St. John Medical Center Cancer Program 2012 ANNUAL REPORT
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St. John Medical Center Cancer Program 2012 ANNUAL REPORT LAFORTUNE CANCER CENTER AT ST. JOHN 2012 ANNUAL REPORT TABLE OF CONTENTS Report from the Director . 3 Report of Cancer Committee Activities . 4 Report from the Cancer Liaison Physician . 5 Cancer Committee . 6 Cancer Registry . 7 Primary Site Table . 8 Report of Cancer Census . 10 Lung Cancer Site-Specific Study . 11 Cancer Programs . 13 Support Programs . 14 LAFORTUNE CANCER CENTER AT ST. JOHN 2012 ANNUAL REPORT ST. JOHN HEALTH SYSTEM AND LAFORTUNE CANCER CENTER MISSION, VISION AND VALUES Mission Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable . Our Catholic health ministry is dedicated to spiritually centered, holistic care that sustains and improves the health of individuals and communities . We are advocates for a compassionate and just society through our actions and our words . Vision We envision a strong, vibrant Catholic health ministry in the U S. ,. which will lead to the transformation of healthcare . We will ensure service that is committed to health and well-being for our communities and that responds to the needs of individuals throughout the life cycle . We will expand the role of the laity, in both leadership and sponsorship, to ensure a Catholic health ministry of the future . Values We are called to: • Service of the poor: generosity of spirit, especially for persons most in need • Reverence: respect and compassion for the dignity and diversity of life • Integrity: inspiring trust through personal leadership • Wisdom: integrating excellence and stewardship • Creativity: courageous innovation • Dedication: affirming the hope and joy of our ministry 2 LAFORTUNE CANCER CENTER AT ST. JOHN 2012 ANNUAL REPORT REPORT FROM THE DIRECTOR The pace of new advances in the treatment and cure of cancer is staggering . New chemotherapeutic agents are being produced at a rapid pace, as well as remarkable therapeutic radiation delivery systems such as our CyberKnife and TomoTherapy systems . The LaFortune Cancer Center at St . John Medical Center is positioned to fully participate in these advances in research and technology in our mission to deliver compassionate care and medical excellence . Support services continue to be an integral component of our program, which includes dedicated social service support, an education resource center, sponsorship of multiple support groups and medical nutritional counseling . The Cancer Center is an active participant in numerous community activities that promote public education, screenings and disease prevention; fundraising; and celebration of survivorship . Clinical research is available through sponsoring institutions, which include the National Cancer Institute, Eastern Cooperative Oncology Group, Radiation Therapy Oncology Group, National Surgical Adjuvant Breast and Bowel Program, and Clinical Trials Support Unit . Eligible patients who choose to participate may have an opportunity to receive cancer treatment that represents the most current science in cancer care . The Cancer Registry abstracted 1,810 new cases during 2012, growing the database to more than 40,000 cases . The Cancer Center team is dedicated to providing patient-centered care adhering to our mission and values and looks forward to the exciting challenges and opportunities in the delivery of cancer care . Sincerely, Phil Ames Director, Radiology Services LaFortune Cancer Center 3 LAFORTUNE CANCER CENTER AT ST. JOHN 2012 ANNUAL REPORT REPORT OF CANCER COMMITTEE ACTIVITIES The St . John Cancer Committee is proud of the role it played in the successful operation of St . John Medical Center in 2012 . In the area of improving the delivery of efficient and competent oncological care to our patients, the pharmacy department again had a dedicated pharmacist responsible only for the oncology department . Working with MD Anderson, we added a series of chemotherapy audits designed to further minimize chemotherapy order mistakes . Chemotherapy orders and regimens are being standardized and will eventually be digitized into our electronic medical records . The goal is seamless communication from physician to pharmacy to nursing for every chemotherapy order administration . The process would be transparent, with multiple safety mechanisms built in to further minimize mistakes . Additionally, internal quality improvement processes were constantly reviewed and updated to minimize patient wait time in the chemotherapy infusion room . To help with the quality of life of our patients undergoing cancer treatment, the St . John rehabilitation department took a major step forward when it was awarded the STAR (Survivorship Training and Rehabilitation) Program certification. This program is proven to help cancer survivors cope with their debilitating side effects caused by treatments . St . John Medical Center continued its public outreach program to help educate and support patients and their families receiving treatment or who received treatment in the past . The annual Holiday Heart and Hope party was again a great success, with good attendance by past and present patients and much community involvement . St . John also continued to participate actively in other community functions, such as Relay for Life and the Susan G . Komen Race for the Cure . At Christmastime St . John participated in the Angel Tree Program to provide less fortunate and financially strapped families with gifts for their children. The Cancer Center continued to hold weekly Tumor Board conferences and expanded to include a breast cancer conference once a month . The conferences were well-attended by our multidisciplinary team of medical oncologists, radiation oncologists, surgeons and pathologists . Patients treated at the LaFortune Cancer Center continued to have access to the most advanced equipment and specialized care . The medical staff included dedicated medical oncologists, hematologists, a breast surgeon, radiation oncologists, radiologists, neurosurgery oncologists, orthopedic surgeons, gynecologic oncologists, colorectal surgeons, plastic surgeons and ENT . Patients have access to PET/CT scanners, CyberKnife technology and robotic urological procedures . The Cancer Center welcomed its second radiation oncologist, Reginald Westmacott, MD . He has been providing much- needed additional radiation oncology coverage for our expanding Cancer Center patient population . Our patients continued to have access to clinical trials from large corporative groups, including NSABP and RTOG . Sincerely, Coty Ho, MD Co-Chair, 2012 Cancer Committee Medical Director, Hematology and Oncology LaFortune Cancer Center 4 LAFORTUNE CANCER CENTER AT ST. JOHN 2012 ANNUAL REPORT REPORT FROM THE CANCER LIAISON PHYSICIAN The cancer liaison physician provides a connection between the Commission on Cancer of the American College of Surgeons and the LaFortune Cancer Center of St . John Medical Center . The cancer program at St . John underwent a survey in 2010, and its accreditation was renewed until 2013 . The Cancer Center continues to provide assistance with the management of patients suffering from many types of cancer . Patients with both hematologic malignancies and solid tumors are treated at the Cancer Center . Patients have access to a wide variety of different medical subspecialties for treatment of oncological problems . We have a dedicated medical oncology team, as well as radiation oncology and breast surgical oncology . Our surgical service is further supported by a well-staffed neurosurgery team, with expertise in dealing with primary CNS tumor resection . We also have dedicated colorectal surgeons . We collaborate closely with our large group of urologists . Our radiation oncology department provides state-of-the-art CyberKnife technology, and our urology staff can provide robotic surgery expertise . Our interventional radiology staff continues to provide excellent service for all types of biopsy examinations and minimally invasive procedures to aid in new cancer diagnoses and palliative measures during treatment . Our programs continue to promote up-to-date medical treatment with support for the whole patient — mind, body and spirit . We have dedicated social workers, nutritionists, rehabilitation specialists, physical therapists and home health nurses assigned to the Cancer Center . We are proud to report that the St . John rehabilitation department was awarded the STAR (Survivorship Training and Rehabilitation) Program certification. The program was designed to help cancer survivors treat and cope with the possible debilitating side effects caused by cancer treatments . The St . John hospice program, along with our chaplain service, remains active with the care of our terminally ill patients and provides much support to their families . The Cancer Center remains active within the community with projects, such as free new wigs for patients with hair loss while undergoing chemotherapy . Another important program for the community is Tulsa Project Woman . This program provides free mammographies and, if needed, breast biopsies, for the indigent population with financial needs. The Charity Fund makes available financial support to uninsured patients undergoing cancer treatment . The annual Tulsa Komen Race for the Cure and the local Relay for Life raised funds to help support cancer research activities at St . John . Other St . John-sponsored activities, such as the Art of Healing, bring together cancer survivors