Sanford USD Medical Center Sioux Falls, SD

1. Sanford USD Medical CenterSioux Falls, SD Becky Nelson, Senior VP & COO Health Service Operations Sanford Health

2. Motivation to Participate in the NCCCP Pilot Project • Improve cancer care to all patients in our region • Expand multidisciplinary care to additional tumor sites • Formalize survivorship care • Increase access and accrual to clinical trials • Develop patient navigation • Develop our national network within NCI

3. Additional Benefits to Participation • Further define our own biospecimen and tissue banking initiative • Demonstrate value of investment in EMR • Increase exposure of Sanford to National Healthcare Scene • Further develop integrated system for cancer care • Leverage knowledge gained to other Centers of Excellence

4. Our Disparate Population:Rural and Frontier • Population density 9.9 per sq mi • Distance to tertiary care and multi-specialty physicians • 20% Age 65+ • Economically disadvantaged

5. Our Disparate Population:Native American • Geographically Isolated • Distribution of Medical Services • Poverty • Cultural Barriers • Low cancer screening rates • Low compliance with treatment regimens • High cancer mortality

6. Major OpportunitiesIntegrated Health System Sanford Health • Sanford USD Medical Center • Flagship Tertiary Care Center • Sanford Clinic • 375+ physicians at 115 Clinics • Sanford Health Network • 24 hospitals, 13 nursing homes, 27 home health programs, 19 pharmacies • Sanford Health Plan • 45,595 enrolled members in 39 states • Sanford Health Foundation • $400+ million in assets, 350 named endowments

7. Major Opportunities • Sanford Initiatives • Medical School Affiliation • Sanford School of Medicine at the University of South Dakota • Strength of Pilot Core Group

8. Major Opportunities Cont. • Well developed cancer program • 9-16% accrual rate to clinical trials • Lung/Thoracic Tumor Clinic • Certified Genetics Counselors • State of the art technology for cancer diagnosis and treatment • da Vinci Surgical Robots, Novalis LinAcc, PET/CT • One of the largest breast centers • 40,000 procedures annually

9. Major Opportunities Cont. • Established relationship with Mayo Clinic through North Central Cancer Treatment Group • Lead organization of regional Community Clinical Oncology Program • Active Children’s Oncology Group and Gynecologic Oncology Group participation • Participation in Statewide cancer awareness, prevention and screening initiatives • Collaboration with basic research

10. Major Challenges of the Pilot • Low screening rates • Colorectal rate among SD Medicare pop: 8% • Native American women 50+ years clinical breast exam and mammogram incidence: 39.4% over 2 year period • Distance to medical services • Engaging non-Sanford physicians

11. Major Challenges Cont. • Qualified health care staff in rural and IHS • Rural farm family culture • Native American culture • Funding • Pilot Project • Services delivered • Interface and integration of stand alone electronic systems for healthcare • Cancer specific physician credentialing and education

12. Sanford USD Medical Center