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2017 Cancer Services Annual Report [PDF] JOHNSTON HEALTH CANCER SERVICES ANNUAL REPORT 2017 Statistical Data From 2016 Table Of Contents Cancer Care Accreditation Overview/Meet Our New Cancer Center Director 1 Message from the Cancer Committee Chair 2 Cancer Liaison Physician/Surgeon Report 3 Breast Cancer Overview 4 2016 Site Review & Distribution by Race and Age 5 Breast Cancer Distribution & Stage of Disease at Diagnosis Data Report 6 Essential to the Team 7 Clinical Support 8 Patient Support 9 Clinical Research/Quality & Standards 10 Cancer Program Goals, Quality Studies, and Quality Improvements for 2017 11 Cancer Conference Report 12 Community Outreach 13-14 Program & Support Services - Contact Information 15 Cancer Center Locations & Map 16 Johnston Health Cancer Care Committee Members 2017 Dr. Russell Anderson Bryant Washington Cynthia Holloman, RN Josh Hoover* Medical Oncologist RN, BSN, MHA, MBA Director of Quality Manager of Radiology Cancer Conference Coordinator* Director Cancer Center Quality Improvement Coordinator Radiology Services Cancer Program Administrator Dr. Padma Kamineni* Vera Barnes, RN* Vanessa Narron, R-RT Medical Oncologist Tracey Carson* Quality Improvement Coordinator Manager of Radiation Oncology RN, BSN, MHA Radiation Oncology Services Dr. Debra Harr April Culver Admin. Director Patient Care Services Shawn Leagan, RN* Radiation Oncologist Cancer Program Administrator VP of Planning and External Affairs Chair, Cancer Committee Community Outreach Coordinator Radiation Oncology Services Amy Brown Dr. Daniel Oh* Cancer Accreditation Analyst Leah Johnson* Kelli Wallace, RD Radiation Oncologist Cancer Conference Coordinator Corporate & Community Outreach Nutrition Services Coordinator Dr. Craig Carter Jay Renfrow, PharmD Kathy Rikard, RD* Vascular & Thoracic Surgeon Oncology Pharmacist David Dennis, RN Nutrition Services Surgeon Clinical Research Coordinator Director of Home Care & Hospice Palliative Care Services Wanda Howell Dr. Dennis Koffer* Pharmacy Services Director of Rehabilitation Melanie Joyner, RN* General Surgeon Mike Bridle, Rph* Rehabilitation Services Palliative Care Services Surgeon Clinical Research Coordinator Reverend Greg McClain Dr. Jeffery Jones Pharmacy Services Regina Sherman, RN-ADN Spiritual Care & Volunteer Services Interventional Radiologist Oncology Coordinator Kathy Foote, CTR Oncology Nursing Leadership Diagnostic Imaging Radiologist Manager Cancer Registry Dr. Jonathan Lozevski* Cancer Registry Quality Denise DeBlois, RN* Interventional Radiologist Coordinator Oncology Nursing Leadership Diagnostic Imaging Radiologist Charity Pate, BSW Melinda Ferguson, RN Dr. Leslie Taylor Social Worker Patient Navigation Pathologist Psychosocial Services Coordinator Cancer Liaison Physician William Bennett April Barbour-Matthews, MSW* Director of Radiology Dr. Cyrus Manavi* Social Worker Radiology Services Pathologist Psychosocial Services Coordinator *Alternate Member Cancer Care Program Accreditation Overview The American College of Surgeons Commission demonstrates its commitment to meet the rigorous on Cancer (ACoS-CoC) is a consortium of standards and improve patient outcomes across professional organizations dedicated to improving all domains of care: access and service, satisfaction survival and quality of life of patients with cancer and well-being, quality of care and cancer through standards setting, prevention, research, outcomes. education, and the monitoring of comprehensive Johnston Health is provided with National care. Cancer Accreditation is granted to facilities recognition, access to the National Cancer Data that have voluntarily committed to provide the Base, and educational and training opportunities, best in cancer diagnosis and treatment and is able which ensures that patients with cancer will to comply with the established CoC standards. be offered and provided with a full range of The CoC challenges cancer programs to enhance diagnostic, treatment, and supportive services the care they provide by addressing patient- with high-quality, patient-centered care through centered needs and measuring the quality of the multidisciplinary approaches. care they deliver against national standards. Johnston Health is proud to offer such Johnston Health was awarded Cancer comprehensive cancer services to patients in Accreditation in June, 2015 by the CoC as a Johnston County through our Smithfield and nationally recognized cancer treatment center Clayton cancer centers. We have joined with UNC for enhancing our care and treatment of cancer REX Healthcare and Duke Medicine to bring the patients and providing the framework to improve best physicians, technology and treatment to our the quality of patient care through various patients, right here at home. We offer screenings, cancer-related programs that focus on the full diagnostic tests, chemotherapy treatments, spectrum of cancer care, including; prevention, radiation therapy treatments, surgery options, early diagnosis, cancer staging, optimal treatment, and more to design a comprehensive treatment rehabilitation, life-long follow-up for recurrent program for each patient. Our next Cancer disease and end-of-life care. By participation in Accreditation Survey by the CoC will be June 2018. the CoC Accreditation Program, Johnston Health Meet Our New Cancer Center Director Bryant Washington joined the Johnston Health Oncology team in June of this year, bringing with him a diverse background from his 22 years of nursing experience. Bryant has had experience in both inpatient and outpatient health care settings, and most recently spent some time in the health care technology sector. Bryant began his oncology pursuits as a Nurse Navigator specializing in Thoracic Oncology. Later, Bryant became Coordinator of the Cancer Specialty Center at one of our sister organizations, ultimately moving into a management role. Bryant’s previous oncology experience centered largely on program growth and development of support services. Bryant Washington Cancer Center Director 1 A Message from the Johnston Health Cancer Care Committee Chair The primary charge of It is a program which requires a the Johnston Health Cancer commitment by Johnston Health as Program is to develop and well as the time and energy of the provide oversight of its many people involved in cancer comprehensive cancer care and care. services for residents of Johnston A Health Needs Assessment and surrounding counties. is conducted every three years In 2013, the Johnston Health by Johnston Health. The first Cancer Care Committee was assessment was conducted in 2013 established to bring a formalized and Johnston Health completed approach to the individualized, the second assessment in 2016. comprehensive and multi- The Health Needs Assessment disciplinary treatment and care identified several factors of cancer patients by initiating adversely affecting the health of the process of accreditation Johnston County residents. These by the American College of factors included a low Surgeons’, Commission on Dr. Debra Harr, MD frequency of regularly scheduled Cancer. The primary goal of the PAP smears and mammograms, Commission on Cancer is to improve the survival high tobacco use, obesity and poor eating habits. and quality of life for cancer patients through As a result of our commitment to addressing standard-setting, prevention, research, education the needs of the county, several initiatives have and the monitoring of comprehensive quality commenced including a Patient Navigation care. The opportunity, means and personnel for program for cancer patients, low-dose chest CT accomplishing these goals were present within lung cancer screening program for former and the Johnston County community which included current smokers, and 3-D breast mammograms medical, radiation, and surgical oncology, made available to all patients as a method to diagnostic radiology and pathology as well as minimize radiation dose to the heart in a patient professionals in oncology nursing, nutrition, social requiring radiation for a tumor in the left breast. work and pharmacology. Accreditation by the Commission on Cancer One of the keys to accomplishing our is the hallmark of a program’s commitment to committee’s goal was to hold regular multi- patient-centered cancer care. This is no more disciplinary conferences (tumor board meetings) evident than in the commitment of the many to include all the oncologic specialties. Since members of the committee who are all concerned 2013, these meetings have been held three times a with improving the survival and quality of life month during which time we endeavor to review for the cancer patient, contributing their own the information on hand for each patient, the expertise to accomplishing our goals. need for further investigation(s) to make timely decisions regarding the appropriate therapy and support for the patient. Dr. Debra Harr, MD Over the past several years the Cancer Care Chairperson, Johnston Health Cancer Committee Committee has continued to address the needs of Radiation Oncologist the cancer patients we serve. We initiated a process to obtain Commission on Cancer accreditation and were accredited in 2015. This is a voluntary commitment by a cancer program that ensures patients will have access to services required to diagnose, treat and support patients with cancer. 2 Cancer Liaison Physician Report Breast cancer remains the most commonly diagnosed and invasive malignancy among women. Treatment innovations over the last twenty- five years have been made in surgery, chemotherapy and
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