BUILDINGOn STRENGTH - Baylor Health Care System

BUILDING On STRENGTH
2013 ONCOLOGY Annual Report
Multidisciplinary Clinical Teams + Patient Navigation
+ Genetic Counseling + Clinical Research + Clinical
Education + Integrative Medicine + Patient Support
and Education + Innovative Clinical Trials Center
+ Survivor Celebrations + Community Outreach
Contents
1
Baylor Carrollton Leadership: Building on Strength
2
Cancer Committee Membership
3
Baylor Charles A. Sammons Cancer Center
5
Programs of Focus
NICHE
Magnet® Journey
Oncology Nursing Forum
BUILDING On
STRENGTH
7 Patient Support
Community Events/Outreach
Patient Spotlight: Tiffany Chambers
American Cancer Society
13 Continuum of Care
Breast Imaging Services
Achievements
Patient Navigation
17 Cancer Registry
Summary of 2012 Cancer Registry Data
23 Cancer Conferences
24 Contact Information
25 Area Map
Cancer research studies on the campus of Baylor Medical Center at
Carrollton are conducted through Baylor Research Institute, Texas
Oncology, and US Oncology. Each reviews, approves, and conducts
clinical trials independently. Their clinical trials are listed together, in this
publication, for the convenience of patients and physicians.
4343 N. Josey Lane
Carrollton, TX 75010
1.800.4BAYLOR
972.492.1010
BaylorHealth.com/CarrolltonCancer
Physicians are members of the medical staff at one of Baylor Health
Care System’s subsidiary, community or affiliated medical centers and
are neither employees nor agents of those medical centers, Baylor
Medical Center at Carrollton or Baylor Health Care System.
© 2014 Baylor Health Care System. All rights reserved. Photographs
may include models or actors and may not represent actual patients.
SAMMONS_444_2014 SC
1 Baylor Medical Center at Carrollton | BUILDING On STRENGTH Mike Sanborn, President
BUILDING On STRENGTH | Baylor Medical Center at Carrollton 2
Letter from Leadership
Cancer Committee Members
Baylor Medical Center at Carrollton has been recognized nationally as a top performer in quality by The Joint Commission for the
Physician Members
Anita Hunt, RN, MSHA, CPHQ, performance improvement,
second consecutive year. There have been multiple quality improvement initiatives implemented throughout the facility including
Tom James, MD, chairman, pathologist
quality improvement coordinator
advancements in the delivery of cancer care. Baylor Carrollton will apply for Commission on Cancer Community Cancer Program
(cancer liaison physician, cancer conference coordinator)
Stacie McClinton, MS, LSW, ACM, case management,
accreditation in 2014. The oncology program will continue further expansion of hospital services in 2014, including the addition of
Cory Morgan, MD, diagnostic radiologist
psychosocial coordinator
a cancer navigator, and the growth of the palliative care program. In addition, VITAS Innovative Hospice Care® will open an
Anil Bhogaraju, MD, medical oncologist
Connie Wu, LMSW, ACM, case management
inpatient hospital unit on the Baylor Carrollton campus.
Enrique Perez, MD, medical oncologist
David Renner, PT, rehabilitation
Zainab Ilahi, MD, radiation oncologist
Sidney Phillips, PharmD, RPh, pharmacy
Bryan Brewer, MD, surgeon
Sally Dyess, marketing, community outreach coordinator
During 2013, Baylor Carrollton added a number of physicians to the medical staff, including medical oncologists and surgeons
Pam Green, APRN, MSN, FNP-BC, chaplain/palliative care,
specializing in breast, colorectal, and general cancer surgery, to support the oncology program.
Non-physician Members
palliative care coordinator
In 2013, Baylor Carrollton’s community outreach efforts gained momentum. The Baylor Carrollton oncology staff participated in
Mike Sanborn, president, Baylor Medical Center at Carrollton
Cory Morgan, MD, breast imaging center
multiple community events that offered individualized cancer screening programs for men and women. A low-dose CT screening
Susan Watson, administration
Tracy Messing, research
exam for lung cancer was added to Baylor Carrollton’s offerings and a cancer resource center was established where patients and
Barbara Vaughn, RN, MSN, CCM, nursing
Cheryl Sampson, research coordinator
families can find comprehensive cancer information.
Diana Davis, RN, nursing
Laura Siciliano, CTR, cancer registry, QC cancer registry
Baylor Carrollton, as a member of Baylor Health Care System, has developed strong ties to the Baylor Charles A. Sammons
Cancer Center Network to provide a complete continuum of care encompassing additional research options for cancer patients
managed within the health care system. Once Commission on Cancer accreditation is achieved, Baylor Carrollton will be able to
proudly use the Baylor Sammons Cancer Center name to distinguish the oncology program.
Sincerely,
Mike SanbornTom James, MD
President, Baylor Medical Center at Carrollton
Cancer Committee Chairman
coordinator
BUILDING On STRENGTH | Baylor Charles A. Sammons Cancer Center at Grapevine 4
BUILDING On STRENGTH | Baylor Medical Center at Carrollton 4
3 Baylor Medical Center at Carrollton | BUILDING On STRENGTH Baylor Charles A. Sammons
Cancer Center
Baylor Medical Center at Carrollton continued to develop its
ship, Baylor Carrollton can continue
cancer programs and services in 2013. The oncology team
to develop its oncology programs and
worked diligently toward achieving accreditation by the Commis-
services at the community level while
sion on Cancer (CoC) of the American College of Surgeons. This
using the specialized support services
accreditation indicates that a hospital’s cancer program provides
offered throughout the Baylor Charles A.
quality care when measured against national standards and that
Sammons Cancer Center network. The
the hospital continuously strives to address each patient’s needs
network provides oncology patients at
while improving outcomes. The CoC accreditation process spans
Baylor Carrollton with access to cancer
at least a two-year period. Baylor Carrollton plans to formally
clinical trials, genetic screening experts,
submit its application for accreditation in 2014. Once CoC
patient navigation tools and personnel,
accreditation is received, Baylor Carrollton will have met one of
support and educational programs and
the high standards of participation required by the Baylor Charles
oncology specialties like blood and
A. Sammons Cancer Center network. The network already
marrow transplant.
provides Baylor Carrollton with access to its vast resources of
oncology expertise. As a result of this close working relation-
5 Baylor Medical Center at Carrollton | BUILDING On STRENGTH Programs of Focus
BAYLOR CARROLLTON NURSing
NICHE
be submitted in 2014. The Pathway to
In 2013, Baylor Carrollton laid the groundwork for becoming a
American Nurses Credentialing Center’s
Pathway to Excellence® Designation
NICHE (Nurses Improving Care for Healthsystem Elders) facility
and Magnet® Journey
step in Baylor Carrollton’s journey to
in 2014. NICHE is a national program designed to improve care
In 2013, Baylor began working toward
Magnet® status, also conferred by the
for older hospitalized adults. It was created in recognition of the
achieving designation from the American
American Nurses Credentialing Center.
aging of hospital patients, the ongoing national shortage of nurses
Nurses Credentialing Center’s Pathway
trained in gerontology and the need for hospitals to contain
to Excellence. The prestigious designa-
Oncology Nursing Forum
costs while improving patients’ health care experience. By join-
tion recognizes health care organizations
In 2013, Baylor Carrollton participated in
ing NICHE, Baylor Carrollton expects to significantly advance its
that have the essential elements of an
the Baylor Health Care System oncology
understanding of the needs of older patients, train nurses to meet
ideal nursing practice environment. To
nursing forum. The forum was created to
those needs and launch several new protocols to prevent health
obtain designation, Baylor Carrollton
provide oncology clinicians throughout
care problems that are common in this population. Through this
must demonstrate that it has integrated
the system with a way to discuss shared
program, Baylor Carrollton will undertake a number of steps to
12 practice standards into its operating
concerns/issues that affect the safety
recognize and prevent or treat these health problems.
policies, procedures and management
and outcomes of their oncology patient
structure. Data was gathered to com-
population. Diana Davis, RN, represent-
plete a written application that will
ed Baylor Carrollton at forum meetings.
Excellence designation will be the first
7 Baylor Medical Center at Carrollton | BUILDING On STRENGTH BUILDING On
STRENGTH
| Baylor
Medical
Center
at Carrollton BUILDING On STRENGTH
| Baylor
Charles A.
Sammons
Cancer
Center
at Dallas 8
5
PATIENT SUPPORT +
Community Events/Outreach
Caring for cancer patients and their families in Carrollton and
surrounding communities requires comprehensive planning to provide
the diagnostic and treatment capabilities for the full spectrum of care.
FocuS on you.
This means reaching beyond the hospital’s doors with information,
education and support to enable cancer patients to take control of
1.26.13
their own health in a preventive and meaningful way. One of the ways
Baylor Carrollton fulfills this role is through community health events
Women’S
health & WellneSS eVent!
and outreach activities. In 2013, the hospital hostedFree
several
awareness
events and screenings that included cancer information. The following list includes just a few of the opportunities where Baylor Carrollton
interacted with the community in an effort to promote healthy living
and disease prevention.
Blood preSSure • glucoSe/choleSterol* • hand maSSage • Bone denSity • phySician Q&a SeSSion • FitneSS demonStration
• Sponsored a team for the American Cancer Society’s Relay for Life
*Fasting is required for accurate glucose and cholesterol readings.
26, 2013
• Skin cancer screening for the citySaturday,
of FarmersJanuary
Branch employees
• For Women for Life™ event
• It’s a Guy Thing event
• Community health screenings
7:00 am to 11:00 am
Take care of your health at our annual women’s health event, For Women For Life™.
Enjoy a light breakfast and hand massages, receive free health screenings, learn
about disease prevention and ask health questions to a panel of physicians.
Get your girlfriends together and register today!
• Spa mammo days for women in the community
eVent location
Grapevine Community Activities Center
1175 Municipal Way, Grapevine, TX 76051
Baylor Carrollton finalized plans in 2013 for opening a Cancer
©2012 Baylor Health Care System BRMCGV_760_2012 RT
Resource Center in 2014. The center will be located in the hospital and
will provide meeting space for a variety of cancer support groups.
Go to BaylorHealth.com and
RSVP at 1.800.4BAYLOR
doWnload a code reader on
your Smartphone and Scan thiS
Qr code to See eVent detailS
ForWomen5
9 Baylor Medical Center at Carrollton | BUILDING On STRENGTH BUILDING On STRENGTH
BUILDING
| Baylor
On STRENGTH
Charles A. Sammons
| Baylor Medical
CancerCenter
Centerat
atCarrollton Grapevine 10
8
Patient SUPPORT +
Patient Spotlight: Sue Wilson
Sue Wilson is busy. Busy working nights as a customer service
While the news was a set-back for Sue,
hemorrhage if I returned home, Baylor
rep. Busy socializing with her friends. Busy cooking and pursuing
she took solace in her oncologist’s
Carrollton basically became my second
her other hobbies. So, when she began to feel tired and run down
positive approach to her treatment and
home for about a month and one-half.”
and noticed her feet were swollen, she decided to see her primary
prognosis. He told her that 30 years ago
Like many patients who receive chemo-
care physician. Her blood work revealed a low white count and
there was no treatment for this type of
therapy, Sue’s taste buds were affected
hemoglobin. Her PCP told her she had leukemia and told her to
leukemia. Now, thanks to a combination
and she lost her ability to taste food. “It
see her oncologist for specific diagnosis and treatment.
of two drugs, the disease can be put into
was hard for me to eat,” Wilson remem-
complete remission.
bers. “The ladies in the food and nutrition
department took such good care of me.
As a breast cancer survivor of several years, she already had a
relationship with an oncologist. The oncologist ordered a bone
She spent a total of 43 days as a patient
They arranged for the chef to visit me and
marrow biopsy to determine the type of leukemia Sue had. As she
at Baylor Carrollton. “When your
we planned out a special menu of items
waited for the results of the biopsy, she became ill and sought
hemoglobin, white cells and platelets are
that sounded good to me. One dietary
treatment at the Baylor Carrollton emergency department. After
so low, you can bleed easily,” explains
employee even dropped by regularly with
reviewing her medical history, the emergency room physician
Wilson. “My low counts were stubborn
a milkshake, I love them, and hot rolls
“I’m so thankful
for the
wonderful
compassionate
care I received
from my
physicians and
everyone at
Baylor
as possible. “The chemotherapy caused
I really needed one. The nurse brought
my hair to fall out,” says Wilson. “It was
my medications and then came over a
coming out in clumps and really bother-
hugged me and consoled me. I felt so
ing me. It was even falling into my food.
much better because it helped me not
I asked if someone would cut my hair
feel so removed from everyone. I really
and one nurse accommodated my wish,
was afraid I was going to die and she
cutting my long hair and making me much
gave me the emotional support I needed
more comfortable.
to get through.”
”Perhaps her best memory of her time in
Today, Wilson has a new outlook on life.
the hospital was early in her hospital stay.
She has finished treatment. “I enjoy
“Shortly after I was diagnosed, I was hav-
spending time with my friends, watch
ing a really tough time,” admits Wilson. “I
TV, cooking and spending time on the
couldn’t sleep one night and I called the
internet. I’m so thankful for the wonder-
nurse to bring some medications my phy-
ful compassionate care I received from
sician had prescribed. The nurse could
my physicians and everyone at Baylor
see I was upset. It was especially hard
Carrollton.”
admitted her to the hospital. While in the hospital, Sue learned she
and refused to come up, so they gave
fresh from the oven with melting butter.
had acute promyelocytic leukemia. Her oncologist told her this
me lots of blood transfusions. Thank God
These were real treats.”
was a rare type of leukemia and usually was very responsive to
for blood donors! I began chemotherapy
treatment.
right away. Because of complications
Wilson says the nurses also went out of
because my condition required visitors to
from treatment and the fear that I might
their way to make her stay as comfortable
wear masks and I couldn’t get hugs and
Carrollton.”
11 Baylor Medical Center at Carrollton | BUILDING On STRENGTH Patient Support +
American Cancer Society
The American Cancer Society has been an incredible resource to
through prevention and early detection,
Baylor Health Care System hospitals, including Baylor Carrollton.
helping them get well by being there
American Cancer Society representatives collaborated with oncol-
during and after a diagnosis, finding cures
ogy staff to deliver support, and served on the cancer committee
through groundbreaking discovery, and
to help provide resources to fulfill the Commission on Cancer
fighting back through public policy. In
standards for cancer care.
the last two decades, the Society has
contributed to a 20% decline in cancer
In 2013, all newly diagnosed patients received a Personal Health
death rates in the U.S. Last year, the
Manager kit from the Society which provided personalized infor-
Society and Baylor hospitals reached
mation on the patient’s specific cancer type, resource information
more than 2,100 patients with more than
and tools that helped patients and caregivers keep appointments,
6,000 programs and services, that’s one
monitor test results and keep prescriptions organized throughout
in four cancer patients treated at Baylor
treatment. American Cancer Society patient navigators provided
hospitals.
free and confidential support and guidance to all patients and their
caregivers during their cancer journey.
The American Cancer Society is the only
organization offering cancer patients and
As the official sponsor of birthdays, the American Cancer Society
their families around-the-clock guidance
knows how important each and every birthday can be. In May of
and support through its toll-free line,
2013, the Society celebrated its 100th birthday – one-hundred
1-800-227-2345 and at
years of saving lives and twenty years collaborating with Baylor
www.cancer.org.
Together,
we are a
relentless
force
hospitals. The Society saves lives by helping individuals stay well
fighting
cancer.
13 Baylor Medical Center at Carrollton | BUILDING On STRENGTH BUILDING On STRENGTH | Baylor Medical Center at Carrollton 14
CONTINUUM OF CARE +
Breast Imaging Services
Achievements
Baylor Carrollton served area women’s breast health needs in
Baylor Carrollton’s focus of providing
2013 by providing breast imaging services at two locations.
quality cancer services to the community
Baylor Diagnostic Imaging Center at Flower Mound provided
are rooted in the hospital’s commitment
mammography services. Baylor Diagnostic Imaging Center at
to quality improvement and clinical excel-
Carrollton provided mammography, stereotactic breast biopsy,
lence. In 2012, the hospital was named a
breast ultrasound and ultrasound-guided breast biopsy
Top Performer on Key Quality Measures®
services. Both locations are accredited by the American
by The Joint Commission, the leading ac-
College of Radiology. In 2013, the two facilities combined
crediting body of health care organizations
performed:
in America. The honor recognized Baylor
Carrollton’s performance in using evidence-
• 7671 screening mammograms
based clinical processes that have been
• 1712 diagnostic mammograms
shown to improve care for certain condi-
• 20,709 total procedures.
tions. The 2012 designation recognized the
hospital’s performance in heart attack, heart
failure, pneumonia and surgical care. The
hospital’s cancer programs and services
benefitted from this dedication to excellence in 2013.
15 Baylor Medical Center at Carrollton | BUILDING On STRENGTH CONTINUUM OF CARE +
Patient Navigation
As Baylor Carrollton’s oncology program continues to evolve
and mature, plans are in place to add a new member to the
cancer team – a patient navigator. Until the new staff member
is in place, the hospital’s oncology team and other health care
professionals provide support and guidance to cancer patients
and their families. Every cancer patient admitted to the hospital is evaluated for his or her psycho-social needs via a social
work consult. Based on the results of the evaluation, patients
are referred to the appropriate hospital or community resources
to meet their identified needs. These needs include: nutritional
care, psychological issues, social issues, rehabilitation services,
chaplain visits, transitional care, palliative care and referral
to the American Cancer Society for community resources. A
report is presented at the hospital’s Cancer Committee regular
meetings that details the number of social work referrals, the
percentage of cancer patients screened for distress, and the
actions taken as a result of the distress screening findings. In
addition, a community resource guide is provided to inpatient
and outpatient cancer patients and their families. The guide
provides information about available and appropriate medical,
dental, financial, psychological and disease-specific resources.
BUILDING On STRENGTH | Baylor Charles A. Sammons Cancer Center at Grapevine 14
17 Baylor Medical Center at Carrollton | BUILDING On STRENGTH BUILDING On STRENGTH | Baylor Medical Center at Carrollton 18
Cancer Registry +
summary of 2012: cancer registry data
Estimated Number* of New Cancer Cases by Sex, US, 2013/State of Texas, 2013 versus
Actual Number** of Analytic Cancer Cases by Sex, Baylor Health Care System, 2012
Top Ten Cancer Sites
Estimated New
Cancer Cases
Nationally,
2013
Estimated New
Cancer Cases in the
State of Texas, 2013
Estimated Number* of New Cancer Cases by Sex, US, 2013/State of Texas, 2013 versus
Actual Number** of Analytic Cancer Cases by Sex, Baylor Health Care System, 2012
Actual Cancer
Cases,
Baylor Carrollton,
2012
MEN
SITE
Top Ten Cancer Sites
Estimated New
Cancer Cases
Nationally,
2013
Estimated New
Cancer Cases in the
State of Texas, 2013
Actual Cancer
Cases,
Baylor Carrollton,
2012
WOMEN
SITE
Prostate
238,590
28%
17,579
28%
1
3%
Breast
232,340
29%
17,002
31%
22
35%
Lung & Bronchus
118,080
14%
9,034
14%
6
17%
Lung & Bronchus
110,110
14%
6,570
12%
12
19%
Colon & Rectum
73,680
9%
6,058
10%
2
6%
Colon & Rectum
69,140
9%
4,975
9%
6
10%
Urinary Bladder
54,610
6%
3,081
5%
3
0%
Uterine Corpus
49,560
6%
2,663
5%
0
0%
Melanoma of the Skin
45,060
5%
2,989
5%
0
0%
Thyroid
45,310
6%
2,076
4%
0
0%
Kidney & Renal Pelvis
40,430
5%
2,794
4%
0
0%
Non-Hodgkin Lymphoma
32,140
4%
2,111
4%
6
10%
Non-Hodgkin Lymphoma
37,600
4%
2,540
4%
3
9%
Melanoma of the Skin
31,630
4%
1,978
4%
0
0%
Oral Cavity & Pharynx
29,620
3%
1,943
3%
1
3%
Kidney & Renal Pelvis
24,720
3%
1,775
3%
0
0%
Leukemia
27,880
3%
1,870
3%
0
0%
Pancreas
22,480
3%
1,325
2%
1
2%
Pancreas
22,740
3%
1,449
2%
1
3%
Ovary
22,240
3%
1,628
3%
1
2%
All Sites
854,790
100%
62,740
100%
35
100%
All Sites
805,500
100%
54,632
100%
62
100%
Source: *2013, American Cancer Society, Inc., Surveillance Research
Source: *Cancer Epidemiology and Surveillance Branch, Texas Department of Stat Health Services, April 2013
** Baylor Health Care System Cancer Registry, Electronic Registry System
Source: *2013, American Cancer Society, Inc., Surveillance Research
Source: *Cancer Epidemiology and Surveillance Branch, Texas Department of Stat Health Services, April 2013
** Baylor Health Care System Cancer Registry, Electronic Registry System
19 Baylor Medical Center at Carrollton | BUILDING On STRENGTH BUILDING On STRENGTH | Baylor Medical Center at Carrollton 20
Baylor Medical Center AT CARROLLTON: Analytic/non-Analytic Cases Diagnosed 2012
Primary Site
Total
Ananalytic
Non-analytic
Male
Female
In Situ
Local
Regional
Distant
NA/Unknown
219
96
123
92
127
6
22
27
73
91
4
0
2
1
0
1
2
0
1
1
0
0
2
0
1
0
0
1
2
0
0
1
0
1
2
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
1
1
0
0
0
0
0
0
0
0
2
0
1
0
0
1
Digestive System
Esophagus
Stomach
Colon
Rectum
Anus/Anal Canal
Liver
Pancreas
Other
48
3
8
15
9
0
4
7
2
21
1
6
3
5
0
3
2
1
27
2
2
12
4
0
1
5
1
23
1
5
7
4
0
4
2
0
25
2
3
8
5
0
0
5
2
0
0
0
0
0
0
0
0
0
3
0
1
0
2
0
0
0
0
6
0
0
3
2
0
0
1
0
13
2
4
3
2
0
0
2
0
Respiratory System
Nasal/Sinus
Larynx
Lung/Bronchus
Other
39
0
1
36
2
20
0
0
18
2
19
0
1
18
0
19
0
1
16
2
20
0
0
20
0
0
0
0
0
0
0
0
0
0
0
7
0
0
7
0
Blood & Bone Marrow
Leukemia
Multiple Myeloma
Other
27
9
8
10
5
1
3
1
22
8
5
9
14
4
3
7
13
5
5
3
0
0
0
0
0
0
0
0
Bone
0
0
0
0
0
0
Connect/Soft Tissue
1
0
1
1
0
Skin
Melanoma
Other
3
2
1
0
0
0
3
2
1
3
2
1
0
0
0
All Sites
Oral Cavity
Lip
Tongue
Oropharynx
Hypopharynx
Other
Primary Site
Total
Analytic
Non-analytic
Male
Female
In Situ
Local
Regional
Distant
NA/Unknown
39
23
16
1
38
5
13
9
4
8
Female Genital
Cervix Uteri
Corpus Uteri
Ovary
Vulva
Other
5
0
0
5
0
0
0
0
0
0
0
0
5
0
0
5
0
0
0
0
0
0
0
0
5
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
0
0
1
0
0
1
0
0
3
0
0
3
0
0
26
1
3
9
3
0
4
4
2
Male Genital
Prostate
Testis
Other
7
7
0
0
1
1
0
0
6
6
0
0
7
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
2
0
0
5
5
0
0
Urinary System
Bladder
Kidney/Renal
Other
11
6
5
0
4
4
0
0
7
2
5
0
6
3
3
0
5
3
2
0
1
1
0
0
1
1
0
0
2
2
0
0
3
1
2
0
4
1
3
0
17
0
0
15
0
15
0
1
14
0
Brain & CNS
Brain (Benign)
Brain (Malignant)
Other
4
0
3
1
4
0
3
1
0
0
0
0
2
0
2
0
2
0
1
1
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
0
3
0
2
1
0
0
0
0
27
9
8
10
0
0
0
0
Endocrine
Thyroid
Other
5
1
4
4
0
4
1
1
0
3
0
3
2
1
1
0
0
0
0
0
0
0
0
0
0
0
0
5
1
4
0
0
0
0
Lymphatic System
Hodgkin’s Disease
Non-Hodgkin’s
21
1
20
9
0
9
12
1
11
9
0
9
12
1
11
0
0
0
4
0
4
0
0
0
6
0
6
11
1
10
0
0
0
0
1
Unknown Primary
4
3
1
2
2
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
3
2
1
Other/Ill-Defined
1
0
1
0
1
0
0
0
0
1
Breast
Data Source: Electronic Registry System, Baylor Health Care System Cancer Registry
This report INCLUDES CA in-situ cervix cases, squamous and basal cell skin cases, and intraepithelial neoplasia cases phoma/myeloma category.
21 Baylor Medical Center at Carrollton | BUILDING On STRENGTH BUILDING On STRENGTH
BUILDING
| Baylor
On STRENGTH
Charles A. Sammons
| Baylor Cancer
MedicalCenter
CenteratatGrapevine Carrollton 20
22
CoC State
of Texas
Performance
Rate
Oncology Quality Metrics 2012
NCDB Target
Breast Cancer
2010 & Prior 2012 Forward
CoC Census
Region (West)
Performance
Rate
All CoC
Programs
Performance
Rate
Diagnosis Year 2011 (CoC)
Baylor Medical Center at Carrollton
Performance Rate
*2009
*2010
*2011
*2012
Post Breast Conserving Surgery Irradiation:
Radiation therapy is administered within 1 year
(365 days) of diagnosis for women under age
70 and receiving breast conserving surgery for
breast cancer (Accountability Measure)
NCDB,
CoC, NQF,
NAPBC
90%
90%
86.8%
88.8%
91.8%
NA
NA
100%
100%
Adjuvant Chemotherapy: Combination
chemotherapy is considered or administered
within 4 months (120 days) of diagnosis for
women under 70 with AJCC T1cNoMo, or
Stage II or III hormone receptor negative breast
cancer (Accountability Measure)
NCDB,
CoC, NQF,
NAPBC
90%
90%
90%
90.5%
92.5%
NA
NA
100%
NA
Adjuvant Hormonal Therapy: Tamoxifen or
third generation aromatase inhibitor is considered or administered within 1 year (365 days)
of diagnosis for women with AJCC T1cNoMo,
or Stage II or III hormone receptor positive
breast cancer (Accountability Measure)
NCDB,
CoC, NQF,
NAPBC
90%
90%
86.1%
87.1%
90.3%
NA
NA
100%
100%
Adjuvant Chemotherapy: Adjuvant chemotherapy is considered or administered within 4
months (120 days) of diagnosis to patients
under age 80 with AJCC III (lymph node positive) colon cancer (Accountability Measure)
NCDB,
CoC, NQF
90%
90%
88.5%
89.4%
90.6%
NA
NA
100%
NA
Surgical Resection Includes at Least 12
Lymph Nodes: At least 12 regional lymph
nodes are removed and pathologically examined for resected colon cancer (Surveillance
Measure)
NCDB,
CoC, NQF
80%
80%
90.5%
89%
87.8%
NA
NA
93.7%
100%
NCDB,
CoC, NQF
90%
90%
91.6%
90.6%
91.8%
NA
NA
100%
NA
Colorectal Cancer
Rectal Cancer
Radiation Therapy for Rectal Cancer:
Radiation therapy is considered or administered within 6 months (180 days) of diagnosis
for patients under the age of 80 with clinical or
pathological AJCC T4NoMo or Stage III receiving surgical resection of rectal cancer (Surveillance Measure)
*Source: Baylor Health Care System Cancer Registry/Baylor Carrollton
23 Baylor Medical Center at Carrollton | BUILDING On STRENGTH BUILDING On STRENGTH | Baylor Charles A. Sammons Cancer Center at Grapevine 24
CANCER CONFERENCES +
Contact information
MONTHLY GENERAL CANCER CONFERENCES HELD
Cancer conferences are an essential forum to provide multi-
Referrals
disciplinary, consultative services for oncology patients, as well as
Referral Line for Physicians
Baylor Carrollton Support Services
1-800-9BAYLOR
(1-800-922.9567)
to offer education to physicians and allied health professionals.
Physician Referral, Event Registration
Baylor Carrollton held a monthly general cancer conference in
and Information
2013. The tumor conference reviewed 47 prospective cases which
Administration
represented 48.9% of the analytic load.
Sally Dyess, MBA
1-800-4BAYLOR
972-394-2462
Oncology Service Line Manager
Thomas James, MD
The top five cancer sites presented included breast, colorectal,
JaNeene L. Jones, RN, MHA, FACHE
214-820-2800
Vice President/Oncology, Baylor Health
972-394-2372
Oncology Unit Manager
972-394-2410
Rehabilitation Services
972-394-2232
(physical, occupational, speech,
Wound Management Program
972-394-2336
Diagnostic Imaging
Baylor Women’s Imaging Center
972-394-3657
Baylor T. Boone Pickens Cancer Hospital
at Carrollton
972-691-5910
Scheduling for Diagnostic Imaging
972-394-1080
Mike Sanborn, MS, FACHE
214-820-2881
Research
972-394-2258
Baylor Research Institute
President, Baylor Medical Center at Carrollton
BHCS Support Services
Barbara Vaughn, RN, BSN, MSN,
A.Webb Roberts Center for
CCM, NEA-EC, Chief Nursing Officer,
Baylor Medical Center at Carrollton
Health Care System
CAMARADERIE
Pastoral/Chaplaincy Program
Baylor Diagnostic Imaging Center
Chief of Oncology, Baylor Health Care System
EDUCATION
972-394-2414
Baylor Charles A. Sammons Cancer Center/
Alan Miller, MD, PhD
CASE-SOLVING
Nutritional Consult
at Carrollton
Care System Chief Operating Officer,
INSIGHT
972-512-1585
lymphedema services)
972-394-2236
Cancer Committee Chair
lung, bladder and lymphoma.
Baylor Carrollton Palliative Care
972-394-2261
214-820-2687
Continuing Education
214-820-2317
Cancer Registry
214-820-3976
25 Baylor Medical Center at Carrollton | BUILDING On STRENGTH FM 2499
AREA MAP
HWY
HWY
Park Blvd.
Josey Lane
Old Denton Road
S. Belt Line Rd.
21
kw
y.
Y1
eP
HW
Long Prairie Rd.
esid
S FRWY
STEMMON
Lak
Hebron Pkwy.
Rosemeade Pkwy.
DALLAS NORTH TOLLWAY
I-35 E
Churchill Dr.
Parker Rd.
121
Cross Timbers Rd. W. Main St.
121
PRES. GEORGE BUSH TURNPIKE HWY 190
Beating
cancer
4343 N. Josey Lane
Carrollton, TX 750101
1.800.4BAYLOR
972.492.1010
BaylorHealth.com/CarrolltonCancer