Cancer Program Annual Outcomes Report 2014

Advocate Sherman Hospital’s Vision

Leading Health Advocate Sherman will be the leading provider of coordinated and comprehensive health for the region.

Advocate Sherman’s Cancer Care Center is leading health by… • • • • •

Promoting healthy lifestyles Focusing on preventative and innovative medicine Establishing a comprehensive genetic program Securing Nurse navigation Enhancing the Oncology Service Line (inpatient , outpatient & community) • Partnering with ACS, Living Well, and Journey Care • Participating in a Coleman Grant for Supportive Oncology and NCI/Yale Grant for Distress Screening

Program Profile Reports – CP3R Cancer 2012 NCDB Submission Outcome Analysis

Program Profile Reports – CP3R Cancer 2012 NCDS Submission Outcome Analysis Site

Criteria

Breast

Radiation is administered within 1 year (365 days) of diagnosis for women under the age of 70 receiving breast conservation surgery for breast cancer

Measure

BCSRT

Ratio

%

Note

Site

One Above Patient Benchm 29/30 96.7% Refused ark CoC Radiation Std. Therapy 90%

Program Profile Reports – CP3R Cancer 2012 NCDS Submission Outcome Analysis Site

Criteria

Breast

Combination chemotherapy is considered or adminsitered within 4 months (120) days of diagnosis for women under 70 with AJCC T1cN0 or stage IB-III hormone receptor negative breast cancer (Accountability)

Measure

MAC

Ratio

12/12

%

100%

Note

Review

Higher than National Average Benchmark CoC Std. 90%

Program Profile Reports – CP3R Cancer 2012 NCDS Submission Outcome Analysis Site

Criteria

Tamoxifen or third generation aromotase inibitor is considered or adminsitered within 1 year (356 days) of Breast diagnosis for women with AJCC T1c or stage IB-III hormone receptor positive breast cancer (Accountability)

Measure

HT

Ratio

%

Note

Review

Two patients Above had Benchmark 40/42 95% delays in CoC receiving Std. 90% hormone therapy

Program Profile Reports – CP3R Cancer 2012 NCDS Submission Outcome Analysis Site

Criteria

Adjuvant chemotherapy is considered or administered within 4 months (120 days) of Colon diagnosis for patients under the age of 80 with AJCC Stage III (lymph node positive) colon cancer.

Measure

ACT

Ratio

7/7

%

100%

Note

Review

Above Benchmark CoC Std. 90%

Program Profile Reports – CP3R Cancer 2012 NCDS Submission Outcome Analysis Site

Criteria

At least 12 regional lymph nodes are removed and pathologically Colon examined for resected colon cancer.

Measure

12RLN

Ratio

28/31

%

90%

Note

Review

Above Benchmark CoC Std. 85%

Program Profile Reports – CP3R Cancer 2012 NCDS Submission Outcome Analysis Site

Criteria

Measure

Radiation Therapy is considered or administered within 6 months (180 days) of diagnosis for patients Rectum under the age of 80 of AdJRT with clinical or pathological AJCC T4N0M0 or Stage III receiving surgical resection for rectal cancer

Ratio

%

Note

Review

N/A No CoC Benchmark 4/5

80%

Focus on Prevention: Stories of the Girls breast health campaign Advocate Health Care When you see this icon, click for interactive content

Stories of the Girls campaign objectives • Change conversation from “breast cancer” to “breast health”

• Invite women of all ages to be a part of this conversation • Encourage prevention and early detection through education and screenings

A place to learn and connect Interactive, mediarich website for women to learn about breast health, find support resources and connect with other women.

Sharing Our Stories: Expert, compassionate care Meet Dr. Rachel Baer, top breast surgeon and Medical Director, Center for Breast Care at Advocate Sherman Hospital

Sharing Our Stories: Prevention

This story also ran in Spanish.

Looking back, Gloria Valencia knows exactly what she should have done to try to prevent breast cancer. She should have gotten yearly mammograms starting at age 40. She should have been mindful of her family's breast cancer history.

And she should have seen a doctor as soon as a lump under her armpit -- which a doctor in her native Mexico said was benign nearly three decades ago -- began to grow bigger.

Sharing Our Stories: Survivorship

Sharing Our Stories: Survivorship Survivor Tina Conrad shares her story of finding joy in every day.

Sharing Our Stories: Community Outreach

Pampering & Prevention educational program, October 4, 2014 presented in English & Spanish

American Cancer Society Making Strides for Breast Cancer, October 2014

Partnerships: Prevention Women’s Organization for Wellness (W.O.W.) • Partnership among Advocate Sherman Hospital, Greater Elgin Family Care Center, Presence St. Joseph Hospital, and the Visiting Nurse Association (V.N.A.) of Fox Valley. • Educates and provides free screening and diagnostic breast care resources for underserved and underinsured women in the community. • Acts as a liaison between women, doctors, hospitals, and community agencies to procure free mammograms and link to financial assistance if a breast disease is detected.

W.O.W. Vouchers: 9/1/13-8/31/14 (most recent fiscal year)

Screening mammos

63

Diagnostic mammos

9

Mammos done at Advocate Sherman Hospital

41

Preventative Mammo Screenings

Sherman joined Advocate Health Care in June, 2013 and participated in first Stories of the Girls campaign

*Decrease in 2014 due to closing of an analog mammography site and changes in insurance coverage

Partnerships: Support & Survivorship

• Patient Navigation: Referrals to ACS • Psychosocial Services: Personal Health Manager, Road to Recovery, Wig Boutique • Clinical Trials: Awareness & Education • Patient Outcomes: Walk & Roll, GASO, Making Strides for Breast Cancer • Additional Collaborative Programs: Look Good Feel Better; 80 by 2018 program for Colon Cancer Screening

• Oncology Counselor Visits and Referrals • Distress Screening Participation • Bi-weekly Multidisciplinary Rounding • Massage, Reiki, and Yoga • Support group Facilitation • Survivorship Programs

Cancer Survivors Day Celebration July 2014

Oncology Service Line Programming: 2015

New education and prevention programs • • • • • •

Colorectal Cancer Outreach & Screenings Lung Cancer Screening Program Enhancements to Genetic Program Addition of Oncology Nurse Navigation Resource Addition of Oncology Financial Navigator Partnership with Advocate Lutheran General Hospital for Research/Clinical Trials

Colorectal Cancer • Partnership with Sherman Cancer Care, American Cancer Society and Greater Elgin Health Center

• $25,000 grant through Colon Cancer Coalition to provide at-home screening tests for low income, high risk population; spearheaded by a colon cancer survivor • 10 free colonoscopies for those qualifying • Sponsorship of Get Your Rear in Gear 5K to raise funds to support ongoing screening program • Education and promotion of colonoscopy and other screening options

Lung Screening Program • Provide resource for high risk populations • Educate on smoking cessation and promote healthy lifestyles • Ensure multidisciplinary team approach

• Develop Benign Lung Nodule Clinic for follow-up surveillance • Detect early stage tumors to reduce later stage disease

Genetic Testing • Provide service to eligible patients • Identify patients meeting criteria at weekly cancer conferences

• Developed High Risk Breast Screening Tool for high risk populations • Align with Advocate Cancer Institute for Genetic Program growth

Oncology Nurse Navigation • Provide service for population-based health • Facilitate the coordination of care with supportive services and partnerships • Identify gaps and barriers from the community needs assessment for navigation strategies • Build relationships with internal and external customers • Develop and communicate survivorship care plans

Financial Navigation • Consult with new referrals • Link patients to resources • Translate benefits for improved coordination of care • Facilitate financial counseling and patient assistance needs • Understand barriers and opportunities for improved patient outcomes

Oncology Research • Created partnership with Advocate Lutheran General March/April 2015 • Leveraging resources with Advocate System to offer wide range of oncology clinical trials • Establishing Research Protocol Review Committee • Identifying avenues to connect patients with available trials through nurse navigation

Cancer Committee Membership 2014 Dr. C. Yeshwant,

Cancer Committee Chair, Medical Oncologist, MD, FACS

Dr. John Brems

Cancer Liaison Physician Director of Surgery, Center for Advance Liver and Pancreatic Care MD, FACS

Dr. Subba Raju

Diagnostic Radiologist at Advocate Sherman Hospital. MD

Dr. Gloria Ma

Pathology Advocate Sherman Hospital, MD

Dr. Azhar Awan

Director of Radiation Oncology, Advocate Sherman Hospital, MD Cancer Conference Coordinator

Dr. James Griffin

Urologist, Advocate Sherman Hospital, MD

Dr. Rajesh Pillai

Gastroenterologist, Advocate Sherman Hospital, MD

Dr. Christine Mueller

Family Practice, Advocate Physician , MD

Stephanie Boecher

Director, Cancer Care Center, Advocate Sherman Hospital RN, OCN, MSN, BSN, BA Community Outreach Coordinator

Cancer Committee Membership 2014 Karen Greetis Holly Koc Diana Scanlan Michelle Popadiuk Kelly Tarpey

Nurse Navigator Center for Cancer Care, Oncology Nurse, RN, BSN, OCN Nurse Navigator Center for Advance Liver and Pancreatic Care, RN, MSN, MS Social Worker, Psychosocial Services Coordinator, LCSW Cancer Data Coordinator, Cancer Programs, LPN, CTR, RHIT Cancer Registry Quality Coordinator Director of Clinical Excellence, Quality Improvement Coordinator, RN, MS, CPHQ

Barb Sutton

Manager of Palliative Care Services, RN, MSN, APN, ACHPN

Ginger Sorensen

Nutrition, RD

Digna Campanano

Chaplain Mission & Spiritual Care

Nancy Sanchez

Oncology Research Nurse, Clinical Trial Coordinator RN, BSN, OCN

Cancer Committee Membership 2014 Kari Weisenberger

Coordinator of Radiation Therapy, RTT

Vivian Pan

Licensed Genetic Counselor, MS, CGC

Christine McMinn

Licensed Clinical Professional Counselor , MSEd, NCC, LCPC

Ashley Lach

American Cancer Society, Account Representative

Darren Smith

Oncology Inpatient Manager, RN, OCN

Angela Finley

Rehabilitative Services, Manager, PT

Julie Kralis

Director of Medical Imaging

Tina Link

Director of Community Outreach, BS

Tonya Lucchetti-Hudson

Director of Public Affairs & Marketing

Resources • • • • • • •

Cancer Data Registry Statistical Data 2012 National Cancer Database Women’s Organization for Wellness (WOW) American Cancer Society Living Well Resource Center Daily Herald Chicago Tribune

Contributors • John Brems, MD, FACS, Cancer Liaison Physician • C. Yeshwant, MD, FACS, Cancer Liaison Physician • Stephanie Boecher, RN OCN MSN BSN BA, Director of Oncology Services • Ashley Lach, Health Systems Manager, IL Division American Cancer Society • Tina Link, Director of Community Outreach • Tonya Lucchetti-Hudson, Director of Public Affairs & Marketing

• Michelle Popaduik, LPN, RHIT CTR, Cancer Program/Data Coordinator