Breast Care At KP: The Pathway to Personalized Care Find It, Treat It, Beat It Kaiser Permanente National Breast Care Conference San Francisco Airport Marriott May 16-17, 2011 GALLERY WALK PARTICIPANTS Posterboard Title The Global Journey of the Breast Cancer Research Stamp KPHC Beacon Oncology Treatment Module NCAL - Central Valley’s Calendar of Care Core Needle Biopsy Demo Adjuvant Endocrine Therapies: Tracking & Intervention to Increase Adherence and Compliance KPNC Division of Research Comprehensive Clinical Research Unit (CCRU) – Optimizing Clinical Research Operations and Research Collaborations Kathy’s Camp for Kids Posterboard Description Addresses the success of the Breast Cancer Stamp in fundraising, education, treatment worldwide. Demonstration of Beacon treatment module Calendar of Care (CoC) is a one-page monthly calendar, developed in KPNC Central Valley, that helps coordinate the treatment pathway for breast cancer patients and facilitates timely work-up, diagnosis, treatment, and follow-up. It assists patients as they navigate a treatment journey that involves multiple specialties over many months. Breast care leaders in KP-NC would like to understand the impact of CoC as they consider extending its use to KP-NC San Jose, and integrating its functionality into Beacon, KP HealthConnect, and kp.org. Using core needle biopsy , Janice Greenberg, RN FNP will demo and teach core needle bx of palp lumps using chicken breast and Olives for training. This course is a brief introduction and should not be considered qualifications for doing core needle biopsy unless further mentoring is planned. Summary of research on compliance & adherence by patients to post treatment adjuvant endocrine therapies; Results of Northern California 2010 pilot to identify patients overdue for refill and interventions to encourage taking medications as prescribed; Implementation of region-wide program in 2011 to track and intervene. The purpose of this poster presentation is to showcase CCRU’s services, among them, Clinical Research and Clinical Trial Design; Targeted Biostatistical, Data, and Analytic Support; Project Budget Planning; and Quality Control and Assurance Planning. A promotional booth for Kathy’s Camp for Kids (Sonoma County Based non-profit) that benefits the children of cancer patients. Will distribute flyers, answer questions about our support model and provide information on our programs Presenter Name Ernie Bodai, MD Therese Nakata Pamela J Judd, Pharm.D Grace Yee Grace Tay, MD Janice Greenberg, RN, FNP Lou Fehrenbacher, MD Elaine Eastman, RN, MSN Mary Callahan, RN, MPH Julia Herzenberg Nannette Hock, RN, MSN, FAHA Marc VanRiper Sharon Ryan Updated: 5/3/11 Breast Care At KP: The Pathway to Personalized Care Find It, Treat It, Beat It Kaiser Permanente National Breast Care Conference San Francisco Airport Marriott May 16-17, 2011 GALLERY WALK PARTICIPANTS Posterboard Title Breast Cancer Lymphedema Knowledge, Awareness, and Care: Results from the KPNC BC LINK Study Oncology Breast Cancer Care Plan NCAL Santa Clara Comprehensive Cancer Care Website Treatment with Antidepressant and AntiAnxiety Medications in a Large Cohort of Breast Cancer Survivors Posterboard Description The Breast Cancer Lymphedema Information and Knowledge Study (BC LINK) is a research study funded by the California Breast Cancer Research Program from September 2009 to March 2011 with the objective to examine the clinical management of breast cancer-related lymphedema (BCRL) after a breast cancer diagnosis within KPNC. The study has two aims: 1) Assess the knowledge and treatment referral of patients with BCRL among all active primary care physicians and nurse practitioners, oncologists, and surgeons and 2) Determine the knowledge and treatment referral experience of BCRL among a sample of breast cancer patients seen for BCRL in the recent past. A total of 887 clinicians and nearly 400 breast cancer patients at KPNC participated in the study by completing a questionnaire on BCRL education and care. Study results will be used to guide the development of effective BCRL educational interventions for patients and clinicians. Portable document created in Kaiser Colorado by the oncology department that has all surgery, pathology , radiation oncology and chemotherapy information on patients diagnosed with breast cancer. Available to view in the patients HC record. Printable and visible on my chart to the member. State –of –the art patient friendly web site that encompasses all aspects of a patient’s diagnosis, treatment, support care, follow -up care, and survivorship, including long term effects of treatment and ways to minimize risk of recurrence. Also included is information regarding clinical trials and services that are available at Kaiser Permanente Santa Clara to help the patient through their treatment and beyond The Institute of Medicine report, Cancer Care for the Whole Patient, highlighted the need for treatment of psychosocial distress among breast cancer survivors. We identified all women diagnosed with breast cancer between 2000 and 2006 who had not been treated for depression/anxiety in the year before diagnosis (n=10,408) in Kaiser Permanente Southern California. We examined patient, health care, tumor, and treatment characteristics associated with new use of antidepressant and anti-anxiety medications in the year following diagnosis. We compared use of these Presenter Name Marilyn Kwan, PhD Julie Hughes, RN, OCN Minggui Pan, MD Anita Lee, MD Virginia P. Quinn, PhD Joanne Schottinger, MD Reina Haque Updated: 5/3/11 Breast Care At KP: The Pathway to Personalized Care Find It, Treat It, Beat It Kaiser Permanente National Breast Care Conference San Francisco Airport Marriott May 16-17, 2011 GALLERY WALK PARTICIPANTS Posterboard Title Development of A Multidisciplinary Breast Cancer Care Clinic KPCO Multi-Disciplinary Consults for Breast Cancer Patients Proactive Imaging Review in the Newly diagnosed Breast Cancer Patient Bisphenol A: From Evidence to Action, A Case Study in Breast Cancer and Environmental Exposures Posterboard Description pharmacotherapies among women without breast cancer matched on age and race/ethnicity. To enhance a patient’s understanding of the full spectrum of treatment for recently diagnosed breast cancer and in turnallay many of her fears, a post-biopsy Multidisciplinary Breast Care Clinic was developed to include the departments of surgery, medical oncology, radiation oncology and radiology. A multi-disciplinary approach to reduce multiple visits, “making it easy” for the patient with improved coordination of care and patient shared-decision making resulting in higher patient/family/provider/staff satisfaction. A need was identified by breast cancer surgeons for comprehensive imaging evaluation prior to definitive surgery. The Breast Program instituted weekly image rereview by radiologists and breast surgeons for newly diagnosed cancers as identified high risk group. Additional imaging and biopsies resulted in identification of more extensive disease in a significant percentage of this population with less delay of surgery and more coordinated approach to surgical management of this population. This poster explores the evidence linking BPA to breast cancer and other health concerns. It also reports on our peer-reviewed study that demonstrated a 66% drop, on average, in BPA levels in people’s bodies during a three day dietary intervention to provide fresh, unpackaged foods. The advocacy and market-based implications of this research will be illustrated as well. Presenter Name Victoria Alberti, RN Peter Burns, MD Stefanie Kolpak, MD Eileen Heronema Jacqueline Redeemer, RN, AOCNS Dianne Hunter, RNP Jeanne Rizzo, RN Connie Engel Updated: 5/3/11