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CHAIRMEN S WELCOME, The Cancer Committee of Shaw Regional Cancer Center is pleased to present our 2015 Annual Report. Our team of experts at Shaw Regional Cancer Center is dedicated to delivering the most advanced and personalized. cancer care to our patients We are also proud to have been reaccredited with the highest level of commendation by. the American College of Surgeons Commission on Cancer because it shows that we stand with the top cancer care. providers in the country We have continued to grow and add services to meet the evolving needs of our patients and. their families this year Examples of this include new survivorship care plans weight loss programs quality and safety. programs and dynamic research trials, The Shaw Cancer Committee meets quarterly to review our goals and progress in prevention treatment and survivor. ship The committee integrates physician specialists with other cancer care professionals who contribute to ensuring. that Shaw provides the absolute best care possible. This report provides a window into the care at the Shaw Regional Cancer Center Our cancer survival curves for breast. cancer and prostate cancer show that the SRCC has 5 10 increased survival over other American College of Surgeons. Commission on Cancer accredited centers in the United States We believe this is due to our multidisciplinary team. approach a state of the art treatment facility and our attention to survivorship care We hope you enjoy learning more. about our team and the communities we serve,Patricia Hardenbergh MD Alexander Urquhart MD. Co Chairman Cancer Committee Co Chairman Cancer Committee. Medical Director Radiation Oncology Medical Director Medical Oncology. 2015 CANCER COMMITTEE MEMBERS, ALEXANDER URQUHART MD Medical Oncology Cancer KIM SHARKEY MA Outreach Coordinator Jack s Place Manager. Committee Vice Chair Cancer Conference Coordinator. RENEA NILSSON LSW Clinical Research Coordinator,PATRICIA HARDENBERGH MD Radiation Oncology.
Cancer Committee Chair,AD HOC MEMBERS,REGINALD FRANCIOSE MD General Surgery Cancer. Liaison Physician JACK ECK MD Internal Medicine, ROBERT MACAULAY MD Pathology WAYNE WENZEL MD Diagnostic Radiology. JAN UGALE MD Diagnostic Radiology Breast CHRISTINE HASSELBACH PT Physical Therapy. PEGGY CAREY RN BSN MPA FACHE Vice President MELAINE HENDERSHOTT MS RD CSO Registered Dietician. KATIE JONES NP Medical Oncology,LYNN TREMBLAY RN Lead Oncology Nurse. COLLEEN BERGA RTM Sonnenalp Breast Center,ALIDA WAGNER CTR Cancer Registry Quality. Coordinator Certified Tumor Registrar LINDY OWENS RN Patient Navigator. SUSIE SCHNEIDER RN QI Coordinator Oncology System CAROL SCHIMMER Executive Assistant. MELISSA GRIGGS RHIA CTR,MARGARET BRAMMER LCSW Psychosocial Services.
Coordinator Social Worker and Survivorship Coordinator. CANCER CARE TEAM SERVICES, RADIATION ONCOLOGY On site Chemotherapy Infusion Care. Patricia Hardenbergh MD On site Radiation Therapy,On site Breast Imaging Diagnostics Center. MEDICAL ONCOLOGY HEMATOLOGY Cancer Counseling Support. Alexander Urquhart MD Clinical Trials, Michael Glode MD University of Colorado Disease specific Multidisciplinary Conferences. Francene Mason MD Fitness Wellness,Katie Jones NP Genetic Counseling. Lindy Owens RN Home Care Hospice,Jack s Place A Cancer Caring House.
SURGERY Medical Library, Mountain Surgical Associates Nutrition Diet Counseling. James Downey MD FACS Pastoral Services,Reginald Franciose MD FACS Oncology Pharmacy. Barry Hammaker MD FACS,Physical Therapy Rehabilitation. John Schultz MD FACS,Spirit of Survivorship Program. PLASTIC SURGERY, Vail Institute for Aesthetics Reconstructive Surgery.
Jeffrey Resnick MD,BREAST IMAGING,Janice Ugale MD,Monique Fox MD. Jinah Phillips MD,2015 A YEAR OF GROWTH,The Shaw Team began the important process of. becoming Quality Oncology Practice Initiative QOPI. certified in 2014 The road to QOPI certification took. over a year and resulted in a successful three year. certification received in February 2015 QOPI assures. quality at the deepest level of practice by measur. ing 180 measures in 26 core measure areas Metrics, range from assuring appropriate pain assessment and management of. oral chemotherapy and measures referrals to hospice or palliative care. within the last two months of life, Pink Vail was a tremendous success in 2015 raising 720 000 to support Shaw s Survivorship Programs Here are some. facts from the 2015 event,2 424 participants 5 468 donations.
360 volunteers 43 states participated all 50 states donated. 187 survivors 1 85 years old age range of participants. SUMMIT COUNTY CLINIC, The Shaw Clinic in Frisco relocated to Main Street and the Shaw Breast Center Cancer Clinic opened in 2014 We are. able to continue serving Summit County with Medical Oncology in a new location and added 3D Breast screening ser. vices to the clinic Summit County residents are pleased to have Shaw providing cancer care services in their community. JACK S PLACE, Jack s Place continues to provide a warm and relaxing home away from home for patients receiving care at Shaw or. coming to VVMC for a cancer surgery In 2014 Jack s Place hosted 279 patients with a support person for 934 nights. The majority of these guests came from Chaffee Pitkin Lake Summit and Rout counties in that order. The number of patients cared for at Shaw continues to grow in spite of other service offerings in the region 2014. was our biggest year in every measurement category The care giving team at Shaw provides excellent compassion. ate care evidenced by QOPI Certification and by continued referrals to Medical and Radiation Oncology The holistic. approach to caring for patients and families is unique to Shaw The region supports our vision for care and our patient. care outcomes,PHILANTHROPY, We are blessed to have the support of several local Foundations and groups In 2014 we received support from the. Sonnenalp Foundation The Vail Breast Cancer Awareness Group The Shaw Outreach Team many individual and family. donors Additionally we received support to develop our Palliative Care program from Linda Pancratz We are grateful. for the generous community support, Thank you for your interest and support for this important work. Peggy Carey BSN MPA FACHE,Vice President Oncology,OUTREACH PREVENTION.
Shaw staff and volunteers participated in more than 80 programs and events this year educating tens of thousands of. community members about the importance of cancer prevention and early detection We hosted our own fourth an. nual Pink Vail event on Vail Mountain interacted with the public in our communities at local festivals and participated. in other organization s events such as Komen s Race Ride for the Cure in Aspen and the American Cancer Society s. Relay for Life in Eagle County,COMMUNITY PROGRAMMING. Tough Enough to Wear Pink at the Eagle County Fair Rodeo. Wheels Wings Festival at Eagle County Regional Airport. Breast and prostate cancer awareness events, Free community lectures such as What are you eating a healthy. discussion on GMO and Food and Living Longer Living Leaner. interactive workshop, Intern for a Day community tour of the cancer center s facilities. SURVIVORSHIP PROGRAMMING,Epic Experience survivors week week long camp. Expressive Arts classes, Breast cancer nutrition workshops cooking demonstrations.
snowshoe hikes wildflower hikes support groups massage acu. puncture regular yoga tai chi Pilates restorative yoga classes and. SLIM FOR SURVIVAL, With the support of the Shaw Outreach Team Pink Vail the Colorado. Cancer Fund and the Vail Valley Medical Center Foundation we initiated. Slim for Survival an intensive and targeted weight loss program designed. to help overweight and obese cancer survivors lose weight in order to. improve prognosis and quality of life Developed and implemented by. Shaw s own oncology specialized multidisciplinary team Slim for Survival. incorporates the three major elements vital to successful weight loss. nutrition physical activity and psychosocial support and skill building. The pilot program was completed in July 2015 and involved eight cancer. survivors participating in four weekend weight loss retreats at Jack s Place. over the course of eight weeks Participants lost an average of 15 pounds. and 4 body fat over the eight week program,STEREOTACTIC BODY RADIATION THERAPY. In 2015 we launched a program in Stereotactic Body Radiation Therapy. SBRT SBRT is the delivery of very high doses of radiation with sub mil. limeter accuracy often accounting for respiratory and organ motion to. small tumors in the body The procedure can be used in lieu of surgery for. prostate cancer and early stage lung cancers and is accomplished in 3 5. treatments,SURVIVORSHIP CARE PLANS, This year Shaw developed a Survivorship Care Plan which is a summary of. treatment for patients to guide their care after initial treatment is finished. The Survivorship Care Plan is distributed to patients primary care provid. ers and all providers who are involved with the patients care team The. Survivorship Care Plan defines responsibilities of cancer related non. cancer related and psychosocial providers It is meant to provide clear. designation of who is responsible for the various aspects of care and. can optimize care coordination avoid unnecessary use of resources and. ensure that care does not fall through the cracks The Care Plan includes. follow up schedules for visits and testing as well as recommendations for. early detection and management of treatment related effects and other. health problems, In April we partnered with the 9Health Fair to provide free or low cost. screening services to more than 600 community members We also pro. vided cancer prevention and early detection education at the Leadville. Health Fair this past September The Summit Melanoma Golf Tournament. hosted by the Colorado Melanoma Foundation and local dermatologist. Dr Karen Nern helped increase awareness and screened 50 people for. skin cancer,NEW SCREENING GUIDELINES,CAUSE DEBATE,The American Cancer Society ACS recently changed.
its long standing guidelines for breast diagnostics now. advising women to begin a screening program at age. 45 five years later than the previous recommendation. Additionally the ACS is suggesting that primary care. physicians and patients collaborate to decide based on. personal and family history when they feel screening. should begin, We all know screening saves lives The question is when. to start and how long to screen, The experts at Sonnenalp Breast Center and Shaw Re. gional Cancer Center believe a more tailored approach to screening is in the future however at this point there isn t. adequate information to make an informed decision about who is at average risk and should wait to begin screening. and who is at higher risk and should start screening at age 40. Who qualifies as average risk, The ACS is vague about this category and is currently reviewing the factors that would indicate which patients are at. an average risk, If you are above average risk you should begin screening at age 40 no question said Dr Monique Fox a certified. breast radiologist at Sonnenalp Higher risk is defined by significant family history a diagnosis of benign proliferative. breast disease and or dense breast tissue If any of these criteria are met yearly screening is recommended. One flaw in this categorization is that in order to know if you have dense breasts you first need a baseline mammo. gram Density is determined solely by mammography and not by a clinical breast exam Based on this alone it is wise. to recommend a baseline mammogram at age 40 said Fox. According to current data screening every year has decreased the mortality from breast cancer in all age groups by. 40 when beginning screening at age 40 So why change the recommendations. The national data show that only 6 of breast cancer is found in women ages 40 45 This means that the percentage. is low enough in this age group to warrant discussion with the patient on whether or not she wants to be screened. and accept the perceived harms of screening The media emphasizes unnecessary callbacks and biopsies but in fact. the average number of times a patient will get called back from screening in this age group is once every 12 years. explained Fox The average number of times a patient will undergo a false positive biopsy is 1 in 149 years These. numbers are extremely low and the numbers at Sonnenalp Breast Center are even lower because of our advanced. technology, In Eagle County the percentage of cancers detected in women age 40 45 is 11 almost double the national average.
This significant number of cancers found warrants screening said Dr Janice Ugale a breast radiologist and the medi. cal director at Sonnenalp, At the Sonnenalp we are seeing a trend of younger women being diagnosed with breast cancer explained Ugale A. second reason is that we use 3D imaging also known as Tomosynthesis With this technology the average number of. times a woman will get called back is 1 in every 14 years 15 lower than the national average. Our cancer detection rate is 40 higher than the na. tional average using 3D imaging said Ugale We are 6. more successful in finding stage 1 cancers which are the. smallest detected cancers and do not have lymph node. involvement resulting in the best chance for cure This. is entirely due to 3D technology and annual screening. Finding early breast cancers by using 3D mammography. is the goal of a good screening program We are doing. it right at Sonnenalp 3D technology screening breast. ultrasound also used at the Shaw Breast Center in Frisco. is used to increase our cancer detection rate, The second push by the ACS and United States Preven. tive Services Task Force USPSTF is to change to screening. recommendations for women over age 50 to every other. year At age 50 or around the time of menopause the rate of hormone responsive cancers increases and these tu. mors tend to be slower growing Unfortunately for this group of women there isn t a way to know who will get these. slower growing tumors versus the faster growing ones Important to note is that the incidence of breast cancer is the. highest after age 50 Therefore experts at Shaw conclude this group benefits from annual screening to detect cancer. The Shaw Cancer Center Cancer Committee unanimously recommends annual screening for all women beginning at. age 40 and encourages women to continue screening as long as they choose to be proactive concerning their breast. Our primary responsibility at Sonnenalp is our patients said Ugale We maintain our commitment to provide the. best care and expertise to guide our patients in the pursuit of breast health. STATISTICAL SUMMARY OF,SHAW CANCER DATA,Cancer Diagnosis by Stage Male vs Female 2014. At Shaw Regional Cancer Center,Percentage of Cases. Male n n 65105,Female n 102,11 11 10 12, Stage 0 Stage I Stage II Stage III Stage IV NA Unk.
Best Stage Collaborative Stage American Joint Committee on Cancer. Age at Diagnosis Male vs Female 2014,At Shaw Regional Cancer Center. Percentage of Cases,60 Female n 105,Female n 102,0 29 30 39 40 49 50 59 60 69 70 79 80 89. Age Distribution,Out of State,Other CO Counties,CANCER DIAGNOSIS BY. COUNTY OF RESIDENCE 2014,Cancer Diagnosis by,AT SHAW REGIONAL CANCER CENTER. 5 County of Residence,At Shaw Cancer Center,n 162 cases.
Primary Site of Diagnosis 2014,At Shaw Regional Cancer Center. Class of Case American Joint Committee, Primary Cancer Site Total Male Female Analytic Non 0 I II III IV 88 Unk. ORAL CAVITY PHARYNX 8 6 2 8 0 1 1 1 3 2 0 0,Tongue 5 4 1 5 0 0 1 0 2 2 0 0. Floor of Mouth 1 0 1 1 0 1 0 0 0 0 0 0,Gum Other Mouth 1 1 0 1 0 0 0 1 0 0 0 0. Nasopharynx 1 1 0 1 0 0 0 0 1 0 0 0,DIGESTIVE SYSTEM 17 6 11 15 2 0 1 4 5 4 0 1.
Esophagus 2 2 0 0 2 0 0 0 0 0 0 0,Stomach 2 0 2 2 0 0 1 0 0 1 0 0. Colon Excluding Rectum 6 2 4 6 0 0 0 2 3 1 0 0,Rectum Rectosigmoid 3 2 1 3 0 0 0 1 0 1 0 1. Anus Anal Canal Anorectum 2 0 2 2 0 0 0 0 1 1 0 0,Pancreas 1 0 1 1 0 0 0 1 0 0 0 0. Peritoneum Omentum Mesentery 1 0 1 1 0 0 0 0 1 0 0 0. RESPIRATORY SYSTEM 8 4 4 8 0 0 2 1 3 2 0 0,Larynx 2 2 0 2 0 0 0 1 1 0 0 0. Lung Bronchus 6 2 4 6 0 0 2 0 2 2 0 0,SOFT TISSUE 2 2 0 2 0 0 0 1 1 0 0 0.
SKIN EXCLUDING BASAL SQUAMOUS 9 5 4 9 0 2 2 0 3 1 1 0. Melanoma Skin 6 4 2 6 0 2 1 0 3 0 0 0,Other Non Epithelial Skin 3 1 2 3 0 0 1 0 0 1 1 0. BREAST 70 1 69 63 7 14 28 11 10 0 0 0,FEMALE GENITAL SYSTEM 8 0 8 5 3 0 1 1 2 1 0 0. Corpus Uterus NOS 2 0 2 1 1 0 0 0 1 0 0 0,Ovary 5 0 5 3 2 0 1 1 1 0 0 0. Vulva 1 0 1 1 0 0 0 0 0 1 0 0,MALE GENITAL SYSTEM 27 27 0 19 8 0 4 12 1 2 0 0. Prostate 26 26 0 18 8 0 3 12 1 2 0 0,Testis 1 1 0 1 0 0 1 0 0 0 0 0.
URINARY SYSTEM 11 8 3 6 5 3 1 1 1 0 0 0,Urinary Bladder 7 4 3 4 3 3 1 0 0 0 0 0. Kidney Renal Pelvis 4 4 0 2 2 0 0 1 1 0 0 0, BRAIN OTHER NERVOUS SYSTEM 4 4 0 3 1 0 0 0 0 0 3 0. Brain 2 2 0 2 0 0 0 0 0 0 2 0, Cranial Nerves Other Nervous System 2 2 0 1 1 0 0 0 0 0 1 0. ENDOCRINE SYSTEM 5 0 5 5 0 0 5 0 0 0 0 0,Thyroid 5 0 5 5 0 0 5 0 0 0 0 0. LYMPHOMA 11 3 8 8 3 0 0 3 2 3 0 0,Hodgkin Lymphoma 2 1 1 1 1 0 0 1 0 0 0 0.
Non Hodgkin Lymphoma 9 2 7 7 2 0 0 2 2 3 0 0,MYELOMA 2 2 0 2 0 0 0 0 0 0 2 0. LEUKEMIA 3 2 1 2 1 0 0 0 0 0 2 0,MISCELLANEOUS 7 3 4 7 0 0 0 0 0 0 7 0. Total 192 73 119 162 30 20 45 35 31 15 15 1, Analytic First diagnosed and or first course of treatment at this facility. Non Analytic First diagnosed and first course of treatment elsewhere. CANCER PROGRAM PRACTICE,PROFILE REPORTS,COMMISSION ON CANCER QUALITY OF CARE MEASURES. Cancer registry data elements are nationally standardized and considered open source Each of these measures. was developed by the CoC with the expectation that cancer registries would be used to collect the necessary data. to assess and monitor concordance with the measures Extensive assessment and validation of the measures was. performed using cancer registry data reported to the National Cancer Data Base NCDB All measures are designed. to assess performance at the hospital or systems level and are not intended for application to individual physician. performance,CURRENT REPORTING ACTIVITIES, The Cancer Program Practice Profile Report graphs show that VVMC Shaw performance rate is leading in all categories.
and at 100 for four of the six measures when compared to state and national accredited cancer programs. The Cancer Program Practice Profile Report was first released in 2005 and has been updated annually since This report. ing tool has demonstrated that improvements in data quality can demonstrate the quality of patient care when the. entire cancer committee supports system level enhancements to ensure complete and precise documentation. VAIL VALLEY MEDICAL CENTER,CURRENT 2015 RQRS DASHBOARDS. 322 Beard Creek Road Edwards CO 81632,970 569 7429 SHAWCANCERCENTER COM.

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