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2019 Annual Report

2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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Page 1: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

2019 Annual Report

Page 2: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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The American Cancer Society estimated the state of Nebraska will see nearly 9,800 cancer cases diagnosed in 2019. Of those, nearly 3,600 will result in death. That is simply not acceptable, and at Methodist, we’re striving to improve survival rates through early detection, clinical trial research and new cancer-fighting technology.

Our new Mobile 3D Mammography coach took to the streets late 2018 to bring important early detection screenings to women in the Omaha area. With stops at clinics that offer care to the uninsured and underinsured, as well as corporations that understand the importance of a healthy workforce, the mobile mammography coach has been a great success. Screenings have resulted in the detection of a number of breast cancers, and in some instances, the coach offered women their first screening opportunity. We’re happy to report that 2020 is shaping up to be busier than ever for the coach.

Breast cancer patients and others facing cancer diagnoses are among the many who participate in our clinical trial program. We pride ourselves on offering more patient-centered clinical trials than any other health system in the region. In 2019, we screened nearly 4,000 patients for participation with nearly 900 becoming eligible. This matters to our current and future patients. Clinical trial programs are difference-makers in the fight against cancer, and we’ll continue to expand our offerings.

We are constantly striving to improve survival rates.

Page 3: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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Daniel D. Lydiatt, DDS, MDMedical DirectorMethodist Estabrook Cancer Center

Julie Murray, MAVice President Ancillary & Professional ServicesMethodist Hospital

Kelli Eaton,Service Executive, Oncology Services Methodist Estabrook Cancer Center

Our cancer-fighting efforts were enhanced in 2019 with the installation of a new linear accelerator that is bigger and faster – meaning more capabilities and precision during treatment. One of the exciting treatment options is stereotactic radiosurgery (SRS) technology that uses precise radiation beams for treatment of tumors and other lesions of the brain.

We’ll never stop fighting and exploring technologies and treatments for our patients. A cancer diagnosis is never expected, and cancer treatment is daunting. We strive every day to give our providers the tools they need to fight this disease and provide each patient with the care, comfort and support necessary during their cancer journey. We are pleased to report our 2018 findings and achievements, demonstrating this committment.

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Page 4: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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Community Outreach Activity Summary 2018

Standard Summary 1.8Monitoring Community Outreach

Community Outreach Coordinator monitors the effectiveness of community outreach activities on an annual basis. The activities and findings are documented in a community outreach activity summary that is presented to the Cancer Committee annually.

Standard Summary 4.1Prevention Programs

Each year, the cancer committee provides at least 1 cancer prevention program that is targeted to meet the needs of the community and should be designed to reduce the incidence of a specific cancer type. The prevention program is consistent with evidence-based national guidelines for cancer prevention. (ACS and NCCN screening and prevention recommendations used as reference at MECC.)

Standard Summary 4.2Screening Programs

Each year, the cancer committee provides at least 1 cancer screening program that is targeted to decreasing the number of patients with late-stage disease. The screening program is based on community needs and is consistent with evidence-based national guidelines and evidence-based interventions. A process is developed to follow up on all positive findings.

Page 5: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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Audience Program Location DateNo. of Participants

All Cancer Survivors

AICR guidelines – Fighting Cancer With a Fork

First United Methodist, Omaha, NE

3/19/18 25

Breast Cancer Survivors

Project Pink’d Chef Table – Fighting Cancer with a Fork Cooking Demonstration

Whole Foods, Omaha, NE

4/4/18 20

All Cancer Survivors, Caregivers

AICR guidelines – Fighting Cancer With a Fork

ATTH Survivorship Conference UNO

4/7/18 50

All Cancer Survivors

AICR guidelines – Fighting Cancer With a Fork

Nebraska Medicine Buffet Cancer Center

5/22/18 10

Head & Neck Cancer Survivors

AICR guidelines – Fighting Cancer With a Fork

SPOHNC Support Group MECC

5/10/18 7

Breast Cancer Survivors

Project Pink’d Chef Table – Fighting Cancer With a Fork Cooking Demonstration

The Hub, Lincoln, NE

6/27/18 30

Breast Cancer Survivors

Project Pink’d Chef Table – Fighting Cancer with a Fork Cooking Demonstration

Whole Foods, Omaha, NE

7/11/18 24

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2018 Prevention Programs

Page 6: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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Audience Program Location DateNo. of Participants

Health Professional

Inner Beauty Services - Presentation

Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE

8/3/18 4

Patients, Caregivers, Health Professional

Inner Beauty Program Education - Breast Cancer Outreach Pancake Feed

3208 Corby Street, Omaha, NE

8/25/18 15

Cosmetologists Inner Beauty Services – Caring for a Cancer Client

Marriott Regency, Omaha, NE

9/16/18 45

Metro Area 3rd Grade Students

No Tobacco Challenge

Metro Area 3rd Grade Classroom

10/18 TBD

Breast Cancer Survivors

Project Pink’d Chef Table – Fighting Cancer with a Fork Cooking Demonstration

The Hub, Lincoln NE

10/9/18 TBD

All Cancer Survivors

AICR guidelines – Fighting Cancer with a Fork

United Methodist Church, Omaha NE

10/15/18 TBD

2018 Prevention Programs: continued

Page 7: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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2018 Prevention Programs: continued

Student Artwork, 2018 No Tobacco Challenge

Audience Program Location DateNo. of Participants

Patients, Caregivers, Health Professional

Project Pink’d Chef Table – Fighting Cancer with a Fork Cooking Demonstration

Tobacco Control and Lung Health with the American Lung Association – Lung Force Expo

10/23/18 TBD

Breast Cancer Survivors

Project Pink’d Chef Table – Fighting Cancer with a Fork Cooking Demonstration

Whole Foods, Omaha, NE

11/7/18 TBD

Page 8: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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Satisfaction surveys are provided post nutrition education talk. Participants are encouraged to provide feedback and of the participants responding, they evaluated the nutrition talk effectiveness as the following. YTD September 2018:

n 99% of participants felt staff communicated clearly and answered questions.

n 98% of participants plan on adopting changes as a result of information, found it a worthwhile use of their time, and that it was a useful addition to their treatment and/or recovery.

n 100% of participants would recommend services to friends.

The Project Pink’d events collect pre and post intervention surveys. Participants are asked a series of questions on how they feel about their food and/or lifestyle choices. An example of a food choice would be eating the recommended amount of fruits and vegetables each day. An example of a lifestyle choice would be, participating in regular physical activity. They are asked to indicate the extent to which they agree or disagree with each statement making the choice in terms of how they feel right now, not what they have felt in the past or would like to feel. Pre intervention survey data collected on participants YTD August 2018:

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Survey Patient Follow-Up Process

Page 9: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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n 78% of participants reported that they have food and/or lifestyle choices that need changing.

n 90% wished they had more ideas on how to solve my food and/or lifestyle concern.

n 39% of participants felt confident in ability to choose healthy foods and/or make healthy life style choices and 34% of participants felt confident in their knowledge of food and/or lifestyle choices that are the best for them.

Post intervention survey data collected on participants YTD August 2018:

n 97% reported they now have more ideas on how to solve my food and/or lifestyle concern.

n 88% of participants felt confident in ability to choose healthy foods and/or make healthy life style choices and 92% of participants felt confident in their knowledge of food and/or lifestyle choices that are the best for them.

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Survey Patient Follow-Up Process

Page 10: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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Screening Type

Location DateNumber of Participants

Number Requiring f/u

Colorectal Community-wide as part of the Great Plains Colon Cancer Task Force

March 2018 23 1

Breast Black Family Health & Wellness Fair; North High School

3/24/18 19 1

Colorectal Community-wide as part of the Great Plains Colon Cancer Task Force

April 2018 124 2

Oral, Head & Neck

MECC 4/4/18 63 8

Colorectal Community-wide as part of the Great Plains Colon Cancer Task Force

May 2018 5 0

Breast and Cervical

See, Test & Treat Screening Program at Charles Drew Health Center

7/21/18 30 0

Prostate Cruising for a Cure Car Show; 8511 Dodge Street, Omaha

9/9/18 153 14

Oral, Head & Neck

Methodist Community Health Clinic

9/17/18 11 1

Breast BiNational Health Week; One World, Omaha

TBD TBD TBD

Oral, Head & Neck

BiNational Health Week; Metro Community College – South Omaha

TBD TBD TBD

2018 Screening Programs

Page 11: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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1. All participants who attend a community screening receive a thank-you letter with information and contact numbers for the cancer prevention program and Methodist Health System. A letter is given to them as they leave the screening.

2. Any participant with an abnormal finding gets an individualized letter reminding them of the findings and recommendation to contact their personal health care provider within one to two weeks after screening. If they don’t list a personal healthcare provider, information about the Methodist Health System physician referral line is provided. If the participant has listed a healthcare provider and signed a medical release of information, a letter is sent to the physician along with a copy of the screening results.

3. Any participant with an abnormal finding will receive a phone call from the cancer prevention staff within one month of screening to determine if they have had follow up, if they needed assistance with follow up, and/or results of follow up.

4. Notes and copy of contacts are kept with screening charts. Screening charts are kept for one year in the cancer prevention department and then are archived.

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Screening Patient Follow-up Process

Page 12: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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Program Location DateNumber of Participants

Omaha Fashion Week – Cancer Survivors Night

Omaha Design Center, Omaha, NE

3/1/18 145 Participants;~ 1700 Attendees

Scare Away Cancer Event

Omaha, NE 10/27/18 TBA

My Sister’s Keeper Event

Omaha, NE 10/28/18 TBA

Casting for Recovery for Breast Cancer Survivors

Ponca State Park 4/22-24/18 14

Casting for Recovery for Breast Cancer Survivors

Valentine, NE 10/7-9/18 14

2018 Community Programs

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Methodist Cancer Survivor Style Show – Omaha Fashion Week 2019

Page 13: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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Quality and Safetyn Achieved NAPBC

Re-Accreditation

n Launched I-125 Radioactive Seed Placement in Breast Center

n Piloted Head & Neck – Geriatric Co-Management Program

n Hosted the 1st Annual Dan Lydiatt Honorary Symposium – Featuring Dr. John Irish

n Initiated Head & Neck De-Escalation HPV Clinical Trial

n Collaborated with Breast Center to accrue patients to breast registry

People, Culture, Service Excellencen Welcomed New Providers

n Christian Barney, MD – Radiation Oncology

n Angela Osmolak, MD – Head & Neck Surgical Oncology

n Timothy Dorius, MD – Oncology Associates

n Haleigh Smith, APRN, ACAGNP-BC – Head & Neck Surgical Oncology

n Increased access to clinical trials for patients through “Just in Time” study start process

n Transitioned to Cancer CAHPS to measure Patient Satisfaction

n 6 South – Daisy Team Award Winner

Smart Growthn Installed TrueBeam

Linear Accelerator and Eclipse System for 84th Street & Methodist Jennie Edmundson Campuses

2018 Accomplishments

6 South - Daisy Team Award Winner

Page 14: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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n Welcomed MPC Pulmonologists into Lung Cancer Clinic

n Established referral relationship with MPC Infectious Disease physicians

n Launched weekly Head & Neck Clinic at Methodist Jennie Edmundson

n Expanded infusion services to seven days a week

Commitmentto Communityn Launched the area’s first

Mobile 3-D Mammography Service

n Partnered with Hope Lodge offering 746 nights of lodging to MHS patients

n Partnered with Project Pink’d to fund lymphedema compression garments for Medicare breast cancer patients

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2018 Accomplishments continued

Varian Edge TrueBeam Linear Accelerator

Page 15: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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Position Member Designated Alternate

Diagnostic Radiologist Dr. Richard Kutilek Dr. David Hilger

Pathologist Dr. Charles Mosher Dr. John Gentry

Surgeon Dr. Robert Lindau Dr. Jim Reilly

Medical Oncologist Dr. Robert Langdon Dr. Bernie Su

Radiation Oncologist Dr. Randall Duckert Dr. Christian Barney

Cancer Liaison Physician Dr. David Crotzer Dr. George Dittrick

Cancer Program Administrator

Patty Bauer Julie Murray

Oncology Nurse Deb Meyers Cheryl Bohacek

Oncology Social Worker Peggy Jarrell Colleen Hoarty

Certified Tumor Registrar Amy Bamburg Tracie Robles

Cancer Conference Coordinator

Amy Bamburg Sue Brammann

Quality Improvement Coordinator

Aimee Black Katie Triplett

Cancer Registry Quality Coordinator

Dr. Dan Lydiatt Dr. Bill Lydiatt

Community Outreach Coordinator

Ann Burch Chandy Lockman Hoke

Clinical Research Coordinator

Kathryn Bartz Brianna Conyers

Psychosocial Services Coordinator

Peggy Jarrell Kevin Keeley

Genetics Professional Ann Burch Stacey Miskie

Palliative Care Jackie Thielen Kim Bland

Rehabilitation Representative

Wendy Buchholz Anne Proulx

2018 Cancer Committee Members

Page 16: 2019 Annual Report - Methodist Health System … · Presentation Brookestone Meadows Skilled Nursing and Rehabilitation, Omaha, NE 8/3/18 4 ... Health Clinic 9/17/18 11 1 Breast BiNational

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© 2019 Methodist Estabrook Cancer Center