norris cotton cancer center global update ctop retreat may 2014
TRANSCRIPT
Norris Cotton Cancer CenterGlobal UpdateCTOP RETREAT
May 2014
NCCC Organizational Chart
NCCC – Clinical Operations
Clinical Care Strategic Plan
Center DirectorSurgery Chair
Medicine Chair Chief(s) Hematology Oncology
Vice PresidentCenter Deputy Director
Chief Radiation Oncology
Nursing Director
NCCC Steering Committee
NCI-CCSG Admin Director
Chair PathologyChair
Radiology
NCICancer Center Support Grant
Clin
ical
Res
earc
h
Tran
slati
onal
Res
earc
h
Clinical Cancer Committee
Surgery
Radiation
Hematology
Pathology
Radiology
Nursing
Care Coordination
Pharmacy
Care Management
Canc
er O
ncol
ogy
Gro
up D
irect
ors
Patient Conferences
(Tumor Boards)
Head & Neck
BMTSpine
ThoracicEsophagus/Lung
PediatricNeuro
Melanoma
LymphomaCutaneous Lymphoma
GYN
GUKidney/ProstateBladder/Testis
GIColon/Liver/Pancreas
EndocrineThyroid/Pituitary
BreastComprehensive
Interdisciplinary Clinics
Clinical Care Team
Palliation
Care Pathways
Service Line Approach
NCCC Performance – By the Numbers
• Annual Gross Revenue…………………………………… $ 114mm• Annual Net Revenue……………………………………… $ 50mm• Annual Direct Expenses………………………………… $ 33mm• Operating Margin (YTD)…………………………………. 3.4%• Annual New Patients……………………………………… 3,600• Technical Units Delivered………………………………. 99,000• Total FTEs………………………………………………………. 193• Locations throughout New Hampshire • and Vermont…………………………………………………… 17• Clinical research trials……………………………………… 160+• Basic and translational research projects…………. 200+• Residents and Fellows………………………………........ 9
NCCC – Immediate Focus
• NCI Core Grant Renewal• Regional Affiliation Programs• Quality and Safety Programs• Patient Experience – Access• Service-Line (COG) structure - Pathways• Employee Engagement• Managing in Changing Environment
Research/QualityAffiliation
Comprehensive Affiliation
Program Development
Affiliation
Trials, Tumor Boards, Education
Branding, IRB
Care Pathways, Multi Specialty ClinicsPolicies and Procedures
Staff andConsulting
Referral Development. SharedFinancial Risk, ProfessionalServices
QualityMonitoring
Marketing
Regional Program
DH Initiatives
• Regional Affiliations• ESI – Epic Business Systems Overlay• Access• Patient Experience• Employee Engagement – Reward and Recognition• Quality – Value Institute• Innovation Zone• Sustainability – Communication and Managing in
Changing Environment
NCCC Challenges
• Changing from “site disease” to “cancer type disease” treatment approach– Molecular Tumor Boards
• Care Pathways– Cancer Oncology Groups – 13
• Role in Population Health – Bundled Payment– Controlling and lowering costs– Increasing efficiencies– “selling our services” to other ACO’s
• Access• Regional Strategy
Thank You