Abstract 5747: A single center's ten-year experience in sustaining a cancer survivorship program
Authors: Palos Guadalupe , Gilmore Katherine R. , Bi Weiqi , Chapman Patricia Hansberry , Carpenter Kathy , Pancho-Acorda Maree Joy , Rodriguez Maria Alma 
Published: September 2020

Abstract
Introduction: In 2009, our institution's leadership supported the creation of the Cancer Survivorship Program founded on core elements from the 2006 Institute of Medicine report “From Cancer Patient to Cancer Survivor: Lost in Transition.” These elements align with those recently posited in the 2019 Commission on Cancer (CoC) Standard 4.8. to establish and monitor a Survivorship Program. Here we describe our program model and present data collected over a decade to evaluate the program's outcomes.
Procedures: Six key components guided the program's implementation and sustainability. These factors included: 1) inclusion of patients treated with curative intent, 2) recruitment of a transdisciplinary program staff, 3) delivery of clinical services based on 4 domains of survivorship care, 4) provision of consultative services available on-site or through referrals, 5) use of a quality improvement plan to monitor services provided, and 6) the creation and dissemination of treatment summaries and survivorship care plans. We reviewed electronic health records (EHR) of patients seen in the 12-survivorship clinics between 2009 and 2019. Data sources consisted of OneConnect, EPIC universes, and a departmental database. Data elements collected on arrived or missed appointments, no-show rate, and completion rates for the treatment summary and 30-day Passport (Survivorship Care Plans). Descriptive statistics summarized metrics per clinic and as a group.
Results: Twelve site-specific cancer survivorship clinics scheduled appointments for survivors who had completed their curative treatment. A medical and operations director led the 6-member team who coordinated and monitored program activities. Patients had access to consultative services (i.e. cardiologists, nutritionists, social workers, etc.) provided by the institution or through community referrals. Table 1 summarizes data related to clinic visits for 10 years. In FY 2019, clinics with the highest number of arrived appointments included breast (4985), GU (1709), and head and/neck (1175). Clinics with the highest treatment summary compliance rates were lymphoma (97%), thyroid (77%), and stem cell transplant (72%). Each year, about 20% of patients scheduled are being seen for the first time in a survivorship clinic (rates vary by clinic).
Conclusions: Results from our 10-year program experience suggest the newly proposed CoC survivorship program model can be practical and successful.
Citation Format: Guadalupe Palos, Katherine R. Gilmore, Weiqi Bi, Patricia Hansberry Chapman, Kathy Carpenter, Maree Joy Pancho-Acorda, Maria Alma Rodriguez. A single center's ten-year experience in sustaining a cancer survivorship program [abstract]. In: Proceedings of the Annual Meeting of the American Association for Cancer Research 2020; 2020 Apr 27-28 and Jun 22-24. Philadelphia (PA): AACR; Cancer Res 2020;80(16 Suppl):Abstract nr 5747.