Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
2014 Annual Report Our mission is to improve the survival and quality of life of those we serve. A note to our colleagues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 2014 highlights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2014 screening and prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Team spotlight. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 2014 awards and achievements. . . . . . . . . . . . . . . . . . . . . . . . . . 10 Oncology registry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Oncology research review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Donors for 2014 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Cancer committee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 A note to our colleagues Dear colleagues, Cancer is a complex and continually evolving disease. At Park Nicollet Frauenshuh Cancer Center, we believe that fostering research is essential to advancing an understanding of this disease. We look forward to the day when, through research, cancer can be prevented and cured. Our two feature articles, on pages 13 and 16, outline our research initiatives undertaken in 2014 – as well as our ongoing and future commitment to research. Dylan Zylla, MD, our medical oncologist and co-medical director of oncology research at Park Nicollet, is committed to finding better ways to relieve cancer pain and other burdensome symptoms. Our many events are also important in helping to raise awareness and support for cancer research, prevention and patient care initiatives. To that end, Frauenshuh Cancer Center and Park Nicollet Dermatology collaborated to host a free skin cancer screening event for the community on May 17. We were pleased to serve 103 participants. Eight percent of those screened were identified as having non-melanoma skin cancer; 40 percent were recommended for a follow-up appointment because of suspicious skin issues. Park Nicollet’s Jane Brattain Breast Center and Park Nicollet Foundation continue their Be Pink initiative to support and promote breast health, early screening and breast cancer detection for women in the Twin Cities. Because of a strong Be Pink campaign in October, screening mammography volumes increased by 10 percent that month. Diagnostic screenings increased more than 25 percent. We are extremely grateful for the many gifts from our donors and supporters. These critical funds are used to advance research and improve care to our patients. In 2014, through donor generosity and the Park Nicollet Foundation, we have been able to offer patients integrative healing care, including music therapy, education and critical support services. Gifts supporting these important programs at Frauenshuh Cancer Center and the Jane Brattain Breast Center are listed on pages 22-27. If you would like more information about our comprehensive cancer services or have questions about this report, please contact us at 952-993-3248. Sincerely, Mark A. Wilkowske, MD, Medical Director, Oncology Services 4 Laura J. Holasek, Administrative Director, Oncology Services Park Nicollet Frauenshuh cancer center | 2014 annual report Mark A. Wilkowske, MD, is medical director of oncology services for Frauenshuh Cancer Center. Dr. Wilkowske received his bachelor’s degree and medical degree from the University of Minnesota. From 1988 to 1994, he received postgraduate training in internal medicine and hematologyoncology. He is board-certified by the American Board of Internal Medicine, Subspecialty Board of Medical Oncology and Subspecialty Board of Hematology. His professional associations include American College of Physicians and American Medical Association. He is past president of the Minnesota Society of Clinical Oncology. Dr. Wilkowske has served on Park Nicollet’s Board of Directors, the Park Nicollet Foundation Board of Directors and the Park Nicollet Executive Medical Council. Laura Holasek, is the administrative director of Frauenshuh Cancer Center. Holasek earned her bachelor’s degree in health care administration from the University of WisconsinEau Claire. She has been with Park Nicollet Methodist Hospital since 2000, working as radiation oncology manager in charge of Radiation Oncology before being named administrative director of the cancer center in January of 2011. She has focused experience in Lean methodologies and is Lean certified. On Jan. 1, 2014, Holasek assumed the role of oncology system director for the combined HealthPartners and Park Nicollet organization. Park Nicollet Frauenshuh cancer center | 2014 annual report 5 Frauenshuh Cancer Center 2014 highlights Nature increases health and improves well-being. QOPI Certification Renewal Following a successful survey in June 2014, Frauenshuh Cancer Center achieved another three-year certification from the American Society of Clinical Oncology (ASCO) Quality Oncology Practice Initiative (QOPI). This program provides tools for measurement, benchmarking and quality improvement of more than 80 quality measures. In the spring of 2014, there were only 244 QOPI-certified programs across the country and only four in Minnesota. ASCO’s Quality Oncology Practice Initiative is an oncologist-led, quality assessment program designed to promote excellence in cancer care. Commission on Cancer Survey The Frauenshuh Cancer Center received an Outstanding Achievement Award from the American College of Surgeons’ Commission on Cancer for achieving excellence in providing care to cancer patients. This is the highest commendation awarded by the commission and requires a review of the scope, operations and activity of the cancer center as well as compliance with 36 standards. As part of the successful Nov. 2014 survey, the commission also renewed the center’s three-year accreditation. Survivorship Celebration In partnership with Park Nicollet Foundation, National Cancer Survivors Day was held Saturday, June 28, 2014 at the Minnesota Landscape Arboretum. “On the Wings of Hope” featured cancer patient Ruth Bachman as the keynote speaker. Bachman was diagnosed with soft tissue sarcoma in 2003. “I have learned that with patience and persistence, I can do anything I want to do,” she told the attendees. The event also included the release of butterflies in Sandra’s Garden of Hope. 6 Park Nicollet Frauenshuh cancer center | 2014 annual report Nature Heals Day A connection to nature is vital to human health and well-being. Those interested in learning about the healing power of nature, and understanding more about how nature increases health and improves well-being, were able to participate in Nature Heals Day on Aug. 16, 2014. The event was held at the Minnesota Landscape Arboretum. Marathons of Hope Event participants Marathons of Hope is a certified 5K/10K, and walk, run, bike or blade around Lake Calhoun to raise funds for Park Nicollet Frauenshuh Cancer Center. This event was held on Sept. 6, 2014, and included more than 300 participants who raised $54,897 for cancer patients’ support and education programs. Minnesota Density Reporting Law The Minnesota Density Reporting Law Chapter 291 was approved in May 2014 and implemented Aug. 1. The law requires mammography providers, including Jane Brattain Breast Center, to notify women categorized as having dense breast tissue about their condition. Dense breasts have more fibrous or glandular tissue and not as much fat; women with dense breasts have a slightly higher risk of breast cancer. Approximately 40 percent of women fall into this category. Oncology Symposium at Park Nicollet Care providers hosted an education day for staff at Park Nicollet Clinic on April 5, 2014. The event’s focus was on cancer care and treatments and was sponsored by the HealthPartners/Park Nicollet Oncology/Hematology Program. Mark A. Wilkowske, MD, medical director, presented information on alternative therapies related to cancer care. Discussing uncommon reactions to chemotherapy was Randy Hurley, MD, medical director, HealthPartners and Regions Hospital Cancer Care Center. Kaizen Event at Burnsville and Maple Grove A new standardized cancer infusion scheduling process was created this year to maximize efficiency and increase patient and staff satisfaction at our Burnsville and Maple Grove locations. The process indicates when infusion nurses are available and when treatment chairs are available. Oncology Education Day in Wisconsin Daniel Anderson, MD, presented “Cancer-Related Fatigue” at the Cancer Center of Western Wisconsin’s Oncology Education Day in New Richmond on Nov. 15, 2014. The event’s main focus was Ancillary Care and Symptom Management; it was co-sponsored by the Cancer Center of Western Wisconsin and HealthPartners Oncology/Hematology Program. Park Nicollet Frauenshuh cancer center | 2014 annual report 7 2014 screening and prevention results Skin Cancer Screening In honor of Melanoma/Skin Cancer Detection and Prevention Month, Park Nicollet hosted its free skin cancer screening event at the Frauenshuh Cancer Center on May 17, 2014. “Demand was off the charts, with 103 people coming in to be screened.” said Larisa Speetzen, MD, a Park Nicollet dermatologist who donated her time at the event. “That’s encouraging because it means the public is getting the message that prevention is key.” Melanoma of the skin is the most common type of cancer in the United States, with nearly 1,500 new cases reported last year in Minnesota. Twenty-eight team members from Park Nicollet dermatology and the Frauenshuh Cancer Center donated a total of 100 volunteer hours to the screening event. Be Pink and Breast Cancer Awareness Month Cancer researchers know that about one in eight U.S. women (about 12 percent) will develop invasive breast cancer over the course of a lifetime. Death rates for breast cancer have been decreasing since 1989. This is especially true for women under age 50. These decreases are thought to be the result of treatment advances, earlier detection through screening and increased awareness. In partnership with Park Nicollet Foundation, Park Nicollet’s Jane Brattain Breast Center continues its Be Pink initiative to support and promote breast health, early screening and breast cancer detection for women in the Twin Cities. Because of a strong Be Pink campaign in October, screening mammography volumes increased by 10 percent that month. Diagnostic screenings increased more than 25 percent. The Mammoa-go-go mobile mammography testing unit also noted an increase in use during the campaign. Park Nicollet Jane Brattain Breast Center was the presenting sponsor of local radio station KS95’s Team Moon & Staci for Race for the Cure on Mother’s Day. Our sponsorship was promoted during on-air spots and also had a digital presence – with website banner announcements, a custom microsite (mini website) and social media postings. The center had a prominent booth at the race and provided breast cancer materials. In total, the effort delivered approximately three million impressions. 8 Park Nicollet Frauenshuh cancer center | 2014 annual report We find ways to improve our patients’ overall quality of life as they embark on their cancer journeys. MammoJam, Mill City Nights Scotty McCreery with staff members MammoJam was a successful benefit concert for the Jane Brattain Breast Center held Oct. 29, 2014. Provided in partnership with CBS Minnesota, the event featured performers Brett Eldredge, Scotty McCreery, Swon Brothers and Thompson Square. Local businesses supported the breast cancer awareness and Jane Brattain Breast Center by lighting their downtown buildings in pink or by offering promotional discounts. October outreach events included screenings, health fairs and speaking engagements promoting early detection. Team spotlight Kathryn Moore, MD specializes in caring for adults with cancer and blood disorders. She has a special interest in treating patients with breast and lung cancer. Dr. Moore received her medical degree from Louisiana State University Health Sciences Center. She completed an internal medicine residency and a fellowship in hematology, oncology and stem cell transplantation at Rush University Medical Center in Chicago. “Every day I am amazed and inspired by the courage, grace, and perseverance that my patients possess. I enjoy working closely with patients and their families to provide high-quality cancer care based on the latest medical research. I also respect the fact that each patient is an individual and will have their own way of dealing with their unique journey.” Jessica Arneson joined the Frauenshuh Cancer Center in 2014 as the manager of radiation oncology and the oncology site manager. She has a bachelor’s degree in nuclear medicine from St. Mary’s University in Minnesota and has recently completed her master’s degree in health care administration at the University of Minnesota. Jessica joined the Park Nicollet nuclear medicine department in 2004. She transitioned into nuclear cardiology as the non-invasive cardiovascular manager in 2007. Park Nicollet Frauenshuh cancer center | 2014 annual report 9 2014 awards and achievements Lorre Ochs, MD, FACP-FACS, received the Touchstone Award at the St. Francis Regional Medical Center’s gala in Oct. 2014. This award recognized Ochs for going above and beyond in the care she provides patients, for actively partnering across the organization to improve care and for her leadership within the St. Francis Cancer Center as well as her contributions to the community. Ochs also served as the immediate past president of the Minnesota Society of Clinical Oncology. Carol Ann Petersen, LICSW, MAHS, patient support and education manager, received the Helen Berg Service Award, which honors team members who create an exceptionally caring experience for patients and guests. The Helen Berg Service Award was established in 2009 and is named after a colleague who lived and worked courageously with cancer for many years. Yvonne Combs, RN, certified hospice and palliative care nurse, was honored for her exceptional care to patients by receiving the Park Nicollet Methodist Hospital Nurse Excellence Award. Nancy Gelle, nurse manager for hospice, palliative care and Growing Through Grief (a hospice program), received the President’s Award from HealthPartners. This award recognizes colleagues who demonstrate extraordinary efforts in providing outstanding care and service to HealthPartners members and patients. Vicki Norton, RN, MHA, OCN, served as a director-at large for her fourth year to the Oncology Nursing Society. ONS is a national organization with more than 35,000 members. Susan Koering, MEd, RHIA, CTR, the oncology registry manager for Frauenshuh Cancer Center, served a third year as chair of the National Cancer Registrars Association (NCRA) Education Foundation. Chartered in 1974, the NCRA is a non-profit organization that represents more than 5,000 cancer registry professionals and certified tumor registrars. Its mission is to serve as the premier education, credentialing, and advocacy resource for cancer data professionals. Mark Menge, MD, and Michael Haley, DO, served as members at large of the Minnesota Society of Clinical Oncology. The organization promotes standards of excellence for high-quality cancer care. A number of our team members served important roles with Metro Minnesota Nursing Society (ONS): President: Norma Hocking, RN, OCN, President-elect: Nancy Anson, RN, OCN, Secretary: Jeanne Harkness, RN, MSN, OCN, Treasurer: Cindy Jacobson, RN, OCN, Directors at Large: Adina Peck, NP, AOCN; Cindy Ouimet, RN, OCN; Karen Miller, RN, OCN, Vicki Norton, MHA, RN, OCN, Government Relations: Ann Deshler, RN, BSN, OCN, Membership Chair: Mary Mateffy, RN, OCN, Nominating Chair: Betsy Koch, RN, OCN, Annual Conference Chair: Mary Ehresman, NP, AOCN Three registered nurse team members received new Oncology Certified Nurse (OCN) credentials: Barbara Sweeney, Melanie Schweizter, Lindsey Anderson 10 Park Nicollet Frauenshuh cancer center | 2014 annual report Oncology registry Most common cancer sites The four most common cancers for Park Nicollet patients in 2014 (excluding skin cancers) were breast, lung, prostate and colorectal. These four sites account for 44 percent of all cases, according to the American Joint Committee on Cancer (AJCC). In Minnesota, the most common cancers listed in order of occurrence as published in the American Cancer Society’s “Cancer Facts and Figures 2014,” are prostate, breast, lung and colorectal. Table 2 compares Park Nicollet’s case totals with the estimated number of cancer cases in Minnesota and the United States. For these four cancer sites (and all cancers) early diagnosis and treatment are very important. The earlier the stage at which these cancers are diagnosed and treated, the better the patients’ long-term prognosis and survival. Table 1: Four most common sites by AJCC stage at Park Nicollet Health Services Stage iii Stage iv Unknown Unknown Stage 0 24 14 4 3 0 Stage 0 Stage iv Stage i 25 34 103 Stage ii Table 2 compares, by site and percentage, Park Nicollet’s case totals with the estimated number of cancer cases in Minnesota and the United States. Stage iii 94 Table 2: Four Most common Cancer sites 25 % Stage i Stage ii 229 92 8 Female Breast Cancer 2014 Prostate Cancer 2014 468 total cases 179 total cases % % 5 7 14 colorectal 8 13 prostate Unknown Stage 0 Unknown Stage 0 3 2 5 1 8 13 Lung Stage iv Stage i 15 22 22 54 Stage iv Stage iii Stage ii 32 25 10 Stage i Breast 85 13 14 Stage ii Stage iii 12 26 Colorectal Cancer 2014 Lung Cancer 2014 99 total cases * male=43, female=56 *carcinoids of the appendix not included 183 total cases male=72, female=111 Park nicollet health services Minnesota United states Park Nicollet Frauenshuh cancer center | 2014 annual report 11 Table 3: Park Nicollet Cancer Center Administrative Report 2014 * Analytic: cases diagnosed and/or having initial therapy at Park Nicollet ** Non-analytic: cases having all initial therapy elsewhere, seen at Park Nicollet for further care and treatment Analytic cases* Non-analytic cases** Cases presented at tumor conferences (general, gynecologic, breast, lung) Physicians attendance at conference Radiation therapy patients (new) Radiation therapy treatment fields Outpatient IV therapy visits Outpatient oncology/hematology clinic visits New cancer admissions to hospice New cancer admissions to home care Percent of patients entered on protocols 2013 2118 64 546 1108 671 15,937 30,327 25,469 345 62 2014 2118 39 613 1215 662 16,201 30,764 27,050 337 94 7% 11% Table 4: 2014 Cancer Cases Diagnosed by Tumor site and Gender Breast Skin Lung Prostate Lymphoma Colorectal Bladder Other/ill-defined Uterus Head and neck Kidney Leukemia Endocrine Pancreas Nervous system Ovary Multiple myeloma Other GI Unknown primary Stomach Anus Vulva Testis total 12 Park Nicollet Frauenshuh cancer center | 2014 annual report total cases 473 22% 285 13% 183 9% 179 8% 105 5% 102 5% 89 4% 75 4% 73 3% 72 3% 64 3% 63 3% 53 3% 51 2% 48 2% 43 2% 33 2% 32 2% 24 1% 22 1% 19 1% 17 1% 13 1% 2,118 100% 5 167 72 179 59 47 56 31 0 48 39 31 22 34 24 0 21 19 12 15 8 0 13 902 male 1% 19% 8% 20% 7% 5% 6% 3% 0% 5% 5% 3% 2% 4% 3% 0% 2% 2% 1% 2% 1% 0% 1% 100% female 468 38% 118 10% 11 9% 0 0% 46 4% 55 4% 33 3% 44 4% 73 6% 24 2% 25 2% 32 3% 31 2% 17 1% 24 2% 43 4% 12 1% 13 1% 12 1% 7 1% 11 1% 17 1% 0 0% 1,216 100% Oncology research review Finding treatments, cures depends on clinical trials By Daniel M. Anderson, MD Clinical trials remain a vital part of cancer treatment. Trials represent the final phase of cancer research, in which new treatments are proven more effective or less toxic than existing therapies. Most major groups that set guidelines for how to treat cancer, such as the National Comprehensive Cancer Network, unequivocally state that the best care for any cancer patient is a well-designed clinical trial. Despite these recommendations, only 3 to 5 percent of cancer patients in the United States are treated on clinical trials. This is because some patients have concerns about enrollment in trials and not wanting to be a “guinea pig.” Through active patient education and shared decision making, HealthPartners Clinics and the Frauenshuh Cancer Center at Park Nicollet (all a part of one organization now) have been highly successful in enrolling cancer patients on clinical trials, earning commendation from accrediting bodies such as the American College of Surgeons. Despite our past successes, however, much remains to be done. Oncology clinical trials typically originate by one of two ways: through the National Cancer Institute (NCI) or through pharmaceutical companies (industry). In addition to having a strong culture of locally developed research, HealthPartners and Park Nicollet have participated in NCI studies for more than 20 years as part of a local research collaborative called Metro Minnesota Community Oncology Research Consortium. HealthPartners and Frauenshuh Cancer Center have been active in offering the latest cutting-edge research from the NCI to our patients. Our physicians have also maintained leadership roles in the development and implementation of clinical trials at both the national and local level. HealthPartners and the Frauenshuh Cancer Center also participate in trials sponsored by the pharmaceutical industry, offering our patients a wide variety of clinical trial options. More than 75 NCI and industry clinical trials are currently available at our clinics for patients with most types and stages of cancer. Because funding for the NCI continues to decline, more studies are sponsored by pharmaceutical companies. HealthPartners and Park Nicollet physicians complete a thorough review process to ensure that only the most scientifically sound, industry-funded trials are available to our patients. The trials we offer allow patients to receive innovative cancer treatment close to their homes, sparing them longdistance travel to receive treatment. Park Nicollet Frauenshuh cancer center | 2014 annual report 13 Judy Dougherty is a patient who has clearly benefitted from enrollment in a clinical trial. In 2006, at age 46, she was diagnosed with metastatic breast cancer, a typically fatal disease. Judy elected to enroll in an early phase clinical trial at Regions Hospital studying an investigational agent for breast cancer. She received chemotherapy for more than one year, during which time her disease went into complete remission. She has remained in a complete remission since her diagnosis and has seen her four daughters accomplish many milestones that she never expected when first diagnosed. Judy recognizes the benefits she received from her participation in a clinical trial and has become a strong proponent of oncology trials. Regions Hospital, HealthPartners Clinic-Riverside and Park Nicollet Clinic have continued a tradition of research excellence in 2014 and 2015. Some of the highlights: • Regions Hospital and Riverside Clinic had the highest overall NCI treatment accrual in the Twin Cities. Only the most scientifically sound, industryfunded trials are available to our patients. • Park Nicollet Frauenshuh Cancer Center had the highest overall NCI treatment accrual per investigator. • Regions Hospital and the Frauenshuh Cancer Center were two of only a handful of sites selected to participate in a trial of early palliative care in lung cancer patients. • The Metro Minnesota Community Oncology Research Consortium (headquartered at Park Nicollet) remained one of the strongest community-based research entities in the country, with the highest accrual in the country to multiple important NCI and industry studies. It continues to receive substantial NCI grant funding as recognition of its national prominence. • Richard Peterson, MD, was elected to serve on the NCI brain malignancy steering committee and will be directly involved with the design of new trials for brain cancer. • Balkrishna Jahagirdar, MD, continued to serve on the novel therapeutics committee for the Alliance for Clinical Trials in Oncology. He also serves as a community study chair for a trial in thyroid cancer. 14 Park Nicollet Frauenshuh cancer center | 2014 annual report • Dylan Zylla, MD, serves as the cancer care and delivery research principal investigator for the Metro Minnesota Community Oncology Research Consortium. He also participates as the local principal investigator for several pharmaceutical treatment trials. • Rachel Lerner, MD, serves as the local principal investigator for several pharmaceutical studies and is part of the review committee to ensure trials open at Frauenshuh Cancer Center and HealthPartners Clinics meet appropriate standards. • I serve on the Board of Directors for the Alliance for Clinical Trials in Oncology. I also serve on the leadership team for the Metro Minnesota Community Oncology Research Consortium. Looking forward to 2016, there are several exciting studies on the horizon. We are in the process of opening a large study investigating whether palbociclib, a nontoxic targeted agent shown to help women with widespread breast cancer, can improve cure rates in women with earlier stage disease. We also hope to open multiple studies examining innovative immune-based therapies for lung cancer. As our understanding of the biology of cancer improves, our treatments will continue to become more effective and less toxic. We at HealthPartners and Frauenshuh Cancer Center remain firmly committed to clinical trials and will continue to offer cutting edge treatments to our patients. Daniel M. Anderson, MD Medical oncologist and co-medical director of oncology research Park Nicollet Frauenshuh Cancer Center Daniel M. Anderson, MD, is a board certified hematologist-oncologist and a member of the faculty of the University of Minnesota Department of Hematology, Oncology and Transplantation. After graduating from St. Olaf College, he received his medical degree and master’s degree in public health from the University of Minnesota. Dr. Anderson completed his internal medicine training at Hennepin County Medical Center and a hematology/oncology fellowship at the University of Minnesota. He has completed special training in clinical cancer research and has a special interest in studying therapies for advanced cancer. Park Nicollet Frauenshuh cancer center | 2014 annual report 15 Oncology research review Research on cancer pain and symptom management By Dylan Zylla, MD As a medical oncologist and co-medical director of oncology research at Park Nicollet, I strive to find ways to improve our patients’ overall quality of life as they embark on their cancer journeys. My specific research focus is on relieving cancer pain and other burdensome symptoms such as nausea, diarrhea, fatigue and depression. Pain is a particularly challenging problem that affects the majority of patients diagnosed with cancer. Two out of every three patients with advanced cancer experience pain, with nearly 50 percent experiencing moderate to severe levels of pain. My research in cancer pain and symptom management began at the University of Minnesota during my fellowship training and has since led to numerous projects at Park Nicollet. Examples of these projects: • Zylla D, et al. Opioid requirement, opioid receptor expression, and clinical outcomes in patients with advanced prostate cancer. Cancer (2013) • Zylla D, et al. Association of opioid requirement and cancer pain with survival in advanced non-small cell lung cancer. Br. J. Anaesth. (2014) • Zylla D, et al. Pain score, analgesic utilization, and patient satisfaction among cancer patients at a community cancer center. Presented at ASCO Palliative Care Symposium (2014) As a recipient of a National Institutes of Health Research training grant, I was given the opportunity to expand my clinical research skills through a master’s degree program in clinical research. I completed two projects on the role of cancer pain and opioid utilization and how each may impact survival in patients with advanced malignancy. Both led to publications in well-respected medical journals. We became the first group to demonstrate shorter survival in patients with metastatic prostate cancer who had high opioid use to control pain. Later projects expanded on our early work and examined the complex role of pain and opioid use in patients with advanced non-small cell lung cancer. We again showed that both high levels of opioid use and high levels of pain were associated with shorter survival. 16 Park Nicollet Frauenshuh cancer center | 2014 annual report Obtaining better control of cancer pain, while limiting any untoward effects of opioids, is of utmost importance to our patients. With this in mind, I led a quality improvement project focused on improving cancer pain management at Park Nicollet Frauenshuh Cancer Center. I created a workgroup that included a palliative care physician, a pharmacist, a quality improvement director, an oncology nurse practitioner and an oncology nursing supervisor. Based on cutting-edge pain research, we implemented a clinic policy of asking all patients about their personal pain goals. We found patients at Frauenshuh Cancer Center achieve their personal pain goal more than 90 percent of the time. Our findings were presented at the inaugural American Society of Clinical Oncology (ASCO) Palliative Care in Oncology Symposium. Current projects: • Zylla D, et al. Impact of opioid use on survival in patients with newly diagnosed stage IV non-hematologic malignancies. Accepted for presentation at ASCO Palliative Care Symposium (2015) • Phase 3 randomized trial of a medical cannabis product (nabiximols/Sativex) in patients with advanced cancer pain. 2013-2015 (Principal Investigator – Dylan Zylla, MD) Music therapists and course signs from Marathons of Hope • Incorporating patient-reported outcomes in symptom management with ASCO Palliative Care Virtual Learning Collaborative. 2014-2015 (Team leader – Dylan Zylla, MD) Studies show patients with better quality of life have improved survival regardless of treatments administered. Recent reports demonstrate early palliative care intervention benefits both quality of life and survival in patients with advanced lung cancer. The ASCO now promotes earlier integration of palliative care services into standard oncology care. Park Nicollet Frauenshuh cancer center | 2014 annual report 17 Frauenshuh Cancer Center was selected as one of 20 cancer centers throughout the country to participate in a new online learning collaborative sponsored by ASCO as a way to improve our delivery of palliative care interventions to patients. Through this partnership, we began a palliative care training program for our nurse practitioners and physician assistants as a way to ensure that all our patients have access to the best symptom management knowledge available. We also began a clinic-wide effort to implement patientreported surveys on tablet computers upon clinic check-in to help us assess and adapt to the most pressing symptoms that patients report. The medical cannabis program through the Minnesota Department of Health started in July 2015. However, our experience with medical cannabis began in 2013 when I served as the principal investigator for an industry-sponsored trial of a synthetic medical cannabis drug called nabiximols (trade name Sativex) for cancer patients with severe pain. Several patients at Park Nicollet Frauenshuh Cancer Center participated in this trial, and all tolerated the drug well with little side effects. We are awaiting results of this trial to determine how well nabiximols controlled pain compared to a placebo. Aside from prior studies with nabiximols, there is very little scientific data showing clear benefits of medical cannabis. As such, we are working to find ways to study the role of medical cannabis as it pertains to cancer pain and symptom management. We hope to highlight both the potential benefits and harms by use of medical cannabis. Future research proposals: Park Nicollet is a leader in the field of pain and symptom management. 18 Through a grant from the Park Nicollet Institute we will soon implement a new electronic check-in system for our cancer patients using tablet computers that link directly with the electronic health record. This technology will allow us to monitor and treat symptoms quickly and track outcomes for all patients under our care. Numerous quality improvement projects will be easily completed once this registry is created. One project currently in development aims to closely track pain and nausea in patients who use medical cannabis. Results of this project have the potential to shape decisions on use of medical cannabis both locally and nationally, and will help to demonstrate that Park Nicollet is a leader in the field of pain and symptom management. Future grant and philanthropic support will help us create a Cancer Pain and Symptom Management Center. This would help Park Nicollet become a national leader as we continue our pledge to provide the best cancer care with the best quality of life. Park Nicollet Frauenshuh cancer center | 2014 annual report Dylan Zylla, MD Medical oncologist and co-medical director of oncology research Park Nicollet Frauenshuh Cancer Center Dr. Zylla with project colleague and research nurse Nancy Nixon As a medical oncologist and hematologist, Dylan Zylla, MD, values the relationships he develops with patients who have cancer or blood disorders. “I strive to provide clear explanations of complex and often frightening diagnoses and support both patients and their families with the compassion they deserve. My goal is to provide quality, evidence-based medicine that maximizes the opportunity to combat disease, while also preserving one’s quality of life. My research interest is to determine how the control of cancer pain may improve clinical outcomes, specifically in patients with cancer of the breast, lung, prostate and colon. I utilize skills from my master’s degree in clinical research to coordinate clinical trials that I hope will improve patient care, relieve suffering, and help advance our understanding of cancer.” Dr. Zylla received his medical degree from the University of Minnesota where he completed his residency and hematology/oncology fellowship. He also holds a master’s degree in clinical research from the University of Minnesota’s School of Public Health. Park Nicollet Frauenshuh cancer center | 2014 annual report 19 Oncology research review Clinical trials are essential to making advances in cancer treatments for patients by systematically evaluating the effectiveness of new treatments or interventions. Our Oncology Research Program offers access to state-of-the-art trial options for patients undergoing cancer treatments. We also conduct a wide variety of studies focused on cancer prevention and symptom management for patients undergoing cancer treatments, and studies to help us understand the biology of cancer. Our mission is to improve the survival and quality of life of those we serve. We have an expert research staff with many years of experience in clinical research. Park Nicollet patients also have access to clinical trials sponsored by the National Cancer Institute through the Metro-Minnesota Community Clinical Oncology Program (CCOP). Oncology research highlights • One hundred eighty-eight patients of Park Nicollet Frauenshuh Cancer Center were enrolled in clinical trials during 2014. This constitutes 8.8 percent of all oncology patients diagnosed at Park Nicollet. Eight new studies were initiated in 2014. • Through the ENACCT program, a collaboration between CCOP and Park Nicollet Oncology Research Program, we were able to increase accrual for early stage breast cancer patients to treatment trials from 0.5 percent (at the end of 2013) to 4 percent in 2014. • Park Nicollet was the top-enrolling site for NCI trials in the Metro-MN CCOP consortium. • To carry out our research effort, Park Nicollet hired a new research nurse, Cindy Ouimet, and a research assistant, Kris Vukelich. • Productive meetings have been held to discuss the future direction and support for merging Park Nicollet and HealthPartners oncology research. Ann Deshler, practice research consultant, has been instrumental in working with organization leaders to explore operational changes that need to be addressed before our oncology research program can enroll patients at HealthPartners cancer clinics. Grants/Projects 2014 Shoulak BreastFest Fundraiser awarded a grant to support nutrition research at Frauenshuh Cancer Center. Principal investigator for our nutrition research is Alice Shapiro. Park Nicollet Foundation awarded five grants to the Frauenshuh Cancer Center Research through various funds: • “A retrospective assessment of patient-reported pain levels, opiods prescribes and survival at FRCC,” Principal investigator: Dylan Zylla. • “Effect of introduction dialogues on acceptance of music therapy in a community cancer center,” Principal investigator: Leanne Barck. 20 Park Nicollet Frauenshuh cancer center | 2014 annual report (L to R): Cindy Ouimet, RN, research nurse; Nancy Nixon, RN, MMCORC, research nurse; Jessica Miller, BA, CCRP, MMCORC, cancer control coordinator; Laura Maybon, RN, manager, oncology research; Jamie Edenborg, MMCORC, research coordinator; Jori Lovdahl, RN, MMCORC, research nurse • “A quality improvement project to assess the impact of the use of scribes in the Frauenshuh Cancer Center,” Principal investigator: Rachel Lerner. • “Providing breast cancer survivorship: lessons learned from a pilot project implementation,” Coinvestigators: Kathleen Johnson and Rachel Lerner. • Oncology Research Project to assess patients for “Clinical Trial Awareness and Research Participation,” Investigators: Alissa Gavenda, Laura Rockwell, Amber Egan. Manuscripts published Zylla D, Kushowski MA, Gupta K, Gupta P. Association of opioid requirement and cancer pain with survival in advanced non-small cell lung cancer. Br. J. Anaesth. (2014) 113 (suppl 1): i109-i116 Halcon L, Lillehei A, Melin M, Shapiro A, Robinson C. Wound Care: Multi-center Feasibility Study. Adv in Skin and Wound Care Accepted for publication May 2014. Abstracts/Posters/Presentations Abstract and Poster: Robien K, Kirstein M, Shapiro A. Pilot Study to Determine BPA Exposures among Women Receiving Aromatase Inhibitors (Sub study of the NIH Grant D3AI) Gordon Research Conference on Environmental Endocrine Disruptors, Lucca (Barga), Italy, May 2014 Abstract and Poster: Zylla D, Van Peursem S, Illig L, Peck A, Pawloski, P, Fulbright J, Richter S, Larson A. Pain scores, analgesic utilization, and overall satisfaction among cancer patients: a quality improvement project. Palliative Care in Oncology Symposium: Patient Centered Care across the Cancer Continuum, Boston, Mass., October 2014 Abstract and Poster: Zylla D, Kuskowski M, Gupta K, Gupta P. Association of opioid requirement and cancer pain with survival in advanced non-small cell lung cancer. Palliative Care in Oncology Symposium: Patient Centered Care across the Cancer Continuum, Boston, Mass., October 2014 Oncology Research Staff (Shapiro A, Gavenda A, Deshler A, Coles C) presented an update on oncology research at Nursing Grand Rounds for all nurses at Park Nicollet Health Services. October 2014 Dylan Zylla, MD, presented “Improving pain management in patients with cancer – a quality improvement project” to leadership of Park Nicollet/HealthPartners Park Nicollet Frauenshuh cancer center | 2014 annual report 21 2014 annual gifts to Frauenshuh Cancer Center and Jane Brattain Breast Center $50,000 Plus LaMoine J. Flaig David and Sandra Frauenshuh HealthPartners $25,000 Plus Curtis L. Carlson Family Foundation $10,000 Plus Robert Haselow, MD and Justine Haselow William A. Hodder Hope Chest for Breast Cancer Foundation The Janice Gardner Foundation Mark Z. Jones, II and Judie Jones Gary and Loranne Lindstrom Schuler Shoes $5,000 Plus Don and Jane Brattain Frauenshuh, Inc. Michael Haley and Jacqueline Chandonnet Wayne and Carol Jorgenson Bill and Gail Munsell Riverwood National Breast Cancer Tournament Wayne T. Spears, MD 22 Park Nicollet Frauenshuh cancer center | 2014 annual report Through Park Nicollet Foundation, generous donors are able to support Park Nicollet Frauenshuh Cancer Center’s patients and families through the physical and emotional journey from treatment to survivorship. $1,000 Plus Anchor Bank of Wayzata Michael Anderson Anonymous Patricia Bailey Darrell E. Catton Checker Distributors Cathleen Chen, MD City of Wayzata Consolidated Communications Harris and Darcy Cooper Earl Holasek & Son Greenhouses, Inc. Martha J. Erickson David and Renee Ethier Catherine L. Fischer Robert A. Green, MD and Ellen Green, MD Darrel and Karen Hamann Lucinda L. Hartmann Frederick and Sharon Hegele Laura and James Holasek Jeffrey B. Husband, MD and Mary E. Husband George C. and Dr. Judith A. Klimkiewicz Brenda R. Larson, MD Joel Lebewitz Richard C. Lidbom Lurie Besikof Lapidus & Company, LLP Douglas B. Malchow Robert and Sandra Mariotti Mark Menge, MD and JinJer Menge Mauritz and Alice Mortenson Susan M. Muench New Reflections of Hair Design Inc Amy G. Novogratz Amy Post Nickolas and Judith Priadka Robert Randall Christine A. Rittmann Lisa J. Schmidt Susan B. Schmidt Duane and Susan Spiegle Richard and Claudia Swager Kenneth and Janet Thome The Walser Foundation Angela Weber Judith Kilian Weber and Jeffrey Weber Milly and John Whittington Liz Wynne Dylan Zylla, MD and Emily Zylla $500 Plus Mr. and Mrs. Dale Bachman Christina Boyd Mr. and Mrs. Robert E. Buuck Peter and Dianne Cook Domenic D’Arrigo J. Timothy Diegel, MD and Colette Diegel Doran Construction Company, LLC Education Minnesota Edina Jason and Tracy Eickhoff Ken Fischer Robert and Julie Flaschenriem Richard and Suzanne Geise Charlotte Gjersdal Vicki and Dave Glenn Scott L. Glickstein, MD and Sydney Kase Jon and Linda Gross Warren K. Hall Pamela S. Hargrove David E. Hoops, MD and Karen Hoops Donald R. Johnson Jeff Kimpton Joan Larson John Lorentz Kristi A. Lyon Steve and Sharon Maidment Debra L. McGovern Dominique and Susan Najjar Sharon M. Ochocki Linda Odegard and Harlen Cavert Dawn Ohnstad Dave and Mary Osgood Chuck and Wendy Ott James and Donna Peter Paul and Kimberly Roach Scott Ross, MD and Dr. Angela Ross Robert D. Shadley William Shimp, MD and Mitzi Shimp Amy B. Spomer, MD Ted H. Spooner, MD Thomas Stillman, MD and Liba Stillman William and Pam Telleen The Hourglass Fund Project Norna Therrien Thomson Reuters Thomas and Deborah Vanderheyden Mark Wilkowske, MD and Kristin Wilkowske Mervin and Gerri Winston $100 Plus Aafedt, Forde, Gray, Monson & Hager David J. Abelson, MD and Susan Abelson Lauren M. Adams Kristin L. Aleman Jack and Cheryl Amdal Barb Anderson Carly Anderson Derek Anderson Mary C. Anderson Ray and Marilyn Anderson Gregory and Ann Anklam Anonymous Mick Anselmo Nicholas J. Armstrong Jessica Arneson Philip Asgian Merlin Athmann Deanna Au Julie B. Bachman Nancy A. Baker Judith L. Bari Regina A. S. Barr Christine Barry Shirley and William Baxter Beacon Bank Gardell and Christine Bearl Daniel and Emily Becker John A. Becker Lori C. Belz Christopher and Beth Berg Park Nicollet Frauenshuh cancer center | 2014 annual report 23 Mark Menge, MD Richard Bergenstal, MD and Carol Bergenstal Nicole Bergeron Jaime Besser Marilyn Bierden Clarence C. Birkhauser Valerie M. Blanchett James and Eileen Blasko William Blazar and Mary Hunstiger Brian Bojan Donald B. Bonstrom Leslie and Lezlie Bork Priscilla Brewster Blyth B. Brookman Brown & Carlson, PA James and Lori Brown Mary K. Brusegard Brenda and Jeff Brustad Kathleen Bryant and Jonathan Lindfors Marilyn T. Bryant Elizabeth M. Bulleigh Andrew and Kenzie Burback Thomas and Theresa Burke Maureen and Robert Burns Jason R. Bysina Sue Calhoun Nancy Campbell Karen R. Carlsen Gayle Carlson Barbara A. Carmouche Angela Carpenter Kerry Carroll Joel Carter Robert and Mary Cecconi Celonics, Inc. Elise Chambers Judy and Bill Cherne Elizabeth B. Cherne David Ching and Lee Bastyr Ching 24 Park Nicollet Frauenshuh cancer center | 2014 annual report Jeanne M. Clarke Richard Colletti Cheryl R. Cooper Emmett and Patricia Costello Covenant Village of Golden Valley Ralph E. Craner Kristina Cummings Kenneth and Betty Dahlberg Krista and Michael Danner Ms. and Mr. Belle C. Davenport Elizabeth Davies Harriett Dayton Rachel and Andrew DeMaster Michael J. Dempsey Caitlin DeVos Nancy Dickinson Sandra G. Dignen DMurray Real Estate LLC Karen Donald Larry Dow Michael and Susan Dubbs Daniel Dudon Donald A. Duncan, MD Mary Beth and Kent Dunham Debra and Michael Dwyer Kelley Catton Dwyer and Patrick Dwyer Dianna J. Eastlick Leone and Robert Eidsmoe Jim Elfering Cynthia B. Ellefson Richard Elsberry Barbara L. Skoog Anonymous Employee Paul and Wendy Engelman Lori and Daniel Enger Brian E. and Karen L. Evans Excelsior Brewing Company, LLC Joan Fenton Martha Fischer and\ Bill Lutes Niki Flavin Deborah F. Fleetham Peter O. Flom Marlene Fondrick Lawrence and Kathleen Fosbury Frauenshuh Commercial Real Estate Group Darcy Frischholz Kelly S. Furda, MD Dale and Stacy Gallion Richard and Ann Garland Milton and Mary Jane Geiser Chris and Christa Getchell Geri Ginder Henry and Charlotte Gjersdal Darci Gjerstad Stanley M. Goldberg, MD and Luella Goldberg Howard A. Goldfine A. Nancy Goldstein Joseph and Patricia Grabowski Michelle and Richard Griffith Robert P. Gruninger Bruce Grussing Jane H. Gueldner Eva Gutmann H & K Enterprises L.L.C. Genevieve Hafner Jane D. Hall Jacob Hallen Margaret Hanson Megan Hanson Jeanne M. Harkness Ann and Daniel Harris Konnie K. Harstad John and Linda Hayes HealthSource of Minnetonka Mark and Mary Jo Heieren Robert and Sally Helmerichs Sue Hemmeke Joyce and Thomas Henderson Russell Henriksen Marnie and Carl Hensel Sharon M. Hepler, MD Mr. and Mrs. Ken Higgins William Higgins Marathons of Hope participants Mikaila R. and Ryan K. Hinman Norma J. Hocking Gina Holman John and Judith Holscher Jean M. Holten Sheri L. Honn Kathleen and Peter Huch Annie R. Huidekoper David B. Hydukovich IBM Employee Services Center Grace and John Iverson Carol A. Jackson David C. Jackson Mary Lou Jackson Linda and Douglas Jaeger Delores A. Jensen Deloris E. Jensen Patricia A. Jenson Michael Jesse Amanda Johnson Bette Johnson Dayle and Meryl Johnson Thomas A. Jones, MD and Anne F. Jones Sandra and Michael Kamla Faye and Jeff Kamrath Donna and Owen Kane Dr. Mary Jo Kane Roxy Katchmark Ida Kats Lois H. Kelly Kim Kelsey Sarah L. Kelsey Alcuin F. Kilian Ann Knuti Elizabeth and Timothy Koch David and Mary Beth Koehler Susan M. Koering Stephen and Mary Kosel Magdalene Koumas Robert and Kris Kovalik Douglas Kratz Nicole Krolikowski Roger Krueger Bradley and Melissa Krump John and Susan Kueck Joe G. Kuehn Lynn Kuehn Arthur and Cathy LaPoint Amber R. Larson Robert and Carolyn Laskey Jan Laudenbach John J. Laurich Louise Lehner Deanna and David Leivestad Peter and Catherine Lenagh Carol J. Lentz Norma Leonard Dana S. Levinson Mr. and Mrs. Brad S. Lewis Patricia and Michael Lieppman Dr. Regina M. Light Dorothy A. Lillestrand Holly E. Lund Rhonda and Dave Lundgren Gina Macleod Deborah and Brian Madson Anne T. Maimares Mairs and Power, Inc. Jeff and Camie Mayer Mr. and Mrs. Donald W. McCarthy Edwin McCarthy Anne McClintock Jessie McClintock Kelly Kitty McClintock Timothy McCormick Karen K. McMahon Adina Peck, ANP, GNP Megan and A. Douglas McNicoll Cara and John McNulty Medtronic Foundation Methodist Hospital Hospice and Oncology, Inpatient Jodi Michaels Elizabeth Miller Katherine L. Miller Minnesota Chamber Foundation Jerry Mithuen Steven E. Mithuen Maria Moran Jayne Morrison Corrie Muench Diane R. Nagengast Michelle and Umit Nasifoglu Naughton Insurance, Inc. Cheryl Nelson Gunnar Nelson New Hope Women of Today Kristine L. Newcomer Heidi Nichols Nina Nikpour Rebecca E. Nyguard Carolyn Oakman Sandy Olevitch Gloria Olsen Mark and Jodi Olson Lance Olson and Ann Herzog Olson Micaela Olson Patricia Orsini David L. Osthus Heather Page Janice E. Palkowski Kari Palmer Park Tavern Jeffrey and Jean Parupsky Barb Pass Benjamin Pease, MD and Kathleen Pease Karyn Penn Pets Remembered Philkot, Inc. Becky Pierson Dorothy Ploucher Susan Potter Walter and Harriet Pratt James Preisen Phil Price Jennifer and John Prichard Nanette K. Quade Terese Radford Sunny Ray Erika Remillard Kristine H. Rich Elizabeth M. Ringer Michael J. Risvold Sandra and John Robertson Robins Kaplan Miller & Ciresi Chris and Kelly Roe Mr. and Mrs. Jeffry D. Roseland Jeanne Rosengren Percy and Annie Ross Chris and Stan Rud Dureen Ruff Elizabeth Rutyna Mark and Pamela Rutyna James and Dianne Safley Frank and Rebecca Sago Rebecca J. Sago Steve and Karen Sanger Mark Satz, MD and Gail Bender, MD Shelly Scallon Diane M. Scherber Edward and Kathleen Schoenecker Arvid and Lillian Schroeder Hope Schroeppel Lisa M. Schuett Park Nicollet Frauenshuh cancer center | 2014 annual report 25 Dennis and Pamela Schulstad Linda L. Seaton Robert and Vicki Semsch Richard W. Setter Pat and Sheron Sheehan Melissa Sherman, MD Alton C. Shimp Judith Schoulak Shumaker, Loop & Kendrick, LLP Wallace and Rose Simpson Brian and Pamela Sjoquist Emery Skoog Karen L. Skoog Nancy Slaughter Michael and Kathryne Slavics Lynda and Brad Sleeper Kathy Slowter Juli A. Smith Bridget Smith Coppes Cory Soltis Jeffrey and Carol Sorum Brett Spark Mary Spengler John and Laura Spensley Michelle M. Spielmann Melanie and Jason Spry Mary Grace St. Claire Ashley Stoffel Ralph Stoffel Robert and Mavis Straughn David G. Svendsen Gretchen and Wayne Swenson Katherine C. Tarvestad Marilyn Taylor TCI Business Capital Dr. Byron and Karen Teska Sandra Thoele Angela K. Thompson Peter Thomson Timothy D. Thorpe William A. Thurwachter Robert Tjornhom Arthur Tobkin Tol O Matic Ann K. Townsend Travel Leaders/Market Square Travel Lindsay Triemert Barb Tverberg Robert and Helen Two Bulls Thomas and Judy Tyler U.S. Bancorp Foundation Employee Matching Gift Program Don Uram Robert C. Urban Marlene and Bill Van Hecke Hope Villanueva Edward V. Violante, MD and Elizabeth Violante Melissa Warhol Rene and Robert Warhol Peter and Tricia Warns Harold and Margaret Ellen Watkins Robie and Kris Wayne James and Ruth Weaver Robert and Jean Weiss Kathleen and Lawrence Welliver Bill and Mikell Werder Nicolas and Sharon Westman Sarah E. Wiczek Mayor Ken Willcox Winifred O. Willcox Stacey and Daniel Willman Adam N. Wilson Ned and Christine Windmiller The Wine Company Bonnie L Wittenburg and Steven Suppan Michele and George Wittler The Women’s Club of St. Louis Park Jodi Woodruff Elizabeth Wright Marynia S. Wronski Oswald and Jane Wyatt Dr. Tresa Zielinski Christine Zohheveld Cancer committee The cancer committee meets quarterly at the Frauenshuh Cancer Center. Mark Wilkowske, MD Oncology Chairman Keith Heaton, MD General Surgery, Surgical Oncology (Cancer Liaison Fellow/American College of Surgeons) Robert Haselow, MD Radiation Oncology 26 Park Nicollet Frauenshuh cancer center | 2014 annual report Steven Oncay, MD Diagnostic Radiology Kelly Furda, MD JBBC Matt McCoy, MD Pathology Howard Haines, MD Emergency Medicine Peter Argenta, MD Gynecology Oncology Whitney Evavold, MD Hospitalist Jocelyn Rieder, MD Urology David Willis, MD Surgery, Colon & Rectal Michael Miovic, MD Psychosocial Services give today! Be a part of giving patients with cancer and their families hope, possibility and the tools they need to thrive. By check: Park Nicollet Foundation 6500 Excelsior Boulevard St. Louis Park, MN 55426 Please include a note to let us know how you want your gift designated. Online: www.parknicollet.com/SpecialtyCenters/Frauenshuh-Cancer-Center/Giving Other: Please contact us at 952-993-5023 or [email protected] if you wish to make a gift of stock, a gift through endowment or other types of gifts. At Park Nicollet Foundation, we use philanthropy to enhance the patient and family experience, promote innovation and research and respond to the health care needs of our community. Gifts to Park Nicollet Foundation are tax-deductible to the full extent allowed by law. Volunteering is also a way to make a difference in the lives of patients and their families. To learn about becoming a volunteer in our cancer programs, please call 952-993-5086. Cancer committee Ex-officio members Jim Ferguson Chaplain, Cancer Center Nan Quade, RN, BHS, OCN Park Nicollet Office Practice Jennifer Grant American Cancer Society Susan Koering, RHIA, CTR Oncology Registry Emily Schoh, RN Nursing 4E Megan Hanson MS, CGC Genetics Vicki Norton, MHA, RN, ONS Bryan Schuler, Pharm D, BCOP Pharmacy Christian Loger JBBC Nancy Gelle, BSN, RN Palliative Care/Home Care/ Hospice Paul Spilde, PT Rehabilitation Services Gladys Chuy Quality Improvement Laura Holasek Administrative Director Jessica Arneson Radiation Therapy Laura Maybon, RN Oncology Research Carol Ann Petersen, LICSW, MAHS Patient Support and Education Park Nicollet Frauenshuh cancer center | 2014 annual report 27 3921 Louisiana Ave S St. Louis Park MN 55426 952-933-3248 parknicollet.com/cancer