2016CANCER REPORT

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THE STATISTICS ARE SOBERING. In their lifetimes, one in two men and one in three women will be diagnosed with cancer.

But it’s a struggle that can be won.According to statistics, more than 14 million

people are living in the U.S. with a previous diagnosis of cancer, and since the early 1990s, the death rate for all types of cancer combined has declined.

Through advances in detection and treatment, we are creating more cancer survivors. That

means more holidays and special moments with loved ones; more opportunities to contribute to society; more children putting the pain of a parent’s or grandparent’s cancer behind them so they can enjoy normal childhood activities; and more people helping to find cures through clinical research studies.

In past decades, most of the focus was on treating the cancer and winning the battle. What we have learned as a result of our success is that patients are often left with scars, both physical and emotional, that impact the quality of their lives after treatment. Today, in addition to the continued focus on beating the disease, there is more and more attention devoted to the residual effects of cancer and its treatment. We want to not only help patients survive but also enjoy their lives after treatment has ended.

Our Cancer Survivorship Program is focused on helping people with cancer regain energy, mobility, and spirit. Up to 90 percent of people treated for cancer have some residual effect that can benefit from our counseling and rehabilitative services. Whether it is lingering fatigue, lack of flexibility, emotional concerns, or “chemo brain,” there are services to help. Another critical component of the Cancer Survivorship Program is a long-term care plan, which is a personalized guidebook to help survivors take charge of their lives after treatment. The care plan is also a medical reference for future needs and a road map for care coordination among the care team. The care plan and other services empower survivors to take control of their health.

In the spirit of celebrating cancer survivorship and quality of life, this year’s annual report highlights a few of the hundreds of survivors treated at HSHS Sacred Heart Hospital Regional Cancer Center. These survivors remind us of our own family members, friends, and neighbors who are also battling cancer. Their stories provide us with hope for a life beyond cancer that is filled with special memories and joy. We are extremely grateful for their willingness to be a part of this report, and we hope you will enjoy the information provided. If you have any questions, please feel free to contact me directly.

Sincerely,

Georgia J. Smith, MSN, MHA, RN, OCNExecutive Director, Cancer ServicesHSHS Division – Western WisconsinPrevea

HSHS SACRED HEART REGIONAL CANCER CENTER900 W. Clairemont Ave., Eau Claire, WI

Located in the east wing of the hospital, on the first floor.Phone: 855.717.HOPE (4673) • To make an appointment with Radiation Oncology, call 715.717.5939.

To make an appointment with Prevea Medical Oncology, call 715.717.3300 • sacredhearteauclaire.org/medical-services/regional-cancer-center

CLINIC HOURSRADIATION ONCOLOGYMon.–Fri.: 8 a.m.–4:30 p.m.

PREVEA MEDICAL ONCOLOGYMon.–Thurs.: 8 a.m.–4:30 p.m.

SERVICESOur care starts with a talented and caring team—oncologists, physicians, radiation therapists, surgeons, oncology nurses, and

staff members. And it extends to the state-of-the-art technologies and therapies that enable us to provide you with the individualized cancer care needed to target and treat your cancer.

TABLE OF CONTENTS

2 DIRECTOR’S LETTER

3 THE JOURNEY TO

SURVIVORSHIP

4 GO WITH YOUR GUT

5 PEACE AND QUIET

6 A TEAM APPROACH

TO CANCER

8 ENHANCING QUALITY

OF LIFE WITH

SUPPORTIVE SERVICES

9 PROVIDER DIRECTORY

10 50 YEARS OF

TOP-QUALITY

CANCER CARE

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THE JOURNEY TO SURVIVORSHIPYOUR PATH TO SURMOUNTING CANCER STARTS BEFORE YOU’RE EVER DIAGNOSED.

MEN HAVE A one-in-two chance of developing the disease, and women have a one-in-three chance. Understanding the path to survivorship is the best way to manage the anxiety, fear, and other challenges associated with the illness. At HSHS Sacred Heart Hospital, we’re committed to caring for patients at every stage of that journey.

THE PATH TO TREATMENT

Once your diagnosis is confirmed, the medical team at HSHS Sacred Heart comes together to make sure you have what you need. In addition to providing high-quality medical care, we know that supporting you and your family during this time is vital to your cancer journey.

To learn more about cancer treatment at Sacred Heart, look for the Path to Treatment symbol in this publication.

THE PATH TO PREVENTION

In general, the earlier cancer is diagnosed, the better the chance of survival. The first step on your prevention journey is education. Do you know your risk factors for certain cancers? The 3D Community Health: Body.Mind.Spirit HealthAware assessments help identify your risk factors for prostate cancer, colorectal cancer, breast cancer, and lung cancer.

“HealthAware screenings can save your life,” says Georgia J. Smith, Executive Director, Cancer Care Services at HSHS Sacred Heart. “Cancer is curable if caught early enough, and if you know your risk factors, you can get screenings to detect it in its earliest stages.”

To take a HealthAware assessment, visit sacredhearteauclaire.org/healthaware. To learn more about your Path to Prevention, look for the Path to Prevention symbol in this publication.

THE PATH TO DIAGNOSIS

Screening outcomes that indicate cancer or cancer symptoms typically lead to further testing to confirm a cancer diagnosis. These follow-up measures may include:✳ lab tests of blood, urine, or other

bodily fluids✳ imaging procedures to check for

the presence of a tumor ✳ biopsy, a small sample of tissue

that is examined for cancer cellsAlthough these tests can be scary,

they are the first steps on the path to receiving the care you need.

To learn more about cancer diagnostics at Sacred Heart, look for the Path to Diagnosis symbol throughout this publication.

THE PATH TO SURVIVORSHIP

Patients with cancer are more than their disease. Most return to normal, productive lives. Some patients and their families may need palliative or hospice care, and the compassionate staff at Sacred Heart Hospital can counsel families about these options.

To learn more about the Path to Survivorship, look for the symbol in this publication.

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TAKING STEPS TO REDUCE THE PREVALENCE OF COLORECTAL CANCER IN EAU CLAIRE AND CHIPPEWA COUNTIES

In March, We Wear BlueSpreading awareness of colorectal cancer is essential to saving lives. Join HSHS Sacred Heart Hospital in honoring Colorectal Cancer Awareness this March by wearing blue on Friday, March 3.

“Each year, our hospital participates in the Wear Blue event to help expand awareness about colorectal cancer and the power screening colonoscopies have to save lives,” says Georgia J. Smith, Executive Director, Cancer Care Services at HSHS Sacred Heart. “Studies show that having a colonoscopy is the most effective tool at preventing colorectal cancer. If you’re between the ages of 50 and 75, take charge of your health by getting screened on a routine basis.”

GO WITH YOUR GUT

Ready to take the first step in assessing your risk for colorectal cancer? Visit sacredhearteauclaire.org/

healthaware to take our Colorectal Cancer Risk Assessment.

COLORECTAL CANCER IS one of the most common types of cancer among American men and women. It is also highly preventable—and up to 90 percent curable if found early enough—which is why HSHS Sacred Heart Hospital hosts events that give community members the awareness and understanding necessary for making detection possible.

A JOINT EFFORTA 2014-2015 Eau Claire County Community Health Survey identified cancer and heart disease as leading causes of death in the area. To address our community’s needs, HSHS Sacred Heart hosted a Go with Your Gut Feeling event on November 9, 2016, as part of a larger health series focused on decreasing the incidence rates of cancer in Eau Claire and Chippewa counties.

“It was a great event with a good turnout,” says Kelly Lauscher, Health Educator with 3D Community Health: Body.Mind.Spirit, a service of HSHS Sacred Heart. “One of our hospital’s surgeons, Richard Daniels, presented a one-hour session about myths and facts surrounding the disease, and Joslyn Brantner, a registered dietitian from our oncology unit, spoke about various foods that promote sound digestive health, as well as the correlation between healthy eating and minimizing colorectal cancer risks.”

Using before and after tests, HSHS Sacred Heart was able to gauge that community members who took part in the event and survey showed an overall 5 percent increase in knowledge of colorectal cancer symptoms and identifying increased risk factors. They also demonstrated a nearly 25 percent increase in their understanding of effective dietary changes and the age in which they should get a colorectal screening.

“Knowledge truly is power,” Lauscher says. “Having an increased awareness of simple things you can do to directly minimize your risk of colorectal cancer is crucial.”

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P eace and QuietA NEW SOUND-MANAGEMENT PROTOCOL LED TO A 37-POINT INCREASE IN ONCOLOGY-PATIENT SATISFACTION.

WHEN THE UNIT Practice Council discussed limiting noise distractions for patients at night, Monica Edwards, RN, oncology nurse at HSHS Sacred Heart Hospital Regional Cancer Center, tuned in, eager to find solutions.

“At the time, I was taking a research- and evidence-based practice class through UW-Green Bay,” says Edwards. “It was perfect timing to put together an action plan.”

After conducting outside research on the most common noise distractions and their impact on critically ill patients’ sleep, Edwards established quiet-time parameters between the hours of 8 p.m. and 7 a.m.

“We created an optimal sleep environment by dimming hallway lights and asking that all nonmedical conversations be moved behind closed doors,” Edwards says.

STAFF SUPPORTEdwards also educated staff about ways to cluster patient care to reduce the number of potential distractions during quiet hours.

For example, the staff now coordinates efforts, when appropriate, before taking blood pressure or distributing medication at night to help ensure uninterrupted sleep. They reduce all noise and light stimuli, and encourage earplugs and ambient-noise machines. To help foster relaxation, they offer holistic health programs, such as music therapy, massage, stress management, and aromatherapy.

“Once our Chief Nursing Officer noticed our improved patient satisfaction score, she suggested the protocol be adopted hospital-wide,” Edwards says.

To better serve our patients, we continually fine-tune our

processes. Learn more by visiting sacredhearteauclaire.org/

medical-services/regional-cancer-center or by calling 715.717.4121.

Sleep and Chronic IllnessMonica Edwards’s research suggests:• Cancer diagnosis increases a patient’s

risk for sleep disorders.• Lack of sleep prolongs patients’ hospital

stays and recovery times.• Lack of sleep weakens patients’

immunity and increases the risk of falls.• Noise, light, diagnostic tests, and

therapeutic procedures interrupt sleep most often.

• Patients with critical illnesses can experience up to 60 noise interruptions per night.

Roundtable DiscussionsTo ensure patient safety, HSHS Sacred Heart Hospital’s oncology team includes patients in multidisciplinary meetings.

Every weekday, from 10 a.m. to 11 a.m., the core team—nurse manager, social worker, dietitian, physical therapist, and palliative care staff—meets bedside with each patient to discuss:• current patient experience• patient progress and recovery situation• anticipated discharge timeline• next steps for home recovery• current caretaker situation

This way, every team member knows how to effectively care for each patient.

“Besides centralizing the discussion, this experience invites patients to fully engage in their own health management,” says Georgia J. Smith, Executive Director, Cancer Care Services at HSHS Sacred Heart.

In addition, the nurse navigator gains a deep understanding of every patient’s health story, which translates to improved outpatient care.

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A TEAM APPROACH

CancerWHEN RHONDA BROWN RECEIVED THE LIFE-CHANGING NEWS THAT SHE HAD CANCER, SHE WAS UNDERSTANDABLY SCARED, BUT SHE QUICKLY CAME TO REALIZE SHE HAD A PARTNER IN HSHS ST. JOSEPH’S HOSPITAL.

RHONDA’S CANCER JOURNEY began in fall 2014, when the then 52-year-old scheduled her first screening colonoscopy at HSHS St. Joseph’s.

“At the time of my procedure, my physician told me there were polyps that needed to be removed,” Rhonda says. “Shortly after, I received a phone call that there was one area in particular that looked worse than expected, so he recommended that I have another colonoscopy in three months.”

The follow-up examination and subsequent diagnostic tests revealed bad news: Rhonda had colon cancer, and the cancer was aggressive.

A TRUSTED ADVOCATERhonda, who serves as Division Director for HSHS Sacred Heart and St. Joseph’s Hospitals’ 3D Community Health: Body.

Mind.Spirit service, has worked in health care for the past 30 years. She has always felt strongly that people receive the best medical care when they are knowledgeable about their illness and make their wishes known.

“Being a self-advocate or having someone who is able to advocate for you is really important,” Rhonda says. “When we receive information about a health situation, especially if it’s a scary one, we’re not always able to be advocates for ourselves. In those situations, it’s important to surround ourselves with people who can hold us up.”

For Rhonda, those people were her colleagues at HSHS St. Joseph’s and the physicians who took the time to answer her questions.

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From Prevention and Diagnosis ...Getting preventive screenings as recommended is one of the best things you can do to protect your health. Regular cancer screenings help physicians find and begin treating cancers at the earliest possible stage.

“Living a healthy lifestyle—which includes eating a nutritious diet, exercising, and receiving recommended health screenings—is essential,” says Rhonda Brown, a colon cancer survivor and Division Director for HSHS St. Joseph’s and HSHS Sacred Heart Hospitals’ 3D Community Health: Body.Mind.Spirit service. “If I had waited another year or two to have my colonoscopy, who knows? I, for sure, wouldn’t have had such a good outcome. People are apprehensive about getting a colonoscopy, but the test isn’t bad—and it could save your life.”

HSHS Sacred Heart and HSHS St. Joseph’s make it easy for people throughout Eau Claire and Chippewa counties to get the screenings they need. Both hospitals offer the latest in radiology and diagnostic procedures, including 3-D mammography to diagnose breast cancer, colonoscopies, and nuclear medicine imaging, which helps physicians diagnose a variety of conditions, including many types of cancer.

To assess your colorectal, prostate, breast, or lung cancer risk,

visit sacredhearteauclaire.org/healthaware or stjoeschipfalls.org/

healthaware.

to Treatment ...Depending on the type and stage of cancer, some patients might need surgery to remove the tumor, as well as one or a combination of cancer treatments. Such treatments can include chemotherapy or radiation therapy—services that are available on an outpatient basis at the HSHS Sacred Heart Hospital Regional Cancer Center. Throughout treatment, community members may also experience side effects that interfere with their lives, such as a loss of appetite or mouth sores that make eating difficult, weakness, and nausea and vomiting. Dietitians, counselors, and social workers are available to help manage these concerns. The HSHS Sacred Heart Regional Cancer Center has also established Oncology Nurse Navigator and Patient Navigator programs to help comfort patients and their families. Our nurse navigators assist community members with everything from coordinating medical appointments to providing prosthesis and wig options to connecting families with the resources to address emotional, financial, and transportation challenges. Other services include support groups, emotional and spiritual counseling, and a Patient Resource Room & Library where families can access information about specific diseases.

to SurvivorshipThe cancer care journey doesn’t end when someone completes treatment. Many people need support coordinating follow-up health care, managing any lasting side effects of treatment, dealing with the emotional aspects of cancer, and returning to work. The Cancer Survivorship Program at HSHS Sacred Heart Hospital provides support through a variety of services, including physical, occupational, and speech therapy; nutritional counseling; and integrative services, such as massage therapy, acupuncture, jewelry-making, woodworking, and other healing arts.

“Talk to your physicians openly and honestly—even if you feel like you’re bugging them,” Rhonda says. “You need to be able to ask questions and get answers that make sense to you.”

After discussing her diagnosis and treatment options with her physician, Rhonda learned she needed surgery but wouldn’t have to complete chemotherapy or radiation therapy. The colon resection to remove her cancer was performed at HSHS St. Joseph’s. She then began working with her physician to develop her survivorship plan, which includes screenings to make sure the cancer is caught quickly if it recurs. Her first follow-up colonoscopy is scheduled for this fall—three years after her initial diagnosis.

“There’s always a worry that the cancer will come back, but I have a high level of confidence in my physician,” Rhonda says. “The care I have received is superb, and I continue to put my faith and trust in my care team.”

Cancer Care Giving CircleMany services provided to cancer patients at HSHS Sacred Heart Regional Cancer Center are funded through the generous donations of our community. If you would like to help support our programs and services through the Cancer Care Giving Circle, please feel free to contact Lisa Patrow, Philanthropy Specialist, at 715.717.4925 or lisa.patrow@hshs.org.

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Advance Directives for Critical ConditionsTo ensure that you and your family are prepared in the event of a health condition that limits your ability to make decisions for yourself, take steps to complete one or all of the following documents:• A health care proxy designates an

individual whom you trust to make health care decisions for you.

• A living will provides instructions related to medical treatment if you are unable to express consent.

• A physician orders for life-sustaining treatment (POLST) form outlines your preferences about options such as antibiotics, cardiopulmonary resuscitation, dialysis, and artificial hydration and nutrition.

CANCER IS OFTEN accompanied by ongoing discomfort and pain. Additionally, complications such as anxiety, insomnia, loss of appetite, nausea, and shortness of breath can make matters even more challenging for patients and their families. The supportive services teams at HSHS Sacred Heart and HSHS St. Joseph’s understand these difficulties and help patients navigate them.

PALLIATIVE CAREOur palliative services involve a comprehensive, tailored approach consisting of health care professionals, social workers, spiritual advisers—and even financial consultants, if appropriate. This type of care can be provided in a hospital, at home, or at a skilled nursing facility or rehabilitation center.

“Wherever our patients call home is where we will be,” says Charlotte Sloan, RN, BSN, Manager of Home Care Services with HSHS St. Joseph’s. “Our goal is to help individuals live as comfortably and fully as possible.”

HOSPICE CAREThis option is designed to improve comfort and quality of life for individuals with a life expectancy of six months or less. A hospice team can consist of nurses, physicians, and spiritual support staff, who are on call 24-7.

“We are here to help however we can during those final months of life,” Sloan says. “If you have experts in your home, you can avoid crisis, hospitalization, and unnecessary discomfort. People can sometimes be stoic about symptoms, but they don’t have to live in pain. Life can be better.”

ENHANCING QUALITY OF LIFE

WITH SUPPORTIVE SERVICESHSHS SACRED HEART HOSPITAL AND HSHS ST. JOSEPH’S HOSPITAL OFFER PALLIATIVE AND HOSPICE CARE OPTIONS FOR INDIVIDUALS AND FAMILIES FACING LIFE-ALTERING CONDITIONS.

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List of Providers

Mark Steinmetz, MD, Chairperson, Radiation

Oncologist

Jan Stauss, MD, Diagnostic Radiologist

Greg Heiler, MD, Pathologist

Richard Daniels, MD, FACS, Cancer Liaison

Physician/Surgeon

Pat Tanawattanacharoen, MD, Medical Oncologist

Steven Immerman, MD, FACS, Thoracic Surgeon

Julia Kyle, MD, Community Medicine/

Family Practice

Eric Dickson, MD, Chief Physician Executive, HSHS Western Wisconsin

Division

Elizabeth McPherson, MD, Geneticist

Georgia J. Smith, MSN, MHA, RN, OCN,

Cancer Program Administrator

Sarah Reiter, RN, ANP, Palliative Care Service

Teresa Loftsgaarden, RN, MSN, Oncology Nurse Navigator

Jessica Gugel, MSN, RN, OCN, CNL,

Oncology Unit Manager

Katie Sarver, MS, LPC, Psychosocial Counselor

Cathy Haynes, BS, RHIT, CTR,

Certified Tumor Registrar

Sue Peiffer, CSSBB, Quality Management

Representative

Rhonda Brown, Community Outreach,

HSHS Western Wisconsin Division 3D Community Health: Body.Mind.Spirit

Criss Gutsch, Clinical Research

Representative

John VanDeVoort, PharmD, Pharmacist

Chris Klay, MS, PT, Rehabilitation

Joslyn Brantner, RD, Nutrition Services

Roberta Christensen, American Cancer Society

Philip Anderson, Spiritual Services,

HSHS Western Wisconsin Division

Radiation Oncology Mark C. Steinmetz, MD

Medical Oncology Rifat T. Elkhatib, MD

Surgery Richard J. Daniels, MD, FACS

Steven C. Immerman, MD, FACS Brent M. Wogahn, MD, FACS

Pathology Greg Heiler, MD

David Durnick, MD Mark Hofer, MD

Robert Ridenour Jr., MD Robert Ridenour III, MD

Diagnostic Radiology Alicia Arnold, MD

Mark Augustyn, MD Lukasz Babiarz, MD Wells Mangrum, MD Mark Southard, MD

Jan Stauss, MD John Stien, MD Karl Stien, MD

Interventional Radiology Benjamin Whitis, MD Jacques Tham, MD Peter Hanson, MD

James Geraghty, MD

Gastroenterology Thomas Peller, MD, FACP

Paul Ruh, MD

Neurosurgery Phillip Porter, MD Kamal Thapar, MD

Otolaryngology Rima DeFatta, MD

Robert DeFatta, MD

Reconstructive Surgery Joseph Rucker, MD

Urology Michael Hirsh, MD James Iwakiri, MD

D. Brooke Johnson, MD David Katz, MD

Josiah Nelson, MD Christopher Tornehl, MD

2016 Canc er Committee HSHS Sacred Heart Hospital

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50 YEARS

CELEBRATING HALF A CENTURY OF ACCREDITATION BY THE COMMISSION ON CANCER

ACCREDITATION FROM THE American College of Surgeons Commission on Cancer (CoC) is not easy to earn. It is a team effort that requires strong leadership and hard work on everyone’s part. Earning the accreditation—with commendation, no less—is an honor bestowed on the top 5 percent of cancer programs in the United States, and the HSHS Sacred Heart Hospital Regional Cancer Center has been among that top 5 percent for 50 years now.

Our dedication to patients is the driving

force behind our strict adherence to the standards set

forth by the CoC, which can be challenging, but the

effort also raises the level of care we provide.

“There are 12 eligibility requirements and

30 standards of care that we are held to,” says Cathy

Haynes, CTR, Registry Project Manager at HSHS

Sacred Heart Hospital Regional Cancer Center.

“Our cancer committee team is integral to making

of Top-Quality Cancer Care

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this program as successful as it is. Without everyone, there’s no way this accreditation would be possible.”

STICKING TO HIGH STANDARDS“The title of our standards is ‘Cancer Program Standards Ensuring Patient-Centered Care,’ and I think that says it all,” Haynes says. “Everything we do involves striving to give the best care we can to patients in our community.”

The standards lay out best practices, give the program areas to improve, and allow the leadership team to perform a review to ensure guidelines are followed in each individual case.

One particularly important part of the standards is the cancer registry, which collects data about the cancer we treat. After a set amount of time, which varies by type of cancer—for example, breast and colorectal cancer cases are set at three to four months— a certified tumor registrar (CTR) prepares an abstract. This contains a summary of all the critical information about each tumor a patient has, and the information is submitted to the state. The more information available, the better.

“Wisconsin is able to turn the information we send them into programs that actively work to treat cancer,” says Haynes. “A great example is the Stop Smoking initiative, which used lung cancer data from the State of Wisconsin Public Health.”

Many national statistics are drawn from registries like this in each state. By providing this information, we not only help to improve cancer care for patients here in Eau Claire but also to those throughout the country.

WHY IT MATTERSThrough state-of-the-art technology and therapies, HSHS Sacred Heart Hospital Regional Cancer Center offers oncology treatments that are tailored to each patient’s needs. Our providers are focused on helping patients remain in control of their health, and allowing them to do so while remaining in the community.

“Eau Claire is a very welcoming community, and that’s apparent when you walk into the hospital,” Haynes says. “From the volunteers to

the doctors, everyone cares deeply about what they’re doing. It’s reflected in the care they provide and in the fact that we’ve maintained this accreditation for 50 years.”

To learn more about how our cancer care services benefit the community, visit sacredhearteauclaire.org/

medical-services/regional-cancer-center.

“Our cancer program strives

to provide patients with the best care

possible. We’re grateful that they allow us

to partner with them on this

difficult journey.”Cathy Haynes, CTR,

Registry Project Manager at HSHS

Sacred Heart Regional Cancer Center

WE PUT QUALITY FIRSTHSHS Sacred Heart Hospital and Prevea are

dedicated to delivering quality care at all times. We have committed to follow the National Comprehensive Cancer Network’s (NCCN)

standards of practice, and we report our care on a routine basis to the American College of

Surgeons Commission on Cancer. We are proud of the high level of compliance we have achieved

with their quality measures. The cancers we are currently reporting are shown here. New

measures are being added to this list routinely, and we will start reporting on new cancer

measures when they are announced.

COMPLIANCE WITH NATIONAL CANCER DATABASE TREATMENT MEASURES

91.7% 97% 100% 100% 100% 100% 98%

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