Norris Cotton Cancer Center
Global Update
CTOP RETREAT
May 2014
NCCC Organizational Chart
NCCC – Clinical Operations
Clinical Care Strategic Plan
NCCC Steering Committee
Chief Radiation Oncology
Surgery Chair
Medicine Chair
Vice President
Center Director
Chief(s) Hematology Oncology
Center Deputy Director
Nursing Director
NCI-CCSG Admin Director
Chair
Pathology
Chair
Radiology
NCI
Cancer Center Support Grant
Clinical Cancer Committee
Clinical Care Team
Breast
Surgery
Comprehensive
Endocrine
GU
Kidney/Prostate
Bladder/Testis
GYN
Head & Neck
Lymphoma
Patient
Conferences
(Tumor Boards)
Hematology
Pharmacy
Radiation
Care Pathways
Cutaneous Lymphoma
Radiology
Melanoma
Neuro
Pediatric
Thoracic
Esophagus/Lung
BMT
Spine
Pathology
Interdisciplinary
Clinics
Nursing
Care
Management
Care
Coordination
Palliation
Translational Research
GI
Colon/Liver/Pancreas
Clinical Research
Cancer Oncology Group Directors
Thyroid/Pituitary
Service Line Approach
NCCC Performance – By the Numbers
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Annual Gross Revenue……………………………………
Annual Net Revenue………………………………………
Annual Direct Expenses…………………………………
Operating Margin (YTD)………………………………….
Annual New Patients………………………………………
Technical Units Delivered……………………………….
Total FTEs……………………………………………………….
Locations throughout New Hampshire
and Vermont……………………………………………………
Clinical research trials………………………………………
Basic and translational research projects………….
Residents and Fellows………………………………........
$ 114mm
$ 50mm
$ 33mm
3.4%
3,600
99,000
193
17
160+
200+
9
NCCC – Immediate Focus
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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
Regional Program
Research/Quality
Affiliation
Trials, Tumor Boards, Education
Branding, IRB
Marketing
Quality
Monitoring
Program
Development
Staff and
Consulting
Affiliation
Care Pathways, Multi Specialty Clinics
Policies and Procedures
Comprehensive
Affiliation
Referral Development. Shared
Financial Risk, Professional
Services
DH Initiatives
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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