2015-16 Cancer Network Annual Report

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Vivian F. Wu, M.D., Head & Neck Surgery, Sentara Norfolk General Hospital

Accreditation

Quality is our First Priority

As a community-based, not-for-profit organization, our physicians and clinicians are involved in direct patient care every day. We achieve this by constantly communicating, sharing best practices and collaborating on behalf of our patients.

The Sentara Cancer Network diligently focuses on quality improvement. We’ve earned national accreditations but choose to go beyond them. We continue to create and promote a culture of excellence that attracts and retains experts in cancer care and research.

We are constantly inspiring each other to exceed national benchmarks and set new goals for the care of our patients. Our teams lead innovation and quality improvement while seeing patients in clinics, diagnostic centers, operating rooms and radiation therapy centers. Together, we’ve created a multidisciplinary team that focuses on continuous process improvements that benefit our communities and our patients with the ultimate goal of defeating cancer.

Accreditation helps our patients in ways that may be invisible to them, but those quality measures and processes support their treatment and recovery. A focus on patient-centered care, improving quality of care and patient outcomes offers a complete infrastructure for cancer care.

We are at the forefront of cancer advances providing services with:

  • A network of hospitals and cancer centers throughout Virginia and northern North Carolina
  • Multidisciplinary cancer conferences, where physicians from across medical disciplines contribute their specialized expertise
  • Fellowship-trained physicians
  • Groundbreaking clinical expertise including clinical trials and integrative care
  • National accreditations from the American College of Surgeons’ Commission on Cancer, the National Accreditation Program for Breast Centers and the American College of Radiology Breast Imaging Center of Excellence
  • Information technology that facilitates coordination of care
  • Named one of the nation’s “Most Wired Health Systems” by Hospitals & Health Networks magazine multiple times
  • Nine comprehensive breast centers

Accreditors

National Accreditation Program for Breast Centers – NAPBC

All Sentara Comprehensive Breast Centers are fully designated with the National Accreditation Program for Breast Centers (NAPBC) and work with the American College of Surgeons cancer programs to maintain this status. NAPBC standards focus on breast health and dedication to the improvement of quality care and outcomes through evidence-based standards. The NAPBC defines 28 program standards and 17 program components of care that collectively provide the most efficient and contemporary care available for patients.

American College of Radiology Accreditation

Since 1987, the ACR has accredited more than 35,000 facilities in 10 imaging modalities. The ACR offers accreditation programs in CT, MRI, breast MRI, nuclear medicine and PET as mandated under the Medicare Improvements for Patients and Providers Act (MIPPA) as well as for modalities mandated under the Mammography Quality Standards Act (MQSA).

American College of Radiation Oncology Accreditation

All Sentara Cancer Network radiation therapy centers are fully accredited by the American College of Radiation Oncology (ACRO)  – with the exception of Sentara RMH Medical Center, which is accredited by the American College of Radiology (ACR) – and follow practice standards for radiation oncology. Accreditation is a voluntary process in which professional peers identify standards indicative of a quality practice, and an audit is conducted to assure that these standards are followed.

College of American Pathologists Accreditation

The College of American Pathologists (CAP), the leading organization of board-certified pathologists, created the CAP Laboratory Accreditation Program. Designed to go well beyond regulatory compliance, the program helps laboratories achieve the highest standards of excellence to positively impact patient care. The program is based on rigorous accreditation standards that are translated into detailed and focused checklist requirements. This comprehensive program helps achieve a consistently high level of service throughout a healthcare system.


Commision on Cancer®

ACCREDITED PROGRAM

Hospitals within the Sentara Cancer Network have achieved or are on the path to achieving accreditation from the American College of Surgeons’ Commission on Cancer. The Commission on Cancer key principles of accreditation include measurement and proof of performance in providing:

  • Quality care close to home
  • Comprehensive care
  • A multidisciplinary, team approach
  • Information and education
  • Patient-centered services
  • Options for genetic assessment and counseling, and palliative care services
  • Care monitoring and quality improvement
  • Treatment planning based on evidence-based national treatment guidelines
  • Clinical trials and new treatment options
  • Follow-up care including a survivorship care plan
  • Patient tracking through the cancer data system

Sentara Cancer Network

Hampton Roads, Virginia
Accreditation: Integrated Network Cancer  Program (Only network accreditation in Virginia)

Sentara Martha Jefferson Hospital

Charlottesville, Virginia
Accreditation: Comprehensive Community Cancer Program with Silver Commendation

Sentara Northern Virginia Medical Center

Woodbridge, Virginia
Accreditation: Community Cancer Program

Sentara RMH Medical Center

Harrisonburg, Virginia
Accreditation: Comprehensive Community Cancer Program