Joan Felkner, MA
Holden Comprehensive Cancer Center
Liddy Hora, Acct. Manager
American Cancer Society
Estimated numbers of cancer survivors as of January 1, 2012
Estimated numbers of US cancer
survivors by site
“The cancer committee will develop and
implement a process to disseminate a
comprehensive care summary and follow
up plan for patients with cancer who are
completing cancer treatment. The process
is monitored, evaluated, and presented at
least annually to the cancer committee and
documented in the minutes”.
*Create a template
Who will complete the template?
Who will provide and discuss with
patient?
“Plan provided by principal provider”
When does this happen?
“Upon completion of treatment”
The Cancer Committee (at least
annually) will monitor, evaluate
and discuss the survivorship
template and process of delivery
to the patient.
The template is added to the
SAR; the delivery process is
described, and the date it was
evaluated by the Cancer
Committee is noted in SAR.
1. Creating templates
2. Designing a process
• Keep two things in mind:
Post-Hurricane Katrina or any
disaster
Needs to be a “Living” Document
• Not usually a one-time document
3) Thyroid
Insufficiency
6) Pacemaker
5) Aortic
Valve
Replacement
for
Stenosis
2) Calcified
Lymph
Node
after
XRT
4) Mastectomy
from
Breast
Cancer
1) Clips from
Splenectomy
1.
2.
3.
Patient Demographic Information
Treatment Summary, including
disease characteristics
Follow-up Care Plan including
recognized evidence-based standards
of care
 Should include minimum standards identified in IOM
report
*See Handout for Specifics
*Sample Templates Available
Lance Armstrong Survivorship Centers of
Excellence conclusion:
No one process works for every system
Build it to work in your system
Patient meets one time with Survivorship
ARNP who completes template, then back to
Oncologist for appointments for life
Survivorship ARNP by disease site or by
treatment received (chemo, radiation)
Oncologist prepares SCP at last visit for
patient and sends to Primary Care Provider