Download 2016 Cancer Program Outcomes Report

2016 Cancer Program Outcomes Report
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Cancer Program
Accreditation by The
Commission on Cancer
Central Florida Health Cancer
Program was accredited by the
Commission on Cancer in February
2016 as an Integrated Network Cancer
Program with commendation, Silver
Level. The Villages Regional Hospital
and Leesburg Regional Medical
Center were previously accredited as
Community Hospital Cancer Programs.
CoC accreditation demonstrates
to payers, providers, the government,
and the public that systems are in
place to ensure cancer patients receive
high-quality, coordinated care, and
that supportive services and resources
addressing the full continuum of
care are available in our community.
Central Florida Health is committed to
providing high quality of care for our
cancer patients with continuous quality
improvement.
Central Florida Health is one of
only 1500 CoC-accredited cancer
programs in the U.S. and Puerto Rico,
representing 30 percent of all health
care facilities. CoC-accredited facilities
diagnose and/or treat more than 70
percent of all newly diagnosed cancer
patients. The Cancer Care Committee
2016 Community
Outreach Report
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establishes specific goals and provides
oversight to the cancer program.
CEO Cancer Gold
Standard Award
Central Florida Health (CFH) was
awarded Certificate of Accreditation
by the CEO Cancer Gold Standard in
recognition of our commitment to fighting
cancer and saving lives through programs
that promote cancer prevention, early
detection and access to quality care for
employees and their families. CFH is one
of three hospitals in the state of Florida
with this accreditation.
A workplace wellness accreditation
program, the CEO Cancer Gold
Standard™ provides a framework for
employers to have a healthier workplace.
All of the requirements of the CEO
Cancer Gold Standard are based on
scientific evidence, and the program is
carefully reviewed annually to ensure
that it remains comprehensive and up
to date.
By focusing on risk reduction, early
detection and quality care, the Gold
Standard program can help save the
lives of employees and curb operational
costs. CFH is honored to receive this
award and have validated our ongoing
commitment to cancer prevention.
Community Education
and Screening
As part of our commitment to improving the health of the communities we serve, our staff participates in community health fairs and
events where programs are held to educate the community about
the importance of cancer prevention and early detection.
Skin Cancer Prevention and Screening Program
Central Florida Health is located in
sunny Florida, and skin cancers are quite
common in the elderly population that
we serve. The Cancer Care Committee
focused on skin cancers to educate the
community about the importance of
prevention and screening and being sun
sensible to reduce the risk of skin cancer.
Skin cancer is the most common of all
cancer types. In fact, more skin cancers
are diagnosed in the United States each
year than all other cancers combined.
The number of skin cancer cases has
been going up over the past few decades.
More than 3.5 million cases of non-melanoma skin cancers are diagnosed each
year in the United States, and more than
73,000 cases of melanoma (the most serious form of skin cancer) were expected
to be diagnosed in 2016.
The good news is that there are many
ways to protect against skin cancer, or
catch it early for effective treatment. The
American Cancer Society also promotes
early detection of skin cancer in adults
through regular skin self-exams, and an
examination for skin cancer should be
part of periodic health exams. Sunglasses
help protect your eyes and sensitive skin
around them. If you have skin cancer,
finding it early is the best way to make
sure it can be treated with success.
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Sun Safety
Central Florida Health participated in the Hearts for our Hospital
Bicycle Challenge where several riders were offered four ride
options: 17, 32, 64 or 100 miles. Central Florida Health participated in
the Cycling Expo and Health Fair on Friday, November 11th at LaHacienda
Recreational Center, The Villages, partnering with Suncoast Skin Solutions
to offer skin cancer screenings. Fifty-three individuals were screened for skin
cancer screening using the American Dermatology Association Interventions and
Guidelines. Several benign abnormalities were noted; additionally appropriate referrals
to local dermatologist for further evaluation and possible treatment where indicated.
• Limit the amount of time you spend in direct
sun, especially when the sun’s rays are most
intense, generally from 10 a.m. to 4 p.m.
• Wear protective clothing when out in the
sun, including long sleeves; sunglasses; and
a hat that shades your face, neck, and ears.
• Wear sunscreen with broad spectrum
protection and an SPF of 30 or higher on
all skin that isn’t covered.
• Protect your skin even on cool or cloudy
days.
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Tobacco
Cessation
In the 21st century, health experts including the U.S. Surgeon General recognized
that smoking causes health problems, such as cancer and heart problems. Smokers
can increase health care costs for themselves and are more prone to illness. A
smoking cessation program continues to be available through the Florida Area
Health Education Center (AHEC) to offer IQuit with AHEC. This proven program
educates participants on the health effects related to tobacco use, but more importantly, teaches participants how beneficial quitting tobacco is and what to expect
when quitting. A highly-trained Tobacco Cessation Specialist or trained facilitator
guides participants as they identify triggers and withdrawal symptoms and brainstorm ways to cope with them. Additionally, employees with the hospital insurance
are offered nicotine replacement at no charge.
Central Florida Health partnered
with the American Cancer Society to
promote the Great American Smoke
out held on Thursday, November 17th,
at The Villages Regional Hospital and
Leesburg Regional Medical Center.
Individuals who indicated they would
like to quit smoking were provided
kits and resources to assist them with
their stop smoking goals.
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Colorectal
Cancer
Screening
– 80% by
2018
Cancer Program
Monitoring of
Compliance with
Evidence-Based
Guidelines
Central Florida Health continues to be committed to the movement, 80% by 2018,
to eliminate colorectal cancer as a major public health problem and work towards
the shared goal of reaching 80% screened for colorectal cancer by 2018. Colorectal cancer screening and
prevention continues to be a main focus when participating in Health Fairs and other Health Expos as it is a
major public health problem:
The Cancer Care Committee completes an in-depth analysis to
assess and verify that cancer program patients are evaluated and
treated according to evidence-based guidelines. This year, the committee evaluated Stages I and II Colon Cancers that were treated at
Leesburg Regional Medical Center and The Villages Regional Hospital in 2015, comparing actual treatment plans to the state-of-the art
National Comprehensive Cancer Network (NCCN) Colon Cancer
Treatment Guidelines. The NCCN is a not-for-profit alliance of 27 of
the world’s leading cancer centers devoted to patient care, research
and education dedicated to improving the quality, effectiveness and
efficiency of cancer care so that patients can live better lives.
Forty primary colon cancers were identified with Stages I and
II Colon Cancer. All patients meeting criteria for evaluation were
diagnosed appropriately and were staged clinically and pathologically according to the American Joint Committee on Cancer (AJCC).
Staging assesses the extent of disease and treatment plans are
developed accordingly. Treatment plans were appropriate for all
patients in this assessment group.
These types of assessments are important for cancer patients
to ensure they are diagnosed adequately and receive appropriate
treatment for best survival.
•C
olorectal cancer is the third leading
cause of cancer death in men and women
in the U.S., and a cause of considerable
suffering among more than 140,000 adults
diagnosed with colorectal cancer each year.
•A
bout 1 in 3 adults between 50 and 75
years old — about 23 million people — are
not getting tested as recommended.
Screening can save lives but only if people
get tested.
•W
hen adults get screened for colorectal
cancer, it can be detected early at a
stage when treatment is most likely to
be successful, and in some cases, it can
be prevented through the detection and
removal of precancerous polyps.
•T
here are several recommended screening
test options, including: colonoscopy, stool
tests (guaiac fecal occult blood test [FOBT]
or fecal immunochemical test [FIT]), and
sigmoidoscopy.
The American Cancer Society awarded Central Florida Health with a Colorectal Cancer Partnership
Award to support colorectal cancer activities. We will be promoting screening of colorectal cancer in the
communities that we serve to meet the goal of 80% by 2018.
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2016 Cancer Program Improvements
Several patient care improvements were noted in 2016:
•A
dedicated inpatient Oncology Unit at
The Villages Regional Hospital using Oncology Nursing Society Guidelines was
created offering improved patient care
ensuring convenient and continuity of
care for all oncology patients. The Unit
includes a resource library for patients.
• Oncology Coordinators, also referred
to as navigators, were recruited to
assist oncology inpatients and outpatients with their cancer journey to
overcome barriers to receiving care
and facilitating timely access to clinical
services and resources. Navigation
services depend upon the particular
type, severity and/or complexity of the
identified barriers and disease status.
• Weekly, inpatient multidisciplinary
rounds were initiated for Leesburg Regional Medical Center and The Villages
Regional Hospital where physicians and
representatives from nursing, pharmacy, pastoral care, case management,
rehabilitation and social work meet
with the patient to identify medical
and/or psychosocial issues needing
further resources or referrals.
• Monthly education presentations by
physicians, Cornerstone Hospice and
other healthcare professionals were
initiated for the oncology staff to
increase the core skills of oncology and
palliative care at Leesburg Regional
• A new, more effective Distress Management Screening Tool was created and
given to all new oncology inpatients and
outpatients to measure the psychosocial
issues in the following areas: Practical
Problems, Family Problems, Emotional
Problems, Spiritual/Religious Concerns
and Physical Problems. Based on the
information collected, the patient’s oncology team is able to identify and examine
the psychological, behavioral and social
problems of the patient that interfere
with their ability to participate fully in
their health care and manage their illness
and its consequences. This evaluation
confirms the presence of physical, psychological, social, spiritual, and financial
support needs and indicates the need to
link patients with psychosocial services
offered on-site or by referral.
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Medical Center and The Villages
Regional Hospital.
For more information about the
Central Florida Health Cancer Program,
contact us at 352-751-8877.
Leesburg Regional Medical Center / 600 E. Dixie Ave.Leesburg, FL 34748 / 352.323.5762 / leesburgregional.org
The Villages Regional Hospital / 1451 El Camino Real, The Villages, FL 32159 / 352.751.8000 / thevillagesregionalhospital.org
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