Norris Cotton Cancer CenterGlobal UpdateCTOP RETREAT

May 2014

NCCC Organizational Chart

NCCC – Clinical Operations

Clinical Care Strategic Plan

Center DirectorSurgery Chair

Medicine Chair Chief(s) Hematology Oncology

Vice PresidentCenter Deputy Director

Chief Radiation Oncology

Nursing Director

NCCC Steering Committee

NCI-CCSG Admin Director

Chair PathologyChair

Radiology

NCICancer Center Support Grant

Clin

ical

Res

earc

h

Tran

slati

onal

Res

earc

h

Clinical Cancer Committee

Surgery

Radiation

Hematology

Pathology

Radiology

Nursing

Care Coordination

Pharmacy

Care Management

Canc

er O

ncol

ogy

Gro

up D

irect

ors

Patient Conferences

(Tumor Boards)

Head & Neck

BMTSpine

ThoracicEsophagus/Lung

PediatricNeuro

Melanoma

LymphomaCutaneous Lymphoma

GYN

GUKidney/ProstateBladder/Testis

GIColon/Liver/Pancreas

EndocrineThyroid/Pituitary

BreastComprehensive

Interdisciplinary Clinics

Clinical Care Team

Palliation

Care Pathways

Service Line Approach

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

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

Research/QualityAffiliation

Comprehensive Affiliation

Program Development

Affiliation

Trials, Tumor Boards, Education

Branding, IRB

Care Pathways, Multi Specialty ClinicsPolicies and Procedures

Staff andConsulting

Referral Development. SharedFinancial Risk, ProfessionalServices

QualityMonitoring

Marketing

Regional Program

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

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

Thank You