Sanford USD Medical Center Sioux Falls, SD

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Sanford USD Medical CenterSioux Falls, SD

• Becky Nelson, Senior VP COO
• Health Service Operations
• Sanford Health

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Motivation to Participate in the NCCCP Pilot
Project

• Improve cancer care to all patients in our region
• Expand multidisciplinary care to additional tumor
  sites
• Formalize survivorship care
• Increase access and accrual to clinical trials
• Develop patient navigation
• Develop our national network within NCI

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Additional Benefits to Participation

• Further define our own biospecimen and tissue
  banking initiative
• Demonstrate value of investment in EMR
• Increase exposure of Sanford to National
  Healthcare Scene
• Further develop integrated system for cancer care
• Leverage knowledge gained to other Centers of
  Excellence

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Our Disparate PopulationRural and Frontier

• Population density 9.9 per sq mi
• Distance to tertiary care and multi-specialty
  physicians
• 20 Age 65
• Economically disadvantaged

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Our Disparate PopulationNative American

• Geographically Isolated
• Distribution of Medical Services
• Poverty
• Cultural Barriers
• Low cancer screening rates
• Low compliance with treatment regimens
• High cancer mortality

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Major OpportunitiesIntegrated Health System

• Sanford Health
• Sanford USD Medical Center
• Flagship Tertiary Care Center
• Sanford Clinic
• 375 physicians at 115 Clinics
• Sanford Health Network
• 24 hospitals, 13 nursing homes, 27 home health
  programs, 19 pharmacies
• Sanford Health Plan
• 45,595 enrolled members in 39 states
• Sanford Health Foundation
• 400 million in assets, 350 named endowments

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Major Opportunities

• Sanford Initiatives
• Medical School Affiliation
• Sanford School of Medicine at the University of
  South Dakota
• Strength of Pilot Core Group

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Major Opportunities Cont.

• Well developed cancer program
• 9-16 accrual rate to clinical trials
• Lung/Thoracic Tumor Clinic
• Certified Genetics Counselors
• State of the art technology for cancer diagnosis
  and treatment
• da Vinci Surgical Robots, Novalis LinAcc, PET/CT
• One of the largest breast centers
• 40,000 procedures annually

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Major Opportunities Cont.

• Established relationship with Mayo Clinic through
  North Central Cancer Treatment Group
• Lead organization of regional Community Clinical
  Oncology Program
• Active Childrens Oncology Group and Gynecologic
  Oncology Group participation
• Participation in Statewide cancer awareness,
  prevention and screening initiatives
• Collaboration with basic research

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Major Challenges of the Pilot

• Low screening rates
• Colorectal rate among SD Medicare pop 8
• Native American women 50 years clinical breast
  exam and mammogram incidence
• 39.4 over 2 year period
• Distance to medical services
• Engaging non-Sanford physicians

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Major Challenges Cont.

• Qualified health care staff in rural and IHS
• Rural farm family culture
• Native American culture
• Funding
• Pilot Project
• Services delivered
• Interface and integration of stand alone
  electronic systems for healthcare
• Cancer specific physician credentialing and
  education

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Sanford USD Medical Center