Monitoring Clinical Stage to Improve Care

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Monitoring Clinical Stage to Improve Care"

Transcription

1 Monitoring Clinical Stage to Improve Care Stephen Dreyer, MD, FACS Cancer Liaison State Chair Nebraska Fremont, NE M. Asa Carter, CTR Manager, Accreditation and Standards American College of Surgeons Chicago, IL New Standard.3 It is not the strongest of the species that survive, nor the most intelligent, but the one most responsive to change. ~Author unknown Commission on Cancer Mission Statement The Commission on Cancer is: dedicated to reducing cancer morbidity and mortality through education, standard setting, and the monitoring of quality of care 1

2 The Importance of Staging Ensure patient s receive appropriate care Evaluate treatment results and patient outcomes A New Standard With a New Focus The cancer committee, or other appropriate leadership body, develops a process to monitor physician use of stage, site specific prognostic indicators, and evidence-based national treatment guidelines in treatment planning for cancer patients. The findings of the monitoring are presented at least annually to the cancer committee, or other appropriate leadership body, and are documented in minutes. What s Different About the Standard Focuses on care process Defines cancer committee responsibilities Excludes staging mechanics

3 Helpful Definitions - Stage Clinical Stage: Evidence acquired before primary treatment Includes: Physical exam Diagnostic imaging Endoscopy Biopsy Surgical exploration Helpful Definitions - Stage Working Stage: All clinical stage information plus pathologic stage information available at this point Helpful Definitions - Stage Collaborative Stage: A coding system bringing together the AJCC, SEER Summary Stage, and SEER Extent of Disease principles. Can combine clinical and pathologic information Applies to data recorded in the cancer registry data base Not used by physicians 3

4 New Standard.3 Intent Promote physician use of clinical stage to select the most appropriate treatment Extend the benefit of Cancer Conference (.8) to other cancer patients Demonstrate Compliance New Standard.3 Accuracy of clinical stage Evidence in the medical record, or Documentation in other sources Treatment concordant with recognized guidelines Implementing the Process Educate physicians and nurses Identify acceptable locations (in medical record) Select nationally recognized standards Initiate the process Report the findings Improve compliance rates

5 Mutually Accepted Locations for Physician and Registrar Medical/radiation oncology consultation Surgical site verification record Preoperative consultation History/physical EMR line item Operative note description of findings Cancer conference notes Surgical Site Verification Record Current info - physician name, date, procedure Cases with a cancer diagnosis or a suspicion of malignancy - nurse will ask for a clinical stage - record on form or in EMR Create dialog box Cancer Registry Clinical stage date Treatment procedure date Initial treating physician Available for review by data quality coordinator 5

6 Initiate Monitoring Process Start with medical and radiation oncology consultations Select disease sites in which they would provide initial treatment Review records Clinical stage documentation Treatment process Set expected rates of accuracy and compliance Quarterly report to cancer committee Surgical Cases Establish acceptable site in record Review sites in which surgical procedure is the initial course of treatment Clinical stage documentation Treatment process Set expected rates of accuracy and compliance Quarterly report to cancer committee Monitoring Grid MR # site physician Clinical stage accurate Treatment concordant Both accurate and concordant Total Total Total Total Total Percent Percent Percent Percent 6

7 Results of Radiation and Medical Oncology Consultations Sites were selected were: Lung 13 Hematologic malignancies 11 Rectum 3 Esophagus 3 Compliance Rate.3 Clinical stage was noted and accurate 83.3% (5/30) Treatment plan concordant guideline 100% (5/5) Compliance rate 83.3% Noncompliance In the 5 cases not noted hematologic malignancies 1 esophageal carcinoma Hematologic malignancies Prognostic markers Esophageal carcinoma Stage implied by description 7

8 Problems Clinical stage not included in esophageal case discussion of findings, but not noted Solution: Clinical stage will be added to the consultation template reminder Problems Hematologic malignancies CLL, multiple myeloma Utilize prognostic markers that determine tumor burden for treatment planning Modified Rai Staging - CLL Durrie-Salmon Classification multiple myeloma Solution: Include the stage of tumor burden indicated by these guidelines in the consultation Surgical Site Verification Record Review By consensus the Surgical Site Verification Record was selected and this process was begun on Consensus built: Cancer committee Approval patient care review committee Surgery department committee Individual meeting with surgeons 8

9 Case Discovery Perform an operative procedure search of OR log Filter for procedures related to most common sites Prostatectomy Mastectomy-lumpectomy Colectomy Nephrectomy Operating Room Log Data printed Medical record number Preop diagnosis Postop diagnosis Date Procedure Select cases for review Case Review Note the clinical stage listed in the SSVR Review the medical record to verify the accuracy of the clinical stage Evaluate the planned operative procedure for appropriateness 9

10 Quality Improvement Opportunities Adequacy of the staging process Appropriateness of treatment plan Results of Review Site Total Clinical Stage Accurate Concordant Compliant Prostate % Breast % Colon 100% Kidney % Rectum 100% Bladder 1 0 0% Problems Encountered The surgical site verification form requested a clinical stage for cases with a definitive cancer diagnosis Solution: The record has been corrected and the nurse will ask for a clinical stage in any patient with a pre-procedure diagnosis or suspicion of cancer 10

11 Problems Circulating nurse forgot to request the clinical stage Solution: A meeting held with OR nursing staff to review this new documentation procedure and answer any questions Problems The surgical site verification record did not contain a site to record the intended procedure Solution: The signed operative permit will be the source of information for the intended treatment plan Staging methods Problems Confusion regarding terminology T1 needle biopsy considered stage 1 T palpable considered stage Outdated staging system for bladder cancer 11

12 Evolution of Monitoring Process Initially clinical stage review is done as a separate process by a work group To establish benchmark rate Refine clinical staging process After achieve best possible rate of compliance Become a component of annual 10% random review for data quality Ensuring Quality of Care Follow the QI process Plan Do Study (Check) Act Summary Clinical stage is important for understanding initial treatment choices Prognostic factors influence treatment choice Clinical practice guidelines seek to improve care through standardization The cancer committee can use the quality improvement process to monitor and improve the use of stage in treatment planning 1

13 Monitoring Clinical Stage to Improve Care 13

2012 CANCER PROGRAM ANNUAL REPORT

2012 CANCER PROGRAM ANNUAL REPORT MERCY REGIONAL CANCER CENTER 2012 CANCER PROGRAM ANNUAL REPORT Using 2011 Data Mercy Regional Cancer Center When you have cancer, you might think first of treatments chemotherapy and radiation. You want

More information

Report with statistical data from 2007

Report with statistical data from 2007 2008 Cancer Program Annual Report with statistical data from 2007 Lake Cumberland Regional Hospital 305 Langdon Streett Somerset, KY 42503 Telephone: 606-679-7441 Fax: 606-678-9919 Cancer Committee Mullai,

More information

Bristol Hospital Cancer Care Center 2015 Annual Report

Bristol Hospital Cancer Care Center 2015 Annual Report Bristol Hospital Cancer Care Center 2015 Annual Report 2015 Annual Report Cancer Care Center At every point along the path, our team is there, keeping the focus on the most important team member - the

More information

GENERAL CODING. When you review old cases that were coded to unknown, make corrections based on guidelines in effect at the time of diagnosis.

GENERAL CODING. When you review old cases that were coded to unknown, make corrections based on guidelines in effect at the time of diagnosis. GENERAL CODING When you review old cases that were coded to unknown, make corrections based on guidelines in effect at the time of diagnosis. Exception: You must review and revise EOD coding for prostate

More information

AJCC T, N, and M Category Options for Registry Data Items in 2016. Overview. Learning Objectives. Provide guidance to cancer registrars on key topics

AJCC T, N, and M Category Options for Registry Data Items in 2016. Overview. Learning Objectives. Provide guidance to cancer registrars on key topics AJCC T, N, and M Category Options Donna M. Gress, RHIT, CTR Validating science. Improving patient care. This presentation was supported by the Cooperative Agreement Number DP13-1310 from The Centers for

More information

C a nc e r C e nter. Annual Registry Report

C a nc e r C e nter. Annual Registry Report C a nc e r C e nter Annual Registry Report 214 214 Cancer Registry Report Larraine A. Tooker, CTR Please note that the 214 Cancer Registry Annual Report is created in 214, but it reflects data on cases

More information

Analysis of Prostate Cancer at Easter Connecticut Health Network Using Cancer Registry Data

Analysis of Prostate Cancer at Easter Connecticut Health Network Using Cancer Registry Data The 2014 Cancer Program Annual Public Reporting of Outcomes/Annual Site Analysis Statistical Data from 2013 More than 70 percent of all newly diagnosed cancer patients are treated in the more than 1,500

More information

Health Information. Technology and Cancer Information Management. Health Information Technology & Cancer Information Management 363

Health Information. Technology and Cancer Information Management. Health Information Technology & Cancer Information Management 363 Health Information Technology & 363 Health Information Technology and Cancer Information Management Opportunities in the health information field have expanded with changes in health care delivery, utilization

More information

AJCC TNM and Summary Stage 10/2/14

AJCC TNM and Summary Stage 10/2/14 STAGE DATA: USING THE AJCC CANCER STAGING MANUAL 7 TH ED. AND SUMMARY STAGE 2000 Jim Hofferkamp, CTR (jhofferkam@naaccr.org) Shannon Vann, CTR (svann@naaccr.org) Q&A Please submit all questions concerning

More information

Ellis Fischel Cancer Center Registry Data Public Reporting of Outcomes: Breast Cancer

Ellis Fischel Cancer Center Registry Data Public Reporting of Outcomes: Breast Cancer Ellis Fischel Cancer Center Registry Data 13 Public Reporting of Outcomes: Breast Cancer To satisfy Standard 1.12 of the American College of Surgeons Commission on Cancer, a review of outcomes related

More information

Non-Small Cell Lung Cancer Treatment Comparison to NCCN Guidelines

Non-Small Cell Lung Cancer Treatment Comparison to NCCN Guidelines Non-Small Cell Lung Cancer Treatment Comparison to NCCN Guidelines April 2008 (presented at 6/12/08 cancer committee meeting) By Shelly Smits, RHIT, CCS, CTR Conclusions by Dr. Ian Thompson, MD Dr. James

More information

Together, The Strength

Together, The Strength DECATUR County Indiana Together, The Strength to Fight Cancer Barbara Taylor, MD Cancer Committee Chairperson Rahul Dewan, DO Radiation Oncology Cancer Liasion Jaime Ayon, MD Medical Oncology/ Hematology

More information

DOMINICAN HOSPITAL QUALITY IMPROVEMENT STUDY BREAST CANCER CARE

DOMINICAN HOSPITAL QUALITY IMPROVEMENT STUDY BREAST CANCER CARE DOMINICAN HOSPITAL QUALITY IMPROVEMENT STUDY BREAST CANCER CARE STUDY COORDINATOR: Jimmy Chung, MD 234 Surgical breast cancer patients admitted 2004-2008 Updated: 10/7/10 INTRODUCTION Breast cancer is

More information

Directly Coded Summary Stage Is Back

Directly Coded Summary Stage Is Back Directly Coded Summary Stage Is Back Donna M. Hansen, CTR Auditor & Training Coordinator California Cancer Registry June 30, 2015 1 Outline What is SEER Summary Stage 2000 (SS2000)? Summary Stage Housekeeping

More information

Focus on Prostate Cancer

Focus on Prostate Cancer 2010 A N N U A L R E P O RT Edwards Cancer Center Focus on Prostate Cancer Union Welcome from the President Letter from the Chairman Carolinas Medical Center-Union and Edwards Cancer Center continue our

More information

General Rules SEER Summary Stage 2000. Objectives. What is Staging? 5/8/2014

General Rules SEER Summary Stage 2000. Objectives. What is Staging? 5/8/2014 General Rules SEER Summary Stage 2000 Linda Mulvihill Public Health Advisor NCRA Annual Meeting May 2014 National Center for Chronic Disease Prevention and Health Promotion Division of Cancer Prevention

More information

Breast. Patient information. cancer clinical pathway

Breast. Patient information. cancer clinical pathway Breast Patient information cancer clinical pathway This leaflet was written to properly inform people following breast cancer treatment plan. It doesn t replace the dialogue with healthcare staff; it rather

More information

FCDS MAILING INFORMATION. FCDS/University of Miami Miller School of Medicine P. O. Box (D4-11) Miami, FL 33101

FCDS MAILING INFORMATION. FCDS/University of Miami Miller School of Medicine P. O. Box (D4-11) Miami, FL 33101 FLORIDA DEPT. OF HEALTH MEDICAL LICENSE SEARCH USEFUL FOR CASE FOLLOW-UP TYPE OF REPORTING SOURCE NAACCR ITEM #500 - CODING INSTRUCTIONS ON-LINE REGISTRATION FOR THE FCDS ANNUAL CONFERENCE, JULY 27-28,

More information

2014 Report of Cancer Program Activities for 2013

2014 Report of Cancer Program Activities for 2013 2014 Report of Cancer Program Activities for 2013 The University of Vermont Health Network-Central Vermont Medical Center (UVMHN-CVMC) Cancer Committee is pleased to present our Cancer Program Annual Report

More information

Survivorship Care Plans Guides for Living After Cancer Treatment

Survivorship Care Plans Guides for Living After Cancer Treatment Survivorship Care Plans Guides for Living After Cancer Treatment Institute of Medicine Report 2005 Recommendations for meeting needs of cancer survivors Implement survivorship care plan Build bridges

More information

The Ontario Cancer Registry moves to the 21 st Century

The Ontario Cancer Registry moves to the 21 st Century The Ontario Cancer Registry moves to the 21 st Century Rebuilding the OCR Public Health Ontario Grand Rounds Oct. 14, 2014 Diane Nishri, MSc Mary Jane King, MPH, CTR Outline 1. What is the Ontario Cancer

More information

Travel Distance to Healthcare Centers is Associated with Advanced Colon Cancer at Presentation

Travel Distance to Healthcare Centers is Associated with Advanced Colon Cancer at Presentation Travel Distance to Healthcare Centers is Associated with Advanced Colon Cancer at Presentation Yan Xing, MD, PhD, Ryaz B. Chagpar, MD, MS, Y Nancy You MD, MHSc, Yi Ju Chiang, MSPH, Barry W. Feig, MD, George

More information

NEOPLASMS OF KIDNEY (RENAL CELL CARCINOMA) And RENAL PELVIS (TRANSITIONAL CELL CARCINOMA)

NEOPLASMS OF KIDNEY (RENAL CELL CARCINOMA) And RENAL PELVIS (TRANSITIONAL CELL CARCINOMA) NEOPLASMS OF KIDNEY (RENAL CELL CARCINOMA) And RENAL PELVIS (TRANSITIONAL CELL CARCINOMA) Merat Esfahani, MD Medical Oncologist, Hematologist Cancer Liaison Physician SwedishAmerican Regional Cancer Center

More information

The CLP reports the results of this analysis to the cancer committee at least four time a year.

The CLP reports the results of this analysis to the cancer committee at least four time a year. American American College College of of Surgeons 2013 Content 2014 Content cannot be be reproduced or or repurposed without written permission of of the the American College College of Surgeons. of Surgeons.

More information

Treatment & Research. Treatment & Research

Treatment & Research. Treatment & Research Treatment & Research In March 1990, I became ill while on a trip to Thailand. I was examined and tested and given instructions to go to the emergency room when I arrived at home. In Great Falls, I learned

More information

January 12, 2015. Sincerely, Scott H. Kurtzman, MD, FACS Chair, NAPBC Standards and Accreditation Committee Attached (NAPBC Performance Report)

January 12, 2015. Sincerely, Scott H. Kurtzman, MD, FACS Chair, NAPBC Standards and Accreditation Committee Attached (NAPBC Performance Report) January 12, 2015 Anees B. Chagpar, MD, MSc, MA, MPH, MBA The Breast Center -- Smilow Cancer Hospital at Yale-New Haven Yale-New Haven Hospital 20 York St, First Floor New Haven, CT 06510 Dear Anees B.

More information

AVOIDING THE DATA DESERT: QUENCH YOUR THIRST. Authors: Linda Reimers and Lisa Landvogt

AVOIDING THE DATA DESERT: QUENCH YOUR THIRST. Authors: Linda Reimers and Lisa Landvogt AVOIDING THE DATA DESERT: QUENCH YOUR THIRST Authors: Linda Reimers and Lisa Landvogt Cancer Data Who Needs It? The Obvious List Physicians Nurses Researchers Administrators Corporations Agencies Patients

More information

In The Abstract A quarterly newsletter from the

In The Abstract A quarterly newsletter from the In The Abstract A quarterly newsletter from the Kentucky Cancer Registry Large Hospital Edition July, 2000 KCR FALL WORKSHOP Sept. 14-16, 2000 Enclosed with this newsletter is a packet of information containing

More information

There must be an appropriate administrative structure for each residency program.

There must be an appropriate administrative structure for each residency program. Specific Standards of Accreditation for Residency Programs in Radiation Oncology 2015 VERSION 3.0 INTRODUCTION The purpose of this document is to provide program directors and surveyors with an interpretation

More information

2010 SITE REPORT St. Joseph Hospital PROSTATE CANCER

2010 SITE REPORT St. Joseph Hospital PROSTATE CANCER 2010 SITE REPORT St. Joseph Hospital PROSTATE CANCER Humboldt County is located on the Redwood Coast of Northern California. U.S census data for 2010 reports county population at 134,623, an increase of

More information

Update on Prostate Cancer: Screening, Diagnosis, and Treatment Making Sense of the Noise and Directions Forward

Update on Prostate Cancer: Screening, Diagnosis, and Treatment Making Sense of the Noise and Directions Forward Update on Prostate Cancer: Screening, Diagnosis, and Treatment Making Sense of the Noise and Directions Forward 33 rd Annual Internal Medicine Update December 5, 2015 Ryan C. Hedgepeth, MD, MS Chief of

More information

Table of Contents. Cancer Committee Chairman s Report Accountability and Quality Improvement Measures Cancer Registry Cancer Sites

Table of Contents. Cancer Committee Chairman s Report Accountability and Quality Improvement Measures Cancer Registry Cancer Sites Table of Contents 2 3 6 8 9 Cancer Committee Chairman s Report Accountability and Quality Improvement Measures Cancer Registry Cancer Sites 1 2014 Cancer Committee Thomas Sunnenberg, MD, Medical Oncology,

More information

Mercy Cancer Center Annual Performance and Outcomes Report. Approved by: Cancer Center Leadership Team. May 20, 2014

Mercy Cancer Center Annual Performance and Outcomes Report. Approved by: Cancer Center Leadership Team. May 20, 2014 Mercy Cancer Center Annual Performance and Outcomes Report Approved by: Cancer Center Leadership Team May 20, 2014 Outline Quality measures (Commission on Cancer Quality Reporting Tools) Inpatient Market

More information

2015 Care and Treatment of Cancer Patients. Sky Lakes Medical Center Oncology Program

2015 Care and Treatment of Cancer Patients. Sky Lakes Medical Center Oncology Program 2015 Care and Treatment of Cancer Patients Sky Lakes Medical Center Oncology Program Table of Contents: 2 Committee Chair Message 3 Cancer Treatment Center 4 Commision on Cancer 4 Accreditation 5 Cancer

More information

An Introduction to the. cancer registry. instructor s guide

An Introduction to the. cancer registry. instructor s guide An Introduction to the cancer registry instructor s guide National Cancer Registrars Association Education Foundation 1340 Braddock Place, Suite 203 Alexandria, Virginia 22314 (703) 299-6640 www.ncraeducationfoundation.org

More information

Center for Endoscopic Research & Therapeutics

Center for Endoscopic Research & Therapeutics Center for Endoscopic Research & Therapeutics 5758 South Maryland Avenue (MC9028) Chicago, Illinois 60637 (773) 702-1459 www.uchospitals.edu Center for Endoscopic Research & Therapeutics To refer a patient

More information

Multidisciplinary Cancer Conferences (MCCs) Transforming the delivery of cancer care

Multidisciplinary Cancer Conferences (MCCs) Transforming the delivery of cancer care Multidisciplinary Cancer Conferences (MCCs) Transforming the delivery of cancer care Purpose To provide an introduction and background on MCCs To discuss how MCCs have been implemented across Ontario To

More information

Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma

Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma Medical Expert: Breast Rotation Specific Competencies/Objectives 1.0 Medical History

More information

Big Data and Oncology Care Quality Improvement in the United States

Big Data and Oncology Care Quality Improvement in the United States Big Data and Oncology Care Quality Improvement in the United States Peter P. Yu, MD, FACP, FASCO President, American Society of Clinical Oncology Director of Cancer Research, Palo Alto Medical Foundation

More information

MERCY REGIONAL MEDICAL CENTER CANCER PROGRAM ANNUAL REPORT 2014

MERCY REGIONAL MEDICAL CENTER CANCER PROGRAM ANNUAL REPORT 2014 MERCY REGIONAL MEDICAL CENTER CANCER PROGRAM ANNUAL REPORT 2014 MERCY CANCER CENTER When you have cancer, you might think first of treatments chemotherapy and radiation. You want and need both of these

More information

NCI Community Cancer Centers Program Program Overview Ascension Health St. Vincent Indianapolis Hospital

NCI Community Cancer Centers Program Program Overview Ascension Health St. Vincent Indianapolis Hospital A. Name and location of hospital:, Indianapolis, IN B. Name of cancer center: St. Vincent Oncology Center C. Identify PI and key personnel with contact information for each pilot focus areas: a. Disparities

More information

Early mortality rate (EMR) in Acute Myeloid Leukemia (AML)

Early mortality rate (EMR) in Acute Myeloid Leukemia (AML) Early mortality rate (EMR) in Acute Myeloid Leukemia (AML) George Yaghmour, MD Hematology Oncology Fellow PGY5 UTHSC/West cancer Center, Memphis, TN May,1st,2015 Off-Label Use Disclosure(s) I do not intend

More information

Oncology Annual Report: Prostate Cancer 2005 Update By: John Konefal, MD, Radiation Oncology

Oncology Annual Report: Prostate Cancer 2005 Update By: John Konefal, MD, Radiation Oncology Oncology Annual Report: Prostate Cancer 25 Update By: John Konefal, MD, Radiation Oncology Prostate cancer is the most common cancer in men, with 232,9 new cases projected to be diagnosed in the U.S. in

More information

KINGS COUNTY HOSPITAL CENTER EXECUTIVE SUMMARY. Always Here When You Need Us

KINGS COUNTY HOSPITAL CENTER EXECUTIVE SUMMARY. Always Here When You Need Us KINGS COUNTY HOSPITAL CENTER EXECUTIVE SUMMARY Always Here When You Need Us Kings County Hospital Center Cancer Care Program ANNUAL REPORT 2013: EXECUTIVE SUMMARY The Kings County Hospital Center Cancer

More information

The New International Staging System Lung Cancer

The New International Staging System Lung Cancer The New International Staging System Lung Cancer Valerie W. Rusch, MD Chief, Thoracic Surgery Memorial Sloan-Kettering Cancer Center Chair, Lung and Esophagus Task Force, American Joint Commission on Cancer

More information

Breast Cancer Screening in Low- and Middle-Income Countries A Framework To Choose Screening Strategies

Breast Cancer Screening in Low- and Middle-Income Countries A Framework To Choose Screening Strategies Breast Cancer Screening in Low- and Middle-Income Countries A Framework To Choose Screening Strategies Richard Wender, MD Session code: www.worldcancercongress.org A Five Step Framework to Guide Screening

More information

East Lancashire Surgical Robot

East Lancashire Surgical Robot East Lancashire Surgical Robot For ALL patients in Lancashire Prostate cancer claims the life of one man every hour and by 2030 will be the most common cancer; it is already the most common male cancer.

More information

Number. Source: Vital Records, M CDPH

Number. Source: Vital Records, M CDPH Epidemiology of Cancer in Department of Public Health Revised April 212 Introduction The general public is very concerned about cancer in the community. Many residents believe that cancer rates are high

More information

Prostate Cancer. Treatments as unique as you are

Prostate Cancer. Treatments as unique as you are Prostate Cancer Treatments as unique as you are UCLA Prostate Cancer Program Prostate cancer is the second most common cancer among men. The UCLA Prostate Cancer Program brings together the elements essential

More information

Cancer doesn t care but we do. 2010 Cancer Annual Report

Cancer doesn t care but we do. 2010 Cancer Annual Report Cancer doesn t care but we do. 2010 Cancer Annual Report The Cancer Committee of CHRISTUS St. Patrick Hospital is proud to present its 2010 Annual Report. The Community Hospital Comprehensive Cancer Program

More information

2009 Cancer Committee

2009 Cancer Committee 2009 Cancer Committee Lung (non-small cell) Cancer Study Stage IIIA and IIIB John Clouse, M.D. Alicia Stark, RHIT Jeff Robinson Table of Cont ent s Table of Contents... 1 Lung (non-small cell) Cancer Facts.2

More information

Gibbs Cancer Center & Research Institute Comprehensive Community Cancer Program (CCCP)

Gibbs Cancer Center & Research Institute Comprehensive Community Cancer Program (CCCP) American American College College of of Surgeons 2013 Content 2014 Content cannot be be reproduced or or repurposed without written permission of of the the American College College of Surgeons. of Surgeons.

More information

Lymph Node Examination Rates in Colorectal Cancer May Not Increase Survival. By Ferdinand Schafer

Lymph Node Examination Rates in Colorectal Cancer May Not Increase Survival. By Ferdinand Schafer Lymph Node Examination Rates in Colorectal Cancer May Not Increase Survival By Ferdinand Schafer Location and Frequency of Colorectal Tumors Lymphatic Drainage of the Colon and Rectum Figure 4. Diagram

More information

EDUCATING, SUPPORTING & COORDINATING CARE: ONCOLOGY NURSE NAVIGATORS

EDUCATING, SUPPORTING & COORDINATING CARE: ONCOLOGY NURSE NAVIGATORS EDUCATING, SUPPORTING & COORDINATING CARE: ONCOLOGY NURSE NAVIGATORS Nancy Foreman, RN, BSN Oncology Nurse Navigator Cancer Centers of Northern Arizona Healthcare Learning Objectives: Identify five services

More information

National Framework for Excellence in

National Framework for Excellence in National Framework for Excellence in Lung Cancer Screening and Continuum of Care declaration of purpose Rights and Expectations THE RIGHTS OF THE PEOPLE Lung cancer kills more Americans than the next four

More information

OBJECTIVES: RESERVATIONS : Renaissance Orlando at SeaWorld (407) 351-5555 or (800) 327-6677 http://www.renaissanceseaworldorlando.

OBJECTIVES: RESERVATIONS : Renaissance Orlando at SeaWorld (407) 351-5555 or (800) 327-6677 http://www.renaissanceseaworldorlando. MAY/JUNE 2010 MONTHLY JOURNAL OF UPDATES AND INFORMATION V12 FCDS Implementation Tentative Timeline, 2010 Implementation Guideline - Revised May 24, 2010, CS SSF by Schema and the NAACCR/FCDS File layout

More information

NEW HYBRID IMAGING TECHNOLOGY MAY HAVE BIG POTENTIAL FOR IMPROVING DIAGNOSIS OF PROSTATE CANCER

NEW HYBRID IMAGING TECHNOLOGY MAY HAVE BIG POTENTIAL FOR IMPROVING DIAGNOSIS OF PROSTATE CANCER Media Release April 7, 2009 For Immediate Release NEW HYBRID IMAGING TECHNOLOGY MAY HAVE BIG POTENTIAL FOR IMPROVING DIAGNOSIS OF PROSTATE CANCER London, Ontario Improved hybrid imaging techniques developed

More information

2014Cancer Annual Report

2014Cancer Annual Report 2014Cancer Annual Report Cancer doesn, t care but we do. Letter from Cancer Committee Chair and Cancer Liaison Accredited by the American College of Surgeons Commission on Cancer, CHRISTUS St. Patrick

More information

The Georgia Cancer Registry A State s Perspective

The Georgia Cancer Registry A State s Perspective The Georgia Cancer Registry A State s Perspective Kevin C. Ward, PhD, MPH, CTR Director Georgia Center for Cancer Statistics Emory University kward@emory.edu Georgia Center for Cancer Statistics Located

More information

Treatment Part Two 1 FLORIDA CANCER DATA SYSTEM Treatment - Part Two

Treatment Part Two 1 FLORIDA CANCER DATA SYSTEM Treatment - Part Two Treatment Part Two 1 Prerequisites 2 Completion of FCDS, Introduction to Abstracting module Completion of FCDS, Treatment Part One Learning Objectives 3 Recognize cancer treatment modalities Acquire a

More information

Become a Cancer Registrar

Become a Cancer Registrar PAGE 1 OF 5 Cancer registrars ensure that timely, accurate, and complete data are maintained on all types of cancer diagnosed and/or treated within a health care institution or within a defined population.

More information

THE CANCER CENTER 2013 ANNUAL REPORT CONTAINING 2012 STATISTICS

THE CANCER CENTER 2013 ANNUAL REPORT CONTAINING 2012 STATISTICS THE CANCER CENTER 2013 ANNUAL REPORT CONTAINING 2012 STATISTICS Northside Medical Center Cancer Committee Mission Statement It is the mission of the Cancer Committee to evaluate and monitor the care of

More information

An Introduction to the American Cancer Society & Primary Care Systems Work. Presented by: Jessica Jamison, MPH Sr. Director, Primary Care Systems

An Introduction to the American Cancer Society & Primary Care Systems Work. Presented by: Jessica Jamison, MPH Sr. Director, Primary Care Systems An Introduction to the American Cancer Society & Primary Care Systems Work Presented by: Jessica Jamison, MPH Sr. Director, Primary Care Systems Who We Are Mission Statement: The American Cancer Society

More information

ST JOSEPH REGIONAL HEALTH CENTER LUNG CANCER ANALYSIS Incidence, Diagnosis, Treatment and Survival

ST JOSEPH REGIONAL HEALTH CENTER LUNG CANCER ANALYSIS Incidence, Diagnosis, Treatment and Survival ST JOSEPH REGIONAL HEALTH CENTER LUNG CANCER ANALYSIS Incidence, Diagnosis, Treatment and Survival It is logical that the Cancer Program Committee choose to review the Lung Site, as Lung is the second

More information

Oncology Medical Home Measure Specification Data

Oncology Medical Home Measure Specification Data Oncology Medical Home Measure Specification Data Measure Name Chemotherapy pathway compliance Measure # 1 Measure Description % of chemotherapy treatments that have adhered to NCCN guidelines or pathways.

More information

Electronic Health Record Strategies for Pay for Performance. James O Connor MD Director of Clinical Informatics

Electronic Health Record Strategies for Pay for Performance. James O Connor MD Director of Clinical Informatics Electronic Health Record Strategies for Pay for Performance This Title is Copy where the title would go. James O Connor MD Director of Clinical Informatics Early Days of EMR... Access to Records E&M Coding

More information

Chapter 1: Program Management Standards, Cont.

Chapter 1: Program Management Standards, Cont. Chapter 1: Program Management Standards, Cont. Thomas Eisenhauer, MD, FACS Surveyor Hendersonville, NC 1 Standard 1.7 Monitoring Conference Activity # case presentation Frequency Evaluate seven areas of

More information

DELRAY MEDICAL CENTER. Cancer Program Annual Report

DELRAY MEDICAL CENTER. Cancer Program Annual Report DELRAY MEDICAL CENTER Cancer Program Annual Report Cancer Statistical Data From 2010 TABLE OF CONTENTS Chairman s Report....3 Tumor Registry Statistical Report Summary...4-11 Lung Study.12-17 Definitions

More information

Registrar s Guide to Chapter 1, AJCC Seventh Edition

Registrar s Guide to Chapter 1, AJCC Seventh Edition Registrar s Guide to Chapter 1, AJCC Seventh Edition Donna M. Gress, RHIT, CTR Validating science. Improving patient care. This presentation was supported by the Cooperative Agreement Number DP13-1310

More information

The Center for Cancer Care. Comprehensive and compassionate care

The Center for Cancer Care. Comprehensive and compassionate care The Center for Cancer Care Comprehensive and compassionate care Welcome to the Center for Cancer Care The Center for Cancer Care at Exeter Hospital provides comprehensive, compassionate care for a wide

More information

Measure Title FOLLOW UP EXAMINATION AFTER DIAGNOSIS AND TREATMENT OF SKIN CANCERS Disease State Cancer Indicator Classification Disease Management

Measure Title FOLLOW UP EXAMINATION AFTER DIAGNOSIS AND TREATMENT OF SKIN CANCERS Disease State Cancer Indicator Classification Disease Management Client HMSA: PQSR 2009 Measure Title FOLLOW UP EXAMINATION AFTER DIAGNOSIS AND TREATMENT OF SKIN CANCERS Disease State Cancer Indicator Classification Disease Management Strength of Recommendation Organizations

More information

Sentinel Lymph Node Biopsy: Questions and Answers. Key Points

Sentinel Lymph Node Biopsy: Questions and Answers. Key Points CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Sentinel Lymph Node Biopsy:

More information

Cancer Staging. Introduction. Overview

Cancer Staging. Introduction. Overview Many Hearts Many Minds One Goal Volume 2 Number 3 May 2005 Cancer Staging bt Maureen MacIntyre, Director, Surveillance and Epidemiology Unit, Cancer Care Nova Scotia and Dr. Eva Grunfeld, Clinician Scientist

More information

Bard: Prostate Cancer Treatment. Bard: Pelvic Organ Prolapse. Prostate Cancer. An overview of. Treatment. Prolapse. Information and Answers

Bard: Prostate Cancer Treatment. Bard: Pelvic Organ Prolapse. Prostate Cancer. An overview of. Treatment. Prolapse. Information and Answers Bard: Prostate Cancer Treatment Bard: Pelvic Organ Prolapse Prostate Cancer An overview of Pelvic Treatment Organ Prolapse Information and Answers A Brief Overview Prostate Anatomy The prostate gland,

More information

Scope of Regional Lymph Node Surgery: A Review of Data Validity, Revised Coding Directives, and Agency Transition Plans

Scope of Regional Lymph Node Surgery: A Review of Data Validity, Revised Coding Directives, and Agency Transition Plans CODING CANCER REGISTRY ITEMS Scope of Regional Lymph Node Surgery: A Review of Data Validity, Revised Coding Directives, and Agency Transition Plans Hospital and central cancer registries have been collecting

More information

Metastatic Cancer: Questions and Answers. Key Points

Metastatic Cancer: Questions and Answers. Key Points CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Metastatic Cancer: Questions

More information

Goals and Objectives: Breast Cancer Service Department of Radiation Oncology

Goals and Objectives: Breast Cancer Service Department of Radiation Oncology Goals and Objectives: Breast Cancer Service Department of Radiation Oncology The breast cancer service provides training in the diagnosis, management, treatment, and follow-up of breast malignancies, including

More information

Medical Informatic Basics for the Cancer Registry

Medical Informatic Basics for the Cancer Registry Medical Informatic Basics for the Cancer Registry DEVELOPED BY: THE NCRA EDUCATION FOUNDATION AND THE NCRA CANCER INFORMATICS COMMITTEE Medical Informatics is the intersection of science, computer science

More information

Oncology Program. MedStarGoodSam.org. 2012 Annual Report 2011 Statistical Data Breast Cancer Focus

Oncology Program. MedStarGoodSam.org. 2012 Annual Report 2011 Statistical Data Breast Cancer Focus MedStarGoodSam.org Oncology Program 2012 Annual Report 2011 Statistical Data Breast Cancer Focus 5601 Loch Raven Blvd. Baltimore, MD 21239 443-444-8000 PHONE 13-MGSH-0168.052013 Message from Our Chairman

More information

> 2012 Cancer Services Annual Report (2011 Statistical Data) Committed to world-class cancer treatment

> 2012 Cancer Services Annual Report (2011 Statistical Data) Committed to world-class cancer treatment > 2012 Cancer Services Annual Report (2011 Statistical Data) Committed to world-class cancer treatment Rick Wright President and CEO McLaren Greater Lansing Raymond Y. Demers, MD, MPH President/medical

More information

ALCHEMIST (Adjuvant Lung Cancer Enrichment Marker Identification and Sequencing Trials)

ALCHEMIST (Adjuvant Lung Cancer Enrichment Marker Identification and Sequencing Trials) ALCHEMIST (Adjuvant Lung Cancer Enrichment Marker Identification and Sequencing Trials) 3 Integrated Trials Testing Targeted Therapy in Early Stage Lung Cancer Part of NCI s Precision Medicine Effort in

More information

Dr. Stefaan Van de Perre Dr. An Belmans. Dienst Radiologie. H. Hartziekenhuis Mol A.Z. St.-Dimpna Geel

Dr. Stefaan Van de Perre Dr. An Belmans. Dienst Radiologie. H. Hartziekenhuis Mol A.Z. St.-Dimpna Geel Dr. Stefaan Van de Perre Dr. An Belmans Dienst Radiologie H. Hartziekenhuis Mol A.Z. St.-Dimpna Geel 1 Background Screening trials harms and benefits Practical guidelines Take home messages 2 Background

More information

REVIEW. Keywords : Sentinel Lymph node, Lymphatic mapping, Breast cancer, Esophageal cancer, Less invasive surgery

REVIEW. Keywords : Sentinel Lymph node, Lymphatic mapping, Breast cancer, Esophageal cancer, Less invasive surgery REVIEW Department of Oncological and Regenerative Surgery, Institute of Health Bioscience The University of Tokushima Graduate School, and Department of Adult and Gerontological Nursing, School of Health

More information

ENDORSEMENT SUMMARY: Cancer Measures

ENDORSEMENT SUMMARY: Cancer Measures OCTOBER 2012 Purpose of the Project Cancer defined by the National Institutes of Health as a group of more than 100 diseases characterized by uncontrolled cellular growth, proliferation, and spread has

More information

CANCER PROGRAM ANNUAL REPORT

CANCER PROGRAM ANNUAL REPORT 2014 CANCER PROGRAM ANNUAL REPORT 2014 CANCER PROGRAM ANNUAL REPORT Prepared by Lynn M. Downey, MPH, RHIT, CTR Cancer Registrar/Clinical Trials Coordinator CONTENTS The Cancer Program Annual Report is

More information

Prostate cancer volume at biopsy vs. findings at Prostatectomy

Prostate cancer volume at biopsy vs. findings at Prostatectomy Prostate cancer volume at biopsy vs. findings at Prostatectomy May 2005 By Shelly Smits, RHIT, CCS, CTR Ian Thompson, MD Data Source: Cancer registry data of prostate cancer treated with prostatectomy

More information

New Treatment Advances for Breast Cancer

New Treatment Advances for Breast Cancer New Treatment Advances for Breast Cancer Guest Expert: Lyndsay, MD Director of the Yale Cancer Center Breast Cancer Program Gina ng, MD www.wnpr.org www.yalecancercenter.org Welcome to Yale Cancer Center

More information

Diagnosis and Prognosis of Thyroid Cancer

Diagnosis and Prognosis of Thyroid Cancer Main Page Risk Factors Reducing Your Risk Screening Symptoms Diagnosis Treatment Overview Chemotherapy Radiation Therapy Surgical Procedures Medications Lifestyle Changes Living With Thyroid Cancer Talking

More information

preventing complications, reducing costs, improving surgical care American College of Surgeons Inspiring Quality: Highest Standards, Better Outcomes

preventing complications, reducing costs, improving surgical care American College of Surgeons Inspiring Quality: Highest Standards, Better Outcomes American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP ) preventing complications, reducing costs, improving surgical care American College of Surgeons Inspiring Quality:

More information

MOUNT SAINT JOHN S MEDICAL CENTER (CASE STUDY)

MOUNT SAINT JOHN S MEDICAL CENTER (CASE STUDY) MOUNT SAINT JOHN S MEDICAL CENTER (CASE STUDY) SAINT JOHN S, ANTIGUA, BARBUDA Since 2006, AHMC finalized construction of the outdated 120-bed hospital, commissioned the building, staffed the hospital of

More information

Having a Breast Biopsy. A Guide for Women and Their Families

Having a Breast Biopsy. A Guide for Women and Their Families Having a Breast Biopsy A Guide for Women and Their Families Fast Facts n n Most women who have a breast biopsy do not have breast cancer. About 4 out of every 5 breast biopsies are negative for cancer.

More information

Clinical Decision Support Systems The revolution for a better health care

Clinical Decision Support Systems The revolution for a better health care Clinical Decision Support Systems The revolution for a better health care CDSS Definition Clinical Decision Support systems link health observations with health knowledge to influence health choices by

More information

COM Compliance Policy No. 3

COM Compliance Policy No. 3 COM Compliance Policy No. 3 THE UNIVERSITY OF ILLINOIS AT CHICAGO NO.: 3 UIC College of Medicine DATE: 8/5/10 Chicago, Illinois PAGE: 1of 7 UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE CODING AND DOCUMENTATION

More information

MANCHESTER Lung Cancer Screening Program Dartmouth-Hitchcock Manchester 100 Hitchcock Way Manchester, NH 03104 (603) 695-2850

MANCHESTER Lung Cancer Screening Program Dartmouth-Hitchcock Manchester 100 Hitchcock Way Manchester, NH 03104 (603) 695-2850 LEBANON Lung Cancer Screening Program One Medical Center Drive Lebanon, NH 03756 (603) 650-4400 (866) 966-1601 Toll-free cancer.dartmouth.edu/lungscreening MANCHESTER Lung Cancer Screening Program Dartmouth-Hitchcock

More information

Combined Harvard Urologic Oncology Fellowship Program

Combined Harvard Urologic Oncology Fellowship Program Combined Harvard Urologic Oncology Fellowship Program 1 Goal: Department of Urology To reduce the disease burden for patients with urologic issues by improving: Clinical Care Teaching Research 2 History

More information

Cancer Care. Bringing Hope to Life, Research to Cures

Cancer Care. Bringing Hope to Life, Research to Cures Cancer Care Bringing Hope to Life, Research to Cures 2015 EXECUTIVE DIRECTOR REPORT Allen L Italien, RN 2015 has been an amazing year! The enthusiasm and commitment of our physicians and staff is remarkable.

More information

David Feltl, M.D., Ph.D., MBA. Structure and organization of cancer care in the Czech Republic. Assessment of outputs and outcomes.

David Feltl, M.D., Ph.D., MBA. Structure and organization of cancer care in the Czech Republic. Assessment of outputs and outcomes. David Feltl, M.D., Ph.D., MBA Structure and organization of cancer care in the Czech Republic. Assessment of outputs and outcomes. Contents Cancer epidemiology in the Czech Republic National oncology program

More information

Chirurgie des métastases cérébrales. Dr Mark Dexter Head, Department of Neurosurgery The Westmead Hospitals

Chirurgie des métastases cérébrales. Dr Mark Dexter Head, Department of Neurosurgery The Westmead Hospitals Chirurgie des métastases cérébrales Dr Mark Dexter Head, Department of Neurosurgery The Westmead Hospitals The Westmead patient population THE INCONVENIENT TRUTHS Cerebral metastases occur in 10 16 % of

More information

Cancer treatment. TOP EUROPEAN CANCER EXPERTISE The path to recovery

Cancer treatment. TOP EUROPEAN CANCER EXPERTISE The path to recovery Cancer treatment TOP EUROPEAN CANCER EXPERTISE The path to recovery 0% LAND OF HIGH QUALITY HEALTHCARE Located in Finland, a land of high quality healthcare, Helsinki University Hospital is regarded as

More information