Via Christi Oncology Services

2016 annual report for 2015

Locations and Contents Locations

Via Christi Hospital St Francis 929 N St Francis Wichita KS 67214

Via Christi Cancer Center 817 N Emporia Wichita KS 67214 3162685927 Satellite office of Cancer Center of Kansas outpatient radiation and chemotherapy Via Christi Cancer Resource Center (patient library and classes)

Via Christi Hospital St Joseph 3600 E Harry Wichita KS 67235

Via Christi CyberKnife Center 825 N Emporia Wichita KS 67214 3162683200

Via Christi Hospital St Teresa 14800 W St Teresa Wichita KS 67235

Wichita NCI Community Oncology Research Program (Wichita NCORP) 929 N St Francis Wichita KS 67214 3162685784 or 8003625784 Funded by the National Institute for Health (NIH)National Cancer Institute (NCI) headquartered at Via Christi Hospital St Francis Local partner for national clinical trials and preventive studies

Via Christi Cancer Institute 929 N St Francis seventh floor Wichita KS 67214 Inpatient cancer care on-site Cancer Resource Center home to many clinical trials

Winfield Cancer Center 1305 E 5th Ave Winfield KS 67156 6202212900 Outpatient medical and radiation therapy services provided in partnership with William Newton Memorial Hospital and Cancer Center of Kansas

Contents Oncology Services Overview

Program Goals

Cancer Registry

Tumor Board Conference

Wichita NCORP

Inpatient Oncology

Blood and Marrow Transplant Center

Radiation Oncology

Outreach and Prevention

Outreach and Prevention Activities

Cancer Committee

2

Oncology Services Administration

3

The 2016 Via Christi Oncology Services annual report highlights many of the clinical and technological advancements made during the 2015 year while emphasizing the programmatic growth of oncology services As new goals are established letrsquos celebrate some of the program successes in 2015

The clinical goal for the Cancer Committee was a focus on staff retention by maintaining a turnover rate of less than 13 in the Via Christi Cancer Institute The program goal was the implementation of cancer risk assessment genetic counseling and testing services with the Via Christi Health system The special study was the PCORI study A side study of colorectal screening on area firefighters is planned for 2015

We believe you will enjoy reading the Via Christi Oncology Services annual report The Cancer Committee welcomes any questions or requests regarding the comprehensive services that we provide to our patients providers and community

Sincerely Pavan S Reddy MD and Keisha Humphries MHCL BSN RN OCN

Oncology Services Overview

4

bull American College of Surgeons (ACOS) Commission on Cancer (CoC) Standards reviewed quarterly for 2018 accreditation survey

bull CoC partnership with the American Cancer Society (ACS)

bull Philanthropic donationsfundraising effort providing massage therapy to cancer patients on unit and exercise rehabilitation for Via Christi patients transitioning from inpatient to outpatient

bull Wichita NCI Oncology Research Program (Wichita NCORP) awards NCI accrual Quality-Research Bases Wichita NCORP goal is to have 4 of Via Christi patients enrolled in clinical trials This goal was met in 2015 with 96 enrolled

bull Via Christi Blood and Marrow Transplant Center received a three-year accreditation from the Foundation for the Accreditation of Cellular Therapy (FACT) Goal met in 2015 with 48 patients transplanted

bull Via Christi Radiation Therapy treated on average of 41 patients per day in Wichita and 7 patients per day in Winfield The CyberKnife volume increased 46 from 2014 Department goals reported foam infoam out initiative at 98 compliance daily pain assessment at 99 and fall riskabuse and neglect at 92 each for 2015

bull Cancer Registry abstracted 2004 cases 2015 1st contact cases with 1878 new cases Patient follow-up goal of 80 for long-term cases met at 8557 but short-term cases fell short of the required 90 to 8838

bull Oncology Patient and Family Advisory Board chartered in 2013 remain active in patient advocacy

bull Awarded the Department of Health and Human Services grant for insurance navigation programs in the Wichita community for a second year assisting 1162 individuals on the market place and enrolling 129 individuals for insurance

bull The Cancer Outreach and Risk Assessment Program assisted 42 patients for genetic testing with 16 showing positive 31 showing VUS and 53 showing negative results for genetic abnormalities Nurse navigation completed 60 survivorship care plans and conducted 21 LDCT scans with five positive results for cancer

5

Program Goals for 2015

6

Clinical goal- Via Christi Cancer Institute to focus on staff retention by maintaining a turnover rate of less than 13 This goal was met in 2015 through attendance in human resource (HRO) training development of CLABSI fall and C diff teams development of oncology specific competency days completion of online chemotherapy certification course for new RNs and the addition of one day-shift chemotherapy certified nurse on the unit

Program goal- Implementation of cancer risk assessment genetic counseling and testing

services within the Via Christi system This goal was met in 2015 with the addition of a nurse navigator to develop and explain survivorship care plans to patients a newly formed lung tumor conference and the development of a cancer outreach and risk assessment to include genetic testing and counseling

Special study- Via Christi Cancer Committee approved moving forward with the Patient-

Centered outcomes Research Institute (PCORI) study which focused on breast colorectal and lung cancer patients The intent is to analysis data from the National Cancer Data Base (NCDB) to assess how patients were being followed with post-treatment surveillance testing to further assess the accuracy of recurrence data Special study standard met as of November 18 2015

Cancer Registry

7

Cancer Registry performs as an information system designed to manage and analyze data on persons with a cancer diagnosis Data for all Via Christi cancer patients is submitted for incidence trend and survival analysis provided to

the Kansas Cancer Registry at the University of Kansas Medical Center and the National Cancer Data Base at the American College of Surgeons

Commission on Cancer- Cancer registrars ensure that complete accurate and timely abstracting is achieved for each patient that is diagnosed andor treated at Via Christi Hospitals

Patient demographics primary site histology stage of disease treatment and outcomes are retrieved The data collected is then analyzed and reported for the purpose of education research and outcome measurements The information collected by cancer registries enables public health professionals to better understand and address the cancer burden Registry data are critical for targeting programs focused on risk-related behaviors such as tobacco use and exposure to the sun or on environmental risk factors like radiation and chemical exposures Such information is also essential for identifying when and where cancer screening efforts should be enhanced and for monitoring the treatment provided to cancer patients In addition reliable registry data are fundamental to a variety of research efforts including those aimed at evaluating the effectiveness of cancer prevention control or treatment programs

The registrars work closely with physicians administrators and researchers to provide support for the cancer program and ensure compliance with the CoC cancer program standards Each patient is provided a lifetime follow-up service that serves as a continuing monitor for diagnostic and treatment results as well as a reminder to physicians and patients that regular post-treatment examinations are needed The follow-up rate is 90 percent for all patients placed in the database since Jan 1 1996 This percentage stayed at or above 90 percent for 2015

Cancer Registry Five-Year Comparisons

8

The number of new cases at Via Christi over the last five years is compared below BronchusLung cancers remain the highest in occurrences with Breast cancers following

There is a steady increase in Hematopoietic amp Reticuloendo System cancer occurrences with a steady decline of Prostate cancer occurrences

The other top cancers remaining at a constant level

0

50

100

150

200

250

300

350

400

2011 2012 2013 2014 2015Colon RectumBronchus amp Lung Hematopoietic amp Reticuloendo SystemBreast Corpus UteriProstate Gland KidneyBladder Lymph Nodes

Cancer Registry County at Diagnosis

9

(no change from 2014) (decrease from 2014) (increase from 2014)

A total of 2004 cancer cases were accessioned in 2015 1878 of them new cases Most were from Kansas with a few from Arkansas Colorado Oklahoma Missouri Nebraska and Texas

Cancer Registry Male vs Female Cancer Occurrence

10

Cancer Registry Most Frequent Sites Comparison

The five most frequent sites seen for cancer occurrence in patients at Via Christi Hospitals in Wichita during 2015 were Bronchus and Lung Prostate Breast Colon and Hematopoietic disorders

Bronchus and Lung made up the greatest percentage of cases

11

Chart1

2015

Total

Count (N)

2015 Via Christi Cancer Registry Five most frequent sites for cancer occurrence

371

0355704698

371

036

96

0092042186

96

009

304

02914669223

304

029

122

0116970278

122

012

150

01438159156

150

014

2011

2013

Total

Count (N)

2013 Via Christi Cancer RegistryFive most frequent sites for cancer occurrence

36

2014

Total

Count (N)

37

12

25

13

2015

Total

Count (N)

Tumor Board Conferences In addition to incidence reporting the Registry plays an active role in coordinating bi-weekly cancer conferences which are

integral to improving the care of cancer patients by providing National Comprehensive Cancer Network guidelines and a multidisciplinary physician team approach to the patient management process and outcomes as well as education to physicians and other staff in attendance

12

During 2015 28 multidisciplinary tumor board conferences were conducted Since 2004 the conferences have been combined presenting cases from Via Christi Hospital St Joseph and Via Christi Hospital St Francis Coordinated by Dr Joel W Alderson the combined conferences are held at St Francis Physicians earn 1 0 AMA PRA Category 1 Credittrade for attending a tumor board conference In the conferences at St Francis 177 cases (10 of Via Christi Cancer Centerrsquos total analytic case load) were presented Primary and multiple sites were reviewed

PHYSICIANSCLINICAL PRACTITIONERS Nicholas M Brewer MD Radiology - Presenter Joel W Alderson DO Pathology Jon C Anders MD Radiation Oncology David Bryant MD Radiation Oncology Chris S Dakhil MD Medical Oncology Earl F George MD General Practice Teh (Ted) I Ho MD Pathology Steve S Hwang MD Pathology Fadi N Joudi MD Urology Chuen-Huey Lai MD Pathology Lidia S Manouilova MD Pathology Cindy Nguyen APRN Radiation Oncology

Additional Cancer Conferences

13

Via Christi Hospital St Francis also hosts a weekly Blood and Marrow Transplant Center of Kansas conference During 2015 40 conferences were conducted The blood and marrow transplant meetings were directed by Bassam Mattar MD Dennis Moore Jr MD Phu Truong MD and Pavan Reddy MD

SITES OF CASES CASES PER SITE PRESENTED CASES

ORAL CAVITYPHARYNX 48 4 DIGESTIVE SYSTEM 378 45

RESPIRATORY SYSTEM 387 39 BONES amp JOINTS 3 0 SOFT TISSUE 21 2

SKIN EXCLUDING BASALSQUAMOUS 53 6

BREAST 307 10 FEMALE GENITAL SYSTEM 99 8

MALE GENITAL SYSTEM 109 19 URINARY SYSTEM 132 24

EYE amp ORBIT 1 1

BRAIN amp OTHER NERVOUS SYSTEM 97 5

ENDOCRINE SYSTEM 61 3 LYMPHOMA 113 5 MYELOMA 48 0 LEUKEMIA 72 1

MESOTHELIOMA 5 0 MISCELLANEOUS 71 5

TOTAL CASES 2005 177

14

Via Christi Cancer Institute is supported by a robust clinical trial program through the Wichita NCI Community Oncology Research Program (Wichita NCORP) Wichita NCORP is one of 34 NCORPs supported by the National Cancer Institute to advance the science of cancer research During the past 34 years the Wichita NCORP has established an excellent track record with clinical research accomplishments recognized by NCI peers and others in the cancer research community

Via Christi Health is the fiscal agent for Wichita NCORP and provides administrative and financial support for this NCI grant-

funded program Clinical trial patients served at Via Christi Cancer Institute receive cutting edge radiation and chemotherapy treatments for a wide variety of malignancies including brain cancer breast cancer and leukemia Wichita NCORP is also proud to partner with Cancer Center of Kansas Lawrence Memorial Hospital and Associates in Womenrsquos Health in order to support cancer research in urban and rural areas across Kansas While approximately 33 percent of Kansasrsquo population lives outside of urban areas the Wichita NCORP is able to boast 18 percent clinical trial accrual due to the amazing support of physician investigators and clinical research staff (Institute for Policy and Social Research 2013

In 2015 the Wichita NCORP placed 96 of patients diagnosed at Via Christi on a clinical trial the target is 4 A total of 73

clinical trials were open to new patient enrollment throughout 2015 with 240 patients enrolled As a means of addressing quality measures for the Commission on Cancer the ldquoReducing Lung Cancer Survivorrsquos Anxietyrdquo (RELAX) clinical trial which involves using FDA approved headphones with device-guided breathing tones for patients who are NSCLC survivors to help with anxiety and hypertension was presented to the Cancer Committee

As cancer research turns to precision medicine that attempts to match treatment to targeted cancer mutations WCCOP is able

to fully support this endeavor with submission of tissue blood urine and stool specimens to biospecimen banks for current and future research initiatives Via Christi Health is a major contributor in this field of research by assisting to prepare and submit specimens for specialized testing on an almost daily basis

15

bull To stimulate quality medical care through participation in treatment protocols for cancer patients in Wichita south central southwest and northeast Kansas a patient population that otherwise would be underserved because its geographical location is remote from comprehensive cancer centers

bull To increase the accrual of patients on adult NCI treatment

cancer prevention and control protocols and cancer care delivery research thus reducing the time necessary to answer critical questions and speeding the transfer of the latest research findings to the community level

bull To continue to ensure quality and timely data collection

while also continually implementing measures to protect clinical trial participant safety

bull To continue to facilitate the involvement of underserved

Kansas minority young adult and rural populations in treatment cancer prevention and control and cancer care delivery research

bull To bring a multidisciplinary approach to the clinical trials

arena and clinical decision-making with an emphasis on collaboration of care

Wichita NCORP GY2 (2015 and 2016)- Accrual to Date

Chart1

Goal

CREDIT

28333

165275

56666

3893375

84999

648725

113332

780075

141665

97995

169998

12703375

198331

150885

226664

17559

254997

19540625

28333

2190625

311663

Goal

CREDIT

Tracey Organ

Master Worksheet

Doris

Goal

CREDIT

Doris Garrett

In-Patient Oncology

16

Via Christi Cancer Institute is located in the north towers of Via Christi Hospital St Francis The 40-bed unit consists of private rooms and includes seven beds that accommodate our established FACT-accredited allogeneic and autogenic bone marrow and stem cell transplants The purpose of the Cancer Institute is to develop implement and evaluate a plan of unit operation to facilitate the overall functioning of the patient care unit promote maximum utilization of the nursing staff and deliver a safe effective and appropriate level of patient care We serve patients ranging from young adults to older adults for diagnosis and management of a variety of acute or chronic medical conditions and malignancies Registered nurses with specific skill and knowledge in the care of oncology patients provide comprehensive care in a multidisciplinary team model that ensures that patients and their families are surrounded by highly skilled professionals who work together to craft individualized care for each patient

Complications associated with a malignancy and its treatment may affect a wide variety of systems in which staff work in cooperation with the Blood and Marrow Transplant Center jointly operated by Via Christi Cancer Center of Kansas and the American Red Cross Services are provided through an individualized plan of care utilizing the nursing process

This year there was strong focus on patient safety hand hygiene safety huddles at every shift and patient-centered care Bedside report

has replaced traditional face-to-face report that previously did not involve the patient Communication is improved as the patient is introduced to the staff now assigned to their care Patients are included in report and are encouraged to ask questions and provide feedback as needed Bedside report improves safety as a tubing reconciliation is done between the oncoming and off-going RNs We believe this combination of research education and clinical treatment helps ensure that care provided is on the cutting edge

In-Patient Oncology

The comprehensive care of patients is provided in collaboration with primary care doctors surgical specialists and radiation oncologists A team of highly-trained individuals within the hematology and oncology department work in collaboration to perform the highest level of care Via Christi Cancer Institute nurses are encouraged to obtain their oncology nurse certification which is accredited by the National Commission for Certifying Agencies and the Accreditation Board for Specialty Nursing Certification and equips them with advanced training in the care of patients with cancer The Cancer Institute also works closely with a registered dietitian to maintain proper nutrition before during and after cancer treatment While the medical oncologist hematologist specializes in cancer andor blood related disorders and oversees chemotherapy and other medical treatments as appropriate nurse practitioners and physician assistants work with doctors to diagnose and treat illness offer preventive care prescribe medication and educate patients about their illness and treatment

Amenities include CD players DVD players and a

variety of DVDs to help patient and families pass the time and stay connected Other amenities include Internet access laundry facilities family sleep rooms family area that contains a refrigerator and microwave massage and yoga therapy and a movie theater

17

Blood and Marrow Transplant

18

Performed 43 autologous peripheral blood stem cell transplants and five allogeneic peripheral blood stem cell transplants Survival rate for transplant occurrence is 94 at 100 days from transplant and 92 one year out

Served as an apheresis center for the National Marrow Donor Program Donors are harvested at Via Christi Hospital St Francis and their cells are delivered to the matching recipients throughout the world

Coordinated 56 peripheral blood stem cell harvests that were performed by our transplant program partner the American Red Cross The cells obtained from these harvests are processed by the Via Christi Bone Marrow and Flow Laboratory

Received accreditation from the Foundation for the Accreditation of Cellular Therapy (FACT)

The transplant Quality Management Program continues to evolve and monitors processes and improves functioning in all aspects of the program

Chart3

Autologous

Allogeneic

Total Transplants

BMT Transplants 1989 - 2015

4

3

0

7

6

3

9

6

7

13

11

6

17

18

5

23

17

5

22

32

5

37

34

5

39

40

6

46

37

5

42

32

10

42

22

13

35

12

47

26

5

31

21

3

24

28

7

35

22

6

28

23

8

31

26

5

31

40

8

48

41

5

46

28

4

32

41

6

47

49

3

52

33

4

37

46

5

51

43

5

48

Chart1

ampLAugust 2010ampCPage ampPampRBMT Transplant Historyxls

Autologous

Allogeneic

Total Transplants

Years

Quantity

4

3

0

7

6

3

9

6

7

13

11

6

17

18

5

23

17

5

22

32

5

37

34

5

39

40

6

46

37

5

42

32

10

42

22

13

35

12

47

26

5

31

21

3

24

28

7

35

22

6

28

23

8

31

26

5

31

40

8

48

41

5

46

28

4

32

41

6

47

49

3

52

33

4

37

46

5

51

43

5

48

Chart2

Autologous

Allogeneic

Total Transplants

Quantity

BMT Transplants 1989 - 2015 with 5 year projection trend for each category

94

34

128

165

39

204

132

33

165

158

30

188

212

23

235

Sheet1

Radiation Oncology

19

Via Christi is on the leading edge of equipment and cancer treatment technology The Radiation Oncology department at Via Christi is staffed by two board-certified radiation oncologists extremely knowledgeable in the

most up-to-date cancer treatment methods and protocols

The radiation oncologists work closely with a team of full-time professionals consisting of nurses medical physicists dosimetrists therapists and administrative staff mdash all registered andor board certified in their

respective disciplines

Jon Anders MD Radiation Oncology physician

David Bryant MD Radiation Oncology physician

Radiation Oncology

20

The full spectrum of radiotherapy procedures is available including external beam radiotherapy from three linear accelerators image- guided fractionated stereotactic radiotherapy utilizing a special ExacTracreg motion detection system and high-dose brachytherapy

Using its unique robotic mobility and continuous image guidance the CyberKnifereg follows the target throughout the treatment intelligently delivering treatments with sub-millimeter precision Using a true robotic manipulator and a compact lightweight linear accelerator the CyberKnife is versatile and can deliver beams from thousands of non-coplanar isocentric or non-isocentric angles Treatments have excellent tumor coverage steep dose gradients and tight dose conformality regardless of target shape The system tracking capabilities eliminate the need for gating techniques and restrictive head frames providing greater comfort for the patient

In October 2014 Via Christi CyberKnife upgraded the linear accelerator from 600 mu to the new 1000 mu linear accelerator which increased current capabilities while reducing patient treatment times December 2014 Via Christi CyberKnife introduced Monte Carlo Simulation a problem solving technique used to approximate the probability of certain outcomes by running multiple trial runs called simulations using random variables Referred to as the ldquogold standardrdquo for dose calculations in which the dose can be calculated in all situations with equal accuracy

Patient satisfaction scores continued to meet or exceed the goal of 90 satisfaction through 2015 in an effort to provide exceptional service to the patients and their families using our services Hand hygiene goal of 98 was surpassed and maintained at 100 for year 2015

Cancer Outreach and Prevention

21

Cancer Outreach amp Risk Assessment Program (CORA)

On September 1 2015 Via Christi opened the Cancer

Outreach amp Risk Assessment Program led by a clinical nurse specialist certified in oncology and with specialized training in genetics This program focuses on identifying individuals with strong personal andor family history of malignancy to determine the likelihood of a genetic link increasing an individualrsquos risk for developing cancer in hisher lifetime From September 1 ndash December 31 2015 79 appointments conducted and 9 patients found to have pathogenic mutations indicating additional follow-up screening andor intervention due to the increased risk for cancer

21

Cancer Outreach amp Risk Assessment Program

Oncology nurse navigation Services in oncology navigation continued under the

umbrella of CORA The nurse navigator is a bachelors-prepared oncology certified nurse the main focus is to assist in the education of newly diagnosed progressed or recurrent patients to ensure heshe fully understands hisher diagnosis treatment and follow-up and is provided with the opportunity to be an active part of hisher plan of care In 2015 the nurse navigator created 126 survivorship care plans

23

Oncology insurance navigation

In August 2013 Ascension Health received a grant from the Department of Health and Human Services for health insurance navigation programs in the communities of Via Christi hospitals and Providence Hospital in Mobile Alabama Via Christi proposed a different approach to insurance navigation by including a focus on oncology screening and prevention services Each individual signing up for insurance through our program received information and education on appropriate screening and cancer prevention Program grant support continued in 2014 and 2015

In year 2015 the insurance navigators assisted 1919 individuals with 750 separate sessions conducted either by phone or in person and enrolled 323 into an insurance plan 16 outreach events were conducted educating more than 4750 individuals on the Affordable Care Act the Health Insurance Marketplace and tips on utilizing health insurance in general

Outpatient Cancer Resource Center Via Christi Cancer Center 817 N Emporia bull Staffed by volunteers two afternoons per week bull A nurse navigator is available on an as-needed basis bull Professional assistance with cancer- related questions bull Disease-site specific material addressing cancer related to all major

organs is available free of charge bull Access to computers for use by patients to review and utilize online

resources bull Physical emotional and spiritual needs of cancer patients and

caregivers are met through classes at the Cancer Resource Centers which include Advanced Directives and Introduction to Lymphedema The date and time held is published in Via Christi Life magazine

bull A direct connection with the following community cancer organizations is offered American Cancer Society US TOO Prostate Support Group Leukemia and Lymphoma Society Susan G Komen for the Cure and Victory in the Valley

Inpatient Cancer Resource Center Via Christi Cancer Institute (929 N St Francis floor seven) bull Disease-site specific material addressing cancer-related information

involving any of the major bodily organs bull Access to computers connected to printers for research purposes bull Materials on community support systems available

Cancer Outreach and Prevention Activities

24

Susan G Komen Race for the Curereg mdash Via Christi is a sponsor with hospital-wide teams supporting the Susan G Komen Breast Cancer Foundation

American Cancer Societyreg mdash Personal Health Manager kits provided by the American Cancer Society are provided to all new patients seen through the Via Christi Cancer Center

bull Look Good hellip Feel BetterTM mdash Women learn how to cope with appearance-related side effects that cancer treatment can cause In 2015 the program served 20 patients

bull Extended Stay America program - offers patients who travel for cancer treatment a free hotel room Contract extended throuh 2017

Colorectal Community Screening Initiative The Colorectal Community Screening Initiative began in March 2007 in partnership with the American Cancer Society

and the Kansas Department of Health and Environment providing free fecal occult blood test (FOBT) kits to patrons in the Wichita area The Outreach and Prevention department received a grant from Via Christi Volunteers Partners in Caring and has continued to be a financial supporter for this free community screening

The 2015 screening resulted in 580 community patrons returning FOBT kits to AMS Laboratories for processing Nine participants tested positive for blood in their stool Each of the participants receiving positive results were personally contacted by the oncology nurse navigator to discuss the implications and provided with resources for following up with a physician

Victory in the Valley mdash Sponsor for the East Meets West WalkRun benefitting cancer patients survivors caregivers and public

supporters Via Christi partnered with Victory in the Valley to provide oncology-specialized speakers at support groups including the oncology nurse navigator and the oncology service line administrator

Cancer Committee Physician Members

25

Pavan S Reddy MD Internal Medicine Hematology Oncology Medical Oncology Chair Michael Porter MD Colon and Rectal Surgery Surgery Cancer Liaison Physician Joel Alderson DO Pathologist Coordinator- Cancer Conference (Alternate- Carmelita Alvarez MD) Thomas R Kluzak MD Tumor board chair Anatomic Pathology ObstetricsGynecology

Thomas Flynn MD Diagnostic Radiology James E Delmore MD Gynecologic Oncology Obstetrics Gynecology Surgeon General Therese Cusick MD Surgeon General David Bryant MD Radiation Oncologist Jon Anders MD Radiation Oncology Mitzi M Bales MD Family Practice

Shaker R Dakhil MD Medical director Medical Oncology Hematology Internal Medicine Christopher MD Medical Oncologist Bassam Mattar MD Medical Oncologist Medical Director- BMT Melissa Gaines MD Internal Medicine Stephen F Hagan MD Pulmonary Disease Internal Medicine

Board-certified Fellowship

Cancer Committee Non-Physician Members

26

Kevin Strecker MBA Vice-president Strategic Planning and Marketing Program Administrator Keisha Humphries MHCL BSN RN OCN Service line director Oncology Program Administrator Alicia Crane RN BSN CTR Coordinator- Cancer Registry Samantha Pennel BSN RN OCN Coordinator- Research Margaret Ward MSN APRN AGCNS-BC OCN Genetics Counselor Coordinator- Community Outreach Marsha Healy MPH RD LD Coordinator- Quality Improvement Tara Galyardt (Carolyn Ruggles- alternate) Coordinator- Psychosocial Services

Brandi Gutzmer RN Oncology Nurse Patricia Bluml MSN APRN OCN Via Christi Blood and Marrow Transplant Center Susan Willey Rehabilitation Representative Sara Sawer MPH RD Registered Dietician Deanna Spear RN Palliative care

Ed Johnson Community manager American Cancer Society Alyce Davis RN MSN Case manager Social Work Cecil Lilliston Jr MDiv BCC Chaplain Services Mitch McKee BA RTCV Director Radiation Oncology Jatandra Birney PharmD Advanced pharmacy specialist Caroline Sharpe Patient Advisory Council Representative

Via Christi Cancer Institute Accreditation

27

Via Christi Cancer Center is also an active delegate institution of

Via Christi offers a continuum of care from the birth of a child to enhancing the lives of older adults This program or service is part of Via Christi Hospitals Wichita Inc

Via Christi is an Equal Opportunity (EOE) and Affirmative Action Employer We support diversity in the workplace

Locations and Contents
Cancer Registry
Cancer RegistryMale vs Female Cancer Occurrence
Tumor Board Conferences
Slide Number 14
Slide Number 15
In-Patient Oncology
In-Patient Oncology
Radiation Oncology
Radiation Oncology
Cancer CommitteePhysician Members
Cancer CommitteeNon-Physician Members
Via Christi Cancer InstituteAccreditation



Period Transplants		1989-1995		1996-2000		2001-2005		2006-2010		2011-2015

Autologous		94		165		132		158		212

Allogeneic		34		39		33		30		23

Total Transplants		128		204		165		188		235

BMT Transplants 1989 - 2010

	1989		1990		1991		1992		1993		1994		1995		1996		1997		1998		1999		2000		2001		2002		2003		2004		2005		2006		2007		2008		2009		2010		2011		2012		2013		2014		2015

Autologous		4		6		6		11		18		17		32		34		40		37		32		22		35		26		21		28		22		23		26		40		41		28		41		49		33		46		43

Allogeneic		3		3		7		6		5		5		5		5		6		5		10		13		12		5		3		7		6		8		5		8		5		4		6		3		4		5		5

Total Transplants		7		9		13		17		23		22		37		39		46		42		42		35		47		31		24		35		28		31		31		48		46		32		47		52		37		51		48

2002 Autorsquos 26

2002 Allorsquos 5

2003 Autorsquos 21

2003 Allorsquos 8

2004 Autorsquos 28

2004 Allorsquos 7

2005 Autorsquos 21

2005 Allorsquos 11

2006 Autorsquos 23

2006 Allorsquos 8

2007 Autorsquos 24

2007 Allorsquos 6

2008 Autorsquos 40

2008 Allorsquos 8

2009 Autos 33

2009 Allos 5

2010 Autos 6

2010 Allos 2

1989-1995	1989-1995	1989-1995

1996-2000	1996-2000	1996-2000

2001-2005	2001-2005	2001-2005

2006-2010	2006-2010	2006-2010

2011-2015	2011-2015	2011-2015

1989	1989	1989	1989

1990	1990	1990	1990

1991	1991	1991	1991

1992	1992	1992	1992

1993	1993	1993	1993

1994	1994	1994	1994

1995	1995	1995	1995

1996	1996	1996	1996

1997	1997	1997	1997

1998	1998	1998	1998

1999	1999	1999	1999

2000	2000	2000	2000

2001	2001	2001	2001

2002	2002	2002	2002

2003	2003	2003	2003

2004	2004	2004	2004

2005	2005	2005	2005

2006	2006	2006	2006

2007	2007	2007	2007

2008	2008	2008	2008

2009	2009	2009	2009

2010	2010	2010	2010

2011	2011	2011	2011

2012	2012	2012	2012

2013	2013	2013	2013

2014	2014	2014	2014

2015	2015	2015	2015

1989	1989	1989	1989

1990	1990	1990	1990

1991	1991	1991	1991

1992	1992	1992	1992

1993	1993	1993	1993

1994	1994	1994	1994

1995	1995	1995	1995

1996	1996	1996	1996

1997	1997	1997	1997

1998	1998	1998	1998

1999	1999	1999	1999

2000	2000	2000	2000

2001	2001	2001	2001

2002	2002	2002	2002

2003	2003	2003	2003

2004	2004	2004	2004

2005	2005	2005	2005

2006	2006	2006	2006

2007	2007	2007	2007

2008	2008	2008	2008

2009	2009	2009	2009

2010	2010	2010	2010

2011	2011	2011	2011

2012	2012	2012	2012

2013	2013	2013	2013

2014	2014	2014	2014

2015	2015	2015	2015

MonthYear	Accrual By Nurse	CREDIT	Goal

Aug-15	Doris Garrett	016	4722

Sep-15	Doris Garrett	569	9444

Oct-15	Doris Garrett	764	14166

Nov-15	Doris Garrett	764	18888

Dec-15	Doris Garrett	764	2361

Jan-16	Doris Garrett	764	283322

Feb-16	Doris Garrett	764	330544

Mar-16	Doris Garrett	96	377766

Apr-16	Doris Garrett	1008	424988

May-16	Doris Garrett	1056	47221

Jun-16	Doris Garrett	1076	519432

Jul-16	Doris Garrett	133475	566654

MonthYear	Accrual By Nurse		CREDIT	Goal

Aug-15	Crystal Watson		345	4722

Aug-15	Doris Garrett		016	4722

Aug-15	Joyce Sliter		34625	4722

Aug-15	Liz Beyer		3375	4722

Aug-15	Alex Ambuehl		2	4722

Aug-15	Marta Guerrero		408	4722

Aug-15	Total		165275	28333

Sep-15	Crystal Watson		78725	4722

Sep-15	Doris Garrett		553	4722

Sep-15	Joyce Sliter		54875	4722

Sep-15	Liz Beyer		155625	4722

Sep-15	Alex Ambuehl		1	4722

Sep-15	Marta Guerrero		096	4722

Sep-15	Total		2240625	28333

Sep-15	Accrual to Date		3893375	56666

Oct-15	Crystal Watson		7125	4722

Oct-15	Doris Garrett		195	4722

Oct-15	Joyce Sliter		505	4722

Oct-15	Liz Beyer		589375	4722

Oct-15	Alex Ambuehl		1	4722

Oct-15	Marta Guerrero		492	4722

Oct-15	Total		2593875	28333

Oct-15	Accrual to Date		648725	85000

Nov-15	Crystal Watson		64875	4722

Nov-15	Doris Garrett		0	4722

Nov-15	Joyce Sliter		23875	4722

Nov-15	Liz Beyer		2	4722

Nov-15	Alex Ambuehl		0	4722

Nov-15	Marta Guerrero		226	4722

Nov-15	Total		13135	28333

Nov-15	Accrual to Date		780075	113332

Dec-15	Crystal Watson		3475	4722

Dec-15	Doris Garrett		0	4722

Dec-15	Joyce Sliter		22125	4722

		4722

Dec-15	Liz Beyer		025	4722

Dec-15	Marta Guerrero		66	4722

Dec-15	Alex Ambuehl		445	4722

Dec-15	Tracey Organ		3	4722

Dec-15	Total		199875	28333

Dec-15	Accrual to Date		97995	141665

Jan-16	Crystal Watson		535	4722

Jan-16	Doris Garrett		0	4722

Jan-16	Joyce Sliter		589375	4722

		4722

Jan-16	Liz Beyer		25625	4722

Jan-16	Marta Guerrero		992	4722

Jan-16	Alex Ambuehl		11625	4722

Jan-16	Tracey Organ		415	4722

Jan-16	Total		2903875	28333

Jan-16	Accrual to Date		12703375	170000

Feb-16	Crystal Watson		3525	4722

Feb-16	Doris Garrett		0	4722

Feb-16	Joyce Sliter		715625	4722

		4722

Feb-16	Liz Beyer		025	4722

Feb-16	Marta Guerrero		392	4722

Feb-16	Alex Ambuehl		3	4722

Feb-16	Tracey Organ		6	4722

Feb-16	Total		2385125	28333

Feb-16	Accrual to Date		150885	198333

Mar-16	Crystal Watson		9	4722

Mar-16	Jackie Pyles		196	4722

Mar-16	Joyce Sliter		12875	4722

		4722

Mar-16	Liz Beyer		2225	4722

Mar-16	Marta Guerrero		08	4722

Mar-16	Alex Ambuehl		22825	4722

Mar-16	Tracey Organ		715	4722

Mar-16	Total		24705	28333

Mar-16	Accrual to Date		17559	226666

Apr-16	Crystal Watson		365	4722

Apr-16	Jackie Pyles		048	4722

Apr-16	Joyce Sliter		523125	4722

		4722

Apr-16	Liz Beyer		1225	4722

Apr-16	Marta Guerrero		408	4722

Apr-16	Alex Ambuehl		0	4722

Apr-16	Tracey Organ		515	4722

Apr-16	Total		1981625	28333

Apr-16	Accrual to Date		19540625	255000

May-16	Crystal Watson		580625	4722

May-16	Jackie Pyles		048	4722

May-16	Joyce Sliter		14625	4722

		4722

May-16	Liz Beyer		58875	4722

May-16	Marta Guerrero		39325	4722

May-16	Alex Ambuehl		30375	4722

May-16	Tracey Organ		305	4722

May-16	Total		2365625	28333

May-16	Accrual to Date		2190625	283333

Jun-16	Crystal Watson		28625	4722

Jun-16	Jackie Pyles		02	4722

Jun-16	Joyce Sliter		105	4722

		4722

Jun-16	Liz Beyer		17625	4722

Jun-16	Marta Guerrero		068	4722

Jun-16	Alex Ambuehl		0605	4722

Jun-16	Tracey Organ		4025	4722

Jun-16	Total		11185	28333

Jun-16	Accrual to Date		2302475	311666

Jul-16	Crystal Watson		59875	4722

Jul-16	Jackie Pyles		25875	4722

Jul-16	Joyce Sliter		33875	4722

		4722

Jul-16	Liz Beyer		0125	4722

Jul-16	Marta Guerrero		105	4722

Jul-16	Alex Ambuehl		1175	4722

Jul-16	Tracey Organ		7525	4722

Jul-16	Total		218375	28333

Jul-16	Accrual to Date		252085	340000

MonthYear	Accrual By Nurse	CREDIT	Goal

Dec-15	Tracey Organ	3	4722

Jan-16	Tracey Organ	715	9444

Feb-16	Tracey Organ	1315	14166

Mar-16	Tracey Organ	203	18888

Apr-16	Tracey Organ	2545	2361

May-16	Tracey Organ	285	28332

Jun-16	Tracey Organ	32525	330542

Jul-16	Tracey Organ	4005	377762

MonthYear	Accrual By Nurse	CREDIT	Goal

Aug-15	Marta Guerrero	408	4722

Sep-15	Marta Guerrero	504	9444

Oct-15	Marta Guerrero	996	14166

Nov-15	Marta Guerrero	1222	18888

Dec-15	Marta Guerrero	1882	2361

Jan-16	Marta Guerrero	2874	283322

Feb-16	Marta Guerrero	3266	330544

Mar-16	Marta Guerrero	3346	377766

Apr-16	Marta Guerrero	3754	424988

May-16	Marta Guerrero	414725	47221

Jun-16	Marta Guerrero	421525	519432

Jul-16	Marta Guerrero	432025	566654

MonthYear	Accrual By Nurse	CREDIT	Goal

Aug-15	Liz Beyer	3375	4722

Sep-15	Liz Beyer	493125	9444

Oct-15	Liz Beyer	10825	14166

Nov-15	Liz Beyer	12825	18888

Dec-15	Liz Beyer	13075	2361

Jan-16	Liz Beyer	156375	283322

Feb-16	Liz Beyer	158875	330544

Mar-16	Liz Beyer	181125	377766

Apr-16	Liz Beyer	193375	424988

May-16	Liz Beyer	25225	47221

Jun-16	Liz Beyer	269875	519432

Jul-16	Liz Beyer	271125	566654

MonthYear	Accrual By Nurse	CREDIT	Goal

Aug-15	Joyce Sliter	34625	4722

Sep-15	Joyce Sliter	895	9444

Oct-15	Joyce Sliter	14	14166

Nov-15	Joyce Sliter	163875	18888

Dec-15	Joyce Sliter	186	2361

Jan-16	Joyce Sliter	2449375	283322

Feb-16	Joyce Sliter	3165	330544

Mar-16	Joyce Sliter	329375	377766

Apr-16	Joyce Sliter	3816875	424988

May-16	Joyce Sliter	3963125	47221

Jun-16	Joyce Sliter	4068125	519432

Jul-16	Joyce Sliter	4406875	566654

4722

9444

14166

18888

236102

283324

330546

377768

42499

472212

519434

566656

MonthYear	Accrual By Nurse	CREDIT	Goal

Mar-16	Jackie Pyles	196000	4722	Started 02152016 with NCORP

Apr-16	Jackie Pyles	244000	9444

May-16	Jackie Pyles	292000	14167

Jun-16	Jackie Pyles	312000	18889

Jul-16	Jackie Pyles	570750	23611

MonthYear	Accrual By Nurse	CREDIT	Goal

Aug-15	Crystal Watson	345	4722

Sep-15	Crystal Watson	113225	9444

Oct-15	Crystal Watson	184475	14166

Nov-15	Crystal Watson	24935	18888

Dec-15	Crystal Watson	2841	2361

Jan-16	Crystal Watson	3376	283322

Feb-16	Crystal Watson	37285	330544

Mar-16	Crystal Watson	46285	377766

Apr-16	Crystal Watson	49935	424988

May-16	Crystal Watson	5574125	47221

Jun-16	Crystal Watson	5860375	519432

Jul-16	Crystal Watson	6459125	566654

MonthYear	Accrual By Nurse	CREDIT	Goal

Aug-15	Alex Ambuehl	2	4722

Sep-15	Alex Ambuehl	3	9444

Oct-15	Alex Ambuehl	4	14166	Alexs goal is 25 crmonth until 984 6 is completed (10292015)

Nov-15	Alex Ambuehl	4	18888

Dec-15	Alex Ambuehl	845	236102

Jan-16	Alex Ambuehl	96125	283324

Feb-16	Alex Ambuehl	126125	330546

Mar-16	Alex Ambuehl	14895	377768

Apr-16	Alex Ambuehl	14895	42499

May-16	Alex Ambuehl	179325	472212

Jun-16	Alex Ambuehl	185375	519434

Jul-16	Alex Ambuehl	197125	566656

MonthYear	Accrual By Nurse	CREDIT	Goal

Jan-15	Accrual to Date	18	3484	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000	Jan-15	Accrual to Date	0	000

Feb-15	Accrual to Date	366	4355	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000	Feb-15	Accrual to Date	0	000

Mar-15	Accrual to Date	14	5226	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000	Mar-15	Accrual to Date	0	000

Apr-15	Accrual to Date	7	6097	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000	Apr-15	Accrual to Date	0	000

May-15	Accrual to Date	576	6968	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000	May-15	Accrual to Date	0	000

Jun-15	Accrual to Date	59	7839	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000	Jun-15	Accrual to Date	0	000

Jul-15	Accrual to Date	23	8710	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000	Jul-15	Accrual to Date	0	000

Aug-15	Accrual to Date	165275	2833

Sep-15	Accrual to Date	3893375	5667

Oct-15	Accrual to Date	648725	8500

Nov-15	Accrual to Date	780075	11333

Dec-15	Accrual to Date	97995	14167

Jan-16	Accrual to Date	12703375	17000

Feb-16	Accrual to Date	150885	19833

Mar-16	Accrual to Date	17559	22666

Apr-16	Accrual to Date	19540625	25500

May-16	Accrual to Date	2190625	28333

Jun-16	Accrual to Date	2302475	31166

Jul-16	Accrual to Date	252085	34000

42217		42217

42248		42248

42278		42278

42309		42309

42339		42339

42370		42370

42401		42401

42430		42430

42461		42461

42491		42491

42522		42522

42552		42552

VIA CHRISTI HOSPITALS WICHITA INC

Top 10 Sites by Yr First Seen This Prim

Filter(s) Quick Filter Year1ST CONTACT YEAR 2011-2011

	Bronchus amp Lung		Prostate Gland		Breast		Colon		Hematopoietic amp Reticuloendo System

2013		366		131		274		133		114		1018

	03595284872		01286836935		02691552063		01306483301		01119842829

Total		366		131		274		133		114

Count (N)		36		13		27		13		11	100

	Bronchus amp Lung		Prostate Gland		Breast		Colon		Hematopoietic amp Reticuloendo System

2014		353		111		240		123		128		955

	03696335079		01162303665		02513089005		01287958115		01340314136

Total		353		111		240		123		128

Count (N)		37		12		25		13		13	100

													1043

	Bronchus amp Lung		Prostate Gland		Breast		Colon		Hematopoietic amp Reticuloendo System

2015		371		96		304		122		150		1043

	0355704698		0092042186		02914669223		0116970278		01438159156

Total		371		96		304		122		150

Count (N)		36		9		29		12		14	100

Bronchus amp Lung	Bronchus amp Lung	Bronchus amp Lung	Bronchus amp Lung	Bronchus amp Lung

Prostate Gland	Prostate Gland	Prostate Gland	Prostate Gland	Prostate Gland

Breast	Breast	Breast	Breast	Breast

Colon	Colon	Colon	Colon	Colon

Hematopoietic amp Reticuloendo System	Hematopoietic amp Reticuloendo System	Hematopoietic amp Reticuloendo System	Hematopoietic amp Reticuloendo System	Hematopoietic amp Reticuloendo System

		1