CMSA Today - Issue 6, 2012 - (Page 8)

Cancer Care VA Connecticut Healthcare System Improves Cancer Care Case Management and a Web-based Tracking System are Used to Improve Access and Quality A retrospective review of access to care for lung cancer from the time of a suspicious finding to treatment revealed a need for improvement. In response to that need, a motivated team created a culture of cancer coordination and a novel Cancer Care Tracking System (CCTS) to facilitate the complex care of patients with lung and liver cancer. The evolution of this program is described using the VA-TMMACS System Redesign Initiative and Performance Improvement Framework. This system involves setting the vision/aim; identifying a team, then measuring, mapping, analyzing, implementing change, and sustaining the change and improvements. Lung cancer is the deadliest malignancy in the United States with 221,130 new cases reported in 2011 (14% of all cancers) and accounts for an estimated 156,940 deaths annually (27% of all cancer-related deaths) (American Cancer Society 2011). Improving early detection is essential, as up to 75% of lung cancers are locally advanced or have already metastasized at the time of diagnosis; the 5-year survival rate with metastatic disease is less than 5% (National Lung Screening Trial Research Team 2011). Hepatocellular carcinoma (HCC) is one of the fastest rising cancers in middle-age white men, the third most common cancer-related death globally, and the leading cause of death in patients with cirrhosis. Veterans are an at-risk population given the high prevalence of hepatitis C and alcohol abuse, both of which may lead to cirrhosis, a prerequisite for the development of HCC. In the United States, 20,000 new cases are diagnosed annually. This number is increasing, coincident with the peak prevalence of cirrhosis in the HCV population (El Serag, NEJM, 2011). With the rising incidence of cirrhosis and HCC, the lessons learned from the lung cancer data were easily applied to liver cancer to facilitate the identification and navigation of patients with imaging suspicious for HCC. Key time points assessed in the follow-up of each cancer patient are surveillance, suspicion, diagnosis, and 8 CMSA TODAY Issue 6 • 2012 • DIGITAL http://www.naylornetwork.com/cms-nxt/

Table of Contents for the Digital Edition of CMSA Today - Issue 6, 2012

PRESIDENT’S LETTER
VA Connecticut Healthcare System Improves Cancer Care
Operation: We Care
The Path to Payment for the Medicare and Medicaid EHR Incentive Programs
CMSA CORPORATE PARTNERS
ASSOCIATION NEWS
VIEW FROM CAPITOL HILL
CASE MANAGEMENT AND THE LAW
MENTORING MATTERS
ETHICS CASEBOOK
INDEX OF ADVERTISERS

CMSA Today - Issue 6, 2012

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http://www.nxtbook.com/nxtbooks/naylor/CMSQ0211
http://www.nxtbook.com/nxtbooks/naylor/CMSQ1211
http://www.nxtbook.com/nxtbooks/naylor/CMSQ0111
http://www.nxtbook.com/nxtbooks/naylor/CMSQ1111
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