Promising Practices in Cancer Patient Services

1. Promising Practices inCancer Patient Services

2. Promising Practices in Providing Nutrition Services to Cancer PatientsApril 18, 2012 American Cancer Society South Atlantic Division

3. Agenda • Benefits of Nutrition Intervention • Promising Practices • Phoebe Putney Cancer Center • AnMed Health Cancer Center • Partnering with the American Cancer Society

4. Potential Benefits of Nutrition Intervention for Cancer Patients • Improved Quality of Life • Better nutritional status • Decrease weight loss (lean body mass) • Less functional decline • Less stress and anxiety • Increased satisfaction rates with overall care • Improved Clinical Outcomes • Improved tolerance of treatment • More timely completion of treatment • Fewer hospital admissions; Shorter LOS

5. Phoebe Putney Cancer CenterJan Haddrill, RD, LD FT Dietitian - Radiation Mission: To deliver superior health care services that improve the health and wellness of the people and the communities we serve • CoC accredited Comprehensive Community Cancer Program • Top sites: Breast, Prostate, Lung, Esophageal, Skin, Head/Neck • 10 Medical Oncologists, 2 Radiation Oncologists

6. Phoebe Putney Cancer CenterNutrition Services Goals 1) Patients complete treatment as well nourished as possible 2) Help resolve or lessen side effects through education Program details Two full-time oncology dietitians: • 1 RD - Heme/Onc: RD referral per screening and as requested by staff during treatment • 1 RD - Rad Onc: RD referral per screening; prior eating difficulties and “high risk” diagnosis/treatment

7. Phoebe Putney Cancer CenterNutrition Services: Benefits • Patients able to address all nutrition issues/questions • Allows medical staff to focus their time in their area of expertise • Potentially reduce hospital admissions and avoid major medical costs • Patients are better educated about possible side effects, more proactive at addressing issues as they arise. • Patients report improvement in their quality of life

8. AnMed Health Cancer CenterMelissa Kimbrell, RN, BSN Patient Navigator Mission: To passionately blend the art of caring with the science of medicine to optimize the health of our patients, staff and community • ACoS accredited with commendations as a CoC Community Hospital Comprehensive Cancer Program • 889 new cancer cases in 2010 4 Medical Oncologist, 2 Radiation Oncologists • Top sites: Breast, Lung, Colorectal, Prostate LOGO

9. AnMed Health Cancer CenterNutrition Services Goals • Proactive, patient-centric care and education on nutrition • Address side effects and nutrition needs early to lower overall anxiety and reduce crisis situations Program details Multi-tiered approach: • RD available, but shared with other areas; focuses only on ‘high risk’ patients • Patient navigators play critical role; nutrition addressed proactively • Refer patients to the American Cancer Society’s Dietitian on Call to help fill gaps

10. AnMed Health Cancer CenterNutrition Services: Benefits • Able to cost-effectively serve more patients with nutrition needs through our navigators and referring to the American Cancer Society • With navigator involvement, able to address problems proactively and initiate nutrition-related interventions earlier • Navigators have time to address and follow-up, and specific goals around nutrition • Provide education—Cancer Care 101 to all new patients • Potentially better quality of life and treatment outcomes • Able to avoid dehydration, or halting therapy due to excessive weight loss, low blood counts

11. Dietitian on Call • Free, personalized telephone nutrition assistance: treatment side effect management, address, healthy lifestyle or weight loss after treatment completion • Credible nutrition information and resource from oncology dietitians for those without access to a dietitian • Available to patients or caregivers before, during , or after treatment

12. Additional Nutrition Resources available from the American Cancer Society • Nutrition for the Person with Cancer During Treatment • What to Eat During Cancer Treatment Cookbook • American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Survivors-Coming Soon

13. Partnering with the American Cancer Society • You can rely on the quality and accuracy of our cancer information • We access national and local resources for your patients so they can get the hands-on help they need where they live • We can provide resources to assist you in meeting Commission on Cancer standards • You can rely on us to ensure your patients’ privacy.

14. Start Referring Your Patients Today • After this call, you will receive our HCP Service Referral Form to start making referrals TODAY • Refer patients for ‘Telephone based resource navigation’—Major categories are: • Cancer Related Information • Day to Day Resources and/or Assistance • Dietitian on Call found in this category • Psychosocial Support

15. Thank you for your participation! • Sending TODAY--post-call email will include: • Promising Practices Powerpoint • Links to Nutrition Resources • HCP Service Referral Form (fax/email version) • *Feedback survey—please fill out to share your opinions and ask any questions that you may have • Sending Early May—post-call email will include: • A link to the web-based Patient Referral Form • Link to the newly released ACS Guidelines on Nutrition and Physical Activity for Cancer Survivors

16. Join us for our Next Webinar The Next ‘Promising Practices in Cancer Patient Services’ Webinar is: Topic: Promising Practices in Post-Treatment Patient Care Date/Time: Wednesday, June 20, 12-1pm *Email invitations to register to be sent one month prior to the call. Email Elaine Day at elaine.day@cancer.org with questions.