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CANCERRegistry Annual Report 2013

EJGH Regional Cancer Center Renovation and Expansion Opening Summer 2014

Table of Contentspg. 4Very Good and Getting Betterpg. 6Introductionpg. 7Cancer Registry Activity Report, 2013pg. 8About East Jefferson General HospitalFacts on Cancer Cases, EJGH 2013pg. 10Evolution of Qualitypg. 11Comparison of East Jefferson General Hospital’s ExperienceAnd National Incidence Estimates of Top Sites, 2013pg. 12Site AnalysisSite Distribution of Newly Diagnosed Analytic Cases, 2011, 2012,2013; Site Distribution of Non-Analytic Cases, 2013pg. 17Colorectal Cancerpg. 23Lung Cancerpg. 29Breast Cancerpg. 33Prostate Cancerpg. 37Regional Cancer Center Program Componentspg. 39Other Cancer Program Componentspg. 46Acknowledgements3

I am proud to say I was involved from the start with our efforts to affiliatewith the University of Texas MD Anderson Cancer Center and have served in aleadership role from our initial affiliation in 2007 through today. That affiliationspeaks volumes to our community about our commitment to fighting cancer.The mission of MD Anderson is to eradicate cancer in Texas, the United Statesand the world. As a certified member of the MD Anderson Cancer Network, wejoin in that mission. It is more than a slogan; it is a mission we take veryseriously.Of course, for our patients, affiliation means peace of mind. They know theycan gain access to MD Anderson treatment protocols while remaining close tohome. For myself and my colleagues, affiliation means access to MD Anderson’sThomas Cosgriff, MDvast amount of research and innovation. We hold weekly calls with ourcolleagues in Houston to discuss specific cases and collaborate on plans ofVery Good and Getting Bettertreatment that are in the best interest of specific patients.That is how I would describe the work done by the Oncology Division at EastEvery day, I take inspiration from the patients I see and the wonderfullyJefferson General Hospital over the period of time covered by this report. Asdedicated physicians and other healthcare professionals with whom I work.Medical Director of Oncology, I have the privilege of working alongside a group ofWithin these pages you will see just how good we are in our fight against manycancer fighting physicians, nurses and professionals that I truly believe are asdifferent cancers. While I am proud of the numbers in this report, I am neverdedicated, talented, professional and effective as any group anywhere.satisfied with them. Nor are any of my colleagues, here or in Houston. We willcontinue working to be the finest regional cancer center anywhere, in LouisianaI have been practicing at East Jefferson General Hospital long enough to seeor the world.the field of oncology and our hospital’s oncology efforts change dramatically.Cancer treatment today is nothing like it was when I began my practice. WeSincerely,are not only better at fighting most types of cancers, our treatment processesare much more patient friendly. Yes, the treatments are still often harsh andgrueling, but almost always today’s treatment is easier on the patient than itwas only a few years before. And we continue improving in this area.4Thomas Cosgriff, MDMedical Director of Oncology Service and Oncology Committee ChairmanEast Jefferson General Hospital

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The Cancer Registry was established with a reference date of January 1, 1988.East Jefferson General Hospital’s Cancer Program is approved by theCommission on Cancer of the American College of Surgeons since 1991. In2013 the Cancer Program was awarded three-year approval. Approvalindicates that the organization offers a broad-based network of comprehensivecancer programs that encompasses the entire spectrum of cancer controlactivities, from prevention to rehabilitation and long term follow-up.This report is prepared by the Cancer Registrar, an integral part of thehospital’s cancer program.Paul Monsour, M.D.Paul Monsour, MDIntroductionThe Regional Cancer Center at East Jefferson General Hospital is dedicated toMedical Director of Radiation TherapySiddhartha Padmanabha, M.D.Annual Report Advisorimproving the care of patients with cancer and ultimately reducing cancermortality. The accomplishments of each calendar year are summarized in theCancer Registry Annual Report. A statistical review of the calendar year isincluded along with an in-depth review of four major sites of cancer. Thepurpose of the report is to measure progress toward our goals and to educateEast Jefferson General Hospital physicians and other health care professionals.The four sites featured in this report are colorectal, lung, breast andprostate. These four sites account for 53.7 percent of the newly diagnosedcancers at East Jefferson General Hospital in 2013. Information on these andall other sites of cancer are available upon request.6Mary Beth Lobrano, M.D.Annual Report AdvisorMattie J. Hobley, MN, MS, NE-BCSenior Director Oncology ServicesReunda Gonsoulin, CTRCancer Registry Coordinator

Cancer Registry Activity Report, 2013Quality control was done on the Cancer Registry data by a member of theOncology Committee on at least 10 percent of the analytic cases.East Jefferson General Hospital’s Cancer Registry was established in 1988 tocollect and maintain a computerized database of all patients with adiagnosis of cancer and to conduct lifetime follow up. This provides theSite Specific Physician Championsmeans for monitoring and evaluating the success of the cancer program.Nothing great is accomplished without clear vision and leadership. ThroughoutThe Cancer Registry has entered a total of 34,452 cases; 29,662 are analytic (firstthe year, our organization was fortunate to have had physician champions whodiagnosed and/or received all or part of first course treatment at EJGH); 4,790 areguided us through a tremendous year of clinical progress.non-analytic (first seen at EJGH after completion of a full course of therapy atanother facility, coming to EJGH for recurrence and/or subsequent treatment).Brian Creely, MD – Breast Cancer Physician ChampionMichael Brothers, MD – Lung Cancer Physician ChampionIn 2013, the Cancer Registry accessioned 1,444 cases. Twelve hundred and ninetyJeffery Griffin, MD – Colorectal Cancer Physician Championtwo were analytic, and 152 were non-analytic. Annual follow up was conducted inSean Collins, MD – Prostate Cancer Physician Championall cases with a 91.27 percent follow-up rate for all analytic cases and 90.94percent follow-up rate for the last five years meeting the standard of theCommission on Cancer. The Cancer Registry participates in the National CancerData Base (NCDB) call for data annually. Hospital data is also reported to theLouisiana Cancer Registry annually.Forty-eight tumor boards were held in 2013, with 175 malignant casesbeing discussed, representing 13.5 percent of the analytic cases. NineteenBreast conferences were held in 2013.Twenty-eight MD Anderson Multidisciplinary Planning Video conferences wereheld in 2013 with discussion of AJCC stage and treatment guidelines on allmajor sites along with seven Continuing Medical Education lectures. Continuingeducation hours are approved for these activities.7

office buildings, three multilevel parking garages, an outpatient pavilion andthe Yenni Treatment Center. The campus also has a helipad, which canaccommodate most sizes of helicopters currently in use.Thanks to the dedication, loyalty and expertise of all our team members, bothpast and present, East Jefferson General Hospital continues to enjoy areputation second to none.Facts on Cancer atEast Jefferson General Hospital, 2013About East Jefferson General HospitalOpened on February 14, 1971, East Jefferson General Hospital is a publiclyowned 444-bed not-for-profit community hospital, providing tertiary care toresidents of the East Bank of Jefferson Parish and surrounding communities. Aservice district hospital, East Jefferson General is governed by a 10-membervolunteer Board of Directors appointed by the Jefferson Parish Council and theParish President.East Jefferson General is accredited by The Joint Commission Organization and hasbeen recognized as Louisiana’s first Magnet hospital by the American NursesCredentialing Center (ANCC). The 3,500 team members, 650 physicians and 400volunteers help bring the campus to life. The hospital campus features the mainhospital, East Jefferson North, four medical8Class of CasesNo. of CasesAnalytic Cases1,292Non-Analytic CasesTotal Number of Cases1521,444

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There is a great amount of pride at East Jefferson General Hospital in our successes in cancer care. What makes it even more special isthat our physicians, nurses and outstanding clinicians view each success as a steppingstone to the next success. They are continuouslyseeking ways to deliver more effective, efficient andcompassionate care.This process of self-improvement is a hallmark of thestaff that considers it our evolution of quality. We usedata and dashboard metrics to be the foundation ofimprovement. We have a Quality Council andOncology Committee involving dedicated medicalexperts of the most important disciplines to offer aguiding voice. And, under the leadership of ourOncology Medical Director, Dr. Thomas Cosgriff, ourevolution will continue.Mattie Hobley, MN, MS, RN, NE-BCEvolution of QualityIn this report, you will see the result of our efforts. Itwill be found in the many numbers and charts.However, every day we come to work we remember that each number is a life. So at the center of everything we do, we know thatfamilies throughout our community counts on us to improve each day.Mattie Hobley, MN, MS, RN, NE-BCSenior Director of Oncology Services10