2011 Cancer Program - Augusta Health

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This has been a very active and productive year for the Cancer Program at Augusta Health. 2 CANCER PROGRAM Message from the Chairman Robert Kyler, M.D. Radiation Oncologist This has been a very active and productive year for the Cancer Program at Augusta Health. First, we were accredited by the National Accreditation Program for Breast Centers (NAPBC) for our Breast Health Program. This accomplishment is a tribute to the hard work of those who serve on the Breast Health Center of Excellence Committee under the leadership of Dr. William Thompson, its chairman, and Meg Shrader, the Breast Navigator. The second milestone was the establishment of our new relationship with Duke Medicine, also discussed in more detail in the Administrative Message. The benefi ts of this affi liation will include access to new cancer treatments and research, a wider array of clinical trials, assurance of high-quality care through the use of protocols and standards of care developed by Duke Medicine, and continuing education and special training opportunities for our physicians, nurses, technical staff and pharmacists to ensure that Augusta Health’s services remain among the best for a community hospital. We are very excited about the opportunities that this will bring for our patients and providers. Several new technologies have also become available at Augusta Health, including radiofrequency ablation (RFA) for treatment of cancers in the liver, lung and bone in selected cases, and “4D” CT scanning that allows us to take the movement of some tumors that occur with respiration into account when planning radiation therapy. Additionally, we continue to carry out the activities mandated by the American College of Surgeons Commission on Cancer for ongoing approval of our Cancer Program, including accurate registration of all new cancer diagnoses, tracking and benchmarking of our results, cancer screenings, and ongoing education of those involved in delivering care to patients and the community. The addition of a new tumor registrar to our team will help ensure that cancer cases continue to be abstracted and data submitted in a timely fashion. The following pages describe the activities of the Cancer Program and the Cancer Committee over the past year. There is also a report that provides a review of the incidence of the cancers that were diagnosed and treated at Augusta Health in 2010, as well as a special report by Dr. Julie Plumbley that reviews our experience with cancers of the kidney. Our Cancer Program continues to grow and mature. The steps taken over the past year will help to ensure its ongoing viability, and improve our ability to provide the highest possible level of cancer care to those who live in this area. Robert M. Kyler, M.D. Chairman, Cancer Committee Administrative Message Brad Johnson Director Cancer Center Augusta Health’s Cancer Program is on the move, with its eye on taking services to the next level for the community. Cancer cases continue to grow at Augusta Health—close to 900 new patients a year now receive all or part of their oncology care at Augusta Health. Because one in two men and one in three women are at risk for developing cancer in their lifetime, Augusta Health has a vision of patient-centered care that is comprehensive, compassionate and coordinated. In January, 2011, the Augusta Health Cancer Program—which was already accredited by the American College of Surgeons Commission on Cancer—became the fi rst hospital in the region to receive accreditation from the National Accreditation Program for Breast Centers (NAPBC). This accreditation is granted only to those centers that undergo a rigorous evaluation and review of performance and compliance with 27 evidence-based standards of care. The closest accredited programs are in Winchester and Richmond. NAPBC accreditation is only awarded to centers who take a multidisciplinary, team-oriented approach to breast cancer care that is primarily achieved through breast cancer care conferences and Breast Health Nurse Navigator. Instead of providing care in a fragmented way, all of our medical specialties—pathology, radiology, surgery, medical oncology and radiation oncology—are involved in treating the patient. They review the cases together and create a customized plan for each patient. Augusta Health’s Breast Navigator is Meg Shrader. As Navigator, Meg helps simplify the complex healthcare maze for each patient, and lets them know they are not going through this alone. She is a guide who is with them every step of the way. In April, we began working with Duke Medicine as a Research Affi liate, and then in September, Augusta Health became a full Program Development Affi liate within the Duke Oncology Network. The expanded affi liation will strengthen the clinical relationships between the care providers in Augusta County and the faculty and staff at Duke. The Duke Cancer Institute was one of the original eight cancer centers funded by the National Cancer Act in 1971, and received National Cancer Institute (NCI) des- ignation as a Comprehensive Cancer Center in 1973. There are no NCI designated Comprehensive Cancer Centers in Virginia. Augusta Health was inspired by their vision to bring state-ofthe-art, nationally ranked cancer care into local communities and the infrastructure that supports 23 affi liate sites in six states. Duke Oncology Network’s specialized knowledge in research, quality clinical practice, program development and continuing medical education leads to improved cancer care in communities all over the Southeast. Additional benefi ts that Duke Medicine brings to the table are innovative cancer education initiatives for patients and families, patients access to clinical research in the community and state-of-the-art cancer treatment protocols close to home. Another rapidly expanding and evolving area at our Cancer Center is Survivorship and Supportive Care. National statistics demonstrate that 66% of all cancer patients survive fi ve years or more, and that number increases to 90% for those cancers discovered at an earlier stage. To provide support to these survivors, Augusta Health focuses on treating not just the disease, but the whole person—with a team of dietitians, social workers, recreational therapists, chaplains and fi tness regimens tailored to cancer patients. Additionally, we have strengthened our working relationship with the American Cancer Society over the last year by re-starting some programs like Look Good, Feel Better and Man-to-Man, as well as providing new off erings like Cancer Resource Days. All enhancements have been received well by patients, families and friends. Augusta Health feels fortunate and humbled to be the preferred choice in cancer care for so many referring physicians and patients. And we are committed to providing comprehensive quality oncology services for years to come. We encourage you to take a few minutes to get to know us better by reading the following pages, visiting our website and taking advantage of our community outreach programs off ered throughout the year. Brad Johnson Director, Cancer Center Janet P. Mangun, MSA Vice-President Medical Administration AUGUSTA HEALTH • CANCER PROGRAM ANNUAL REPORT AUGUSTA HEALTH • CANCER PROGRAM ANNUAL REPORT Karen Clark, MT, MBA Vice-President Professional Services 3
2011 Cancer Committee Members Robert Kyler, M.D., Cancer Committee Chairman William Thompson, M.D., ACoS Liaison, General Surgery Julie Plumbley, M.D., Pathology, Registry Physician Advisor Christopher Zazakos, Jr., M.D., Medical Oncology Todd Wolf, M.D., Medical Oncology Matthew Shapiro, M.D., Radiology William Jones, M.D., Urology w.augustahealth.com Thomas Patterson, M.D., Family Practice and Palliative Care Margaret Flather, M.D., Gynecology Dr. Justina Ju, M.D., Gastroenterology Kathleen Haden, RN, Oncology Nurse Practitioner Leigh Anderson, LCSW, Oncology Social Services Janet Mangun, MSA, VP Medical Administration Kim Nelson, RN, Director, Inpatient Oncology Services Karen Clark, MT, MBA, VP Professional Services Brad Johnson, Director, Outpatient Oncology Services Mary Beth Landes, MS, RD, CSO, Nutrition Services Tammy Irby, RN, Director, Post Acute Care Linda Gail Johnson, RN, Director, Community Wellness Meg Shrader, RN, CBCN, Breast Health Navigator Janet Reynolds, Community Manager, American Cancer Society Clay Wilson, PharmD, BCOP, Pharmacy Oncology Services Lee Phillips, Chaplaincy Program Rader Dod, Director, Radiology Services Erica Sabatini, BS, Cancer Registrar Jessie Washington, CTR, Cancer Program Coordinator Becky Cutlip, RN, BSN, OCN, CHPN, Research Coordinator 4 Tumor Board Patient-focused Tumor Conference luncheons are held twice a month for discussion of the most appropriate management of current cancer patients. A multidisciplinary team of physicians provides an open forum for participation and continuing medical education. Didactic lectures presented by specialty physicians cover a wide range of cancer sites and address current issues in cancer care. One hundred fi fty one (151) cases were presented in 2010. Attendance at Tumor Conference averaged 29 total attendees, with an average attendance by physicians of 19. 2 0 11 T U M O R B O A R D A C T I V I T Y JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER Case Presentations Case Presentations Case Presentations Case Presentations Advances in Molecular Diagnosis of Cancer Case Presentations Case Presentations Case Presentations Case Presentations Fraction for whole breast irradiation: ASTRO evidence based guidelines. Case Presentations Case Presentations Augusta Health Cancer Center and Duke Medicine – A Collaborative Relationship –Working Together for Quality Care The patient. That is at the heart of the Augusta Health Cancer Center. The theme of patient-centered care is a core value that underlies all the care provided at the Augusta Health Cancer Center. While quality and professionalism are always emphasized, the approach guiding every treatment plan developed, every therapy provided and every encounter with a patient or family is this: What is best for the patient? This patient-centered focus led to not one, but two affi liations between the Augusta Health Cancer Center and Duke Medicine in 2011. First, in April, Augusta Health Cancer Center became a Research Affi liate of Duke Medicine—providing patients with access to oncology clinical trials, a key component of the most advanced comprehensive care. Then, in September, the relationship expanded when Augusta Health Cancer Center became a full Program Development Affi liate within the Duke Oncology Network. “Our relationship with Augusta Health is collaborative and collegial, as we build toward cancer care for tomorrow,” says Linda Sutton, MD, Medical Director of the Duke Oncology Network. “Duke and Augusta Health share common values in our approach to cancer care: we both want to ensure that patients receive the best care possible, and that they receive it in their local communities where they are surrounded by family, friends and all things familiar and comforting at times of stress.” Together, the Augusta Health Cancer Center and Duke Medicine focus on three areas—Patient Care, Quality Improvement and Education-and take a comprehensive, multidisciplinary approach to care. Benefi ts to Augusta Health’s patients are access to new treatments and research; expert care, close to home; access to national cooperative group clinical trials and Duke-investigator initiated trials; and the assurance of high quality care that includes protocols and standards of care developed by Duke Medicine. “Duke’s selection of Augusta Health as an affi liate is based in part on the high quality of care patients were already receiving at Augusta Health. We now hope to work in partnership with the Augusta Health staff to identify opportunities AUGUSTA HEALTH • CANCER PROGRAM ANNUAL REPORT AUGUSTA HEALTH • CANCER PROGRAM ANNUAL REPORT to expand cancer services and meet the challenges for improvement and quality that will defi ne the care of patients in the future. We do that by helping the physicians identify the best resources for their patients, providing opportunities for education at Duke, and helping to build the clinical resources and research structure needed to support a top Oncology program,” adds Dr. Sutton. Karen Clark, Vice President of Professional Services of Augusta Health concludes, “We began working with Duke Medicine in April, and have been impressed with the progress we’ve made to bring the expertise of the Duke Cancer Institute’s clinical research and cancer treatment protocols to our community. We are inspired by their vision to bring state-of-the-art, nationally ranked cancer care into local communities—including ours—through the Duke Oncology Network. Their specialized knowledge in research, clinical practice, program development and continuing medical education lead to improved cancer care all over the Southeast, but specifi cally here in Augusta County. This successful relationship allows Augusta Health to provide our cancer patients with the highest quality care while remaining a community-owned hospital.” 5
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