Frauenshuh Cancer Center 2011 Annual Report

31 Pages·2012·3.88 MB·English

OUR
PROMISE
TO YOU
2011
Annual Report
Frauenshuh Cancer Center 2011 Annual Report
Table of contents
3 Note to our colleagues
5 2011 highlights
7 Team spotlight
8 2011 awards and achievements
9 Oncology registry
13 Breast cancer
20 Oncology research review
23 Donors for 2011
30 Cancer committee
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A note to our colleagues
Dear colleagues,
Frauenshuh Cancer Center had a number of important achievements during 2011,
all focused on continually improving our Patient and Family Experience. As a
result of these achievements, we have expanded our range of services and support
while improving the efficiency, safety and precision of our care.
We have transitioned to Epic, a more fully integrated, comprehensive electronic
medical record (EMR). The transition was a multi-year initiative for all of
Park Nicollet Health Services. On Oct. 26, 2011, Epic moved us into the era
of computerized order entry (CPOE). This enhances the safety and accuracy of
chemotherapy and other treatment. Epic also improves our communication with
patients through MyChart. Patients can access portions of their EMR any time,
from anywhere, at mychart.parknicollet.com.
During 2011, we strengthened Frauenshuh Cancer Center’s Integrative Medicine
services, doing more to meet patients’ mental and emotional needs. Our
integrative therapy offerings include healing touch, massage, acupressure, Reiki
and reflexology. They are offered free of charge and supported by a Park Nicollet
Foundation grant. Our goal is to heal bodies, minds and spirits through state-of-
the-art medical treatment and integrative therapies.
In December 2011, our cancer program was the only Minnesota recipient of a
three-year certification from the American Society of Clinical Oncology Quality
Oncology Practice Initiative (QOPI) and “accreditation with commendation” from
the American College of Surgeons Commission on Cancer (CoC) as a Teaching
Hospital Cancer Program. These accreditations recognize our high-quality care and
are valid through 2014.
This annual report features a breast cancer clinical update and a discussion of our
integrative approach to breast cancer care from Amy Spomer, MD.
During 2011, many patients and former patients designated Park Nicollet
Foundation gifts to support Frauenshuh Cancer Center. We are moved by and
grateful for their support. We want to thank everyone who contributed to our
successes during 2011, including donors (see Page 23), our cancer committee
members (see Page 30), our Patient Advisory Board and cancer program
team members.
If you have comments or questions about this report or our comprehensive cancer
services, please call 952-993-3248.
Sincerely,
Mark A. Wilkowske, MD Laura J. Holasek
Medical Director, Oncology Services Administrative Director
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Frauenshuh Cancer Center 2011 Annual Report
Mark A. Wilkowske, MD
Mark Wilkowske, MD, is medical director
of oncology services for Frauenshuh Cancer
Center. Dr. Wilkowske received his bachelor’s
degree and medical degree from the University
of Minnesota. From 1988 to 1994, he received
postgraduate training in internal medicine and
hematology-oncology. He is board-certified
by the American Board of Internal Medicine,
Subspecialty Board of Medical Oncology and
Subspecialty Board of Hematology. Professional
associations include American College of
Physicians and American Medical Association.
He is past president of the Minnesota Society
of Clinical Oncology. Dr. Wilkowske serves on
Park Nicollet’s Board of Directors, the Park
Nicollet Foundation Board of Directors and the
Park Nicollet Executive Medical Council.
Laura J. Holasek
Laura Holasek is the administrative director of
Frauenshuh Cancer Center. Holasek earned her
bachelor’s degree in health care administration
from the University of Wisconsin-Eau Claire. She
has been with Park Nicollet Methodist Hospital
since 2000, working as radiation oncology
manager in charge of Radiation Oncology daily
operations before being named administrative
director of the cancer center in January of
2011. Holasek oversaw design and construction
of Frauenshuh Cancer Center’s Radiation
Oncology department, which opened in June
2009. She is a member of the Association of
Cancer Executives and the Society for Radiation
Oncology Administration. Her operational
interests include budgeting, daily operations,
patient flow, marketing and strategic planning,
human resources and project management.
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2011 highlights
QOPI certification Women’s cancer awareness
In December 2011, Frauenshuh Cancer campaign
Center achieved a score of 99.39 and
Park Nicollet Marketing and
certification from the American Society
Communications Department, Frauenshuh
of Clinical Oncology Quality Oncology
Cancer Center and Jane Brattain Breast
Practice Initiative (QOPI) and “accreditation
Center teamed up to create a metro-wide
with commendation” from the American
women’s cancer awareness campaign. Park
College of Surgeons Commission on
Nicollet’s “I Have” campaign focused
Cancer (CoC) as a Teaching Hospital
on breast cancer services in May 2011.
Cancer Program. This accreditation and
It featured patients who benefited from
certification, valid for three years through
Park Nicollet services and appeared on
2014, ensures that patients have access to:
parknicollet.com, Facebook, bus sides,
radio, newspapers, television and billboards.
• Comprehensive cancer care
The “Be Pink” campaign in October 2011
• State-of-the-art equipment and facilities focused on breast cancer awareness and
community events and encouraged women
• A fully integrated care team
to get mammograms. Many Park Nicollet
and other Twin Cities buildings were lit
• Information about access to ongoing
in pink at night to raise awareness. In
clinical trials and new treatment options
conjunction with “Be Pink,” the first annual
• Support programs for patients Project Glam event raised funds for Jane
and families Brattain Breast Center.
QOPI is a voluntary quality improvement Free integrative therapy
program for medical oncology practices.
A Park Nicollet Foundation grant provided
Frauenshuh Cancer Center has participated
integrative therapies free of charge to
since 2006 and is the only cancer program
Frauenshuh Cancer Center patients. These
in Minnesota to receive QOPI certification.
services include massage, Reiki, reflexology,
healing touch and acupressure.
Events raise funds for patient
support, education Growth in palliative care
Marathons of Hope and Golf Under the leadership of Lisa Illig, MD,
Marathon again were very successful the number of patients served by Palliative
in raising funds for patient support and Medicine and Community Care grew to
education programs. More than 350 people more than 100 consults by August, with
participated in Marathons of Hope on Sept. increases in referrals for advanced care
10, 2011, raising $25,000. Golf Marathon planning, accessing resources for patients
was held on Sept. 19, 2011, and raised and Physician Orders for Life-Sustaining
$75,000. Treatment (POLST) completion.
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Frauenshuh Cancer Center 2011 Annual Report
2011 highlights
(continued)
Emergency Center Service awards
observation unit This year Frauenshuh Cancer Center
honored clerk Kristen Vukelich and Thelma
Park Nicollet opened a new observation
(Terry) Hukreide, RN, of Jane Brattain
unit in the Emergency Center. Two
Breast Center. Vukelich received the Helen
radiologists are available in the unit until 10
Berg Service Award, which was established
p.m. each evening.
in 2009 and is named for our dear friend
and colleague who lived and worked
Skin screening event
courageously with cancer for many years.
Frauenshuh Cancer Center and Park Helen started as a Park Nicollet volunteer
Nicollet Dermatology hosted a free skin and later worked as our welcome desk
cancer screening event on May 21, 2011. concierge. Hukriede received the second
Sixty people participated. annual Jane Brattain Breast Center Service
Award for 2011.
Survivorship conference
In April 2011, Oncology Research presented Patient Advisory Board
two posters at a University of Minnesota Our Patient Advisory Board, which
conference entitled “Cancer Survivorship: increases collaboration among patients,
Bridging the Transition to Life after families, caregivers and healthcare
Cancer.” The posters included: providers, entered its fourth year of service
in 2011. Its purpose is to help deliver
“Breast and colorectal cancer survivors’
the highest quality of patient-centered
knowledge about their diagnosis and
care by increasing collaboration among
treatment” was authored by Mary Jo
patients, families, caregivers and healthcare
Nissen, PhD; Michaela Tsai, MD; Ann H.
providers. The Patient Advisory
Blaes, MD; and Karen Swenson, PhD.
Board provides input on patient support
“Effect of a cancer rehabilitation materials, our continuum of care and other
program on function, quality of life and important decisions. Members include
conditioning” was authored by Karen cancer survivors, families, community
Swenson, PhD; Mary Jo Nissen, PhD; Elaine members, donors and Frauenshuh Cancer
Bell, RN, Annemiek Sistermans, RPT; Paul Center leaders.
Spilde, PT; Amanda Forbes, BS; Cathleen
Chen, MD; and Michaela Tsai, MD.
Manuscript highlighted
“Changes in weight and body composition
in women receiving chemotherapy for breast
cancer” published in Clinical Breast Cancer,
11(1):52-60 by Mary Jo Nissen, PhD; Alice
Shapiro, PhD; and Karen Swenson, PhD.
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Team spotlight
A number of new members joined the Frauenshuh Cancer Center care team during 2011.
Suresh Devineni, MD, medical oncologist, joined the
Cancer Center’s care team in November 2011. As a medical
oncologist and hematologist, he specializes in treating
patients with a wide range of cancers and blood disorders.
Kathleen Gilderman, WHNP-BC, was hired in 2011. She has been
board certified as a women’s health nurse practitioner since 1990
and as a menopause clinician since 2000. She provides breast health
and OB/GYN services.
Michael Haley, MD, was hired as a radiation oncologist.
Kathleen Johnson, WHCNP-BC, also joined the breast health team
in 2011. She has been board certified as a women’s health nurse
practitioner since 1991. Her previous nursing experience includes
medical-surgical hospital staff nurse, oncology and hospice, labor
and delivery, postpartum and newborn nursing and teaching
maternal/child health to RN students.
Rachel Lerner, MD, medical oncologist, joined the care team in April
2011. As a medical oncologist and hematologist, she treats patients
with a wide range of cancers and blood disorders.
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Frauenshuh Cancer Center 2011 Annual Report
2011 awards and achievements
Mark Wilkowske, MD, was elected to Park Nicollet’s new Executive Medical Council.
Vicki Norton, RN, BSN, OCN, held a director-at-large position with the Oncology Nursing
Society. Norton received the Sarah Harrison Knight Award as one of the 2011 Nurse of
Excellence Award nominees on May 9, 2011. She also co-authored an article in the Clinical
Journal of Oncology Nursing entitled “The Value of Oncology Nursing Certification.”
J.P. Carlson, MD, Mark Menge, MD and Mark Wilkowske, MD, were on Minnesota Monthly
magazine’s “TOP DOCTORS” list for 2011.
Susan Koering, RHIA, CTR, served as past president of the National Cancer Registrars
Association (NCRA). Koering, Oncology Registry, also presented a poster on “Cancer Registry
Data: An Evolution Leading to Cancer Control” at the International Association of Cancer
Registries meeting in Mauritius, off the coast of South Africa.
Michael Weber, MD, and Raj Varadhan, MD, Radiation Oncology, co-authored a poster on
“Dosimetric Comparison of Intensity Modulated ARC Therapy (IMAT) Techniques” at the
American Academy of Pain Medicine National Meeting.
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Oncology registry
Most common cancer sites
The four most common cancers for Park Nicollet patients in 2011 (excluding skin cancers) were breast, prostate,
lung and colorectal. These four sites, listed by the American Joint Committee on Cancer (AJCC)* stage in Table
1, account for 49 percent of all cases.
In Minnesota, the most common cancers listed in order of occurrence, as published in the American Cancer
Society’s “Cancer Facts and Figures 2011,” are prostate, breast, lung and colorectal.
Table 1:
Four most common sites by AJCC stage at Park Nicollet Health Services
Female Breast Cancer 2011 Prostate Cancer 2011
425 total cases 287 total cases
Stage 0=0
Stage IV=13 Unknown=3 Unknown=2
Stage III=31 Stage IV=19
Stage III=34
Stage 0=83
Stage I=92
Stage II=88
Stage I=207 Stage II=140
Colorectal Cancer 2011 Lung Cancer 2011
129 total cases* (57 males; 72 females) 195 total cases (93 males; 102 females)
Stage 0=0
Unknown=7
Unknown=8 Stage 0=5
Stage IV=28 Stage I=58
Stage I=34
Stage IV=74
Stage III=30
Stage II=24
Stage III=41
Stage II=15
*Carcinoids of the appendix not included
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Frauenshuh Cancer Center 2011 Annual Report
Table 2:
Four most common cancer sites
Table 2 compares, by site and percentage,
25%
Park Nicollet’s case totals with the estimated
number of cancer cases in Minnesota and the
United States.
20
20%
For these four cancer sites and all cancers,
initial diagnosis and treatment at an earlier
16
15 stage is a very important prognostic variable.
15%
14 14 The earlier the stage at which these cancers
13
are diagnosed and treated, the better the
12 12
patients’ long-term prognosis and survival.
10%
9 9
8
6
5%
0%
Breast Prostate Lung Colorectal
Park Nicollet Health Services
Minnesota
United States
Table 3:
Five-year observed survival, cases diagnosed 2003-2005
Table 3 shows the five-year observed survival of five cancer sites and all cancers at Park Nicollet compared to
national figures. This includes only patients with one primary cancer. Observed survival is the actual percentage
of patients still alive at some specified time after diagnosis of cancer. It considers deaths from all causes, cancer or
otherwise. Park Nicollet meets or exceeds national averages for observed survival of these sites.
Site Park Nicollet 2003-2005 2003-2005
cases Park Nicollet NCDB*
Breast 826 89% 85%
Colon 197 66% 55%
Rectum 50 76% 59%
Lung
Non-small cell 296 17% 16%
Small cell 55 3% 6%
Prostate 434 89% 88%
All cancers** 3,115 68%*** 58%
*National Cancer Data Base
**In-situ and invasive cancers
***Park Nicollet exceeds national level by 10 percent
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