RENEW YOUR DUES TODAY! Your 2011-2012 ACE Membership renewal is just clicks away at:

November 2011

cancerexecutives.org Transforming the Patient Experience

By Jan Willemse, ZGF Architects LLP s we all know, living with is never tunities to take back some control of their lives. easy – certainly not for the patients, not For the Brooklyn Infusion Center, MSKCC Afor their family and friends, and not for engaged ZGF Architects LLP to work on the cre- their caregivers. Most Americans will experience ation of a facility that would support a new the difficult consequences of a cancer diagnosis “chemo-ready” model of streamlined chemother- themselves or through someone they know or apy treatment. Completed in October 2010, it’s the love. Often the intense demands of treatment can first prototype center developed by MSKCC to severely disrupt daily lives and exact significant enhance the patient care experience by drastically “Completed in October 2010, it’s the first physical and psychological tolls, leaving patients reducing patient wait times and conveniently locat- prototype center developed by MSKCC and their loved ones longing for respite. ing treatment facilities in a residential neighbor- Memorial Sloan Kettering Cancer Center hood. Patients are made “chemo-ready” by per- to enhance the patient care experience” (MSKCC), the world’s oldest and largest private forming blood work and other screening proce- cancer center, is extremely active in pursuing dures the day before in MSKCC’s Manhattan facil- patients and staff within the space while utilizing treatment options and settings that optimize the ities, then provided the chemotherapy treatment full scale mockups to test the physical and psy- cancer care experience for all involved, and in on a personalized basis at the Brooklyn center. chological parameters at work in the “chemo- lessening the negative impacts of the disease. The “chemo-ready” model was the result of ready” operational proposal. Ultimately these Through their Strategic Planning and Innovation research with patients, family and staff on the explorations confirmed efficiencies. Group, and their Design + Construction Group, chemotherapy process. This involved a series of The Brooklyn Infusion Center transforms ordi- MSKCC seeks to provide treatment and environ- observations, interviews with MSKCC staff, ‘shad- nary ground floor storefront space into a bright and ments that assist all possible aspects of healing, owing’ of patients, and workshop charrettes. The welcoming clinic that also serves as an art gallery and to give patients and their loved ones oppor- process analyzed the physical movement of Continued on page 2 >

ACE 101: An Education in Cancer By Ryan Jowers, MBA, Associate Clinical Administrator, Department of Hematology & Medical Oncology, Calendar School of , n August 2009, I joined the Winship Cancer Institute at my first ACE conference. Flash forward a year and I am now Emory University in Atlanta, Georgia, as an Associate a ‘seasoned’ cancer administrator who gave thought to for- IClinical Administrator in the Department of Hematology going the opportunity to participate in the ACE Oncology 101 and Medical Oncology. Prior to this position, I had worked program at the 2011 ACE Annual Meeting in New Orleans. elsewhere at Emory managing large academic program proj- My assumption was that by now I was well versed in most of 18TH Annual Meeting ects which had provided sparse exposure to cancer opera- the topics that would be covered during the meeting. JANUARY 18–21, 2012 tions and methodologies. Upon my arrival in my new posi- However, upon further review of the agenda I realized SAVANNAH, GA tion, the Executive Administrator for our center suggested I that many of the topics, including talks on strategic planning, Hyatt Regency Savannah join the Association of Cancer Executives (ACE) and sign up maximizing a matrix organization, and how best to use a for the ACE Oncology 101 pre-conference program, present- consultant were extremely relevant for my job and many of 19TH Annual Meeting ed in conjunction with the January 2010 ACE Annual Meeting the projects that were currently underway here at Emory. So JANUARY 23–26, 2013 in San Diego, California. I reviewed the agenda for the meet- I changed my mind and registered for the ACE Oncology 101 SAN ANTONIO, TX Grand Hyatt San Antonio ing and felt that by attending I could learn more of the one-day program. nuances of the business of cancer. 20TH Annual Meeting Mother Nature on the other hand felt differently. As I wait- An Eye-opening Day JAN. 29 – FEB. 1, 2014 ed at the airport in Atlanta to board my flight to San Diego, The Oncology 101 program was filled with interesting speak- SAN FRANCISCO, CA the worst ice storm in over two decades hit the metro area. ers and opportunities to engage others on specific topics and Palace Hotel With no flights in or out of the city I was resolved to missing Continued on page 5 >

update cancerexecutives.org | November 2011 3

• Managing drug purchasing and drug short- Expanding Community Cancer Care ages—greatest impact to oncology practice profitability through Professional Services • Increased pressures for quality reporting as it relates to future payer contracting Agreements • Information technology requirements • Physician recruitment needs as groups face By Chad Schaeffer, FACHE, Partner, Oncology Solutions, LLC succession planning and physician shortages & Kelley D. Simpson, Senior Partner, Oncology Solutions, LLC • Comparative strength of hospital non- ospitals and physicians have always need- Trends Fueling the Drive for Medicare contracts ed each other. But recent changes in the Hospital-Oncologist Alignment • Possible savings of drug costs by aligning with Hhealth care landscape and regulatory Several key market conditions are driving this a 340B hospital provider environment have underscored the importance shift in the oncology landscape including: These uncertainties and unprecedented eco- of a strong alliance between the two – not just as • Expanding and emerging patient profile—expo- nomic pressures are fueling changes in the spe- sound business practice, but as a necessity for nential cancer incidence and survivorship cialty physician landscape by way of rapid consol- ensuring quality of care and long-term viability in growth idations. According to a recent survey by the the new era of value-based health care. • Frequent cuts to Medicare reimbursement for American Society of Clinical Oncology (ASCO) In the face of increasing demands for high cancer care while some 73% of respondents remaining inde- quality, efficiency and affordability by private and • More private payers are following Medicare pendent physician-owned practices, many were governmental payers as well as consumers, even reimbursement trends and rate cuts consolidating either within a multispecialty group specialties like medical oncology that have tradi- • Growing Medicare patient population without (11%); joining a hospital either through direct tionally been hesitant to combine forces with hos- secondary insurance coverage employment of hospital-owned medical group pitals, are taking a fresh look at how they can • Many cancer drugs are being reimbursed by (6%), were physician-owned but with a hospital leverage their collective strengths to better serve Medicare at rates below cost or corporate affiliation (5%); U.S. Oncology-affili- the needs of their patients. • Increasing cost of operating medical oncology ated (2%); academic-affiliated (1%); or engaged practices Continued on page 4 >

Transforming the patient experience patients feel well enough to gather with care- get some work/shopping done on the Internet, or > Continued from page 1 givers and other patients. The treatment pods are make videophone calls with friends and family. staggered along each of the Garden’s long edges, The chair also incorporates controls for lighting and neighborhood resource for health advocacy with visual and physical access to the amenities. and temperature in the pods. Family and patient presentations. It occupies 7,745 SF and has the Planters, vegetation and a water feature define amenities are integrated into each pod, such as capacity to accommodate 30 patients on a daily the Garden’s spaces, creating texture and color built in sofa and storage. basis. As patients enter they are met by a staff along circulation paths, and providing a calming The Community Gallery was placed at the street member in the lobby or can opt for the self check- sense of connection to natural elements. This frontage to serve as a visible neighborhood in monitor; there is no traditional waiting room. design approach incorporates biophilia, with its resource for health advocacy presentations and Patients then move directly to their preferred treat- growing body of medical and psychological community outreach events such as lectures and ment space, where a nurse does a final check and research indicating that patient recovery acceler- seminars about cancer prevention, screening and chemotherapy begins. Each visit patients select ates when they are connected to nature. treatment. It also doubles as gallery space for from the tranquil, private treatment pods or choose There is also a Flex Treatment Room that allows artists and patients who wish to display exhibits an interaction space in the Central Garden instead. MSKCC to offer alternative health treatments such related to their experiences with cancer. MSKCC Inspired by New York’s urban “pocket” parks, as yoga and meditation, as well as complementary has partnered with local Brooklyn artists to infuse the Central Garden forms the heart of the facility therapies such as acupressure, Reiki massage, and a meaningful, colorful and lively art program into and includes conversation areas, a library, and a relaxation techniques. A novel chemotherapy chair the facility. These features provide a special pres- communal table that allows for shared activities. in the treatment pods includes a touch-screen ence from the street, and help foster a unique These social spaces are provided for times when interactive system enabling patients to call a nurse, identity for the Brooklyn Infusion Center. Through creation of a facility that promotes feel- ings of sanctuary and safety, in maximizing patient “Brooklyn Infusion Center transforms choice and control of their treatment experience, ordinary ground floor storefront space and in minimizing the stresses associated with the daily battle to achieve wellness, MSKCC’s Brooklyn into a bright and welcoming clinic that Infusion Center strives to provide their patients also serves as an art gallery and with as much normalcy and connection to a full and engaged life as possible. For all those who neighborhood resource for health have cancer as a part of their daily lives, there is advocacy presentations.” real promise in these aspirations. I update cancerexecutives.org | November 2011 4

Professional Services Agreements tals’ and physicians’ common economic and apy, purchase the chemotherapy drugs, and pay > Continued from page 3 patient-centered goals. for all or most of the space required, greatly In a PSA, the hospital or health system con- reducing the practice’s overhead and risk. In addi- in "other" practice settings (2%). But, perhaps tracts with an independent medical oncology tion, the hospital assumes the billing for the most telling survey responses were in the physician group to provide professional services chemotherapy, infusion and injection services physicians’ predictions of the future: only 15% within a Provider-Based Clinic model. Typically, and compensates the oncologists at a fair market envisioned their practices/business structure because all professional services (e.g., office vis- value rate for their medical oversight and direct remaining "unchanged and viable" for at least 5 its, office procedures, and hospital visits) are patient care management of these services. years, while 19% said they are "changing now" included in the contract for professional services, Depending on the shared goals of the physician and 53% predicted they will be stable only for the oncology group no longer bills patients and group and hospital partner, a PSA may also com- "the foreseeable future.” payers for any services. Instead, the oncology pensate groups for defined administrative servic- Searching for new ways to grow and run their group assigns its claims to the hospital, which es for overall clinic operations, quality metrics, business in this new health care environment, takes on the roles of provider of service and oncology service line medical director duties, etc., oncologists are increasingly turning to their local responsible billing party. This model offers sever- establishing more of a co-management infra- hospitals for support in this regard. And hospitals al distinct advantages for medical oncologists in structure for the service. are responding with a variety of partnership private practice. Not only are the oncologists able strategies that don’t necessarily involve employ- to retain their independence; but also, depending The Hospital’s Perspective ment of physicians by a hospital or a hospital- on the terms of the PSA, they can often have The PSA model provides distinct benefits for hos- owned medical group. other practice locations and maintain desired and pitals as well in terms of addressing the continued appropriate staffing levels. risk of early physician retirements and the difficul- Professional Services Agreement ty in recruiting new physicians in key specialties. Professional Services agreements (PSAs), while Physician Benefits The model can also serve as a vehicle for the not new to health care, are gaining traction in A PSA can also reduce the oncology practice’s introduction of electronic health records technol- oncology care as a collaboration strategy that pro- overhead and cost structure. Under a PSA agree- ogy, increased physician engagement and vides not only an alternative to physician employ- ment, the hospital will either lease or directly enhanced quality improvement through the ment, but a framework for achieving both hospi- employ the clinical staff providing the chemother- Continued on page 5 > update cancerexecutives.org | November 2011 5

Professional Services Agreements sation must be fair market value and commercial- payment terms under the PSA and the new costs > Continued from page 4 ly reasonable. Regulatory entities define commer- that will be incurred by the hospital in order to cial reasonableness as an arrangement that offer the infusion services as hospital, provider- development of clinical standards and best prac- would make commercial sense if entered into by based clinic services. Outside legal assistance is tices. Additionally, the PSA often also presents a reasonable entity of similar type and size and a also needed throughout the PSA process to help opportunities for medical oncologists (assisted by reasonable physician of similar scope and special- eliminate the guess work and avoid any potential hospital staff) to build integrated programs for ty, even if there were no potential business refer- risks involved during the structuring of these ven- clinical trials and realize new revenue sources rals between the parties. tures or the development of the legal contracts. within the oncology service line. In today’s regulatory environment, the ques- Hospitals that are eligible to participate in the tion of value is not only more closely scrutinized, Building a Future Together 340B drug pricing program can realize additional but can be costly. Paying too much or paying for While Professional Service Agreements provide a benefits by re-invest the savings of drug costs in the wrong thing could be deemed a breach of viable option for oncology groups and hospitals other cancer program capital projects and/or fiduciary duty or can be found to violate laws that when containing costs, attracting patients and services such as supportive care, prevention and can lead to significant fines, penalties, suspension maintaining financially viable oncology clinics, it is screening, patient navigation, survivorship, and or expulsion from Medicare or even criminal con- important to remember that alignment is an others that are needed by at-risk and under- victions. Physicians can also face severe penalties ongoing effort that continues beyond implemen- served populations in their community and are and even jail time for accepting illegal payments. tation of the PSA. It's a long-term relationship that often not reimbursed. Engaging an independent valuation firm, can always be strengthened and must be dynam- skilled in oncology-specific compensation mod- ic and responsive to changes in the marketplace Determining Fair Market Value els, can help hospitals and oncologists ensure and oncology landscape. I It is important in establishing a PSA that the that the fair market value assessment is accurate arrangement makes business sense for both par- relative to local and national benchmarks. Chad Schaeffer, FACHE, is a partner with ties and that the compensation matches the serv- Atlanta-based Oncology Solutions, LLC; Kelley ices being provided under the arrangement. Financial Modeling D. Simpson, senior partner. Founded in 1973, Conducting a third-party valuation for the PSA is Once the parties have a definitive fair market val- Oncology Solutions is the largest independent, a critical step in ensuring that the arrangement is uation for the proposed model/services to be oncology-specific consulting firm. The compa- financially sound and complaint with federal and provided under the PSA, financial modeling is ny provides a wide range of strategic, pro- state anti-referral laws (such as anti-kickback critical in forecasting the expected financial per- grammatic, and financial advisory services to statutes and the Stark laws). Stark laws mandate formance for the medical oncology group and help health care organizations of all types and that what hospitals are paying for the practices establishing a viable, long-term strategy. The sizes to advance their cancer programs. and what they are paying physicians in compen- financial models need to consider the proposed

2011–2012 ACE Corporate Sponsors

PLATINUM SILVER Accuray, Inc. Aptium Oncology CHAMPS Oncology Duke Realty GOLD FKP Architects GE Healthcare Radiation Business Solutions The Oncology Group Oncology Management Consulting Group BRONZE Oncology Solutions, LLC D3 Oncology Solutions Thank You! Integrated Healthcare Strategies Contact ACE to learn more about our sponsorship opportunities update cancerexecutives.org | November 2011 6

ACE Oncology 101 > Continued from page 1 questions pertaining to our individual cancer centers as well “The great ipants, I quickly scratched together some notes and present- as general cancer center administration. One of the most ed the fellowship concept to the ACE board members I had eye-opening talks for me was the “Cancer ABCs – opportunity for met during the meeting. I’m excited to say that this idea is Terminology We Use Every Day”. I had never stopped to learning and under consideration by the board for possible future imple- consider how many acronyms we use in our daily tasks. I mentation. Without the 101 program, this idea and the con- also did not realize just how many cancer organizations and engaging others nections to have it evaluated would never have happened. accreditation bodies exist or the vast number of different in our cancer cancer models we implore within our centers. Getting to Great opportunity review these terms with others in our industry was refresh- community is The great opportunity for learning and engaging others in ing and painted a much broader picture of the cancer land- easily worth the our cancer community is easily worth the time you will put scape. I enjoyed the talks and thought that the smaller, more into attending this course. I strongly encourage those that intimate group size was ideal for making acquaintances with time you will put have not attended the Oncology 101 sessions in the past to other cancer center and ACE leaders. into attending do so at the 2012 ACE Conference in Savannah, Georgia. I found the ACE Oncology 101 program to be very Whether you are new to cancer administration or a sea- thought provoking and I wondered how ACE could further this course.” soned professional seeking a refresher course, I know you develop cancer leaders. During the course of the presenta- will learn something new and meet some outstanding indi- tions I contemplated the development of an ACE Administrative Fellows pro- viduals during this portion of the conference. I gram. A number of the talks gave credence to the idea of having a one-year fellowship program that aims to develop the next generation of outstanding cancer executives. A program that could provide fellows with the opportuni- ty to gain a greater understanding of community and academic cancer cen- See the Oncology 101 Schedule of Events for 2012 ter operations, all while preparing them for leadership positions within their on page 13. organizations. After discussing this idea in detail with several other 101 partic- update cancerexecutives.org | November 2011 7

President’s Message BUILT FOR COMPREHENSIVE CANCER CARE William Laffey System Director, Cancer Services Aurora Health Care hat's your purpose? Not yours as an individual, but the Wpurpose of your organization?? I've had the pleasure of hearing Roy Spence speak on this subject a couple of times over the past few years. Roy has helped a number of organi- zations achieve greatness by obsessing about one big idea: purpose. Purpose is a definitive statement about the differ- ence you are trying to make in the world. To quote Roy, 'especially during times of economic uncertainty, purpose is the key to creating and maintaining a high performing organ- ization'. Does 'economic uncertainty' sound familiar?? What do you really stand for? Do your employees feel like what they do matters? Would your physicians and patients miss you if you ceased to exist? Difficult questions, but the answers At Duke Realty, we understand that cancer center may hold the key to your organizational success. $1.3 Billion programs require a multidisciplinary team approach, Total value of Duke Realty’s Roy's clients include Southwest Airlines (‘we give people mutually benefiting the relationship between patients healthcare developments. the freedom to fly’) and Walmart (‘saving people money so and caregivers. Such programs require a facility 9 they can live better’). The purpose of my own integrated sys- designed and built to support a comfortable and Number of cancer centers tem is ‘we help people live well’. We should challenge our- healing environment with integrated technology. developed and managed by Duke Realty. selves to: For nearly 15 years, our physician and hospital – see an opportunity that no one else sees; relationships have been focused on collaboration 21 to deliver innovative, eective oncology treatment Years of experience – start asking 'why'; and Duke Realty has in – engage your best and brightest by any means possible. centers. We’ve developed both freestanding facilities, healthcare specific development. Make a difference and, with some effort and some luck, such as the Outpatient Cancer Center for Baylor University Health System in Dallas, Texas, as well as make history. cancer centers that are components of multi-tenant You may recall that the purpose of ACE is “leadership medical buildings. development of oncology executives through continuing education and professional networking.” What better When your hospital plans to expand its cancer care programs, segue to another reminder about our 2012 Annual Meeting turn to Duke Realty. We’ll put our experience to work for you. in Savannah, where you can accomplish both! Early bird reg- istration for the meeting remains open until December 19, as does the hotel discount. Please review the program devel- dukerealty.com/healthcare oped by the Education Committee to see the excellent ses- sions we will have available (see pages 9–15). Be there in time to join us at the welcoming reception. Learn more about ACE and our committees at breakfast the first day. And, if you are a newer executive, plan to join us for the one-day, Oncol- ogy 101 pre-conference program on January 18. JOIN A COMMITTEE! As far as reminders go, please remember to pay your Learn more about ACE Standing Committees at www.cancerexecutives.org member dues if you haven't done so already. The lifeblood ! or send an email to: [email protected] of any organization is an active membership. Thanks for being a part of ACE — we hope you continue to make a dif- YOUR FEEDBACK IS IMPORTANT TO US! ference. I ACE appreciates suggestions to better serve you. E-mail your questions or comments to: [email protected] Share Your News! ACE Update is published by Association of Cancer Executives (ACE) ACHIEVEMENTS • PROGRAM CHANGES • EVENTS 1025 Thomas Jefferson St. NW | Suite 500 East | Washington DC 20007 STAFF HONORS • TRANSITIONS • NEW FACILITIES 202.521.1886 | Fax: 202.833.3636 | www.cancerexecutives.org Announce it in ACE Update! © 2011 ACE. All rights reserved. Send your news and press releases to: [email protected] update cancerexecutives.org | November 2011 8

Members on the Move

ffective in April 2011, Matt Sherer (pictured at right) has taken a new role as the Oncology Service Line Administrator Ewith Tallahassee Memorial Healthcare, Inc. in Tallahassee, Florida. Matt is responsible for all oncology services within the organization which include radiation oncology, medical oncology, infusion, tumor registry, navigators, clinical research, and inpatient unit. Previously, Matt was the Administrative Director with the John B. Amos Cancer Center in Columbus, Georgia. I

Welcome New Members Since September 1, 2011

I Condie Edwin Carmack, PhD I Kevin Giordano I Katie Michaud, MPA General Manager, Cancer Genetics Lab Executive Director Administrative Director Baylor College of Medicine Dana Farber/Brigham & Women’s Cancer MaineGeneral Medical Center One Baylor Plaza Center in Clinical Affiliation with South Shore Harold Alfond Center for Cancer Care MS: NAB2015 Hospital 361 Old Belgrade Road Houston, TX 77030-3411 101 Columbian Street, Suite 201 Augusta, ME 04330 713 798-8606 Weymouth, MA 02190 207-626-4859 [email protected] 781-624-8548 [email protected] [email protected] I Pamela ClenDening, CTR I John Skora, MBA Cancer Program Director I Katherine Guthrie Administrator Saint Thomas Health CHW Baylor College of Medicine 4220 Harding Rd. 725 Conestoga Lane One Baylor Plaza P.O. Box 380 Nipomo, CA 93444 MS; BCM305 Nashville, TN 37205 805-739-3781 Houston, TX 77030 615-222-6855 [email protected] 713-798-2088 [email protected] [email protected] I Eva Huddleston I Anu Gaba, MD The Oncology Group I Kris Smith, RN Medical Oncology Service Chair 1817 W. Braker Lane Administrator Sanford Health Building F Suite 200 Columbia University Breast Cancer Program 820 4th Street North Austin, TX 78758 Columbia University Medical Center Fargo, ND 58122 512-657-8744 161 Fort Washington Ave., 10th Floor Suite 1016 (701)234-7599 [email protected] New York, NY 10032 [email protected] 212-342-3911 [email protected]

Refer a NEW Successful referrals will receive a $25 AmEx gift card*. ACE Member ACE Member Referral deadline is October 31, 2011. These are the rules: to attend the • Your name must appear on the new member’s online application {Get-A-Member} and your ACE membership dues must be current. ACE Annual • The new referral must be registered and in attendance at the ACE Campaign Meeting and 18th Anual Meeting in Savannah. Starts Now! get a reward! • Claim your gift card at the Annual Business Meeting during the ACE 18th Anual Meeting in Savannah.

TH JANUARY 18—21, 2012 *One gift card per referral. No limit on how many cards one person 18 can receive. Please contact ACE HQ with any questions: ANNUAL Savannah, Georgia Association of Cancer Executives | www.cancerexecutives.org MEETING HYATT REGENCY SAVANNAH (202) 521-1886 | Email: [email protected] Join us in Savannah in January for four days of educational sessions, new technologies in our EXPO Hall, and networking opportunities. The must-attend event of the year Learn directly from for ALL oncology administrators experts in the field and connect with your peers. You will leave the ACE Annual Meeting with new tools and insight to steer your cancer program through a challenging economic environment.

PLUS: PRE-CONFERENCE ONE-DAY PROGRAM Oncology WEDNESDAY, 101 JANUARY 18

ACE has applied for REGISTER ONLINE! www.regonline.com/ACEmeeting2012 ONS and ACHE Credits Preliminary Program 10:00AM - 10:30AM Coffee Break 10:30AM - 11:30AM Engage Every Age: How to Effectively Leverage the Strengths of Each WEDNESDAY, JANUARY 18 Generation ALL DAY Oncology 101 Pre-Conference Program* • Anne Loehr, Anne Loehr & Associates *Separate registration fee applies; see agenda on page 5 “Understanding a generation’s defining characteristics and core values can help businesses create products and craft messages 6:00PM - 7:30PM 18TH Annual Meeting Welcoming Reception that capture the customer's attention.” — Yankelovich Report & Foundation for Hospital Art To communicate clearly with each generation in today’s workplace, you Painting Project need to understand the political, societal and technological events that (Sponsored by Pyramid Healthcare Solutions) shaped each generation’s core beliefs and values. Once you understand the The Foundation for Hospital Art is dedicated to softening hospital environ- history, traits and culture of each generation, you can then better speak ments with colorful paintings, wall murals and ceiling tiles. ACE attendees their language, which builds rapport and trust. The result? Higher sales, will have the opportunity to help paint a pre-drawn, color-coded design that improved bottom-line results and increased employee retention. will be donated to a needy hospital. This engaging and dynamic presentation will help leaders bridge the gap between Gen X, Gen Y and Baby Boomers. Anne Loehr will discuss: THURSDAY, JANUARY 19 > The workforce of the future > The personality traits, and key differences, of each generation in today’s 7:00AM - 5:30PM Registration Desk workforce 7:30AM - 8:00AM Networking Breakfast > How to communicate effectively with each generation > Practical tips and advice on bridging the gap amongst Gen X, Millennials 7:30AM - 8:00AM ACE Volunteer Committees Roundtable and Baby Boomers (All welcome) 11:30AM - 1:00PM Explore Savannah / Lunch on your own 8:00AM - 9:00AM Welcome & Opening Remarks 1:00PM - 2:00PM Cancer Prevention – National Institutes • William Laffey, ACE President, Aurora Healthcare of Health Perspective • Linda Ferris, PhD, ACE President-Elect, Centura Health • Dr. Lori Minasian, Acting Director of Cancer Prevention, NIH Keynote Address Session description TBD • Dr. Otis Brawley, FACP, Professor, Hematology & Medical Oncology, Winship Cancer Institute of Emory University; Chief Medical & Scientific Officer, , Inc. Dr. Brawley will review the cost of healthcare in the U.S., health outcomes in the U.S. vs other countries, waste and inefficiencies in American health- care, and the need for rational use of healthcare to avoid rationing of healthcare. 9:00AM - 10:00AM ASCO Highlights 2011 • Dr. Robert Wolff, University of Texas MD Anderson Cancer Center Dr. Wolff, Deputy Division Head of Cancer Medicine at MD Anderson Cancer Center in Houston, will provide an overview of significant clinical research discoveries which were presented at the 2011 American Society for Clinical Oncology Annual Meeting in Chicago. In addition, the implications of these discoveries for oncology administrators will also be shared.

CLICK TO REGISTER ONLINE ® www.regonline.com/ACEmeeting2012

PRELIMINARY PROGRAM G

N THURSDAY, JANUARY 19 (continued) FRIDAY, JANUARY 20 I T

E 2:00PM - 3:00PM VARIAN PLATINUM KEYNOTE SPEAKER 7:30AM - 5:30PM Registration Desk E

M New Techniques for Brain and Body Radiosurgery 8:00AM - 9:00AM Breakfast in EXPO Hall –

L Last Chance to Visit with Exhibitors

A • Dr. Joshua Lawson, UC San Diego Moores Cancer Center

U This session will discuss evolving techniques using IMRT, IGRT, and RapidArc, 9:00AM - 10:00AM ELEKTA PLATINUM KEYNOTE SPEAKER N focusing specifically on the stereotactic radiosurgery treatment process at N Creating True Partnerships to Improve Operational &

A UCSD. We have developed a novel entirely noninvasive approach which opti-

H Financial Performance in Challenging Times

T mizes patient comfort and efficiency by using a video-based motion man- 8

1 agement system. Dr. Lawson will discuss this development and also the • James Yates, MSPH, MBA, FACHE, Swedish Cancer Institute

E application of a similar approach to body radiosurgery. Across the U.S. and around the world, oncology centers are facing the new

C realities of developing Accountable Care Organizations to deliver consoli-

A 3:00PM - 3:30PM Opening EXPO Hall Break dated care for more patients in more efficient and cost-effective ways. 3:30PM - 4:30PM Addressing Safety of Therapeutic Critical success factors for delivering improved patient outcomes and bot- Radiation tom-line results for hospital administrators and payers is the ability to develop long-term technology plans and standardized operational prac- • Dr. Craig Stevens, Chair, Radiation Oncology, Moffitt Cancer tices. Doing so can significantly improve cancer care executives’ operating Center, Tampa, FL performance, while providing new treatment options for expanding vol- Dr. Stevens will share his institution’s recent experience in the realm of umes of patients without sacrificing the quality of care. Join this discussion patient safety in the Radiation Oncology setting. Participants will under- of how one center is partnering with a medical technology firm to imple- stand the role of “Failure Mode Effect Analysis” (FMEA) in analyzing and ment best of breed technologies and elevate operations across multiple reducing risk of treatment errors. They will also learn the areas of treat- centers in a challenging operating environment to deliver on the promise ment process that are most likely to cause errors and technique(s) for of better patient care while maintaining profitability. addressing these. 10:00AM - 11:00AM BREAKOUT SESSIONS – Concurrent 4:30PM - 5:30PM National Cancer Institute Cooperative Group Reorganization Practical Solutions to a Complex Problem – How to Introduce Multidisciplinary Care in a Community • Dr. James Abbruzzese, Chair, National Cancer Institute Clinical Practice Setting Trials Advisory Committee Dr. Abbruzzese will present an overview of the recent reorganization of the • Rhonda Mealor, Senior Managing Partner, Oncology Solutions, LLC NCI’s Cooperative Groups. The cooperative group mechanism enables the • Todd Stevens, MBA, President & CEO, Mary Bird Perkins Cancer conduct of investigational clinical trials in community settings across the Center U.S. with the goal of enhancing the timeliness of patient accrual. The reor- Hospitals and physicians both want the same things for their patients and ganization has the potential to impact the pace with which clinical trials are families — high quality, coordinated care. But often a fragmented delivery completed and findings are translated to patient care. system creates barriers and causes unnecessary delays that prevent providers from providing the best possible experience to their patients. 6:00PM - 7:30PM Opening Reception in EXPO Hall Learn how multidisciplinary care teams are helping one community bring 7:30PM Dine–Around Networking Event hospital staff and medical providers together to improve overall clinical Enjoy dinner at one of Savannah’s best restaurants while spending time quality and efficiency through the continuum of care — from diagnosis to your colleagues and making new acquaintances. Sign-up will be available at treatment through recovery and survivorship and beyond. registration desk. (Transportation is on your own; dinner is Dutch-treat.) Addressing Cancer Care Costs from an Employer’s Perspective – Initiatives to enable employees to live and work in a healthy way • Timea Zsiray, Oncology Marketing Manager, GE Healthcare Cancer is a complex, costly condition to treat. Emerging trends in cancer care — such as focusing on prevention — are opening up opportunities to drive savings. This Fortune 500 company is focusing on strategies to build a culture of health by providing employees with the resources they need to CONNECT WITH get and stay healthy and become active consumers of healthcare. THE ATTENDEES! 11:00AM - 11:30AM Coffee Break Sponsor and exhibitor opportunities are available. For more information visit ® www.cancerexecutives.org

CLICK TO REGISTER ONLINE ® www.regonline.com/ACEmeeting2012 PRELIMINARY PROGRAM G

N FRIDAY, JANUARY 20 (continued) 5:00PM - 7:00PM Savannah Ghost Walking Tour I

T (Included in Registration Fee)

E 11:30AM - 12:30PM BREAKOUT SESSIONS – Concurrent This group tour takes you though the old colonial streets of the historic dis- E

M Managing Cancer Survivorship in the Community trict where you will learn about local legends, hauntings, and even the occa-

L Setting: Lessons Learned sional house exorcism. A

U • Scott Siegel, Ph.D., Director of Survivorship, Christiana Care

N SATURDAY, JANUARY 21 A discussion of the lessons we’ve learned over 5+years from implementing N

A survivorship programming and care in the community setting. 7:00AM - 12:00PM Registration Desk H T

8 Maximizing Your Cancer Registry Database 7:30AM - 8:00AM Breakfast 1

E • Suzanna Hoyler, Hoyler & Associates 8:00AM - 9:00AM BREAKOUT SESSIONS – Concurrent

C Your cancer registry is somewhat of a “gold mine” from many viewpoints.

A Nurse Navigation — Great for Patients, Great for the This session will cover the unique features of a cancer registry and how to Bottom Line maximize the use of this rich data source for strategic planning, cancer research, and quality outcome measures. Capturing accurate registry data • Esther Desimini, HCA Capital Division and utilizing it to the benefit of your cancer program’s growth and develop- Making the case for an oncology nurse navigator is described via a review ment should be a “win-win” situation. of the impact on patient outcomes, improved experiences and hospital returns. Utilizing one health system’s experience, the business case and 12:30PM - 1:30PM Lunch & Annual Business Meeting processes for operationalizing navigation is reviewed which ultimately 1:30PM - 2:30PM BREAKOUT SESSIONS – Concurrent reflected positive growth and financial return. Physician Integration Models for Growth and Don’t Let the Dashboard Block Your View of the Financial Success: Critical Terms of the Relationship Road — Developing a National Oncology Dashboard

• Chris Wood, RT, Nash Healthcare Systems, Inc. • Teresa Heckel, CHI National Oncology Service Line • Teri Guidi, MBA, FAAMA, Oncology Management Consulting Group Do you really know how your cancer program is performing? Do you strug- This session will present an ongoing case study of a community hospital gle with identifying meaningful metrics, acquiring appropriate data and seeking to integrate medical oncology and infusion services between the getting the team on board to respond to areas of low performance? Learn hospital and a private physician practice. The presentation will take the how a large, national health system brought people and processes togeth- audience through the presenters’ experiences, from the initial conversa- er to create a meaningful, actionable national oncology dashboard. tions through analysis and negotiation including the numerous critical fac- 9:15AM - 10:15AM Accreditation Under the New ACoS tors that emerged, at times changing the entire landscape. Standards Defining Accountable Cancer Care • Dr. Daniel McKellar, FACS, American College of Surgeons • Allison Cuff Shimooka, The Advisory Board Company This session will cover the major changes from the former standards, The concept of accountable care has officially entered the health care lex- explain the rational behinds the changes, and discuss strategies for suc- icon as a means to drive value in care delivery — more specifically, superi- cessful compliance. or outcomes at a lower cost. Considerable uncertainty remains regarding 10:30AM - 11:30AM Cancer Quality & Public Reporting how accountable care principles will translate into actual reform, particu- larly given the fragmented nature of health care that exists today. This • Dr. Stephen Edge, President CoC/Breast Surgeon, Roswell Park research will present insights into how oncology fits into the larger frame- Cancer Institute work of accountable care and will include concrete guidance on what can- Learn about the Roswell Park Cancer Institute experience with public cer providers can do now to build the foundation for long-term success. reporting of cancer quality and outcomes. Understand the Commission on Cancer’s focus on public reporting of quality. Determine if your cancer pro- 2:30PM - 3:00PM Break gram is prepared to publicly report on its quality and outcomes? 3:00PM - 4:00PM Breaking Bad News: Skills and 11:30AM Adjourn Approaches for the Cancer Executive • Dr. Walter Baile, University of Texas MD Anderson Cancer Center This session will enhance the skills and abilities of administrators to com- municate bad news. Dr. Baile, Professor in the Department of Behavioral Science at MD Anderson Cancer Center in Houston, will apply years of expe- rience in teaching these concepts to clinicians relative to patient care to the world of oncology administration. Dr. Baile will share practical tech- niques for how to turn potentially difficult and contentious discussions into ones that are productive and effective.

CLICK TO REGISTER ONLINE ® www.regonline.com/ACEmeeting2012 PRE- CONFERENCE Pre-Conference one-day Program* Oncology 101 *Separate registration is required

ew oncology WEDNESDAY, JANUARY 18 Nadministrators, 8:00AM – 9:00AM ACE New Member/Mentor Breakfast new ACE Members, and 9:00AM – 9:15AM Welcome Remarks those seeking a refresher Oncology 101 Program Co-Chairs: course are urged to attend • Brian McCagh, FACHE, ACE Past President, Greater Baltimore Medical Center • Kelley Simpson, Senior Partner, Oncology Solutions the one-day program, 9:15AM – 9:45AM What is ACE? How You Can Get Involved

Oncology 101 on • Linda Ferris, PhD, ACE President-Elect, Centura Health Wednesday, January 18. 9:45AM – 10:45AM Cancer ABCs – Our Everyday Terminology • William Laffey, ACE President, Aurora Healthcare This program precedes the 10:45AM – 11:30AM Quality Outcomes & Program Reimbursement

ACE Annual Meeting and • Holley Stallings, RN, BSN, Norton Cancer Institute will prepare you 11:30AM – 12:30PM Networking Luncheon for the topics and issues 12:45PM – 1:45PM Maximizing Your Matrix that you will face as an • Patrick Grusenmeyer, Sc.D., FACHE, ACE Past President; Helen F. Graham Cancer Center, Christiana Care Health System oncology executive. 1:45PM – 2:00PM Break 2:00PM – 3:00PM Strategic Planning • Michael Pietrowicz, Englewood Hospital & Medical Center 3:00PM – 3:15PM Break REGISTER 3:15PM – 4:15PM Financial Reporting & Accountability FOR ONE • Brian McCagh, FACHE, Berman Cancer Institute, Greater Baltimore Medical Center OR BOTH 4:15PM – 5:00PM Q&A 6:00PM - 7:30PM ACE 18th Annual Meeting Welcoming Reception PROGRAMS! Oncology 101 Attendees are Welcome to Attend

REGISTER ONLINE ® www.regonline.com/ACEmeeting2012 General Information

PLATINUM SPONSORED KEYNOTE SPEAKERS

ELEKTA VARIAN James Yates, MSPH, MBA, FACHE Dr. Joshua Lawson Swedish Cancer Institute, UCSD Moores Cancer Center, Seattle, WA San Diego, CA ACE CORPORATE SPONSORS 2011–12

(As of September 27, 2011)

PLATINUM ANNUAL MEETING & ONCOLOGY 101 PRICING Register today for ONE or BOTH programs! REGISTRATION FEES (Per person) Early-Bird Full Fee PRE-CONFERENCE PROGRAM / January 18, 2012 (By 12/19/11) (After 12/19/11) > Oncology 101 ...... $ 299 ...... $ 349 Fee includes: Breakfast, lunch and reception on Wednesday; Oncology 101 sessions; and program materials. ANNUAL MEETING / January 19–21, 2012 (By 12/19/11) (After 12/19/11) > ACE Member ...... $ 659 ...... $ 759 GOLD > Non-Member ...... $ 910 ...... $ 1,010 GE Healthcare Fee includes: Receptions on Wednesday and Thursday; breakfast on Thursday, Friday and Saturday; lunch Oncology Management and historic walking tour on Friday; meeting sessions; and meeting materials on flash drive. Consulting Group ANNUAL MEETING DAY PASS / Good only for one day of your choice Oncology Solutions, LLC > Thursday, January 19 ...... $ 299 > Friday, January 20 ...... $ 299 SILVER Day Pass includes: Scheduled meals, meeting sessions, and meeting materials for the ONE DAY selected. Accuray, Inc. 2012 ANNUAL MEETING EXHIBITORS Aptium Oncology ACCOMMODATIONS CHAMPS Oncology ACCC FKP Architects Hyatt Regency Savannah Duke Realty Accuray, Inc. GE Healthcare 2 West Bay Street FKP Architects American College of Surgeons Oncology Management Savannah, GA 31401 Commission on Cancer Consulting Group Radiation Business Solutions Reservations: (888) 421 1442 Aptium Oncology Oncology Solutions The Oncology Group ACE Group Rate ...... $150 Brianlab Pyramid Healthcare Solutions To reserve a room contact the BRONZE CHAMPS Oncology Radiation Business Solutions hotel directly and request the D3 Oncology Solutions Sky Factory D3 Oncology Solutions ACE Annual Meeting group rate Duke Realty The Oncology Group Integrated Healthcare Strategies (available on a first-come, Elekta Varian Medical Systems first-served basis). (As of September 27, 2011)

CONNECT WITH THE ATTENDEES! Additional Exhibitor and Sponsorship opportunities are available! For details visit ® www.cancerexecutives.org

EARLY-BIRD DEADLINE REGISTER ONLINE ® www.regonline.com/ACEmeeting2012 DECEMBER 19, 2011