ANNUAL REPORT OSF Saint Anthony Medical Center Patricia D

Transcription

ANNUAL REPORT OSF Saint Anthony Medical Center Patricia D
2015
ANNUAL REPORT
OSF Saint Anthony Medical Center
Patricia D. Pepe Center for Cancer Care
TO OUR COMMUNITY,
IT IS WITH GREAT PRIDE that we
share the 2015 annual report of the
OSF Saint Anthony Medical Center
Cancer Program, and showcase the
accomplishments of an eventful year.
Truly the highlight of the year was
the opening of the newly expanded
Patricia D. Pepe Center for Cancer Care
(CFCC) in late September 2015. This
15,000-square foot expansion and
3,000 square feet of renovated space
offers an effective, patient-centered
environment for providing the finest
possible diagnostic and treatment
services. This expansion would not
have been possible without the
generous support of the Pepe family.
Patricia Pepe was a patient at the
CFCC for 17 years, and is fondly
remembered for her smile, wit, and
determination, as well as for her and
her family’s generosity.
We obtained Quality Oncology Practice Initiative recertification from the
American Society of Clinical Oncology in February 2015 - only 267 certified
practices in the United States and 32 certified medical oncology practices in
Illinois have received this distinction. Additionally, the center was again
awarded the 2015 Women’s Choice Award.
Three nurses associated with the CFCC program; Peggy Malone, Penny Moore,
and Megan Zimmerlee, were recognized by their peers for extraordinary
performance in patient care, process improvement, and community service.
Navigation services were expanded to include our head and neck cancer
patients. Peggy Rogers graduated and was certified as a Nurse Practitioner,
and expanded her clinical and genetics program duties at the CFCC.
Weekly multidisciplinary tumor conferences continue as we hold ourselves
accountable to best practices and evidence-based guidelines, even as we
individualize the diagnosis and treatment design for each patient in the emerging
world of molecular oncology. We also continue to actively participate in the
Mayo Clinic Care Network electronic consultation service and at teleconference
tumor boards. OSF physicians presented 15 cases at eTumor conferences this
year, engaging the entire Mayo Network in collaborative diagnosis and
treatment design.
We know these achievements are not ours alone and wish to thank our many
mission partners, volunteers, supporters and donors who make this possible.
Everyone on the CFCC team looks forward to working together in the upcoming
years to advance the study and treatment of cancer even further.
Patricia D. Pepe
Photo courtesy of Brian
Thomas Photography.
We also remain grateful for the support received from the administration at
OSF Saint Anthony Medical Center that continues to allow the program to move
forward and grow.
Sincerely,
Richard E. Nora, MD, MBA, FACP Beth Hayden, BSN, RN, MBA,OCN
Medical Director for Oncology Services Clinical Director for Oncology Services
CANCER REGISTRY
The Cancer Registry plays a vital role in maintaining
accreditation approval standards set by the American
College of Surgeons’ Commission on Cancer (CoC) since
1942. The registry utilizes a data system designed for the
collection, management, analysis, and reporting of clinical
cancer information on all inpatients and outpatients
diagnosed and/or treated for cancer at this facility.
As required by state law, registry data is reported to the
Illinois State Cancer Registry (ISCR) at the Illinois Department
of Public Health. Data is also submitted to the National
Cancer Database (NCDB) and the Facility Information Profile
System (FIPS) data-sharing project with the American
Cancer Society where it is used as a benchmarking tool.
The collected data on all cases maintained in the cancer
registry is available for use by the medical staff and other
healthcare professionals for special studies, reports and
CANCER CONFERENCE
Cancer conferences provide an open forum for
multidisciplinary presentations and discussions on various
treatment options and ultimately the determination of the
most appropriate patient management plan.
Weekly cancer conferences continued with enthusiasm
in 2014 and were extremely well-attended by the medical
staff. There were 48 Wednesday morning conferences,
which are approved and certified for AMA PRA Category
1 Credit™.
These convenient on-site educational opportunities for the
medical staff included diagnostic, pathologic and treatment
overviews on 237 cases. The most commonly presented
primary cancers were breast, head & neck, lung, lymphoma,
and melanoma. Physicians and health care professionals are
welcome to attend these meetings that enhance patient care.
research. Each patient entered in the registry database
is followed for life, with treatment and survival data then
being summarized and utilized at local, state and
national levels.
The registry is overseen by two certified tumor registrars
(CTRs) who are responsible for coordinating cancer
conferences, cancer committee meetings and the survey
process with the CoC, ensuring that each of the standards
are being met. The registry also assists with quality studies
and production and publication of the annual report. The
CTR’s are members of the Cancer Registrars of Illinois and
the National Cancer Registrars Association and participate
in educational events including attendance of a regional or
national conference to maintain certification status.
2014 STATISTICAL SUMMARY
Information obtained in demographics is important.
By understanding our patient population, OSF Saint Anthony
Medical Center is able to offer community education,
improve screening programs, implement state of the art
technology, offer clinical trials, and provide enhanced
support services.
County of Residence at Diagnosis
Boone 14%
Total Cases
Ogle 5%
905
Analytic Cases
840(93%)
Patients who were diagnosed and received all or part
of their first course of treatment at OSF Saint Anthony
Medical Center. The data in this report will reflect only
analytic cases.
Dekalb 3%
McHenry 2%
Winnebago 69%
Other 7%
Non-Analytic Cases
65(7%)
Patients who were diagnosed and received their entire
first course of treatment at an outside institution and now
come for treatment after initial treatment failure or with
recurrent disease.
Top 10 Site and Sex Distribution
Primary Site
Breast
Lung
Prostate
Colorectal
Melanoma
Lymphoma
Bladder
Pancreas
Leukemia
Thyroid
Total
Male AJCC Stage Group at Diagnosis
Female
1501 149
99 4257
84 840
62 2834
53 2924
37 2116
30 228
28 1216
26 1412
174 13
Stage 0
Stage I
Stage II
Stage III
Stage IV
N/A
Unknown
51
202
171
98
170
127
21
2014 Comparison of Major Sites
OSF vs. State and National
OSF
National
Illinois
20%
18%
16%
14%
12%
10%
8%
6%
4%
2%
0%
MelanomaColon/
Rectum
Breast Prostate
Lung
2014 OSF TOTAL ANALYTIC INCIDENCE
by Site, Gender, AJCC Stage
Primary Site
Total
Male Female Stage 0 Stage I Stage II Stage III Stage IV N/A Unknown
ORAL CAVITY & PHARYNX
19
13 605 0480 2
Lip
11 001 0000 0
Tongue
64 202 0120 1
Floor of Mouth
11 000 0100 0
Gum & Other Mouth
42 201 0030 0
Tonsil
43 100 0130 0
Other Oral Cavity & Pharynx
32 101 0100 1
DIGESTIVE SYSTEM
141
68736
1434
25
51110
Esophagus
12
10 211 1530 1
Stomach
16
10 611 3370 1
Small Intestine
42 201 1100 1
Colon Excluding Rectum
46
1630251711
100 1
Rectum & Rectosigmoid
16
12 402 5060 3
Anus, Anal Canal & Anorectum
51 401 1300 0
Liver & Intrahepatic Bile Duct
104 602 0060 2
Gallbladder
10 100 0100 0
Other Biliary
20 220 0000 0
Pancreas
28
121601 61
190 1
Other Digestive Organs
11 000 0001 0
RESPIRATORY SYSTEM
105
47580
16 7
21
561 4
Larynx
55 001 1120 0
Lung & Bronchus
99
4257015 6
20
540 4
Pleura
10 100 0001 0
BONES & JOINTS
11 000 0000 1
SOFT TISSUE
72 500 2122 0
SKIN (EXCLUDING BASAL & SQUAMOUS CELL)
56
32248
2612432 1
Melanoma
53
29248
2512430 1
Other Non-Epithelial Skin
33 001 0002 0
BREAST
1501
149
28
6438
1280 0
FEMALE GENITAL SYSTEM
370370
18 4770 1
Cervix Uteri
20 200 1100 0
Corpus & Uterus
220220
16 1130 1
Ovary
1101102 2430 0
Vulva
20 200 0110 0
MALE GENITAL SYSTEM
87
87 018578
120 1
Prostate
84
84 007577120 1
Testis
22 001 0100 0
Penis
11 000 0000 0
URINARY SYSTEM
60
38228
3010660 0
Urinary Bladder
30
22 88
14 4130 0
Kidney & Renal Pelvis
27
14130
16 4520 0
Ureter
32 100 2010 0
BRAIN & OTHER NERVOUS SYSTEM
35
201500 000
35 0
Brain
14
11 300 000
14 0
Cranial Nerves Other Nervous System
2191200 000
21 0
ENDOCRINE SYSEM
206140
10 2233 0
Thyroid
174130
10 2230 0
Other Endocrine Including Thymus
32 100 0003 0
LYMPHOMA
37
2116011 57
130 1
Hodgkin Lymphoma
41 301 1200 0
Non-Hodgkin Lymphoma
33
20130
10 45
130 1
MYELOMA
115 600 00011 0
LEUKEMIA
26
141200 000
26 0
Lymphocytic Leukemia
16
12 400 000
16 0
Myeloid & Monocytic Leukemia
82 600 0008 0
Other Leukemia
20 200 0002 0
MESOTHELIOMA
20 200 0110 0
MISCELLANEOUS
46
192700 000
46 0
TOTAL
840374 466 51 202 171 98 170 127
21
COLORECTAL CANCER
Colorectal cancer is the third most common cancer
diagnosed in both men and women in the United States.
An estimated 136,830 new cases of colorectal cancer were
expected in 2014 according to the American Cancer Society.
In the state of Illinois, 5530 new cases were expected to be
diagnosed. The overall lifetime risk for developing colorectal
cancer is approximately 5%, or 1 in 20 Americans.
Care for patients with colorectal cancer extends well past
surgery, radiation, and chemotherapy. Systematic staging,
pathology review, tumor analysis, evaluation for genetic
syndromes, coordination of concurrent and sequential
therapeutics, symptom management, and education and
support are all parts of the continuum care, and essential
for safety and best clinical outcomes.
The grouping “colorectal” cancer includes a cancer arising
in any segment of the colon (cecum, appendix, ascending
colon, hepatic flexure, transverse, splenic flexure,
descending colon, sigmoid colon), plus the rectum.
At the OSF Saint Anthony Medical Center, Patricia D. Pepe
Center for Cancer Care, all patients with colorectal cancer
meet with an oncology navigator at the time of initial
consultation. The navigators coordinate and expedite
referrals, but also screen patients for distress, uncontrolled
symptoms, historical features that might suggest genetic
syndromes, and for eligibility for clinical trials. Referrals are
then made as appropriate to our Genetics Program, the
Clinical Research Program, the Palliative Care Team, social
services, counseling, and support groups.
There are many known factors that increase the risk of
colorectal cancer; some of these factors are modifiable
while others are not.
To reduce your risk of colorectal cancer:
1. Get screened regularly.
2. Maintain a healthy weight throughout life.
3. Adopt a physically active lifestyle.
4. Consume a healthy diet with an emphasis on plant
sources; specifically:
• Choose foods and beverages in amounts that
help achieve and maintain a healthy weight.
• Limit consumption of red and processed meat.
• Eat at least 2½ cups of vegetables and fruits each day.
• Choose whole grains instead of refined grain
products.
5. If you drink alcoholic beverages, limit consumption.
6. Consume the recommended levels of calcium, primarily
through food sources.
7. Avoid tobacco products.
(Refer to the American Cancer Society for a detailed guide
of these individual risk factors)
Endoscopic ultrasound, CT, and MRI scanning for staging
and treatment planning, and PET scanning when indicated,
are used to accurately stage and optimally plan therapy.
All patients who receive chemotherapy as part of their
care are asked to participate in a formalized chemotherapy
education curriculum. Patients, along with their families
and other supportive persons, are engaged and encouraged
to ask questions, share concerns, and relate experiences.
Same day, one site, concurrent radiation and chemotherapy
are provided when indicated, in concordance with national
guidelines and evidence-based practice. For patients who
require a short-term or long-term ostomy, education and
support are available. Surgical support and interventions
include resection, initially or after neoadjuvant therapy,
and vascular access devices. Radiology provides
additional assistance with vascular access and both
diagnostic and therapeutic services.
Concordance with Evidence-Based Standards of Quality for
Colorectal Cancer Care
(Based on the NCDB Clinical Practice Profile Reports-2015)
What is measured?
OSF Performance Rates
Colon: Adjuvant chemotherapy is considered or 100%
administered within 120 days of diagnosis for patients
under the age of 80 with AJCC Stage III (lymph node
positive) colon cancer.
Rectum: Preoperative chemotherapy & radiation 100%
treatment are administered for clinical AJCC T3N0,
T4N0 or Stage III; or postoperative chemotherapy &
radiation treatment is considered; for patients under
age of 80 receiving resection
for rectal cancer.
Weekly multidisciplinary cancer
conferences are complemented by
participation in the Mayo Health
Network e-tumor conferences. In
addition, the Network provides for
e-consultation for patients who may
benefit from more formal review and
recommendations but not require
travel to Mayo.
August 2014 – July 2015
Analytic cases
835
Colorectal cancer cases
59
Referred to genetics
10
Presented at local cancer conference 12
Presented at Mayo e-conference
4
Number placed on clinical trials
2
2014 Colorectal Cancer Cases by Stage and Age
Stage 0
Stage I
Stage II
Stage III
Stage IV
Unknown
7
Location of Colorectal Cases at
OSF Saint Anthony 2014
Cecum20%
Appendix3%
Ascending Colon16%
Hepatic Flexure 2%
Transverse Colon 10%
Descending Colon 7%
Sigmoid Colon13%
Large Intestine3%
Rectosigmoid Junction10%
6
5
4
3
2
1
Rectum16%
0
0-29 30-39 40-49 50-59 60-69 70-79 80-89 90+
Rectum16%
Treatment of Colon Cancer Comparison – 2003-2013
OSF vs. NCDB (1567 Hospitals)
Treatment of Colon Cancer at OSF Saint Anthony
2010-2014
OSFNCDB
Surgery/Chemo/Radiation
No 1st Course Rx
Other Specified Rx
Chemo Only
No 1st Course Rx
Chemo/Radiation
Surgery/Chemo
20142013201220112010
Chemo Only
Surgery Only
0 %10 %20 %30 %40 %50 %60 %70 %
Surgery/Chemo/Radiation
Surgery/Chemo
Treatment of Colon Cancer at OSF Saint Anthony –
2010-2014
Surgery Only
0 5 10 1520 25 303540
Treatment of Rectum Cancer Comparison – 2003-2013
OSF vs. NCDB (1567 Hospitals)
Treatment of Rectum Cancer at OSF Saint Anthony
2010-2014
OSFNCDB
20142013201220112010
Chemo Only
No 1st Course Rx
Surgery/Radiation
Surgery/Chemo
Chemo/Radiation
Radiation/Chemo
No 1st Course Rx
Surgery Only
Surgery/Radiation/Chemo
Chemo Only
Surgery/Radiation
0 %5%10 %15%20 %25%30 %35%40 %45%
Surgery/Chemo/Radiation
Treatment of Colon Cancer at OSF Saint Anthony –
2010-2014
Surgery/Chemo
Surgery Only
0246810
12
GENETIC CANCER RISK
ASSESSMENT PROGRAM
Cancer genetics refers to the medical field that examines
the hereditary risks of specific cancers. OSF Saint Anthony
Medical Center, Patricia D. Pepe Center for Cancer Care
offers a cancer risk assessment program created to help
men and women with cancer in their family who may be
at increased risk for hereditary breast, ovarian and/or colon
cancer. This program offers one-on-one care and
consultation with our advanced practice nurse who
specializes in cancer genetics and medical oncologists –
Dr. Kent Hoskins and Dr. Shylendra Sreenivasappa.
The goal of cancer risk assessment is to improve health
outcomes and quality of life by tailoring cancer prevention
and screening activities to each person’s individual level of
risk. A variety of methods are used to perform genetic risk
assessment, including computer-based statistical models,
analysis of family history and other clinical characteristics that
might indicate an inherited predisposition to cancer, and in
some cases DNA testing to directly analyze genes that
predispose to cancer. Identifying individuals with an elevated
risk of developing cancer allows the team of specialists to
recommend clinical management strategies that prevent
cancer and improve early detection. In addition, knowledge
acquired during the risk assessment process enables
individuals to make more informed decisions about their
health and other important life decisions.
For individuals with cancer or those with a family history
of cancer, genetic counseling is available to determine if
genetic factors are contributing to cancer in their family.
Genetic counseling also includes discussion of risk-reduction
strategies, specialized screening test, and the availability of
genetic testing. The risk assessment team will provide an
estimate of a person’s risk for specific cancers based upon
age, family history and other risk factors.
For further information about the program please
contact Peggy Rogers, APN at (815) 227-2265.
COMMUNITY PARTNERSHIPS
OSF Saint Anthony Medical Center, Patricia D. Pepe Center
for Cancer Care has partnered with several community
organizations in the Rock River Valley including the American
Cancer Society, Healing Pathways Resource Center, the Black
Health Coalition, Leukemia and Lymphoma Society, and the
Young Men’s Christian Association. Partnership activities
with the American Cancer Society include Relay for Life,
Making Strides against Breast Cancer, Look Good Feel
Better Program, Purple Tea, and Cancer Comes in Many
Colors Event. They also partner with the American
Dermatological Association to provide skin cancer
screenings for the community. These partnerships are
instrumental in meeting the needs of the community by
preventing, diagnosing, treating cancer and providing
support for patients and their families.
Purple Tea – Colorectal Cancer Prevention Program
On April 24, 2015, Shivi Jain, MD participated on a panel
discussion regarding prevention and early detection of
colorectal cancer. There were over two hundred and fifty
women from the African American and Rockford
community in attendance.
Skin Cancer Screening
The annual skin cancer screening event was held on May 2,
2015. Dermatologists provided a screening of exposed skin
of participants. There was also information regarding skin
cancer prevention and early detection, as well as myths
and facts on sunscreen and tanning beds. A total of 147
individuals participated in the screening, with 37 being
referred for follow up.
Bow Tie March
On June 6, 2015, OSF Saint Anthony was proud to
participate in the annual Bow Tie March for men’s cancer
awareness. The event was a 1.5 mile walk with proceeds
benefiting cancer-related counseling, education and
support services at Healing Pathways Cancer Resource
Center. Nurses from the Center for Cancer Care hosted an
educational booth with prevention and early detection
information focused on men, as well as information on
nutrition and making healthy food choices to avoid obesity.
Senior EXPO
On September 17-18, 2015, staff from the Women’s Center
held an educational booth with cancer prevention and early
detection materials at the Senior EXPO. The Senior EXPO
is a two-day resource fair featuring the latest in programs,
products, events and information for those 60 years and
older. It serves as a one-stop shop for caregivers or family
members seeking information for the seniors in their lives.
Black Health Coalition’s Silver Chalice Health Fair
On September 26, 2015, the nursing staff worked with
an oncologist to draw blood for PSA screenings and assist
with rectal exams and clinical breast exams. Nurses also
taught participants the importance of colonoscopies
and rectal cancer screening, as well as the importance of
mammograms and breast cancer screening. A total of 36
screenings were performed.
Cancer Comes in Many Colors
This fashion show fundraiser was held on September 27,
2015 at Giovanni’s Restaurant & Convention Center. The
Center for Cancer Care and OSF’s Women’s Center hosted
an educational booth and display related to early detection
and prevention of breast cancer. Over 600 participants
attended this event.
Making Strides against Breast Cancer Walk
The American Cancer Society walk was held on Saturday,
October 17, 2015 at Rock Valley College. The Women’s
Center hosted an educational booth with breast cancer
prevention educational materials, while many OSF
employees and their family members participated in
this annual walk. More than 2,700 walkers were
registered for the event.
Light the Night
On the evening of October 10, 2015, a group of OSF
employees participated in the walk to raise awareness
and support for the Leukemia and Lymphoma Society.
Walkers carried illuminated balloons to celebrate and
commemorate the lives touched by cancer. Funds raised
will support the mission to cure leukemia, lymphoma,
Hodgins disease and myeloma, and to improve the quality
of life of patients and families.
Oregon Wellness and Resource Fair
On October 16, 2015, staff from the Women’s Center
participated in a wellness fair by hosting an educational
booth with breast cancer prevention and early detection
information. They also conducted bone density screening.
This event was held at the Rock River Center.
Breast Cancer Reconstruction Awareness (BRA) Event
BRA Day promotes education, awareness and access for
women who may wish to consider post-mastectomy breast
reconstruction. Sarah Hagarty, MD spearheaded the event
and facilitated a panel discussion along with Lisa Bruno,
RN, Iftekhar Ahmad, MD, and Jeff Barteau, MD.
Additional Breast Cancer Awareness Activities
Radio station B-103 interviewed Kent Hoskins, MD, Iftekhar
Ahmad MD, Steven Schneider, MD, and Lisa Bruno, RN on
breast cancer related topics including prevention and early
detection strategies, Automated Breast Ultrasound (ABUS),
genetics, and survivorship. The informative interviews were
aired on the radio station throughout the month, as well as
posted on their website.
COMMITMENT TO PROFESSIONAL DEVELOPMENT
Awards
National/Regional Poster Presentations
Penny Moore, RN, BSN, OCN was presented with the 2015
Interdisciplinary Clinical Excellence “Above and Beyond” Award.
Iftekhar Ahmad, MD, MS; Rafael Yah, MS; Kristine Quinn,
RTT; Amy Seebach, RTT, CMD; Huili Wang, PhD, presented
a poster entitled “Dosimetric Comparison of Intensity
Modulated Radiation Therapy (IMRT) and Volumetric
Modulated Arc Therapy (VMAT) for Stereotactic Body
Radiation Therapy (SBRT) in Early Stage Lung Cancer” at
the May 2015 American College of Radiation Oncology
conference in Washington DC.
Peggy Malone, RN, BS, OCN was presented with the
2015 Interdisciplinary Clinical Excellence “Performance
Improvement” Award.
Megan Zimmerman, RN, BSN, OCN was presented with
the 2015 Interdisciplinary Clinical Excellence “Professional
Practice” Award.
CFCC ICE Award Winners
Peggy Malone, RN, BS, OCN was one of four national
finalists nominated for the Academy of Nurse and Patient
Navigators 2015 Oncology Nurse Excellence Award.
Professional Involvement
Iftekhar Ahmad, MD, MS; Rafael Yah, MS; Kris Quinn,
RTT; Amy Seebach, RTT, CMD; Huili Wang, PhD presented
a poster entitled “Dosimetric Study of Volumetric Modulated
Arc Therapy (VMAT) and Intensity Modulated Radiation
Therapy (IMRT) for Stereotactic Body Radiation Therapy
(SBRT) in Early Stage Lung Cancer” at the July 2015
American Association of Physicists in Medicine conference
in Anaheim, California.
Shylendra Sreenivasappa, MD; Peggy Malone, RN, BS,
OCN; Kelli Groomer, MPAS, PA-C; Beth Hayden, RN, BSN,
MBA, OCN; Richard Nora, MD, MBA, FACP, CPE, abstract
accepted as a poster presentation at the March 2016 Annual
Assembly of the American Academy of Hospice and Palliative
Medicine & the Hospice and Palliative Nurses Association
entitled “Outpatient Oncology/Palliative Care Integration.”
Julie Carlson, RN, MSN, APN, AOCNS was the membership
and program chair for the Northwest Illinois Chapter of the
Oncology Nursing Society.
Amy Clendening, RN, BSN, OCN was the web-site chair for
the Northwest Illinois
Beth Hayden, RN, BSN, MBA, OCN served as the secretary
of the Northwest Illinois Chapter of the Oncology Nursing
Society, the Chair of the Education Committee for the
American College of Oncology Administrators and is on the
Board of Directors for Healing Pathways Resource Center.
Multidisciplinary PI Team
Professional Achievements
National/Regional Podium Presentations
Mark Rogers, CCRC received the designation of Certified
Clinical Research Coordinator by the Academy of Clinical
Research Professionals.
Lisa Bruno, RN, BSN, OCN; Peggy Malone, RN, BS, OCN
presented “Navigation Track: Introduction into Oncology”
at the Academy of Oncology Nurse and Patient Navigators
Sixth Annual Navigation and Survivorship Conference in
Atlanta, Georgia in October 2015.
Peggy Rogers, RN, MSN, FNP-BC, AOCNP completed her
Family Nurse Practitioner degree, as well as received her
Advanced Oncology Nurse Practitioner Certification.
OUR DEDICATED ONCOLOGY TEAM
Iftekhar Ahmad, MD
Radiation Oncology
George Bryan, MD
Radiation Oncology
Kent Hoskins, MD
Medical Oncology
Kelli Groomer, PA-C
Medical Oncology
Shivi Jain, MD
Medical Oncology
Ajaz Khan, MD
Medical Oncology
Mete Korkmaz, MD
Medical Oncology
Richard Nora, MD
Medical Oncology
Peggy Rogers, AOCNP
Medical Oncology
Ismael Shaukat, MD
Medical Oncology
Shylendra Sreenivasappa, MD
Medical Oncology
CANCER COMMITTEE
The Cancer Committee is a multidisciplinary group comprised of physicians
from various specialties, as well as representatives from departments that
provide support and manage cancer care. The committee guides and
implements cancer-related policies and programs for OSF Saint Anthony
Medical Center and meets quarterly to accomplish these activities.
The annual report is prepared by Lynn
Kiehl, CTR and Tanya Magnuson, CTR,
and dedicated to our cancer patients
and their families who continue to
inspire us with their courage.
For more information about
cancer services and programs or
to refer a patient to the Patricia D.
Pepe Center for Cancer Care at
OSF Saint Anthony Medical Center
call (815)227-2273.
Cancer Liaison Physician
Cancer Committee Coordinators
Cancer Conference Coordinator
Quality Improvement Coordinator
Cancer Registry Quality Coordinator
Community Outreach Coordinator
Clinical Research Coordinator
Psychosocial Services Coordinator
Cancer Committee Members
Iftekhar Ahmad, MD, MS
Tanya Magnuson, CTR
Beth Hayden, RN, BSN, MBA, OCN
Lynn Kiehl, CTR
Julie Carlson, RN, MSN, APN, AOCNS
Mark Rogers, CCRC
Suzanne Nguy, MSW, LCSW
References
– AJCC Cancer Staging Handbook, Seventh Edition,
American Joint Commission on Cancer; 2009.
– American College of Surgeons National Cancer
Database (NCDB) Benchmark Reports,
www.facs.org/cancer/ncdb/index.html
– Cancer Facts and Figures 2014, American Cancer
Society, 2014, www.cancer.org
Cancer Committee Chair Richard Nora, MD, MBA
– Colorectal Cancer Facts & Figures 2014-2016,
Clinical Trials Shylendra Sreenivasappa, MD
American Cancer Society, 2014, www.cancer.org
Diagnostic Radiology Stephen Lehnert, MD
General Surgery Jeffrey Barteau, MD
Genetics
Peggy Rogers, RN, MSN, FNP-BC, AOCNP
Medical Oncology Shivi Jain, MD
Ajaz Khan, MD
Mete Korkmaz, MD
Ismael Shaukat, MD
Kelli Groomer, MPAS, PA-C
Palliative Care Jean Kriz, MD
Pathology
David Laib, MD
Radiation Oncology George Bryan, MD
American Cancer Society Ashley Lach
Medical Information Services Jane Malone, RHIA
Nutrition Services Jodi Witte, RD, LDN, CSO
Oncology Nurse Kim Calabro, BSN, RN, OCN
Chelsea Hardacre, RN, OCN
Darlynn Venne, BSN, OCN
Pastoral Care Dean Parker
Patient Navigation Lisa Bruno, RN, BSN, OCN
Peggy Malone, RN, BS, OCN
Pharmacy
Katie Loehr, PHARM. D.
Rehabilitation Services Lisa Timpe-Johnson
Women’s Center Allison Gleason, R.T. (R) (M)
A special thank you to the Cancer Committee members for their dedicated
leadership and tireless effort.
Certified
Certified
Quality Cancer Care: Recognizing Excellence
Quality Cancer Care: Recognizing Excellence
OSF Saint Anthony
Medical Center
5666 E. State Street
Rockford, IL, 61108
www.osfsaintanthony.org