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CCMB Progress Report 2012-2013

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CCMB Progress Report 2012-2013 SMOKING CESSATION LEAN INITIATIVES WESTERN MANITOBA FIRST NATIONS, CANCER CENTRE METIS, INUIT PROGRAM SCREENING PREVENTION Transformation, Step by Step RESEARCH PROGRAMS CLINICAL TRIALS VOLUNTEERS IN SIXTY: CANCER PATIENT JOURNEY INITIATIVE MESSAGE FROM THE CHAIRMAN OF THE BOARD 1 REPORT FROM THE PRESIDENT & CEO 2 ABOUT US 4 IMPROVING PREVENTION 8 IMPROVING EARLY DIAGNOSIS 10 IMPROVING PATIENT EXPERIENCE 14 EFFICIENCY AND EFFECTIVENESS 20 CONDENSED FINANCIAL STATEMENTS 22 CORPORATE INFORMATION 24 VOLUNTEERISM 26 AWARDS AND ACHIEVEMENTS 28 CANCERCARE MANITOBA FOUNDATION 29 OUR VISION OUR VALUES Working together, we will reduce the PATIENT > FAMILY > CONTINUOUS LEARNING AND impact of cancer on all Manitobans. COMMUNITY FOCUS IMPROVEMENT We believe in a balanced patient, We continuously work to improve OUR MISSION family and community centered everything we do and to deepen our focus where care is delivered with understanding of our work and the Through early detection, care, compassion and sensitivity. conditions that affect it. We believe research, education and public in the roles of research, education outreach, CancerCare Manitoba will RESPECT and systematic evaluation. contribute to the prevention We believe in the dignity and worth of cancer and improve the outcomes of every individual and in each STEWARDSHIP and quality of life for Manitobans person’s right to be treated with We endeavor to make wise use with cancer and blood disorders. respect, honesty, openness and of the resources available to CCMB. fairness. We listen to and learn In accepting the responsibilities from each other in an open and entrusted to us by the people of trusting manner. Manitoba, we strive to serve others – and each other – in a manner that TEAMWORK is effective and accountable. We foster a working environment that is motivating, rewarding, CANCERCARE MANITOBA’S VISION, collegial and characterized by MISSION AND VALUES ARE CULTIVATED teamwork. We believe in working WITH PATIENT, PUBLIC AND PARTNER cooperatively with others through INPUT, AND ARE ADVANCED THROUGH partnership and collaboration, PUBLIC OUTREACH. valuing collective achievement. A Message From The Chairman of the Board I AM PLEASED TO PRESENT THE CANCERCARE MANITOBA (CCMB) ANNUAL PROGRESS REPORT FOR THE FISCAL YEAR ENDING MARCH 31, 2013. THIS REPORT HAS BEEN PREPARED ON BEHALF OF THE CCMB BOARD OF DIRECTORS, IN ACCORDANCE WITH THE REGIONAL HEALTH AUTHORITIES ACT, AND WITH GUIDANCE FROM MANITOBA HEALTH AND MANITOBA HEALTHY LIVING, SENIORS & CONSUMER AFFAIRS DEPARTMENTS. Each year at CCMB milestones are reached, challenges cancer associated with an aging population by focusing are met, opportunities to improve the quality of services on innovations that will increase efficiency of service to patients are seized, new knowledge about cancer and delivery. In 2012-2013 work continued on the Patient related disorders is discovered and applied, and nascent Journey Initiative, the strengthening of the Provincial health professionals are educated and trained. Examples Cancer Strategy, the planning for an expansion of of all of these aspects of CCMB’s activities and more are facilities in Winnipeg and for expanding access to contained in the pages of this report. existing facilities and services. The achievements of CCMB depend on the hard work With Dr. Dhali Dhaliwal’s term as president and chief and dedication of many individuals and groups and on executive officer coming to an end in 2013-2014, the an ecosystem of supportive institutions, associations Board of CCMB established a search and recruitment and partnerships. This year we celebrated the 50th process, early in the 2012-2013 fiscal year, to identify anniversary of volunteerism at CCMB, recognizing his successor. During the transition period CCMB the many individuals who selflessly devote thousands will maintain momentum in pursuing the foregoing of hours each year to helping patients and their initiatives and others that have marked the decade of families in Winnipeg and Brandon, and in other Dr. Dhaliwal’s leadership and that will provide a solid centres throughout Manitoba that participate in our foundation for the future. Community Cancer Program. Little of what has been accomplished by CancerCare CCMB is also the beneficiary of the remarkable Manitoba in 2012-2013 would have been possible contributions of those who serve on the CancerCare without the efforts of our outstanding clinical, Manitoba Foundation (CCMF) Board and its scientific, technical, administrative and support staff administrative staff and the financial support they members whose commitment to exemplary patient- attract from the thousands of Manitobans who respond centered service is widely and deservedly lauded and to so generously to the CCMF’s fund-raising and “friend- them I express the heartfelt gratitude and appreciation raising” activities. The Foundation in turn provides of CCMB’s Board of Directors. grants to CCMB that permit us to sustain a high standard of performance in mission-critical aspects of our programs and to stay abreast of new developments in prevention, diagnosis and treatment. Despite the intensification of fiscal constraints, CCMB Dr. Arnold Naimark chair, board of directors continues to maintain its commitment over the long term cancercare manitoba to meeting the challenge of an increasing incidence of CANCERCARE MANITOBA 2012-2013 PROGRESS REPORT 1 A Message From The President and CEO I AM PLEASED TO SUBMIT CANCERCARE MANITOBA’S (CCMB) ANNUAL PROGRESS REPORT FOR THE FISCAL YEAR 2012-2013 FOR REVIEW. I DO SO TO THE CCMB BOARD OF DIRECTORS, OUR STAKEHOLDERS AND MANY PARTNERS, AND TO ALL CANCER PATIENTS AND THEIR FAMILIES IN MANITOBA. THIS PAST FISCAL YEAR WAS SUCCESSFUL IN TERMS OF THE PROGRESSION OF ESTABLISHED INITIATIVES WHICH WILL BE OUTLINED FURTHER IN THIS REPORT. The end of the 2013 calendar year brings my ten year › Extensive Community Cancer Program Network, term as President and Chief Executive Officer of CCMB strongly based on primary care, in urban, rural to its conclusion. and northern communities, which is now being transformed into regional and community cancer Progress in cancer, as in much of medicine, often appears hubs to provide local, broad spectrum cancer painfully slow. Reflecting on the past decade locally, expertise and support for rapid diagnosis, treatment and the broader progress since CCMB’s inception in 1930, and palliative care. shows major achievements, and one senses we are on the cusp of a major revolution in cancer. › Aboriginal Cancer Control Program to improve cancer outcomes and access to services for First Already the leading cause of death in Canada, the number Nations, Metis and Inuit people. of cancer cases will increase by 50 percent within two decades, so our health care system must prepare for › Western Manitoba Cancer Centre was planned, unprecedented demand. However, the incidence and completed and is already functioning at near capacity; death rates for many cancers have been steadily falling the first modern radiation facility outside of Winnipeg. for two decades, illustrating the impact of prevention › Quality & Safety Program – proactive monitoring (smoking related cancers,) early detection (cancer of risk areas through real-time incident reporting screening) and treatment. and improvements based on analysis and This report details the recent activities of CCMB, multidisciplinary solutions. but highlights of a few major initiatives over the past › Progressive compliance with Accreditation Canada decade include: requirements until the highest possible standard › A robust progressive Provincial Oncology Drug Program, reached: Accreditation with Exemplary Standing and strongly supported by the provincial government, Leading Edge Practises. with evidence-based use of all drugs to increase › Extensive recruitment, particularly of oncologists access, and contain costs. Manitoba now has the most (30+), oncology nurses, radiation therapists and comprehensive oncology drug coverage program, physicists, until the only remaining vacancies are with the least financial burden on patients in Canada. in medical oncology. 2 CANCERCARE MANITOBA 2012-2013 PROGRESS REPORT › Centralised referral system to enhance rapid Major challenges lie ahead however, as the demand for response and triage of most cancer patients and services increases relentlessly, fueled by unprecedented those with blood disorders. expansion of therapeutic options (new expensive drugs, technologies), based on molecular medicine, › Improved the quality of cancer registry data new surgical and radiation technologies, in an age and expanded research and analytic capacity of where knowledgeable patients have instant access to epidemiology to evaluate system performance, patterns information. Shortage of expert staff in a competitive of care, and areas for attention. Ongoing participation environment at a time of fiscal restraint will make in the International Cancer Benchmarking Project recruitment and retention difficult. reflects the high standard of CCMB data and provides meaningful international comparisons. But somehow, whatever the economic environment, we must not be daunted or waver from our convenance › Improved systemic therapy safety, through with patients to offer the best care possible. As treatment implementation of new standards of care, e.g., costs spiral, greater investment in prevention and early Computerized Physician Order Entry, (increased detection will be imperative. Education and research from 30 percent to
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