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
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