Cancer Committee Goals 2017

State-of-the-art Technology at HSHS St. Elizabeth's Hospital

Cancer Committee goals provide direction for the program and focus our efforts towards meeting the needs of the cancer patients we serve. Each year the committee selects one clinical goal and one program goal.


Clinical Goal

The clinical goal involves aspects of care such as diagnosis, treatment, and offered services.

Our 2017 Clinical Goal is to: Improve Early Detection of Lung Cancer.

Lung cancer is one of the most prevalent cancer types in our community and it is also the most deadly. More than 70% of our cases are diagnosed in the later stages of the disease. This leaves little time for effective, if any treatment.

Low Dose CT Scans

A new radiology procedure, Low Dose CT scans became available at St. Elizabeth’s hospital last year. This gives us the ability to impact the early diagnosis of lung cancer. Physician use includes:

Risk Factors:
  • 55 to 74 years old who have smoked at least a pack a day for 30 years or two packs a day for 15 years
  • Current smoker
  • Have quit smoking in the last 15 years and are in relatively good health

Goal Outcomes

St. Elizabeth’s Hospital continues to provide the option for patients to utilize this advanced radiological testing procedure and will continue to work toward robust data collection for ongoing quality improvement measures.

Program Goal

Our 2017 Program Goal is to develop and implement a fatigue reduction program via the physical therapy department.

Nearly half of the oncology patients seen in the hospital (46%) indicate fatigue as a physical problem. Oncology patients seen at a PTS site completed an NCCN Distress Screening prior to each session.  The goal was to have 25% of the patients seen no longer indicate fatigue as a physical problem prior to completing the program.

In 2017, HSHS St. Elizabeth’s Hospital launched a new Oncology Wellness Program to assist those undergoing cancer treatments to maintain and maximize the quality of life from the time of diagnosis through all stages of their survivorship. Studies have shown that exercise during and after cancer treatment is safe and results in improvements in physical function, activity level, and fatigue.

The Oncology Wellness Program’s treatment options include:
  • Pretreatment – Assess, recommend and educate the client in the guidelines/parameters to maximize physical and emotional function prior to beginning treatment.
  • Rehabilitation – Physical, occupational or speech therapy to treat any deficits resulting from cancer treatments or surgeries.
  • Survivor Support and Wellness – Offer proven recommendations to reduce and limit functional decline from cancer treatment.
  • Multiple Settings – Provide services in inpatient, outpatient, home health and pediatrics.

Goal Outcomes

St. Elizabeth’s Hospital Physical Therapy department had a total of 60 patients with a cancer diagnosis. Tracking started the end of February through November 2017.  The PT department saw a decline in volume during the fall.

Out of the 60 patients, 27 were appropriate to take the fatigue screening.  They were receiving therapy either for fatigue/weakness or lymphedema.  We are using the FACT G7 version for functional assessment.

10 participated in the screening and 3 out of the 10 showed a reduction.