Annual Report Natalie Warren Bryant Cancer Center Saint Francis Cancer Center
ANNUAL REPORT | 2016
Since 1975, the cancer program at Saint Francis Health System has provided state-of-the-art medical oncology and radiotherapy technology to residents in eastern Oklahoma and surrounding states. Committed to advancing oncology care, Saint Francis provides an array of oncology services to meet patient needs. The cancer center’s treatment practices include boardcertified physicians who provide multidisciplinary care in a professional, patient- and family-focused setting. Additionally, the cancer program is accredited by the American College of Surgeons as a Comprehensive Community Cancer Program.
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ANNUAL REPORT | 2016
2016 Annual Cancer Program Update: It has been an eventful year for our oncology program and services within Saint Francis Health System. Continuing to provide excellent clinical and patient-centered care and services remains our goal. Highlights of some of the major achievements and improvements for 2016 include the following: • Implementation of our oncology electronic health record
• Provided over 350 mammograms or other breast
module as part of Epic for both adults and pediatric
diagnostic services to patients through partnering with
cancer patients
Oklahoma Project Woman—a program designed
• Implementation of the radiation oncology electronic
to provide breast health screening/diagnostic
health record system • Pediatric oncology affiliation with St. Jude Children’s Research Hospital cancer program • Implementation of an oncology rehabilitation program
services to women in Oklahoma who have no health insurance and/or limited financial resources • Provision for outpatient oncology social services/ counseling
(occupational therapy, physical therapy, speech therapy
• Addition of an oncology nurse navigator
and lymphedema services) specific for cancer patients
• Receipt of a grant from the Colon Cancer Coalition to
• Implementation of an adult oncology patient/family
promote colon cancer screening to indigent patients
advisory council to help us focus on improvement
through the Xavier Medical Clinic
in services and processes based upon patient/family
• Saint Francis remains the only nationally recognized
experience
Lung Cancer Alliance Screening Center of Excellence in
• Expanded hours of service at the Saint Francis Breast
the state of Oklahoma
Center for screening mammography (7:00 a.m. – 6:30 p.m.
• Warren Clinic Medical Oncology was one of 195
Monday – Thursday)
practices selected to participate in the CMS (Center
• Addition of an oncology certified physician assistant
for Medicare and Medicaid Services) Oncology Care
(PA-C) to perform survivorship visits and see adult oncology patients “same day” in the clinic in an effort to
Model (OCM) which is a five-year program designed to have practices focus on improving care coordination,
help reduce or prevent unnecessary visits to the
efficiency in care, quality and decreased costs.
emergency department and/or hospitalization
• The Center of Genetics implemented a new test, Colon
• Over $1.8 million in outpatient oncology drug patient
and Lung Tumor NGS panel which covers over 1,500
assistance obtained to help deter the costs of cancer treatment through drug replacement and/or drug
gene targets spanning 22 genes that have implications in targeted therapies for colon and lung cancer
co-pay cards, etc. • Sponsorship or hosting of multiple oncology community events for oncology patients/survivors such as the annual “wig party;” Saint Francis cancer survivor night at the Tulsa Drillers; Blood and Marrow Transplant survivors party; American Cancer Society Relay for Life; American Cancer Society Cattle Barron’s Ball; American Cancer Society Strides Against Breast Cancer; “Get Your Rear in Gear” Colon Cancer Coalition Race/Walk
Saint Francis Health System remains committed to being a leader in oncology care and services for northeastern Oklahoma. We continue to focus on improving the health and outcomes of our patients as we carry out our mission to extend the presence and healing ministry of Christ in all that we do.
NANCY N. THOMAS, MA, RHIA, CPHQ Director, Oncology Service Line Saint Francis Health System
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ANNUAL REPORT | 2016
Accredited by the Commission on Cancer Since 1978 The Commission on Cancer (CoC), a program of the American College of Surgeons (ACoS), recognizes cancer care programs for their commitment to providing comprehensive, high-quality and multidisciplinary patient-centered care. Saint Francis is a Comprehensive Community Cancer Program that has been continuously accredited by the Commission on Cancer since 1978. The Commission on Cancer (CoC) is the only multidisciplinary accreditation program for cancer programs in the U.S. and membership is voluntary. Saint Francis has a dedicated multidisciplinary Cancer Committee that meets quarterly to ensure the highest quality of care is being provided to our patients. This dedicated committee sets annual goals and implements improvement projects that focus on quality of care. Outstanding Achievement Award Saint Francis was surveyed by the CoC in November 2014 and received the Outstanding Achievement Award. Saint Francis is in a select group of only 75 U.S. healthcare facilities with accredited cancer programs to receive this national honor for surveys performed in 2014. The award acknowledges cancer programs that achieve excellence in providing quality care to cancer patients and is current for three years. The Saint Francis Health System cancer program was evaluated on 34 program standards categorized within one of four cancer program activity areas: cancer committee leadership, cancer data management, clinical services and quality improvement. The cancer program was further evaluated on seven commendation standards. To be eligible, all award recipients must have received commendation ratings in all seven commendation standards, in addition to receiving a compliance rating for each of the 27 other standards. The CoC conducts an on-site survey every three years to ensure compliance with current program standards. Saint Francis will be surveyed in November 2017.
Ancillary and Support Services Ancillary Services
Diagnostic Services
• Hospice – The Saint Francis Hospice team provides
• Computerized axial tomography scan (CT)
physical, psychological, social and spiritual support to
• Digital radiography for mammography
terminally ill patients and their families. The hospice team also serves as consultants for end-of-life care discussion. • Pastoral Care – A representative from pastoral care offers
• Magnetic resonance imaging (MRI) and breast MRI • Positron emission tomography scan (PET)
the patient and their family compassionate support and an
• Nuclear medicine
opportunity to talk and pray about the issues they are facing.
Support Services
• Pharmacy – Registered pharmacists and qualified
The following services are available throughout
technicians provide a broad spectrum of services to the
Saint Francis Health System:
cancer patient, hospital staff and physician.
• American Cancer Society resource room
• Rehabilitative Services – The goal of acute care physical
• Community resource coordination (transportation,
therapy focuses on maintaining or maximizing a patient’s
financial resources)
functional independence. Therapy plans are individualized
• Case management and patient navigation
for each patient to ensure their personal needs are met.
• Laureate Psychiatric Clinic and Hospital
• Social Services/Case Managers – Assistance and guidance
• Adjustment to illness counseling
are provided to link the patient with appropriate resources
• Caregiver and family counseling
they need at the time of discharge.
• Inpatient and outpatient treatment
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ANNUAL REPORT | 2016
Prevention and Screening Programs Offered at Saint Francis Hospital Saint Francis Hospital offers a variety of annual prevention and screening programs to the community. The Saint Francis Cancer Committee is committed to developing programs that have a direct impact on health. These programs provide early detection and promote a healthy lifestyle.
2016 Prevention Programs
2016 Screening Programs
Prevention programs identify risk factors and use strategies
Screening programs detect cancers at an early stage,
to modify attitudes and behaviors to reduce the chance of
improving rates of survival.
developing cancer.
• Over 300 people have utilized the low-dose CT lung
• Saint Francis WellNow online wellness tool
screening for individuals who are high risk for developing
• Walk to Rio, a program to incentivize employees to be
lung cancer. To date four participants were diagnosed with
active regularly • Annual Health Zone Fitness and Wellness Expo • Hundreds of people participated in various screenings offered at the expo • American Cancer Society Resource Center at the Saint Francis Cancer Center • Provided assistance to over 215 patients: over 100
cancer through the lung screening program. Saint Francis is the only facility in Oklahoma who has received the “Screening Center of Excellence” designation from the Lung Cancer Alliance for our lung cancer screening program. • Oklahoma Project Woman Mammograms – over 370 women have received mammograms at no cost at Saint Francis Breast Center’s Yale campus or Saint Francis Broken Arrow.
wigs and 260 personal health managers were provided, and the Hotel Partners Program assisted patients with hotel rooms • Clear Direction* tobacco cessation classes • Tobacco cessation classes are free for employees and
2016 Annual Community Activities • American Cancer Society Cattle Baron’s Ball • American Cancer Society Relay for Life
open to the public for a $25 refundable deposit on
• American Cancer Society Strides Against Breast Cancer
completion of the program
• Get Your Rear In Gear (Colon Cancer Coalition) run/walk
• Point of Balance adult weight management classes
• Tulsa Community Foundation’s “Art of Healing” for cancer
• More than 50 participants have lost over 250 lbs.
survivors
• ShapeDown* (children’s weight loss program)
• Annual Health Zone Health and Wellness Expo
• More than 50 pediatric participants have lost over 50 lbs.
• Bone Marrow Transplant Survivor’s party
*Offered several times a year at Health Zone at Saint Francis
• Broken Arrow Chamber of Commerce – Successful Business Women’s lunch • Pediatric Oncology Camp, Camp Strong • Saint Francis Survivor Night at the Tulsa Drillers • Tulsa’s CureSearch Walk for the Cure of Childhood Cancer • Union Public Schools Employee Health Fair • Wig Party at Church of Saint Benedict
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ANNUAL REPORT | 2016
2015 Adult Summary by Body System and Sex
Males
Females
Oral Cavity and Pharynx | 27
Oral Cavity and Pharynx | 11
Digestive System | 214
Digestive System | 158
Respiratory System | 201
Respiratory System | 173
Soft Tissue | 5
Soft Tissue | 3
Skin | 59
Skin | 22
Breast | 2
Breast | 406
Male Genital System | 167
Female Genital System | 69
Urinary System | 112
Urinary System | 54
Brain and Nervous System | 33
Brain and Nervous System | 55
Endocrine System | 30
Endocrine System | 63
Lymphoma | 54
Lymphoma | 41
Myeloma | 24
Myeloma | 17
Leukemia | 44
Leukemia | 41
Miscellaneous | 44
Miscellaneous | 42
Total Cases | 2,172
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ANNUAL REPORT | 2016
2015 Pediatric Summary by Body System and Sex
Males
Females
Digestive System | 2
Digestive System | 1
Respiratory System | 0
Respiratory System | 1
Bones and Joints | 1
Bones and Joints | 1
Soft Tissue | 1
Soft Tissue | 2
Urinary System | 1
Urinary System | 3
Brain and Nervous System | 8
Brain and Nervous System | 3
Eye and Orbit | 2
Eye and Orbit | 0
Endocrine System | 2
Endocrine System | 3
Lymphoma | 1
Lymphoma | 0
Leukemia | 11
Leukemia | 6
Total Cases | 49
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ANNUAL REPORT | 2016
County at Diagnosis COUNTY
COUNT (N)
PERCENT (%)
COUNTY
COUNT (N)
PERCENT (%)
Tulsa 1,219 56.38%
Okmulgee 65 3.01%
Wagoner 147 6.80%
Mayes 49 2.27%
Rogers 112 5.18%
Pittsburg 48 2.22%
Creek
91 4.21%
Craig
33 1.53%
Muskogee 81 3.75%
Osage 24 1.11%
Cherokee 66 3.05%
Other
Okmulgee 65 3.01%
Total 2,154 100%
219 10.49%
Craig
1.53%
Osage 1.11%
Rogers 5.18%
Mayes 2.27%
Tulsa
56.38%
Wagoner
Creek
Cherokee
6.80%
4.21%
Okmulgee 3.01%
3.05%
Muskogee 3.75%
Pittsburg 2.22%
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2016 Summary
Prevention and Screening Program Outcomes: • Saint Francis WellNow available online via HealthNet for employees • Saint Francis Health Zone Point of Balance adult weight loss program 57 participants with 270 lbs. weight loss • Health Zone ShapeDown children’s weight loss program 42 participants with 52.4 lbs. weight loss • Tobacco cessation program Six participants • Saint Francis Cancer Center Wig Party 70 attendees with educational items and wigs provided • Broken Arrow Chamber of Commerce lunch 60 attendees, education provided • Walk to Rio 196 employees turned in walking logs and 20 teams participated • Lung screenings 573 performed; eight cancer diagnoses, all referred for treatment • Oklahoma Project Woman breast screenings Saint Francis Breast Center performed 416 mammograms and Saint Francis Broken Arrow performed 25 mammograms at no cost to the patient • Saint Francis Breast Center diagnosed 284 patients with breast cancer, all referred for treatment
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Mission To extend the presence and healing ministry of Christ in all we do
Vision Saint Francis Health System will be the leading integrated Catholic healthcare system providing high quality, comprehensive and innovative care across our regional continuum of services
Values Excellence Promoting high standards of service and performance Dignity Respecting each person as an inherently valuable member of the human community and as a unique expression of life Justice Advocating for systems and structures that are attuned to the needs of the vulnerable and disadvantaged and that promote a sense of community among all persons Integrity Encouraging honesty, consistency and predictability in all relationships Stewardship Ensuring prudent use of talents and resources in a collaborative manner
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