Annual Report 2017 Saint Francis Cancer Center
ANNUAL REPORT | 2017
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 | 2017
2017 Annual Cancer Program Update: It has been another successful year of growth and improvement for our oncology (cancer) program and services within Saint Francis Health System. Continuing to provide excellent clinical and patient-centered care and services remains our goal. Below are highlights of some of the major achievements and improvements for 2017.
• Received Board of Directors approval to expand and
• Provided over 479 mammograms or other breast
renovate the Saint Francis Cancer Center in order to
diagnostic services to patients through partnering with
relocate radiation oncology to the cancer center, and
Oklahoma Project Woman; a program designed to provide
increase the number of infusion chairs such that oncology
breast health screening and diagnostic services to women
patients will be able to receive almost all outpatient
in Oklahoma who have no health insurance and/or limited
services needed in one location.
financial resources.
• Implementation of the newest technology available in
• Provided a “Medical Town Hall” medical forum open to
breast health services, tomosynthesis mammography
the general public entitled, “Breast Health Q&A,” featuring
(3D) and Automated Whole Breast Ultrasound (ABUS),
a medical oncologist, breast surgeon and radiologist.
which together can help diagnose as many as 30 percent
• Saint Francis remains the only nationally recognized Lung
more breast cancers at an earlier stage.
Cancer Alliance Screening Center of Excellence in the
• Increased capacity for outpatient blood and marrow
state of Oklahoma.
transplant patients to be seen and treated on the inpatient
• The radiation oncology department at Saint Francis was
oncology unit as well as some designated hematology/ oncology patents.
recognized at a national patient satisfaction (experience) conference (PRC) as being the “top radiation department
• Over $9.7 million in outpatient oncology drug patient
in the country” for patient satisfaction and the inpatient
assistance obtained to help deter the costs of cancer
oncology nursing unit was recognized as a “top performer.”
treatment through drug replacement and/or drug co-pay
• Two support groups began, one for oncology patients and
cards, etc. • Two additional Warren Clinic medical oncologists joined the Saint Francis team; one based at the Tulsa location and the other in Muskogee. An additional radiation oncologist was added to serve Saint Francis at the Muskogee Cancer Center site. • Sponsorship or hosting of multiple oncology community
one for caregivers of oncology patients. • Saint Francis Health System remains committed to being a leader in oncology care and services for northeastern Oklahoma as we continue to be focused on improving the health and outcomes of our patients, and carry out our mission: To extend the presence and healing ministry of Christ in all that we do.
events for oncology patients/survivors, such as Saint Francis Cancer Survivor Night at the Tulsa Drillers;
NANCY N. THOMAS, M.A., RHIA, CPHQ
Blood and Marrow Transplant Survivors party; American
Director, Oncology Service Line Saint Francis Health System
Cancer Society Relay for Life; American Cancer Society Cattle Barron’s Ball; American Cancer Society’s Strides Against Breast Cancer; “Get Your Rear in Gear” Colon Cancer Coalition race/walk.
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ANNUAL REPORT | 2017
Commission on Cancer Since 1978, the cancer program at Saint Francis Hospital has been continuously accredited by the American College of Surgeons Commission on Cancer (CoC).
About Saint Francis Cancer Center The Saint Francis Cancer Center delivers world-class oncology services to patients in Tulsa, Okla. Founded in 1975, the cancer center was established in honor of Natalie Warren Bryant, second daughter of hospital founders Mr. and Mrs. William K. Warren, Sr., who passed away from breast cancer at age 49. It was designed to be a warm and welcoming place where patients could receive multidisciplinary cancer treatment. More than 40 years later, we’ve proudly turned that mission to tradition. The center now consists of two locations: Saint Francis Hospital and the Saint Francis Cancer Center near 51st Street and Garnett in Tulsa, Okla. Treatment practices include board-certified physicians who provide multidisciplinary care in a professional, patient- and family-focused setting.
Premier Cancer Center Offers Patient-centered Care
Cancer Treatment Center With a Family Focus
Maintaining a quality cancer treatment center requires
As advanced as our treatments are, we understand one
teamwork among many different medical disciplines. Our
of the most powerful tools in our patients’ fight against
multidisciplinary team approach is the key to providing
cancer is the support of their family and friends. That’s why
quality care for patients and their families. By combining
every effort has been made to ensure both locations are
the cancer center medical team’s expertise and specialized
welcoming and family-centered. We are here not only for
knowledge, a comprehensive care management plan is
our patients, but for their family and friends as well. If you
developed to meet individual needs.
have questions or concerns, all you need to do is let your
The cancer center provides patients the convenience of
nurse know.
treatment, laboratory services, medical imaging, nutrition and social service support in one location. Our cancer treatment center physicians have access to the extensive resources of Saint Francis Hospital, including an acute inpatient oncology unit. Post-treatment care is available through Saint Francis Home Health.
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ANNUAL REPORT | 2017
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.
Ancillary and Support Services Ancillary Services
Diagnostic Services
• Hospice – The Saint Francis Hospice team provides
• 3D digital mammography
physical, psychological, social and spiritual support to
• Automated Breast Ultrasound (ABUS)
terminally ill patients and their families. The hospice team
• Computerized axial tomography scan (CT)
also serves as consultants for end-of-life care discussion. • Pastoral Care – A representative from pastoral care offers the patient and their family compassionate support and an opportunity to talk and pray about the issues they are facing. • Pharmacy – Registered pharmacists and qualified technicians provide a broad spectrum of services to the cancer patient, hospital staff and physician.
• Digital radiography for mammography • Magnetic resonance imaging (MRI) and breast MRI • Positron emission tomography scan (PET) • Nuclear medicine Support Services The following services are available throughout Saint Francis Health System:
• Rehabilitative Services – The goal of acute care physical
• American Cancer Society resource room
therapy focuses on maintaining or maximizing a patient’s
• Community resource coordination (transportation,
functional independence. Therapy plans are individualized for each patient to ensure their personal needs are met. • Social Services/Case Managers – Assistance and guidance are provided to link the patient with appropriate resources they need at the time of discharge.
financial resources) • Case management and patient navigation • Laureate Psychiatric Clinic and Hospital • Adjustment to illness counseling • Caregiver and family counseling • Inpatient and outpatient treatment
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ANNUAL REPORT | 2017
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.
2017 Prevention Programs
2017 Screening Programs
Prevention programs identify risk factors and use strategies to modify attitudes and behaviors to reduce the chance of developing cancer.
Screening programs detect cancers at an early stage, improving rates of survival.
• Saint Francis WellNow online wellness tool • Annual Health Zone Fitness and Wellness Expo • Hundreds of people participated in various screenings offered at the expo • Lung CT screenings • 557 screenings from January to November • 7 positive diagnoses, all referred • Oklahoma Project Woman • 479 participants from January to November • 15 biopsies performed, 4 positive diagnoses, all referred • Saint Francis Breast Center • 535 biopsies from January to November • 258 positive for cancer, all referred • American Cancer Society Resource Center at the Saint Francis Cancer Center • Provided assistance to over 215 patients: over 100 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 open to the public for a $25 refundable deposit on completion of the program • 10 participants completed all 6 weeks of the program; 9 out of the 10 quit smoking • Health Zone Fit adult weight management program • 61 participants; 349 lbs. weight loss • ShapeDown* (children’s weight loss program) • 20 pediatric participants; 12.8 lbs. weight loss
• In 2017, 559 people have utilized the low-dose CT lung screening for individuals who are high risk for developing lung cancer. To date, 7 participants were diagnosed with 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 – 430 women have received mammograms at no cost at Saint Francis Breast Center’s Yale campus or Saint Francis Broken Arrow. 2017 Annual Community Activities • Medical Town Hall on breast health in October 2017 • American Cancer Society Cattle Baron’s Ball • American Cancer Society Relay for Life • American Cancer Society Strides Against Breast Cancer • Get Your Rear In Gear (Colon Cancer Coalition) run/walk • Tulsa Community Foundation’s “Art of Healing” for cancer survivors • Annual Health Zone Health and Wellness Expo • Bone Marrow Transplant Survivor’s party • Broken Arrow Chamber of Commerce – Successful Business Women’s lunch • Pediatric Oncology Camp, Camp Strong • Saint Francis Cancer Survivor Night at the Tulsa Drillers • Tulsa’s CureSearch Walk for the Cure of Childhood Cancer • Union Public Schools Employee Health Fair
*Offered several times a year at Health Zone at Saint Francis
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ANNUAL REPORT | 2017
2016 Adult Primary Site Table | Age 19-99
PRIMARY SITE
TOTAL (%)
Oral Cavity and Pharynx
46 (2.3%)
35
11
0
7
6
2
27
Digestive System
357 (17.6%)
202
155
2
66
87
79
97
Respiratory System
273 (13.4%)
141
132
4
45
21
73
118
7 (0.3%)
4
3
0
2
2
1
1
108 (5.3%)
61
47
39
39
14
9
3
464 (22.9%)
7
457
60
207
139
34
22
Female Genital System
61 (3.0%)
0
61
3
24
4
14
7
Male Genital System
161 (7.9%)
161
0
0
38
81
19
20
Urinary System
142 (7.0%)
89
53
34
50
21
15
20
Brain and Nervous System
56 (2.8%) 24 32 0 0 0 0 0
Endocrine System
78 (3.8%)
28
50
0
36
5
10
4
Lymphoma
91 (4.5%)
43
48
0
19
13
25
34
Myeloma
37 (1.8%) 24 13 0 0 0 0 0
Leukemia
63 (3.1%) 34 29 0 0 0 0 0
Mesothelioma
4 (0.2%) 3 1
Miscellaneous
82 (4.0%) 46 36 0 0 0 0 0
Soft Tissue Skin, excluding Basal and Squamous Breast
TOTAL
2,030
MALE FEMALE
902 1,128
STAGE 0 STAGE I STAGE II STAGE III STAGE IV
0 2 0 0 0
142
535 393
281
353
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ANNUAL REPORT | 2017
2016 Pediatric Primary Site Table | Age 0-18
PRIMARY SITE
TOTAL (%)
MALE FEMALE
STAGE 0 STAGE I STAGE II STAGE III STAGE IV
Digestive System
1 (1.8%) 0 1
0 0 0 0 0
Bones and Joints
4 (7.3%)
0
Soft Tissue
3 (5.5%) 1 2 0 2 0 0 1
Male Genital System
1 (1.8%) 1 0 0 0 0 1 0
Urinary System
3 (5.5%) 1 2 0 0 0 0 0
Brain and Nervous System
2
2
1
2
0
1
10 (18.2%) 6 4 0 0 0 0 0 5 (9.1%)
1
4
0
2
1
0
0
Lymphoma
10 (18.2%)
5
5
0
1
4
1
3
Leukemia
18 (32.7%) 11 7 0 0 0 0 0
Endocrine System
TOTAL
55
28 27
0 6 7
2
5
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ANNUAL REPORT | 2017
County at Diagnosis
COUNTY Tulsa Wagoner Creek Rogers Muskogee Mayes Okmulgee Pittsburg Cherokee Craig Adair Ottawa Delaware Washington Osage Sequoyah Mcintosh Pawnee Payne Kay Okfuskee Pushmataha County Unknown Latimer Le Flore Lincoln Haskell Nowata Oklahoma Hughes Atoka Bryan Canadian Choctaw Coal Grady Mcclain Mccurtain Roger Mills Seminole Woodward Out of State TOTAL
COUNT (N)
PERCENT (%)
1,198 57.40% 150 7.19% 109 5.22% 72 3.45% 66 3.16% 59 2.83% 59 2.83% 54 2.59% 49 2.35% 24 1.15% 23 1.10% 19 0.91% 18 0.86% 18 0.86% 16 0.77% 16 0.77% 15 0.72% 15 0.72% 13 0.62% 9 0.43% 9 0.43% 9 0.43% 8 0.38% 7 0.34% 6 0.29% 6 0.29% 5 0.24% 4 0.19% 4 0.19% 2 0.10% 1 0.05% 1 0.05% 1 0.05% 1 0.05% 1 0.05% 1 0.05% 1 0.05% 1 0.05% 1 0.05% 1 0.05% 1 0.05% 12 0.64% 2,085
100.00%
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ANNUAL REPORT | 2017
2017 Summary
Prevention and Screening Program Outcomes: • Ongoing success of Saint Francis WellNow, the online wellness tool • Saint Francis Health Zone: Zone Fit adult weight loss program • 61 participants with 349 lbs. total weight loss • Health Zone ShapeDown children’s weight loss program • 20 participants with 12.8 lbs. total weight loss • Tobacco cessation program • 8 participants • Lung screenings • 408 performed; four cancer diagnoses, all referred for treatment • Oklahoma Project Woman breast screenings • Saint Francis Breast Center performed 372 mammograms and • Saint Francis Broken Arrow performed 12 mammograms at no cost to the patients • Saint Francis Breast Center diagnosed 215 patients with breast cancer, all referred for treatment
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ANNUAL REPORT | 2017
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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