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4/29/2017Beyond the CCSG – Part II (fromCenter to System)Presented to: CCAF @ Moffitt Cancer CenterPresented on: May 2017Presented by: Alex Zafirovski, MBA, RT(T)ARRTExecutive Director of AdminstrationAgenda Overview and Introduction From Center to System Panel discussion showcasing different approaches to alignment andintegration, as many cancer centers are now becoming part of a healthsystem.From Center to System1
4/29/2017Lurie Cancer Center Overview4Clinical Facilities Current StatePrentice Women’s HospitalGalter Pavilion Outpatient Clinical Cancer Center (21st floor) Radiation Oncology (Lower Concourse) all butGyne and Breast Rube Walker Blood Center (11th floor) Thoracic oncology, PWH remediation (17th floor) 3 Inpatient Units: Women’s Health & Solid Tumor (16P),General Hem/Onc (15P), and Stem Cell Transplant (14P) Maggie Daley Women’s Center (4th floor)) Lynn Sage Comprehensive Breast Center (4th floor) Radiation Oncology (Lower Concourse) for Gyne, Breastand Peds Endocrine Surgery, Benign Heme, OP Triage Clinic Supportive OncologyOlson PavilionArkes Pavilion NMDTI: Developmental Therapeutics Clinical TrialsFacility (1st floor) HOA: Hematology OncologyAssociates (21st Floor)Feinberg Pavilion Imaging (4th floor)5Lurie Cancer Center Multiple Roles Across GeographiesRegional ReferralCenter for ComplexCare Key provider of high-end,esoteric cancer care Reliant on referrals frominside and outside NMsystemEssential Providerfor the LocalCommunity Serve thecomprehensive cancerneeds of the centralregion populationKeyInitiatives:Local Local convenientaccess to meetcomprehensivecommunity needs Increase efficiency tolower cost of careNational /International ReferralDestination Nationally recognizedprovider of select servicesRegional Seamless coordination ofcare / access for patientsreferred from other NM sites Relationships withindependent referringproviders TelehealthNational/International Grow impact andreputation nationally2
4/29/2017NM System Hospitals7NM Cancer Program LocationsLegendNM HospitalNMNM CancerCancer ProgramSite LocationLocationNM Hospitals & Cancer ProgramLocations1. Northwestern Memorial Hospital2. NMH & NMG/RHLCCC3. NM Aurora Cancer Center4. NM Kishwaukee Hospital5. NM Dekalb Cancer Center6. NM Delnor Cancer Center7. LivingWell Cancer Resource Center8. NM Delnor Hospital9. NM Glenview10. NM Grayslake11. NM Lake Forest Hospital12. NM Rochelle Cancer Clinic13. NM Valley West Hospital14. NM Sandwich Cancer Center15. NM Warrenville Cancer Center16. NM Chicago Proton Center17. NM Central DuPage HospitalNorthwestern Medicine and Lurie Cancer CenterNetwork Growing to Serve Our PatientsFY2017*CentegraFY2016KishHealth & MarianjoyFY2015Cadence HealthFY2014Northwestern Medical Faculty FoundationFY2010Lake Forest HospitalNorthwestern Medicine andRobert H. LurieComprehensive Cancer 0093
4/29/2017Your Cancer CenterQuick introduction of each cancer programAudience question 1 How many locations does your clinical cancerprogram have?A. 1B. 2-5C. 6-10D. 10Approaches to integrating faculty and staff Joint reporting structureMonthly meetingsDisease groupsCouncils4
4/29/2017System-Wide Disease Working Group ModelThe clinical working groups will start in parallel to the research disease teamsbut ultimately may consolidate as appropriate.NM Cancer al Disease Working Group 1Research Disease Team 1Clinical Disease Working Group 2Research Disease Team 2Clinical Disease Working Group 3Research Disease Team 3Clinical Disease Working Group XResearch Disease Team XWorking GroupCharacteristics:FutureRegion Cross-regional Aligned b/w Clinicaland Research Teams Part of NM CancerLeadership Model Administrativeresources assignedto support Group’sworkAudience question 2 What % of your faculty is currently employed bythe institution?A. 100%B. 75%C. 50%D. 25-50%E. 25%F. 10%Approaches to capital and operationalbudgeting 1M Priorities decided locally5
4/29/2017Audience question 3 Capital budgeting at my organization is done:A. CentrallyB. LocallyC. Mix of BothHow will you assure a consistent patientexperience across all locations?Audience question 4 Is the patient experience the same/close enoughat all the locations of your cancer program? Yes No6
4/29/2017Audience question 5 Do you have system wide tumor boards? Yes NoCan you assure that all patients will be treatedon a same clinical care model?What data and metrics will you need, in orderto measure cancer system success?RelationshipsQtr Plan YTD PlanLikelihood to recommendReliabilityQtr Plan YTD PlanAccess - how long does it take to get apptPatient Engagement (enrollment in MyChart)Timeliness: Consult to Dx, Dx to treatmentReferring MD satisfactionEngagement - MDEvidence based care (concordance w ith guidelines)Patient reported outcomesEngagement - staffPatients w/ advanced directives; end of life measureTurnover (Voluntary)Injuries to staffMortality (risk adjusted)Preventable adverse eventsLength of StayEfficiencyQtr Plan YTD PlanGrowthUtilization: of providers/ staffVolume and/or Market shareUtilization: of space (infusion chairs, clinics)Staff hours per unit of serviceScreening volumesNew unique patients to NMSpecialty pharmacy utlizationIn-migration - outside svc area and internationalMedicare spending per beneficiaryCost per caseQtr Plan YTD PlanLeakageMarketing ImpactNet operating incomeIntegrationTo be determined:# of disease teams launchedQtr Plan YTD PlanResearchClinical trial accruals# of trials opened across the system# cases presented at "system" tumor bdsMedical staff satisfaction questionOther?7
4/29/2017How will you develop and implement a singlebrand?Audience Question 6 Is there a single brand for your entire cancerprogram?A. YesB. NoAudience Question 7 When you think of all the challenges and workahead, in terms of going from the single centerlocation to a health system journey, what is thesingle word that comes to mind? type 1 word that describes this feeling word cloud will be constructed real time.8
4/29/2017Alex Zafirovski, MBA, RT(T)ARRTExecutive Director of sZafirovski9
12. NM Rochelle Cancer Clinic 13. NM Valley West Hospital 14. NM Sandwich Cancer Center 15. NM Warrenville Cancer Center 16. NM Chicago Proton Center 17. NM Central DuPage Hospital NM Cancer Site Location NM Hospital Legend NM Cancer Program Location Northwestern Medicine and Lurie Cancer Center Network Growing to Serve Our Patients 15 6,395 .
