radiation Oncology, Cancer Committee Chair Lisa Pollack, RHIT, CTR Cancer Registry Coordinator Jacob Roberts, DO General Surgery Marianne Simancek, BSN, MEd Director, Community Outreach Robert Taila, MD Radiology Mary Tocco Director, Diagnostic Services/Oncology Joseph Tworek, MD Pathology Starlynne Wyatt-Hooper, RN, CBCN, CBPN-IC Breast Care Nurse Navigator Michelle Zolotarevsky, RN, OCN Outpatient Infusion Center

3 cancer committee Chairman s letter Dear Friend of the St. Mary Mercy Cancer program, This 2012 annual report of oncology services offers you an overview of our program and highlights exciting developments taking place in our care of cancer patients. This has been a busy and productive year for the cancer program. The St. Mary Mercy Livonia cancer program proudly maintains accreditation by the American College of Surgeons Commission on Cancer (CoC) with a three-year commendation status as a Community Hospital Cancer Program. This certifi cation demonstrates the dedication and commitment of St. Mary Mercy Hospital and our team of cancer specialists to provide the highest level of cancer care, right here in our own community. The CoC has substantially revised its accreditation guidelines to ensure that cancer programs are providing a higher level of patient-centered services and measuring the quality of the care delivered. As chair of the Cancer Committee, I am pleased to report our exciting progress highlights! These patient-centered services have been enhanced or newly implemented to improve the patient experience with care, quality of life and treatment outcomes: Registered Dietician available for outpatients to provide nutritional consultation and advice during cancer treatment Social Work services now available for patients through their Medical Oncology office and Radiation Oncology Genetic counseling and testing services available to patients and their families who are considered at high risk for inherited cancer syndromes. Nurse Navigator to assist cancer patients during the entire spectrum of cancer care. Survivorship care planning services for patients who have completed their cancer treatments. Patient Financial Navigation Services Spiritual Care Services High-risk breast disease coordinator Center will also work closely with the Cancer Center, ensuring seamless access to breast cancer treatment services offered by our oncology team. MammoPlus is a new feature available to all patients who obtain mammograms at the Marian Women s Center at St. Mary Mercy. MammoPlus helps to identify patients at high risk for developing breast cancer. RiskPlus is designed to individually counsel patients found to be at high risk and enact a plan to manage their risk with help of a high risk breast disease coordinator. Quality improvement specialists are assisting health care providers to enhance the quality of cancer care provided at St. Mary Mercy. In the past year, we have focused on: Improving timeliness of chemotherapy infusions Implementing a process to improve pain control Expediting results reporting for clinical trial patients Assuring compliance with NCCN guidelines in the management and treatment of resected non-small cell lung cancer (see page 7). The St. Mary Mercy physicians, staff and administration are proud to offer remarkable cancer care and treatment. I look forward to further implementation of our patient centered services and quality care improvements in the new year as we aim to fulfill our mission: To be a truly great hospital, providing comprehensive, coordinated and compassionate care, every time to everyone. Sincerely, St. Mary Mercy Livonia is distinguishing itself from area hospitals by implementing a Comprehensive Breast Center program. The Comprehensive Breast Center located within the Marian Women's Center at St. Mary Mercy, will be dedicated to breast diagnosis and management. The Comprehensive Breast Samir Narayan, MD Chairman, Cancer Committee 1

4 Community Outreach Programs for Cancer Services July 2011 June 2012 The St. Mary Mercy Hospital Community Outreach department serves to design and implement cancer-related education and screening programs and supportive services for cancer patients and their families. As a part of the Community Benefi t Ministry, such programs include those that may be low-cost or no-cost and for the poor, underserved and broader community. The Men s Health Day program provides the opportunity for men ages to participate in free blood tests for Prostate Specifi c Antigen, Total Cholesterol and HDL, blood pressure and stroke screening and a physical exam for Prostate disease. Screening is also available for skin cancer. Education information is available for heart health, colorectal cancer, physical activity and nutrition. This program brings in over 225 men, some without health insurance and some without a medical home. During the month of October, Breast Cancer Awareness month, a variety of women s health education and screening was offered, including mammograms, for those women without insurance coverage. Transportation to and from the hospital for infusion or radiation services can be a challenge. Recognizing this, St. Mary Mercy provides shuttle service, cab vouchers or gas cards for those patients in need of the necessary transportation. A team honoring a loved one gathers at the 2012 Embrace Life 5K run/walk for Cancer. Supportive services for patients and their families are provided through the Breast Cancer and Prostate Cancer (Us Too) support groups. The monthly sessions provide emotional, social and educational support along with providing important resources that may be needed. In support of furthering education and research in cancer, St. Mary Mercy participates in the annual American Cancer Society (ACS) Relay for Life events in the local area. Being a sponsor and providing a team of employees, patients and families is a way to support the fi nancial resources of ACS while enhancing the education and support resources available. An annual fund-raising event, Embrace Life 5K run/walk for Cancer brought over 800 people in a celebration of life for cancer survivors and those with cancer. Funds raised are used to help those in need of fi nancial assistance for screenings, transportation and also for products and services available through the Helen Palmer Image Recovery Center. Marianne Simancek Director, Community Outreach December 2012 Women took advantage of the many health education and screenings offered during Breast Cancer Awareness month. 2

5 Top Five Sites The top 5 sites cancer diagnoses at SMML are showed in comparison to state and national averages. Percentage Percentage Top 5 Site Comparison Data 2010 SMML MI U.S. SMML MI US Figure 1 Source: St. Mary Mercy Livonia Registry, ACS Cancer Facts & Figures SMML cases are analytic only. 3

6 Site specific study - LUNG (NON-SMALL CELL) Despite the recent decline since 2009 in lung cancer diagnoses, the trend over the decade has been stable Non Small Cell Lung Year of Diagnosis Source: St. Mary Mercy Livonia Cancer Registry Figure 2 Age Distribution This age comparison graph compares the age of diagnosis of patients at SMML compared to the National Cancer Data Base (NCDB). Our patient population is older than the national average. Age Group of Lung Diagnosed 2011 St. Mary Mercy Livonia vs. Community Hospitals in All States NCDB SMML Percentage 4 Figure 3 Source: St. Mary Mercy Livonia Registry, 2011 NCDB, and Commission on Cancer

7 AJCC Stage Comparison The distribution of stages at time of initial lung cancer diagnosis shows a higher percentage of Stage IV patients compared to other community hospitals across the country. Percentage Stage of Lung Diagnosed 2011 St. Mary Mercy Livonia vs Community Hospitals in All States 0 I II III IV UNK AJCC Stage Grouping Figure 4 SMML NCDB Source: St. Mary Mercy Livonia Registry, 2011 NCDB, and Commission on Cancer 5

8 Comparison Survival Graph The fi ve-year survival rates for lung cancer patients diagnosed at SMML from are comparable to the national average, with the exception of stage III patients. Further analysis demonstrated that many patients died of reasons other than lung cancer, which may refl ect a high degree of comorbidity or advanced age in our patients. 60 Five Year Observed Survival Comparison for Lung diagnosed in St. Mary Mercy Livonia(SMML) and National Cancer Data Base (NCDB) for Community Cancer Center Percentage Stage I Stage II Stage III Stage IV SMML NCDB AJCC Stage Grouping Figure 5 6

9 Site specific study - Lung Cancer The cancer specialists at St. Mary Mercy work as a multi-disciplinary team to offer patients comprehensive and compassionate care. Our patients entrust us to make the appropriate decisions and to provide the best possible care. As health care continues to evolve, reporting outcomes and comparing our results with national benchmarks is becoming increasingly important. At St. Mary Mercy, we strive to ensure compliance with well established, evidence-based national treatment guidelines. Harmesh Naik, MD, medical oncologist, conducted a retrospective review of patients who underwent lung cancer surgery in The purpose was to study whether: diagnostic evaluation was adequate cancer stage was properly determined smoking cessation advice was offered prognostic factors were identified postoperative treatment plan using chemotherapy and radiation followed National Comprehensive Cancer Network (NCCN) guidelines I am pleased to share the findings of his report (Figure 6) showing our high rates of compliance with national guidelines regarding appropriate testing, treatment and supportive care of our cancer patients. It also identifies opportunities for us to help individualize treatments plans for each patient. Figure 6 Assessment of Post Operative Therapy of Lung Cancer Patients in 2011 Criteria Compliance Rate Outcome Diagnostic Evaluation 100% Compliant Cancer Stage 100% Compliant Smoking Cessation 100% Compliant Prognostic Factors 81% Opportunity for further improvement Post op Treatment Plan 80% Acceptable Multi-disciplinary cancer conferences and timely referral to Medical and Radiation Oncologists are also available to determine which patients are most likely to benefit from chemotherapy and radiation therapy. At St. Mary Mercy, patients can be assured that they receive the proper testing, diagnosis and treatment of cancer. This study reaffirms our commitment to provide the highest quality care, right here in our own community. Samir Narayan, MD Chairman, Cancer Committee 7

10 Clinical Trials at St. Mary Mercy Livonia Rose Ermete, RN, BSN, OCN, CCRP Research Nurse Coordinator St. Mary Mercy Livonia (SMML) has been participating in cancer research studies for the last fi ve years (Figure 7). The oncologists at SMML are approved, National Cancer Institute (NCI) Community Investigators. This designation, and our affi liation with the Michigan Cancer Research Consortium, allows SMML to offer NCI Cooperative group and industry research studies to our patients. SMML provides our patients the opportunity to participate in treatment, diagnostic, prevention and symptom management research studies, (clinical trials). Participation in a clinical trial provides patients access to promising treatments that are not yet available to the general public. In the past, these clinical trials could only be accessed at large research institutions. Now, patients can participate in these same studies close to their home. Cancer treatment in the 21st century is moving towards individualized medicine. This term means that clinicians are using information from clinical trials, which allows them to take into account traits exhibited by an individual s tumor. The science behind this type of treatment allows for increased drug effi cacy, decreased toxicity and avoidance of ineffective treatment. Participants in clinical trials are leading the way in this new arena. To date, 154 patients have participated in clinical trials at SMML. In 2012, there were 37 patients who took part in treatment, diagnostic and symptom management studies. Some of these patients have participated in more than one study. We are grateful to these patients who are taking an active role in fi ghting cancer, not only for themselves, but also for all cancer patients. Because of these patients, cancer survival rates continue to improve, thus providing an important focus in future research. Clinical Trials Participation Participants Figure 7 8

11 Cancer services contact information Central Scheduling or Community Outreach (Health Education) or Food & Nutrition Services Development Office General Information Helen Palmer Image Recovery Center High Risk Coordinator Marian Women s Center or Our Lady of Hope Cancer Center or Outcomes Management Palliative Care Physician Referral (WELL) Physical Medicine and Rehabilitation or Radiation Oncology Radiology or Research Social Work Spiritual Care TDD for Hearing Impaired Tumor Board Tumor Registry website resources St. Mary Mercy Livonia stmarymercy.org Saint Joseph Mercy Health System stjoeshealth.org Mercy Cancer Network mercycancernetwork.org American Cancer Society cancer.org Agency for Healthcare Research & Quality ahrq.gov American Academy of Hospice & Palliative Medicine aahpm.org National Cancer Institute cancer.gov St. Mary Mercy is a member of the Mercy Cancer Network, one of Michigan s largest cancer care networks.

12 St. Mary mercy Livonia Cancer Services Five Mile Road Livonia, MI stmarymercy.org REMARKABLE MEDICINE. REMARKABLE CARE.