Cancer Center 2015 Annual Report
Sutter Health Memorial Medical Center’s Cancer Services 2015 Annual Report – featuring statistical data from 2014.
Opening Message from our Cancer Program Medical Director
Message from: David A. Shiba,
It is with great pleasure that we present this year's annual report for Sutter Health Memorial Medical Center (MMC) Cancer Services.
Memorial Medical Center Cancer Services aims to be the leader in our region providing state of the art cancer care with the "Memorial Touch" as the only Comprehensive Community Cancer Program (CCCP) accredited by the American College of Surgeon's Commission on Cancer (CoC) between Fresno and Stockton.
Our 27 bed in-patient unit provides cancer care and treatment to not only cancer patients, but general medical patients as oncology treatment continues to evolve. Our multidisciplinary team is led by Oncology certified nurses (OCN®).
Our Cancer Services continues to work closely with community programs such as Community Hospice to provide a seamless continuity of care for our cancer patients. Our unit now includes two General Inpatient (GIP) rooms to provide critical end of life care for patients too ill to be safely transferred to Community Hospice’s Hospice House. Nurses on the inpatient unit have received special training in hospice care through Community Hospice.
We continue to optimize the electronic health record (EHR), Epic®, including order sets aimed at improving the quality and safety of our cancer care. A Rapid Improvement Project (RIE) was completed to customize EPIC for Oncologists to aid in its use. Chemotherapy orders sets are currently being developed to increase the safety of complicated patient chemotherapy regimens.
Patient/family satisfaction is a major focus of our program due to our goal to provide patient and family-centered care that addresses all aspects of care.
The Radiation Oncology Department strives to provide state of the art care and has treated approximately 300 new patients this year. Our department is the largest and best equipped facility in the Central Valley. The Varian True beam linear accelerator is being utilized to provide patients with state of the art care. For 2016, the department aims to increase their brachytherapy services by expanding treatments to gynecologic and skin cancers.
Surgery remains the mainstay in curing most types of cancer. Use of a state-of-the art da Vinci® Robotic Surgery System by our surgeons continues to rise (External Link). This equipment allows surgeons in various disciplines to perform delicate and complex oncology surgeries with increased precision and improved patient recovery.
In collaboration with Sutter Health Gould Medical Foundation (SGMF) (External Sutter Link), patients and their families diagnosed with cancer are offered lifelong guidance, management, and support that is affordable, comprehensive and integrated. SGMF is a recognized destination for breast cancer patients with providers that are dedicated to innovative and personalized approaches to cancer care. Dr. Lauren P. Strickland, a fellowship trained breast surgeon, joined our team in October and will treat patients with benign (lumps, pain, abscess, skin lesions, lactation problems) and malignant disease. She will use office ultrasound to perform biopsies and other breast related procedures. She will also perform axillary surgery, lumpectomy, simple mastectomy, skin sparing mastectomy, and nipple areolar sparing mastectomy. Dr. Strickland treats patients who have high risk for personal, familial or hereditary breast cancer. She also treats male patients with breast lumps, gynecomastia, and cancer.
Weekly Cancer Conferences provided prospective real time evaluation of 208 cases covering 43 disease sites. The team focuses on presentation of the American Joint Committee on Cancer (AJCC) staging and National Comprehensive Cancer Network (NCCN) guidelines for each case with a future study of whether the patients actually received treatment according to these guidelines.
We continue to provide access to the latest clinical studies for patients locally by participating in Sutter Health’s system wide research consortium (SHCRC) which gives Memorial the opportunity to have an increased number of trials available to our patients. To further develop our cancer program, MMC is participating in a national study with the George Washington University. This study aims to compare survivorship care services in order to identify best practice approaches in the care of cancer survivors. In addition, our Music Therapist is conducting a local research study, looking into the effects that Music Therapy interventions have on cancer patients’ pain perception.
In 2014, our Cancer Registry had an estimated total analytic cases number of 815, with an accuracy rate and abstract timeliness of 98% and follow-up rate of 91.74%.
In the past year, our palliative care program has been successful with having completed 661 palliative care consults under the direction of two palliative care board certified co-medical directors. Weekly interdisciplinary team meetings continue. Disciplines that participate in these meetings include our medical directors, palliative care nurse practitioners, hospice liaisons, chaplains, social worker, clinical pharmacist, out-patient palliative care liaisons, case managers, and oncology managers. We developed a group of palliative care specialized nurses (at least two registered nurses from each nursing unit) that act as our “eyes and ears” out on the units, assisting with identification of palliative care patients and providing information and education to our staff. Sutter Health has focused on creating a system for better collaboration between inpatient palliative care programs, out- patient palliative care programs, hospice organizations, primary care physicians and specialists. Memorial Medical Center has been a major participant in this project that will improve the care of our patients across the continuum.
Our community outreach program provides essential programs in the recovery of our patients after their treatment. The Healing Journey Art program spotlights exceptional works of art with annual shows at the Mistlin Gallery. The Memorial Healing Journey Fitness program provides cancer survivors a strength and fitness program so they can recover from their cancer treatment. There has been a rapid increase of participants in the Team Challenge Running and Walking Club. These participants are involved in local and out-of-town events, representing our cancer program with many survivors, friends, and family members. We continue to have active collaboration with the American Cancer Society (ACS) in its many community programs. Our Cancer Services Program has been a recipient of many ACS awards, including the Excalibur Award.
MMC Cancer Services provides beneficial educational activities for the physicians, nurses, and allied health professionals. In 2015, we held a symposium entitled, “Advances in Prostate Cancer”, which provided updates in the advances in early detection, diagnosis, and treatment of prostate cancer. The symposium included a presentation on “Advances in Castrate Resistant Prostate Cancer” by Dr. Sandy Srinivas, Associate Professor of Medicine at Stanford University and member of the NCCN Prostate Panel. A lecture on “Prostate Cancer Screening and Treatment” was presented by Dr. Jonathan Eandi, Director of Robotic Surgery at Sutter Medical Group, Sacramento and Diplomat of the American Board of Urology. In addition, Dr. John W. Lee, Brachytherapy Director and Chairman of the Department of Radiation Oncology at California Pacific Medical Center, presented “Evolution of Radiation Therapy in Prostate Cancer”. As experts in their field, these speakers presented a wide range of fascinating topics and areas of research in the treatment of prostate cancer.