UnityPoint Health St. Luke’s Hospital Cancer Care
2013 Annual Report
Specialty Services Cancer is not an easy journey but at St. Luke’s Cancer Care we are committed to making sure you have the services available to help make the journey as easy and positive as possible. In collaboration with the Helen G. Nassif Community Cancer Center, we offer many specialty services to patients and their families, including: • Care Coordinators • Social Workers • Nutrition Services • Exercise – Group and Individual Instruction • Genetic Counseling/Testing • Sexuality and Body Image • Chaplains • Counseling Services • Palliative Care – Home Care & Hospice • Clinical Trials • Patient Education Classes and Support Groups • Community Education and Outreach • Look Good, Feel Better - ACS • Cancer Network • Lung Cancer Clinic • Melanoma and Advanced Skin Cancer Clinic • Survivorship Program
For more information about St. Luke’s Cancer Care and the Helen G. Nassif Community Cancer Center, call (319) 558-4876.
Thanks to the collaboration between St. Luke’s and the Helen G. Nassic Community Cancer Center, Betty McBurney was able to receive a new procedure which cut her treatment time in half.
UnityPoint Health – St. Luke’s Hospital 2014 Cancer Committee Program Leadership Chair
Dr. Tom Warren
Physician Liaison
Dr. Robert Brimmer
Physician Members Dr. Stephen Burke Dr. Ruth Macke Dr. Jasmine Nabi Dr. James Bell Dr. Cowden Dr. Lee
Medical Oncologist General Surgery Radiologist Pathologist Medical Oncologist Palliative Care and Hospice Pulmonologist Radiation Oncologist
Members
Kimberly Ivester Emi Chapman Mona Cook Stephanie Asmussen Nancy Hagensick Rhonada Weber Sherrie Justice Maureen McEvoy Julie Thompson Beth Beckett Matt Schmitz Andrea Watkinson Erin Shanahan-Kauffman Carmen Kinrade Pat Thies Shelley Walker Michelle Niermann
Director, St. Luke’s Cancer Care Care Coordinator, Community Outreach Coordinator Care Coordinator, Cancer Conference Coordinator Oncology Nurse, Manager Inpatient Unit Social Worker, Psychosocial Services Coordinator Certified Tumor Registrar, Quality Control of Registry Data Coordinator Director, Performance Improvement, Quality Improvement Coordinator Palliative Care, Spiritual Care Genetic, Risk Assessment Representative Oncology Dietician Cancer Exercise Specialist Care Coordinator Clinical Research Nurse VP Nursing Excellence Pharmacist American Cancer Society VP/COO
Community Outreach
“
Everyone at St. Luke’s and the Community Cancer Center TREATED ME LIKE I WAS THEIR ONLY PATIENT. It was exactly the support I needed while battling cancer.” – Betty McBurney
Bras for a Cause
Caregivers Quality of Life Retreat
Joy of Eating
The mission of Bras for the Cause, a nonprofit founded in 2007, is to guarantee that all uninsured and underinsured women living in a six-county area of Eastern Iowa have access to programs and projects related to women’s health, including mammograms and cervical screenings.
Caring for a family member with cancer is rewarding but at the same time physically and emotionally demanding. At times it can be overwhelming. The “Family Caregiver Quality of Life Retreat” held on May 2 was a reminder to caregivers to make self-care a priority. This special retreat emphasized to caregivers the importance of caring for themselves through yoga, music, nature walks, meditation and massage, among other stressreducing options. Fourteen caregivers attended the event at Prairiewoods Retreat Center, a collaborative effort between St. Luke’s Palliative Care, PCI Hematology-Oncology and Gilda’s Club of the Quad Cities. The event was funded through a grant from the Iowa Cancer Consortium.
Head and neck cancer patients often experience painful swallowing, decreased ability to taste and loss of saliva as side effects of their chemotherapy and radiation treatment. A program designed for the special needs of these patients, “Joy of Eating,” was presented to over 20 head and neck cancer patients on May 22 as part of Helen G. Nassif Community Cancer Center’s Outreach Program.
The 2013 Bras for the Cause program was generously funded by a $10,000 gift from Carousel Motors to St. Luke’s Foundation. The donation allowed St. Luke’s Breast and Bone Health to sponsor an event August 22 and 24 that offered free mammograms, pap tests and DXA (bone mineral density) tests. This event provided service to women who qualify for the Care for Yourself Program, administered by Linn County to reduce cancer in women through screening, but could not participate because the fundraiser is limited to 331 women annually. There is an estimated 3,000 women whose age and income qualify them for the program but due to limited funding, their needs are not being met. The event, which provided 102 procedures, was a collaborative effort between Care for Yourself, United Way Women’s Leadership Initiative and St. Luke’s Breast and Bone Health.
The program’s focus was on providing resources and practical tools to make mealtime more enjoyable. A speech pathologist and three dieticians were available to answer questions and four local chefs prepared dishes for patients to taste, while providing information on nutrition, preparation tips (how to modify food texture) and cooking. The dishes combined high nutrient count, increased moisture, spices and seasonings, and soft texture to make the food an enjoyable experience. Patients received a packet of recipes and meal ideas from the presenting chefs, including citrus-peach smoothie, multigrain pancakes and salmon on polenta. The program was a collaborative effort between the Helen G. Nassif Community Cancer Center, Holden Comprehensive Cancer Center at University of Iowa, Iowa Cancer Consortium and Hall Perrine Cancer Center. Rally Against Cancer
Spirit Fund A cancer diagnosis can be frightening and overwhelming. The Spirit Fund was created to help cancer patients obtain items and services not covered by insurance that are essential to an individual’s recovery and peace of mind. A part of the Helen G. Nassif Community Cancer Center, the fund provides assistance with addressing the emotional and spiritual effects of cancer. The fund addresses the supportive aspects of a patient’s ongoing care, which are equally important to his or her recovery.
The Spirit Fund assists with: • Cancer supportive supplies - camisoles, hats, wigs, swimwear
Educating students on dangers of tanning Tanning is out, your skin is in A program developed by the Helen G. Nassif Community Cancer Center uses student prom as common ground for educating high school students on the dangers of tanning. “Take the No-Tanning Pledge” received funding in fall 2013 from the Iowa Cancer Consortium. Community Cancer Center staff launched the program in April 2014, the month before prom, an event known to create a flurry of tanning among high school students. All area high schools were invited to participate in the no-tan program. The Helen G. Nassif Community Cancer Center provided flyers and posters with skin cancer statistics. A number of schools posted information on Facebook, Twitter and the schools’ website, such as “Melanoma is the second leading cause of cancer death for people age 15 to 30 and the rate is increasing.” The core element of the “Take the No-Tanning Pledge” was to encourage students to sign a pledge, promising to refrain from indoor and outdoor tanning for prom and year round. Students could have their skin analyzed by Emi Chapman, RN/Care Coordinator, who used DermaScan®, a skin analysis machine, to show skin damage. “It was a wake-up call for many students,” said Emi.
By the end of April, 1,500 students had signed the following pledge:
PLEDGE
• Supportive services - not recovered by insurance • Transportation assistance • Other services deemed appropriate by the Spirit Fund Committee
I pledge not to go tanning prior to the prom. I will not intentionally tan by lying out in the sun or using tanning beds. I realize that by getting a tan I am increasing my chances of developing melanoma, which can be fatal.
Plans are underway to ensure the program returns next year. DermaScan® is a registered product of Navone Engineering, Inc.
Since 2011
the Spirit Fund has provided
155 patients with over
$63,000 of assistance.
PATIENT VOLUMES BY CANCER SITE (2013) Primary Site
Total Male Female
Breast
145 0 145
Lung/Bronchus
114 64 50
Prostate
108 108 0
Melanoma
82 45 37
Digestive System
65 39 26
Bladder
54 44 10
Colon
49 22 27
Blood & Bone Marrow
45 24 21
Female Genital
45 0 45
Non-Hodgkin’s
38 14 24
Endocrine
33 7 26
Urinary System
30 20 10
Brain & CNS
23 6 17
Uunknown Primary
20 12 8
Oral Cavity
16 9 7
Respiratory System
15 13 2
Male Genital
7 7 0
Other
6 1 5
Connect/Soft Tissue
4 2 2
Skin
2 1 1
Lymphatic System
1 0 1
Hodkin’s Disease
1 0 1
TOTAL
903 438 465
Cancer Wellness Program St. Luke’s Cancer Care understands each person’s cancer journey is unique, with their own combination of cancer type, cancer treatment, medical history and challenges. A vast array of support services are available to address the specific needs of cancer patients by assessing each person’s journey, and providing a customized wellness plan to help them lead a healthy life. The Cancer Wellness Program has three components – exercise, nutrition and quality of life support. A tailored plan is put together to perfectly fit each patient’s needs and concerns. The Cancer Wellness Program is made up of a team of healthcare professionals: • Care Coordinator • Cancer Risk Assessment Counselor • Certified Oncology Social Worker • Certified Oncology Dietitian • Cancer Exercise Specialist • Psychologist • Certified Sex Therapist
The program includes: • Cooking Demonstrations • Family & Individual Support • Spiritual Support • Massage Therapy • Group Exercise Classes: Pilates, Zumba, Tia Chi and yoga • Meditation • Reiki • Reflexology
The Cancer Wellness Program looks at the whole person, while focusing on the cancer experience and its impact on the entire family. It is open to those newly diagnosed, currently undergoing treatment or several years out from treatment.
Data Analysis Of Melanoma St. Luke’s as compared to National Cancer Database (NCDB) Melanoma Cases A. John VanderZee, MD Reconstructive Surgeon, Medical Dir. Melanoma & Advanced Skin Cancer Care
One in five Americans will develop skin cancer during their lifetime. Melanoma, a malignant tumor of melanocytes, is one of three main forms of skin cancer. Of the seven most common cancers in the U.S., melanoma is the only one whose incidence is increasing. In 2013 melanoma was the fourth most common cancer diagnosed at UnityPoint Health - St. Luke’s Hospital, accounting for nine percent of our overall cases. Nationally, melanoma accounts for less than five percent of skin cancer cases, but the vast majority of skin cancer deaths. The most common risk factors for melanoma are fair complexion, several large or many small moles, a history of many blistering sunburns, especially as a child or teenager and being exposed to sunlight or artificial light in tanning beds over long periods of time. Individuals who begin using tanning devices before age 30 are 75 percent more likely to develop melanoma.1 Also, one or more blistering sunburns in childhood or adolescence more than doubles a person’s chance of developing melanoma later in life. Melanoma is less common than other skin cancers. However, it is much more dangerous if not diagnosed in the early stages (Stages 0 and I). If melanoma is found early, while it is still small and thin, and if it is completely removed, the chance of cure is high. The likelihood that melanoma will come back or spread depends on how deeply it has gone into the layers of the skin. Initial treatment for melanoma includes surgical removal of the tumor. For melanomas that come back or spread to other parts of the body, treatment includes chemotherapy, immunotherapy or radiation therapy. Cancer stage at diagnosis, which refers to extent of a cancer in the body, determines treatment options and has a strong influence on the patient’s survival. Comparison was made with NCDB data for Comprehensive Community Cancer Program Hospitals in the Midwest and UnityPoint Health – St. Luke’s Hospital. In 2010 and 2011 respectively, 69 percent and 90 percent of melanoma cases diagnosed at UnityPoint Health – St. Luke’s were diagnosed as early stage (Stage 0 and I) as compared to 71 percent and 73 percent for the same time periods from NCDB. UnityPoint Health – St. Luke’s Hospital will continue to work with the Helen G. Nassif Community Cancer Center as well as organizations in the community to provide education and awareness on skin cancer prevention and early detection. Our education and awareness efforts are focused on all populations including children, teens and adults. Monitoring of stage at diagnosis for all cancers treated at UnityPoint Health – St. Luke’s Hospital is a focus of St. Luke’s Cancer Committee. Prevention, early detection and programmatic initiatives are established based on our findings. 1
Skin Cancer Foundation, 2014
Melanoma Cases by Age & Sex (2013) 18 16 14 12 10 8 6 4 2 0
10-29 30-39 40-49 50-59 60-69 70-79 80-99 Age Male Female
Comparison of UnityPoint Health - St. Luke’s vs. Community Cancer Program Hospitals* 2010 MELANOMA BY STAGE
50 40 30 20 10 0
70 60 50 40 30 20 10 0
0
I
II
III Stage
IV
UNK
NA
UNK
NA
2011 MELANOMA BY STAGE
0
I
II
III Stage
UNK = Unknown NA = Not Applicable *Data from 58 Hospitals in the ACS Division of the Midwest.
IV
St. Luke’s NCAB
UnityPoint Health St. Luke’s Hospital and Helen G. Nassif Community Cancer Center Collaborate for Patient-Centered, Comprehensive Care In 2011, a group of local cancer experts from multiple specialties formed the Helen G. Nassif Community Cancer Center. The collaboration brought together more than 200 doctors from Physicians’ Clinic of Iowa P.C., independent providers and groups and UnityPoint Health – St. Luke’s Hospital to improve cancer care in our community by better coordinating resources and services that support cancer patients and their loved ones. As a result of the collaboration, providers have adopted evidence-based pathways to standardize cancer care, improved coordination between specialties and proactively provide support services to patients and their families. The Helen G. Nassif Community Cancer Center is the connecting link for coordination of care and is open to all providers, cancer patients and the community.
2013 Helen G. Nassif Community Cancer Center Board of Directors
Our Mission
Mr. Gary J. Streit, Board Chair Ms. Lorna M. Barnes Ms. Jen L. Hoeger Dr. Robert J. Brimmer Dr. Rasa L. Buntinas Dr. John D. Roof Mr. Brian C. Scott Mr. Ted E. Townsend Ms. Terri A. Christoffersen
Our Vision
“To provide exceptional cancer care that places you at the center of all we do.” “To be recognized as the leader in clinical excellence and innovation in our community.”
Our Values Patient and Family Centered
We are here first and foremost for our patients and their families. Meeting their needs and exceeding their expectations is at the center of all we do.
Achieving Excellence
We adhere to the highest quality standards to deliver superior care and exceptional programs to patients and their families.
For more information about the programs and services St. Luke’s Cancer Care provides, visit unitypoint.org/cancer 000017-1 07/14
Respect for All
We value all patients, their families and colleagues in their beliefs, perspectives and wishes.
Collaboration
The community is better served by collaborative partnerships. Coordination of care improves outcomes and quality of life for patients and their families.