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Norris Cotton Cancer Center Global Update

Norris Cotton Cancer Center Global Update. CTOP RETREAT May 2014. NCCC Organizational Chart. NCCC – Clinical Operations. Clinical Care Strategic Plan. Center Director. NCCC Steering Committee. Chief Radiation Oncology. Surgery Chair. Chair Pathology. Chief(s) Hematology Oncology.

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Norris Cotton Cancer Center Global Update

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  1. Norris Cotton Cancer CenterGlobal Update CTOP RETREAT May 2014

  2. NCCC Organizational Chart

  3. NCCC – Clinical Operations

  4. Clinical Care Strategic Plan

  5. Center Director NCCC Steering Committee Chief Radiation Oncology Surgery Chair Chair Pathology Chief(s) Hematology Oncology Medicine Chair Chair Radiology Center Deputy Director Nursing Director Vice President NCI-CCSG Admin Director Clinical Cancer Committee NCI Cancer Center Support Grant Clinical Care Team Breast Comprehensive Surgery Endocrine Thyroid/Pituitary Hematology Patient Conferences (Tumor Boards) GI Colon/Liver/Pancreas Pharmacy GU Kidney/Prostate Bladder/Testis Radiation GYN Clinical Research Translational Research Cancer Oncology Group Directors Head & Neck Care Pathways Radiology Lymphoma Cutaneous Lymphoma Melanoma Interdisciplinary Clinics Pathology Neuro Pediatric Nursing Thoracic Esophagus/Lung BMT Care Management Spine Care Coordination Palliation

  6. Service Line Approach

  7. 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

  8. 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

  9. Regional Program Trials, Tumor Boards, Education Marketing Branding, IRB Quality Monitoring Staff and Consulting Referral Development. Shared Financial Risk, Professional Services Care Pathways, Multi Specialty Clinics Policies and Procedures

  10. 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

  11. 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

  12. Thank You

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