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2016 Cancer Community Outreach Report

Using nationally established, evidence-based treatment guidelines, we monitor ongoing quality and compliance to ensure the best possible care for patients with cancer. Data is compiled through the National Cancer Data Base using information submitted via cancer registries at all Commission on Cancer-accredited hospitals nationwide.

2016 CoC Public Reporting of Outcomes: Three breast cancer and one colon cancer CP3R measures reflecting CY 2014 data


90% Commission on Cancer Expected Performance

90% Commission on Cancer Expected Performance

80% Commission on Cancer Expected Performance

85% Commission on Cancer Expected Performance


Commission on Cancer’s Cancer Program Practice Profile Reports (CP3R)

Full CP3R descriptions:

  • Radiation is administered within 1 year (365 days) of diagnosis for women under the age of 70 receiving breast conservation surgery for breast cancer (BCSRT).
  • Tamoxifen or third generation aromatase inhibitor is recommended or administered within 1 year (365 days) of diagnosis for women with AJCC T1c or stage IB-III hormone receptor positive breast cancer (HT).
  • Image or palpation-guided needle biopsy to the primary site is performed to establish diagnosis of breast cancer (NBX).
  • At least 12 regional lymph nodes are removed and pathologically examined for resected colon cancer (12RLN).


Cancer Prevention and Screening Programs

As a Commission on Cancer-accredited cancer program, we are dedicated to helping prevent cancer and improve the health of our community. In 2016, we provided the following screening and prevention programs:

Cancer screenings

Skin cancer

May 25, 2016

Participation: 56 screened, 16 biopsies recommended and one melanoma detected

  • American Academy of Dermatology guidelines followed, skin exam provided to anyone with a suspicious spot.
  • Sun protection information, list of area dermatologists and list of medical care resources for those with limited incomes were provided to all attendees
  • All attendees with a recommended biopsy or melanoma diagnosis signed a statement indicating their understanding that a follow-up appointment was required due to possible or detected cancerous condition. A follow-up letter also was sent to encourage attendees to make an appointment.


Cancer prevention

ProHealthy Community Fair

April 9, 2016

Attendance: 995

  • Event focused on physical activity and healthy eating. A cancer rehabilitation specialist and nurse navigator attended to educate attendees on cancer risk and prevention. The following educational materials were made available in English and Spanish:
    • Steps You Can take to Help Prevent Cancer
    • Foods that Fight Cancer
    • Get Moving: It’s Good for Your Health
    • Guidelines for the Early Detection of Cancer (American Cancer Society booklet)
    • Wisconsin Tobacco Quit Line bookmark
    • Lung cancer screening materials
    • UW Cancer Center at ProHealth Care cancer services
    • Survivorship program

Cancer fighting food examples were also showcased.


Smoking Cessation Program

Attendance: 37 (some classes still in progress)

  • An eight-week program designed to help participants: quit smoking, reduce the number of cigarettes smoked per day by those unable to quit, increase healthy lifestyle behaviors in the areas of physical activity and nutrition, enhance your sense of self-control, improve your life skills such as stress management, decision making, coping and interpersonal skills.
  • One and three-month follow-up calls are made to check on effectiveness.


Updates in Cancer Nutrition

June 15, 2016

Attendance: 45

Presented by Alison Tierney, MS, RD, CD, oncology dietitian

  • Attendees learned how current research on nutrition and cancer care can help reduce the risk of developing or redeveloping cancer. Information about what foods should be incorporate or avoid in your current diet, and how to plan meals to help protect your family against cancer.
  • Participants were surveyed after the program and asked “From what you learned at this program, will you make diet and lifestyle changes to reduce your risk of developing cancer?
    • Results:
      • 22 participants responded that they “strongly agreed” with this statement
      • 8 participants responded that they agreed.
      • 0 participants indicated that they disagreed or strongly disagreed.