OLOL Mission

1. The Cancer Program of Our Lady of the Lake and Mary Bird PerkinsNational Cancer Institute Community Cancer Centers Program (NCCCP) Pilot Launch June 25, 2007 Kevin P. Guidry, Cancer Center Administrator, OLOL

2. The Cancer Program of Our Lady of the Lake (OLOL) and Mary Bird Perkins (MBP) was formed in 1988 and has been accredited by the American College of Surgeons since 1992.

3. OLOL Mission Inspired by the vision of St. Francis of Assisi and in the tradition of the Roman Catholic Church, we extend the healing ministry of Jesus Christ to God’s people, especially those most in need. We call forth all who serve in this healthcare ministry, to share their gifts and talents to create a spirit of healing, with reverence and love for all of life, with joyfulness of spirit, and with humility and justice for all those entrusted to our care. We are with God’s help a healing and spiritual presence for each other and for the communities we are privileged to serve.

4. MBPCC Mission The mission of Mary Bird Perkins Cancer Center is to provide the highest quality radiation therapy and compassionate support to all patients and their families. As an autonomous, nonprofit organization, we operate in a fiscally sound manner while also providing care to indigent patients in the community. With facilities in Baton Rouge, Covington and Hammond, Louisiana, Mary Bird Perkins provides cancer care and lifesaving outreach services to the people of southeast Louisiana and beyond.

5. Location Our Lady of the Lake is the largest private medical center in Louisiana and occupies 100 acres in the heart of Baton Rouge, including the cancer center. With 740 licensed beds, services are provided to over 33,000 in patients and over 350,000 outpatients. The Cancer Program provides nearly 42,000 cancer treatments and serves 2,258 new cancer cases each year.

7. Cancer in Louisiana Louisiana ranks third in the nation for overall cancer death rates (2001). These mortality rates are attributed to lack of access to care, delayed diagnosis and treatment, limited educational awareness and low utilization of prevention services. Source: Cancer in Louisiana, Volume 20, Cancer Incidence and Mortality in Louisiana 1998-2002, Louisiana Tumor Registry, New Orleans, 2006.

8. Cancer in Louisiana Over 20,000 new cancers are diagnosed in Louisiana each year, or about 54 cases a day. Louisiana cancer incidence rates parallel those for the U.S. except lung cancer, but mortality rates are much higher than U.S. averages. For example, African American women have breast cancer incidence rates similar to the national rate but have death rates 17 percent higher. Source: Cancer in Louisiana, Volume 20, Cancer Incidence and Mortality in Louisiana 1998-2002, Louisiana Tumor Registry, New Orleans, 2006.

9. The Post Hurricane Environment Post-hurricane estimates predict a 16 percent increase in market size, with Baton Rouge, Louisiana’s capital city, now the largest city in the state. In a state with the highest poverty rate in the nation (www.census.gov), the Cancer Program has demonstrated its capacity to expand quality models of care to historically underserved populations Beyond Baton Rouge, the Cancer Program’s service area consists of 15 predominantly rural parishes, most of which lack access to quality health care services.

10. Cancer Program Academic Links • Research partnership with Louisiana State University Health Sciences Center (LSUHSC) to expand access to Minority Based-CCOP, and other, clinical trials. • Partnership with the Louisiana State University (LSU) Department of Physics and Astronomy: Research, development and education through a Master’s level medical physics degree program now the 11th program in the country accredited by CAMPEP - Commission on Accreditation of Medical Physics Educational Programs, Inc.

11. Cancer Program Academic Links Post hurricane Katrina, the Graduate Medical Education Programs of both LSU and Tulane University were severely compromised. OLOLRMC has taken a leadership role in assisting these programs by incorporating the following residency programs into our continuum of care: General Surgery, Internal Medicine, Emergency Medicine, Oral Surgery, Ears, Nose & Throat, Reconstructive/Plastic Surgery. A comprehensive Head & Neck Cancer Center has been established at OLOL through our GME partnerships and is the largest treatment facility of its kind in Louisiana.

12. Our interest in the NCCCP Pilot: Opportunity of a lifetime to help those most in need in southeast Louisiana Will help further break down the barriers to quality cancer care that exist in Louisiana and ultimately raise the standard of care for all. Will accelerate our development of interdisciplinary evidenced-based approaches in a community setting ─ and bring the process to the benefit of all patients. Will accelerate the expansion of the Clinical Research Network and biospecimen program.

13. Our interest in the NCCCP Pilot: Opportunity of a lifetime to help those most in need in southeast Louisiana Will enhance information technology systems initiatives to further support excellence in patient care, data collection and research. Gives us the opportunity to share with other like-minded organizations what we believe represents our development thus far of best practices in core areas addressed in the pilot specifically in terms of disparities in cancer care.

14. Challenges & Opportunities While the challenges facing the collaborating body of the pilot are similar, each organization will require a unique solution. For example, post Hurricanes Katrina and Rita – the largest natural disaster in America’s recent history – Louisiana is dealing with devastation of cancer care resources at an unprecedented level. In particular, facilities, equipment, staff and physicians in New Orleans that historically provided cancer care for the uninsured of that region are gone.

15. Challenges & Opportunities In Louisiana, we now have acutely limited resources (facilities, equipment, trained allied health professionals and physician specialists) within the Louisiana State Charity Hospital System to care for these patients in need. Louisiana has a high percentage of uninsured adults and adults who qualify for Medicaid. In OLOL’s market, sixteen percent is uninsured and another 18 percent rely on Medicaid. With limited participation by private specialists to provide care for Medicaid eligible patients outside of the charity system, the disparity gap is real and has widened after the 2005 hurricanes.

16. Opportunities Design a continuum of care that supports access to evidenced-based detection and treatment for all cancer patients. We believe participation in the pilot will leverage our present resources, provide new tools and provide a focus on cancer that can overcome historical barriers. Our ability to strategically link the aims of the NCCCP pilot will greatly influence our challenges and opportunities.

17. Leveraging Scientific Resources We aim to link the following scientific resources: - The basic science aspects of Pennington Biomedical Center and its national expertise in nutrition and obesity and the potential links to our population’s characteristics - Louisiana State University Health Sciences Center via our membership in its Minority-Based CCOP and its basic science/translational programs - Louisiana State University via the comprehensive medical physics applied science program

18. The NCCCP Pilot Team Donna Bryant, director, Clinical Research Network, MBPCC Amy L. Benton, vice president, communications, MBPCC Renea Austin-Duffin, executive director, C.A.R.E. Network, MBPCC John Estrada, MD, Louisiana State University Health Sciences Center Kevin P. Guidry, administrator, OLOL Cancer Center David Hanson, MD, chairman, Integrated Cancer Committee Stephanie Mills, MD, MHCM, Franciscan Missionaries of Our Lady Health System Todd D. Stevens, president and CEO, MBPCC