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2015/2016
ASSOCIATION OF COMMUNITY
CANCER CENTERS
Annual Report
Board of Trustees
2015-2016
Cover images courtesy of: HonorHealth Virginia G. Piper
Cancer Center in Scottsdale, AZ (Top) • The Charleston
Area Medical Center Cancer Center, Charleston, WV
(Middle, Right) • Skagit Valley Hospital Regional Cancer
Care Center, Mount Vernon, WA (Middle, Left) • New
England Cancer Specialists, Scarborough, ME (Bottom)
President
Steven L. D’Amato,
BSPharm, BCOP
President-Elect
Jennie R. Crews,
MD, FACP
Secretary
W. Charles Penley, MD
Treasurer
Thomas A. Gallo, MS
Immediate Past President
Becky L. DeKay, MBA
The Association of Community Cancer Centers (ACCC) is the leading
advocacy and education organization for the multidisciplinary cancer
care team. Approximately 20,000 cancer care professionals from 2,000
hospitals and practices nationwide are affiliated with ACCC. Providing
a national forum for addressing issues that affect community cancer
programs, ACCC is recognized as the premier provider of resources
for the entire oncology care team. Our members include medical and
radiation oncologists, surgeons, cancer program administrators and medi-
cal directors, senior hospital executives, practice managers, pharmacists,
oncology nurses, radiation therapists, social workers, and cancer program
data managers. ©2016. Association of Community Cancer Centers.
All rights reserved. No part of this publication may be reproduced or
transmitted in any form or by any means without written permission.
Nicole A. Bradshaw, MS, MBA
Catherine Brady-Copertino, BSN, MS, OCN
Neal Christiansen, MD
Colleen Gill, MS, RD, CSO
John E. Hennessy, MBA, CMPE
Faye Flemming, BSN, RN, OCN
Ali McBride, PharmD, MS, BCPS
Randall A. Oyer, MD
Mark S. Soberman, MD, MBA, FACS
Cecilia R. Zapata, MS, MHA
TRUSTEES
2015/2016 Annual Report I accc-cancer.org 1
President’s Message
It’s been another exciting year in healthcare with new advances continuing to come fast and furious for our
patients. At the same time, policy changes and the movement to value-based delivery systems are challenging us
to adapt—in all settings of care—as this new environment begins to take shape. The Association of Community
Cancer Centers has had an exciting year as well, with the launch of a number of vital new programs, meetings,
and resources for membership.
I have truly enjoyed my year serving as your President and having the opportunity to travel to different areas of the
country and learn about the issues we all face.
My President’s Theme has been the Oncology Medical Home and Integrated Healthcare Delivery. ACCC released
a white paper on “Five Essential Actions to Achieve a Positive Impact on Patient Care in the Integrated Healthcare
Environment,” reflecting insights gleaned from the ACCC Institute for the Future of Oncology June 2015 forum.
ACCC also addressed this theme during panel sessions at the 2015 National Oncology Conference and the 2016
Annual Meeting.
Immuno-oncology had a breakout year—not only in terms of new and expanded indications—but also with
the launch of the Institute for Clinical Immuno-Oncology (ICLIO), an Institute of ACCC. The ICLIO website
(accc-iclio.org) has continued to grow, providing e-courses, a white paper, articles, and a national conference
geared toward advancing immunotherapy in the community setting and ensuring coverage and payment. For
those of you just starting your immuno-oncology journey, look to ICLIO to help you prepare with thorough and
robust education offerings.
ACCC continues to focus on oncology pharmacy, with several Oncology Pharmacy Education Network (OPEN)
meetings. Essential new resources were developed, including an online patient education tool, “What Cancer
Patients Need to Know About Oral Medications”; a white paper on dispensing pharmacy, A Value Proposition
for Oncology Practices; and a well-attended member conference call on the 340B Drug Pricing Program.
Continuing to address issues related to the financial burden of cancer on patients, ACCC held regional
Financial Advocacy Network (FAN) case-based workshops. Members also benefited from the FAN 2015
Benchmark Survey highlights and the FAN Patient Assistance App (accc-FAN-app.org).
Reimbursement issues—always on everyone’s radar screen—were front and center at regional Oncology
Reimbursement Meetings and during ACCC members-only conference calls on the proposed and final 2016
HOPPS and MPFS rules. Reimbursement is also an integral feature of one of ACCC’s most popular tools, the
2016 Patient Assistance and Reimbursement Guide.
I encourage you to stay involved; volunteer for positions within the organization that help with programming,
membership, education, and advocacy. Thank you for allowing me to serve as your 2015-2016 president.
by Steven L. D’Amato,
BSPharm, BCOP
The Year in Review
2 Association of Community Cancer Centers I accc-cancer.org
New Members
Advocate South Suburban Hospital
Beth Israel Deaconess Medical Center, Hematology/Oncology
Breastlink Medical Group, Inc.
Cary Medical Center, Jefferson Cary Cancer Center
Central Care Cancer Center
CHRISTUS Health System
CHRISTUS Hospital, St. Elizabeth & St. Mary
CHRISTUS Santa Rosa Health Care
CHRISTUS St. Patrick Hospital, Regional Cancer Services
City of Hope National Medical Center
Covenant Cancer Treatment Center
Danville Hematology and Oncology
Dominican Cancer Care Center
Eisenhower Medical Center, Lucy Curci Cancer Center
El Camino Hospital, El Camino Hospital Oncology Services
Fauquier Health Center for Cancer Care
Hospital of the University of Pennsylvania - Abramson
Cancer Center
Infirmary Health System
Littleton Adventist Hospital
Methodist Charlton Medical Center, Cancer Program
Mount Nittany Medical Center
Olathe Medical Center, Oncology Services
Parkview Cancer Center
Penn Medicine - University of Pennsylvania
Health System (UPHS)
Penn Presbyterian Medical Center - Abramson Cancer Center
Pennsylvania Hospital - Abramson Cancer Center
Sidney Kimmel Cancer Center at the Thomas Jefferson
University Health System
St. Charles Cancer Center
St. Rita’s Medical Center - St. Rita’s Regional Cancer Center
Statesir Cancer Center
ThedaCare Cancer Care
United Health Services Oncology
Welch Cancer Center
New Chapter Members:
Oncology Managers of Florida
Oregon Society of Medical Oncology
As of February 8, 2016
New Members 2015-2016
ACCC is...
1,847 625 278 7 5,710 20,583
Practices
and Hospitals
Cancer
Program
Members
Individual
Members
System
Members
Members
through State
Societies
Total
Members
41 % Physicians
18 % Administrators/Managers
14 % Other Staff
11 % Nurses
4 % Pharmacists/Pharmacy Staff
3 % Social Workers
3 % Data Managers/Tumor Registrars
2.4 % Radiation Therapists
2.4 % Patient Navigators
1.2 % Financial Advocates
2015/2016 Annual Report I accc-cancer.org 3
Engagement
4,903 total followers
ACCCExchange online community currently has 22,648 members. From July 1, 2015 to date, there have been 488 unique posts
with 1,242 public replies and 590 private replies.
z	 Staffing: Social Work and Nutrition
z	 Lung Cancer Screening/Incidental Nodule Software
z	 Billing for Nutritional Counseling of Cancer Patients
z	 Top Issues Facing Community Cancer Centers
z	 LDCT Registry Process
z	 Navigator Return on Investment
z	 Survivorship Care Plan Research
z	 Survivorship Processes Implementation
ACCCExchange / The most popular ACCCExchange posts since July 2015:
ACCC continues to engage its members—through
ACCCExchange and social media—and the general
public—through media and PR outreach—about issues
of interest to the cancer community. Recent media
coverage of ACCC has focused on:
z	 The white paper from the 2015 Institute for the Future
of Oncology, “What Will It Take? Five Essential Actions
to Achieve a Positive Impact on Patient Care in the
Integrated Healthcare Environment” was featured on
175 websites, reaching an audience of close to 10
million readers.
z	 ACCC President Steven D’Amato, BSPharm, BCOP,
authored an article for a special USA Today insert
on the future of cancer care, “Curbing Financial
Anxiety on the Road to Recovery” that was published
in print and online in February 2016, reaching over
1 million readers.
z	 OBR Green: “ACCC-ICLIO: Navigating the Future of
Immuno-Oncology and Who’s Going to Pay for It”
z	 Washington Business Journal: “Oncology Experts
Share Essential Actions to Achieve a Positive Impact on
Patient Care in the Integrated Healthcare Environment”
z	 Newsmedical.net: “ACCC Survey Highlights Challenges
and Recent Trends in US Cancer Programs”
z	 Helio/HemOnc Today: “Immunotherapy Adoption
in Community Setting Hindered by Costs, Biomarker
Identification”
z	 Modern Healthcare: “As Local Cancer Centers Grow,
Hospitals Look for Ways to Advertise Their Superiority”
ACCC in the News 15% growth
641 more
than last year, a
Facebook: 777 Likes
Twitter: 1,391 Followers
LinkedIn: 2,735 Members
Youtube: 19,478 views
4 Association of Community Cancer Centers I accc-cancer.org
Meetings by the Number
With an ever-expanding roster of meetings, ACCC offered a multitude of opportunities for every
member of the multidisciplinary cancer care team to come together to learn about and discuss
critical and timely issues in oncology. More than 600 cancer care professionals gathered for the
ACCC 32nd National Oncology Conference, October 21-23, 2015, in Portland, Oregon. Common
themes across conference sessions and networking conversations focused on collaboration,
integration, evidence-based medicine, and demonstrating value.  
The ACCC 42nd Annual Meeting, CANCERSCAPE, held March 2-4, 2016, in Washington, D.C.,
provided insight into the key drivers of change impacting our evolving oncology care delivery
system—policy, value, and quality. Capitol Hill Day, March 2, addressed how policy impacts
oncology care in the community setting. 
49 4,725 37 413 448
Meetings Participants Cities Sessions Hours
Oncology Pharmacy Education Network (OPEN)
Regional Meetings:
z	 New Brunswick, NJ
z	 Ft. Lauderdale, FL
z	 Charlotte, NC
OPEN Pre-Conference
z	 Portland, OR
Oncology Reimbursement Meetings
z	 Chicago, IL
z	 Raleigh, NC
z	 Scottsdale, AZ
z	 Indianapolis, IN
z	 Birmingham, AL
z	 Boston, MA
Financial Advocacy Network (FAN) Regional Meetings
z	 Burlingame, CA
z	 Silver Spring, MD
z	 Tampa, FL
Financial Advocacy Network (FAN) Case-Based
Workshops
z	 New Brunswick, NJ
z	 Chicago, IL
Institute for Clinical Immuno-Oncology (ICLIO)
z	 Philadelphia, PA
New to Oncology Pre-Conference
z	 Portland, OR
ACCC 32nd National Oncology Conference
z	 Portland, OR
ACCC 42nd Annual Meeting, CANCERSCAPE
z	 Washington, D.C.
30 Oncology State Society Network Conferences
accc-cancer.org/meetings
2015/2016 Annual Report I accc-cancer.org 5
Advocacy
ACCC provides members with the information and resources needed to effectively
advocate on the issues that are important to them. This past year, ACCC:
z	 Helped our members to effect real change on Capitol Hill by meeting with 80
members of Congress in over 23 states on issues like repealing the Sustainable
Growth Rate (SGR), passing a federal oral parity law, and eliminating the prompt
pay discount in the Medicare program.
z	 Partnered with several patient advocacy organizations to pass oral parity
legislation in six states in 2015. ACCC co-hosted a briefing on Capitol Hill on
the federal oral parity bill, in which an ACCC physician represented the provider
perspective, and spearheaded an effort to create educational materials on oral
parity and cost-sharing obligations for the clinical setting.
z	 Testified before the Hospital Outpatient Payment (HOP) Panel and successfully
mitigated cuts to radiation oncology payments and secured reimbursement for
advance care planning and lung screening services through comments on the
Medicare Physician Fee Schedule (PFS) and Hospital Outpatient Prospective
Payment System (HOPPS) rules.
z	 Submitted comments on the 340B Program “mega-guidance,” the new Medicare
reimbursement system required by the Medicare Access and CHIP Reauthoriza-
tion Act (MACRA); proposed changes to the Medicare Shared Savings Program
(MSSP) and on the revised draft of USP Chapter <800> guidelines.
z	 Closely monitored policy conversations about value and drug pricing, submitting
comments on ASCO’s Value Framework.
z	 Launched the Oncology Care Model (OCM) Resource Center to educate members
on the first oncology-specific payment reform model from the Center for Medicare
and Medicaid Innovation (CMMI). At the end of 2015, ACCC launched the OCM
Collaborative to serve as a forum to share implementation tips, best practices, and
educational resources as the model is implemented.
z	 Nominated several ACCC members to federal advisory panels, including the
Medicare Evidence Development and Coverage Advisory Committee (MEDCAC)
and CMMI technical expert panels (TEPs) for the Oncology Care Model (OCM).
6 Association of Community Cancer Centers I accc-cancer.org
In 2015-2016, ACCC published a wide variety of timely resources for mem-
bers. These publications help the multidisciplinary cancer care team suc-
ceed in their roles by providing solution-based approaches, best practices,
and benchmarking data to use in strategic planning.
This annual publication provides the tools and resources providers need to help
their patients pay for cancer treatment. The latest guide includes:
z	 Enrollment instructions and links to pharmaceutical
and foundation patient assistance and co-pay programs
z	 A Q&A on financial toxicity from the physician and financial advocate perspective
z	 Tips for optimizing co-pay assistance programs
z	 Payer-specific patient assistance flow charts
(i.e., uninsured, Medicare, Medicaid, HMOs)
z	 A drug-specific quick reference guide to patient assistance programs.
Patient Assistance & Reimbursement Guide
ASSOCIATION OF COMMUNITY CANCER CENTERS
/ 2016
Patient
ASSISTANCE
GUIDE
REIMBURSEMENT
&
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7KLV SXEOLFDWLRQ LV D EHQH¿W RI PHPEHUVKLS
Oncology Issues
Publications
Oncology Issues, the official journal of ACCC, is the only
oncology-related publication devoted to policy, program-
matic management, and reimbursement issues of concern
to multidisciplinary cancer care providers. With practical
strategies that are working successfully in cancer programs
today, the journal helps members succeed in a complex,
ever-changing healthcare delivery system. Featured articles
this past year covered patient navigation, personalized
medicine, survivorship services, radiation and infusion center
benchmarking, and more.
Unlock
the
Potential
of the
Cancer
Registrar DUAL
RESPO
NSIB
IL
IT
IE
S
ONCOLOGY
ISSUES
Association of Community Cancer Centers
This publication is a benefit of membership
Association of Community Cancer Centers
January | February 2016
Patient Navigation:
Metrics  Return On
Investment | 62
Patient Navigation:
Core Competencies
 Certification | 54
Improve Patient
Engagement; Improve
Your Program | 44
ONCOLOGY
ISSUES
Advanced Practice in Oncology
Nursing | 40
Implementing a Web-Based
Patient Tracker | 30
A Web-Based Education Resource
for Oncology NPs | 52
This publication is a benefit of membership
Association of Community Cancer Centers
November | December 2015
Association of Community Cancer Centers
Closing
the Loop with
a Post-Biopsy
Breast Clinic
ONCOLOGY
ISSUES
The Embedded Nurse
Navigator Model | 36
Molecular Subtyping and
Breast Cancer | 28
Value-Based Cancer Care
in Rural Communities | 42
This publication is a benefit of membership
Association of Community Cancer Centers
September | October 2015
Association of Community Cancer Centers
Building a
Personalized
Medicine
Program
2015/2016 Annual Report I accc-cancer.org 7
In its sixth year, the ACCC 2015 Trends in Cancer Programs survey
educates members on nationwide developments in the business
aspects of cancer care. The survey is also a tool to assist members
in evaluating their own organization’s performance relative to similar
cancer programs—to help identify quality improvement and/or per-
formance improvement initiatives.
Trends in Cancer Programs
WHO Took Our Survey?
Many Cancer Programs
Continue to Experience
STAFFING SHORTAGES
STAFFING SHORTAGES (OUTSIDE OF PHYSICIANS)
More Cancer Programs
are Employing PHYSICIAN
EXTENDERS
GROWTH Areas
Q 2015 Survey
Q 2014 Survey
Q 2013 Survey
ADVANCED DIAGNOSTIC
TESTING OFFERED
GENETIC COUNSELING
OFFERED
MOLECULAR TESTING
OFFERED
2015 TRENDS IN
CANCER PROGRAMS
BIGGEST CHALLENGES Facing
Cancer Programs Today
2015
Survey
2014
Survey
• Lack of reimbursement for supportive
care services 65%
• Budget restrictions 61%
• Lack of physical space 49%
• Marketplace competition 49%
• Ability to meet multiple accreditation
requirements 46%
• Cost of drugs 45%
• Increased number of patients unable to
pay for treatment 44%
HOW ARE YOU ADDRESSING THESE STAFFING SHORTAGES?
This annual survey, which began in 2009, provides key insight into nationwide developments in the business
of cancer care. A joint project between the Association of Community Cancer Centers and Lilly Oncology, this
report highlights 2015 findings.
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66% Hospital-based
outpatient cancer
program
13% Shared
operation
5% University-based
cancer program
4% Physician-owned
oncology practice
7% Hospital-employed
physician oncology
practice
5% University-affiliated cancer
program or teaching hospital
INCREASED USE OF PHYSICIAN EXTENDERS?
Yes
78%
Yes
63%
No
22%
No
37%
0 20 40 60 80 100
Billers and coders
Nurse practitioners
Cancer registrars
Oncology nurses 42%
34%
21%
19%
0 20 40 60 80 100
Outsourced tasks to
third-party entities
(billing, coding, registry)
Increased use
of volunteers
Implemented staff
retention policies
Increased
recruitment efforts
51%
21%
18%
15%
83%
78%
58%
81%
72%75%
72%
60%
47%
Many ACCC education programs included standalone
publications with comprehensive resources for the
multidisciplinary oncology team on a wide variety of
topics, including:
z	 Psychosocial distress screening
z	 Molecular testing
z	 Physician dispensing
z	 Stem cell transplant
Education Publications
Association of Community Cancer Centers • Ongoing Advances  Improvements in MOLECULAR TESTING 1
Ongoing Advances
 Improvements in
MOLECULAR
TESTING
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PSYCHOSOCIAL
DISTRESS
SCREENING
LessonsLearned
fromThree
ACCCMember
Programs
ASSOCIATION OF COMMUNITY CANCER CENTERS
11600 Nebel Street, Suite 201
Rockville, MD 20852
301.984.9496 G accc-cancer.org
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DISPENSING PHARMACY:
A VALUE PROPOSITION FOR
ONCOLOGY PRACTICES
Effective Practices in
RENAL CELL CARCINOMA
Programs
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7KLV SXEOLFDWLRQ LV D EHQH¿W RI PHPEHUVKLS
1
ProcessImprovement
Workshop
2 PatientEducation
3Psychosocial
Support
Financial
Counseling
4Care
Coordination
Medical
Co-Management
5Plan-Do-Study-Act
Model
TheTransplant
Treatment
Path
Optimizing patient–
centered care for ASCT
in multiple myeloma
patients
8 Association of Community Cancer Centers I accc-cancer.org
Provider Resources
Financial Advocacy Network (FAN)
In 2015 FAN rolled out a number of resources, including:
z	 3 regional meetings where attendees had the opportunity to
learn from expert presenters and network with colleagues
z	 2 interactive case-based workshops that examined real–world
scenarios through peer–to–peer discussion, high–level
analysis, and collaborative problem solving
z	 Highlights of a comprehensive provider survey to help member
programs improve and adequately train and staff their financial
advocate team
z	 A revamped website
z	 The FAN Financial Assistance app (accc-FAN-app.org) that
ensures critical patient assistance resources are just a click away.
Key features include: breaking news, the ability to search pharmaceutical
patient assistance and co-pay programs by brand or generic drug name,
foundation and non-profit patient assistance and co-pay programs, and
travel and housing assistance.
ACCC Provider Resources offer practical strategies for meeting the challenges of
delivering quality cancer care. Tools focus on programmatic operations, coverage
and reimbursement, supportive care services, financial advocacy, and more.
Provider Education Projects Launched in 2015-2016:
z	 Psychosocial Distress Screening
z	 2015 Practice Profiles: Molecular Testing
z	 2015 Trends in Cancer Programs
z	 Dispensing Pharmacy in the Community Cancer Center Setting: A Pilot Project
to Overcome Access Barriers
z	 Treatment Path: Optimizing Patient-Centered Care for Autologous Stem Cell
Transplant in Multiple Myeloma
z	 Renal Cell Carcinoma: Tools  Resources for the Multidisciplinary Team
z	 Supportive Care Summit
2015/2016 Annual Report I accc-cancer.org 9
Institute for Clinical
Immuno-Oncology (ICLIO)
ACCC recognized the critical need to translate advancements in cancer immunotherapy—through specific
immuno-oncology biologics—into practical applications. To meet this need, ACCC created the Institute for
Clinical Immuno-Oncology (ICLIO). ICLIO helps to bring these therapies from bench side to bedside by
addressing issues, challenges, and implementation strategies for the multidisciplinary cancer care team.
Advancing
Immuno-Oncology
in the
Community
Setting
ICLIO Resources in 2015-2016
ICLIO provided targeted content to help the multidisciplinary team prepare for
and meet the challenges and opportunities presented by immuno-oncology.
Deliverables this past year included:
z	 9 e-newsletters for clinicians and fellows
z	 9 e-courses presented by distinguished faculty with real-world clinical,
programmatic, and operational applications
z	 The first ICLIO National Conference, October 2, 2015, Philadelphia, PA
z	 The first ICLIO white paper, Advancing Immuno-Oncology in the
Community Setting
Learn more at accc-cancer.org/ICLIO.
ICLIO is made possible by a charitable donation from Bristol-Myers Squibb and supported
by an educational grant from Merck  Co., Inc.
10 Association of Community Cancer Centers I accc-cancer.org
Awards
Patricia Layton, RN, BSN
The Annual Clinical Research Award is presented to an individual, or individuals, whose
research has significantly and positively impacted the oncology patient, family, and community.
The 2015 Annual Clinical Research Award was presented to Patricia Layton, RN, BSN, at the
ACCC 32nd
National Oncology Conference in Portland, Oregon.
Ms. Layton is a research nurse at the Cancer Center at Saint Barnabas Medical Center in
Livingston, New Jersey. She brings more than 25 years of experience managing Phase I–IV
clinical trials across multiple therapeutic areas in the hospital and pharmaceutical industry
settings. Her research experience has been focused in oncology, hematology, immunology,
virology, and solid organ and bone marrow transplantation, and she has global clinical trial
monitoring experience.
.
2015 Annual Clinical Research Award
2015 ACCC Innovator Award Winners
The ACCC Innovator Awards honor member programs that have exhibited forward-thinking
strategic planning and developed pioneering programs and creative solutions.
2015 Innovator Award Winners presented their innovations at the ACCC 32nd
National Oncology
Conference in Portland, Oregon. Innovations were also shared online, and in our award-winning
journal, Oncology Issues.
Congratulations to our 2015 winners!
Eastern Maine Medical Center Cancer Program: EMMC Cancer Care
Improve Efficiency, Safety,  the Patient Experience with Location Technology
Lancaster General Hospital, Ann B. Barshinger Cancer Institute
Community Collaboration Reduces Financial Distress
Mary Washington Healthcare Regional Cancer Center
Prehab Improves Outcomes for Oncology Patients
PIH Health Comprehensive Community Cancer Program
Engaging Patients  Assisting PCPs in Lung Cancer Screening
Providence Cancer Center
Bridging the Gap: A Family Program for Parents with Cancer and their Children
Seton Family of Hospitals, Seton Cancer Program
Fusing Clinical and Business Metrics to Improve Quality and Effect Change
2015/2016 Annual Report I accc-cancer.org 11
2015-2016
Committee Members
Audit Committee
Thomas Gallo, MS, Chair
Faye Flemming, RN, BSN, OCN
Cecilia Zapata, MS, MHA
Awards Committee
Becky DeKay, MBA, Chair
Ernest Anderson Jr., MS, RPh, FASHP, FMSHP
Al Benson III, MD, FACP
James Chingos, MD, CPE, FACP
George Kovach, MD
Luana Lamkin, RN, MPH
Richard Reiling, MD, FACS
Virginia Vaitones, MSW, OSW-C
E. Strode Weaver, FACHE, MBA, MHSA
Bylaws Committee
Diane Otte, RN, MS, OCN, Chair
Dale Fuller, MD
Luana Lamkin, RN, MPH
Teresa Smith, RN, MS
Clinical Affairs Committee
Al Benson III, MD, FACP, Chair
Vijayan Aroumougame, MS, PhD, MBA,
DABR, FACHE
Laurence Heifetz, MD, FACP
Randall Oyer, MD
Laeton Pang, MD, MPH
Cary Presant, MD, FACP
Thomas Whittaker, MD, FACP
Corporate Development
Committee
Edward Braud, MD, Chair
George Kovach, MD
Richard Reiling, MD, FACS
Editorial Committee
Susan van der Sommen, MHA, CMPE,
FACHE, Chair
Al Benson III, MD, FACP
Linda Corrigan, MHE, RHIT, CTR
Amanda Henson, MSHA, MBA, FACHE
Morton Kahlenberg, MD, FACS
Nicholas J. Petrelli, MD
Cary Presant, MD, FACP
Michael J. Reff, RPh, MBA
Chad Schaeffer, FACHE
Brian Schmalhofer, MBA, RT(R)(T)
Matt Sherer, MBA, MHA
Judy Stone, CMPE
Editorial Advisory Panel
Teri Guidi, MBA, FAAMA
Kelley D. Simpson
Matthew Sturm, MBA
Education Committee
Becky DeKay, MBA, Interim Chair
Leigh Boehmer, PharmD, BCOP
Nicole Bradshaw, MS, MBA
J. Brian Cassel, PhD
Melanie Feinberg
Una Hopkins, DNP, RN, FNP-BC
Barbara Jensen, RN, BSN, MBA
Jeff Kendall, PsyD
Clara Lambert
Lori A. McNulty, RN
Thomas Whittaker, MD, FACP
Governmental Affairs Committee
Wendalyn Andrews, BS, Chair
Ernest Anderson Jr., MS, RPh, FASHP, FMSHP
Vijayan Aroumougame, MS, PhD, MBA,
DABR, FACHE
Edward Braud, MD
Nicole Bradshaw, MS, MBA
Jeffrey Bubis, DO
Becky DeKay, MBA
Albert Einstein, MD, FACP
Dale Fuller, MD
Thomas Gallo, MS
Brenda Gordon, RN, MSN, OCN
Judith Hall-Laughlin, MBA, BSN, RN
William L. Holden, III, MBA, RT(T)(R) FACHE
George Kovach, MD
M. Tom Manion, MPA
Thomas Marsland, MD
Randall Oyer, MD
Laeton J. Pang, MD, MPH
Matt Sherer, MBA, MHA
Virginia Vaitones, MSW, OSW-C
Thomas Whittaker, MD, FACP
Guidelines Committee
Mandi Pratt-Chapman, MA, Chair
Robin Abbass, RT(T)
Tara Ballard
Colleen Gill, MS, RD, CSO
John Montville, MBA, FACMPE, CAAMA
Diane Otte, RN, MS, OCN
Richard Reiling, MD, FACS
Gary D. Upp, MHSA
Virginia Vaitones, MSW, OSW-C
Investment Committee
Thomas Gallo, MS, Chair
John E. Hennessy, CMPE
George Kovach, MD
Membership Committee
Catherine Brady-Copertino, BSN, MS,
OCN, Chair
Marija Bjegovich-Weidman, RN, MSN
Christine Conkling
Faye Flemming, RN, BSN, OCN
Ruth Niebuhr, RN, OCN
Margaret Salmassy, MHA
Matt Sherer, MBA, MHA
Gary D. Upp, MHSA
Kim Woofter, RN, OCN
Cecilia R. Zapata, MS, MHA
Nominating Committee
Thomas Whittaker, MD, FACP, Chair
Brendan Fitzpatrick
Amanda Henson, MSHA, MBA, FACHE
William Holden, MBA, RT(T)(R), FACHE
Virginia Vaitones, MSW, OSW-C
Strategic Planning
Committee
Jennie Crews, MD, FACP, Chair
George Kovach, MD
Diane Otte, RN, MS, OCN
Laeton Pang, MD, MPH
Thomas Whittaker, MD, FACP
Cecilia R. Zapata, MS, MHA
12 Association of Community Cancer Centers I accc-cancer.org
Treasurer’s Report
The statement of Financial Position shows an increase in
net assets from $3,581,894 to $6,790,742 for fiscal year
2014-2015. The increase is largely due to funding for new
education programming. The Statement of Activities and
Change in Net Assets shows total unrestricted net assets
at year end of $984,666, up from $931,719 at the begin-
ning of the year. The cash reserve account increased from
$533,540 to $578,134. Financial statements for the fiscal
year ended June 30, 2015, are provided.
Amendments to the budget for the purpose of conducting
special projects in conjunction with the Corporate Develop-
ment Committee have been approved for fiscal year 2016.
The Finance Committee approved budget amendments for
up to $7,440,000 of revenue with associated direct project
costs of $7,068,000. Funding commitments as of Decem-
ber 31, 2015, for the 2016 fiscal year, are approximately
$6,200,000, with associated project costs estimated
at $5,890,000.
Statement of Financial Position as of June 30, 2015
ASSETS
Thomas A. Gallo, MS, Treasurer
LIABILITIES AND NET ASSETS
CURRENT LIABILITIES		
Accounts Payable  Accrued Liabilities	 $	 577,461
Deferred Revenue	
	 Membership Dues		 388,155
	 Other		 89,814
Total Current Liabilities		 1,055,430
NET ASSETS		
Unrestricted	 $	 984,666
Temporarily Restricted		 5,806,076
Total Net Assets		 6,790,742
Total Liabilities and Net Assets	 $	 7,846,172
CURRENT ASSETS		
Cash		 $	 4,430,702
Investments		 1,271,544
Accounts Receivable		 218,082
Sponsorship Receivable		 1,882,363
Prepaid Expenses		 43,481
Total Assets	 $	 7,846,172
Membership Dues 	 $	 862,782	 -	 862,782
	 Conferences and
	 Meetings 		 468,845	 551,735	 1,020,580
	 Journal		 266,055	 160,500	 426,555
	 Interest 		 3,561	 -	 3,561
	 Other 		 60,896	 58,000	 118,896
	Pharmaceutical
	 Reimbursement Project		 4,720	 9,001,977	 9,006,697
	 Net Assets Released
	 from Donor Restrictions	 	 6,616,311	 (6,616,311)	 -
Total Revenue	 $	 8,283,170	 3,155,901	 11,439,071
EXPENSES				
Program Services				
	 Conferences and Meetings	 $ 	 1, 116,906	 -	 1,116,906
	 Journal		 397,514	 -	 397,514
	 Membership 		 354,051	 -	 354,051
	 Other 		 44,735	 -	 44,735
	 Pharmaceutical Reimbursement Project	 5,560,692	 -	 5,560,692
Total
Program Services	$	 7,473,898		 7,473,898
Supporting Services				
	 General	 $	 756,325		 756,325
Total Expenses	 $	 8,230,223	 -	 8,230,223
Statement of Activities and Change in Net Assets
for the Year Ended June 30, 2015
		TEMPORARILY	
REVENUE	 UNRESTRICTED	RESTRICTED	 TOTAL	
Change in
Net Assets	 $	 52,947	 3,155,901	 3,208,848
Net Assets,
Beginning of Year	 $	 931,719	 2,650,175	 3,581,894
Net Assets,
End of Year	 $	 984,666	 5,806,076	 6,790,742
Thank you to our supporters
Industry Advisory Council
Emerging Companies Council
Technical Advisory Council

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Designed this Annual Report for the Association of Community Cancer Centers

  • 2. Board of Trustees 2015-2016 Cover images courtesy of: HonorHealth Virginia G. Piper Cancer Center in Scottsdale, AZ (Top) • The Charleston Area Medical Center Cancer Center, Charleston, WV (Middle, Right) • Skagit Valley Hospital Regional Cancer Care Center, Mount Vernon, WA (Middle, Left) • New England Cancer Specialists, Scarborough, ME (Bottom) President Steven L. D’Amato, BSPharm, BCOP President-Elect Jennie R. Crews, MD, FACP Secretary W. Charles Penley, MD Treasurer Thomas A. Gallo, MS Immediate Past President Becky L. DeKay, MBA The Association of Community Cancer Centers (ACCC) is the leading advocacy and education organization for the multidisciplinary cancer care team. Approximately 20,000 cancer care professionals from 2,000 hospitals and practices nationwide are affiliated with ACCC. Providing a national forum for addressing issues that affect community cancer programs, ACCC is recognized as the premier provider of resources for the entire oncology care team. Our members include medical and radiation oncologists, surgeons, cancer program administrators and medi- cal directors, senior hospital executives, practice managers, pharmacists, oncology nurses, radiation therapists, social workers, and cancer program data managers. ©2016. Association of Community Cancer Centers. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means without written permission. Nicole A. Bradshaw, MS, MBA Catherine Brady-Copertino, BSN, MS, OCN Neal Christiansen, MD Colleen Gill, MS, RD, CSO John E. Hennessy, MBA, CMPE Faye Flemming, BSN, RN, OCN Ali McBride, PharmD, MS, BCPS Randall A. Oyer, MD Mark S. Soberman, MD, MBA, FACS Cecilia R. Zapata, MS, MHA TRUSTEES
  • 3. 2015/2016 Annual Report I accc-cancer.org 1 President’s Message It’s been another exciting year in healthcare with new advances continuing to come fast and furious for our patients. At the same time, policy changes and the movement to value-based delivery systems are challenging us to adapt—in all settings of care—as this new environment begins to take shape. The Association of Community Cancer Centers has had an exciting year as well, with the launch of a number of vital new programs, meetings, and resources for membership. I have truly enjoyed my year serving as your President and having the opportunity to travel to different areas of the country and learn about the issues we all face. My President’s Theme has been the Oncology Medical Home and Integrated Healthcare Delivery. ACCC released a white paper on “Five Essential Actions to Achieve a Positive Impact on Patient Care in the Integrated Healthcare Environment,” reflecting insights gleaned from the ACCC Institute for the Future of Oncology June 2015 forum. ACCC also addressed this theme during panel sessions at the 2015 National Oncology Conference and the 2016 Annual Meeting. Immuno-oncology had a breakout year—not only in terms of new and expanded indications—but also with the launch of the Institute for Clinical Immuno-Oncology (ICLIO), an Institute of ACCC. The ICLIO website (accc-iclio.org) has continued to grow, providing e-courses, a white paper, articles, and a national conference geared toward advancing immunotherapy in the community setting and ensuring coverage and payment. For those of you just starting your immuno-oncology journey, look to ICLIO to help you prepare with thorough and robust education offerings. ACCC continues to focus on oncology pharmacy, with several Oncology Pharmacy Education Network (OPEN) meetings. Essential new resources were developed, including an online patient education tool, “What Cancer Patients Need to Know About Oral Medications”; a white paper on dispensing pharmacy, A Value Proposition for Oncology Practices; and a well-attended member conference call on the 340B Drug Pricing Program. Continuing to address issues related to the financial burden of cancer on patients, ACCC held regional Financial Advocacy Network (FAN) case-based workshops. Members also benefited from the FAN 2015 Benchmark Survey highlights and the FAN Patient Assistance App (accc-FAN-app.org). Reimbursement issues—always on everyone’s radar screen—were front and center at regional Oncology Reimbursement Meetings and during ACCC members-only conference calls on the proposed and final 2016 HOPPS and MPFS rules. Reimbursement is also an integral feature of one of ACCC’s most popular tools, the 2016 Patient Assistance and Reimbursement Guide. I encourage you to stay involved; volunteer for positions within the organization that help with programming, membership, education, and advocacy. Thank you for allowing me to serve as your 2015-2016 president. by Steven L. D’Amato, BSPharm, BCOP The Year in Review
  • 4. 2 Association of Community Cancer Centers I accc-cancer.org New Members Advocate South Suburban Hospital Beth Israel Deaconess Medical Center, Hematology/Oncology Breastlink Medical Group, Inc. Cary Medical Center, Jefferson Cary Cancer Center Central Care Cancer Center CHRISTUS Health System CHRISTUS Hospital, St. Elizabeth & St. Mary CHRISTUS Santa Rosa Health Care CHRISTUS St. Patrick Hospital, Regional Cancer Services City of Hope National Medical Center Covenant Cancer Treatment Center Danville Hematology and Oncology Dominican Cancer Care Center Eisenhower Medical Center, Lucy Curci Cancer Center El Camino Hospital, El Camino Hospital Oncology Services Fauquier Health Center for Cancer Care Hospital of the University of Pennsylvania - Abramson Cancer Center Infirmary Health System Littleton Adventist Hospital Methodist Charlton Medical Center, Cancer Program Mount Nittany Medical Center Olathe Medical Center, Oncology Services Parkview Cancer Center Penn Medicine - University of Pennsylvania Health System (UPHS) Penn Presbyterian Medical Center - Abramson Cancer Center Pennsylvania Hospital - Abramson Cancer Center Sidney Kimmel Cancer Center at the Thomas Jefferson University Health System St. Charles Cancer Center St. Rita’s Medical Center - St. Rita’s Regional Cancer Center Statesir Cancer Center ThedaCare Cancer Care United Health Services Oncology Welch Cancer Center New Chapter Members: Oncology Managers of Florida Oregon Society of Medical Oncology As of February 8, 2016 New Members 2015-2016 ACCC is... 1,847 625 278 7 5,710 20,583 Practices and Hospitals Cancer Program Members Individual Members System Members Members through State Societies Total Members 41 % Physicians 18 % Administrators/Managers 14 % Other Staff 11 % Nurses 4 % Pharmacists/Pharmacy Staff 3 % Social Workers 3 % Data Managers/Tumor Registrars 2.4 % Radiation Therapists 2.4 % Patient Navigators 1.2 % Financial Advocates
  • 5. 2015/2016 Annual Report I accc-cancer.org 3 Engagement 4,903 total followers ACCCExchange online community currently has 22,648 members. From July 1, 2015 to date, there have been 488 unique posts with 1,242 public replies and 590 private replies. z Staffing: Social Work and Nutrition z Lung Cancer Screening/Incidental Nodule Software z Billing for Nutritional Counseling of Cancer Patients z Top Issues Facing Community Cancer Centers z LDCT Registry Process z Navigator Return on Investment z Survivorship Care Plan Research z Survivorship Processes Implementation ACCCExchange / The most popular ACCCExchange posts since July 2015: ACCC continues to engage its members—through ACCCExchange and social media—and the general public—through media and PR outreach—about issues of interest to the cancer community. Recent media coverage of ACCC has focused on: z The white paper from the 2015 Institute for the Future of Oncology, “What Will It Take? Five Essential Actions to Achieve a Positive Impact on Patient Care in the Integrated Healthcare Environment” was featured on 175 websites, reaching an audience of close to 10 million readers. z ACCC President Steven D’Amato, BSPharm, BCOP, authored an article for a special USA Today insert on the future of cancer care, “Curbing Financial Anxiety on the Road to Recovery” that was published in print and online in February 2016, reaching over 1 million readers. z OBR Green: “ACCC-ICLIO: Navigating the Future of Immuno-Oncology and Who’s Going to Pay for It” z Washington Business Journal: “Oncology Experts Share Essential Actions to Achieve a Positive Impact on Patient Care in the Integrated Healthcare Environment” z Newsmedical.net: “ACCC Survey Highlights Challenges and Recent Trends in US Cancer Programs” z Helio/HemOnc Today: “Immunotherapy Adoption in Community Setting Hindered by Costs, Biomarker Identification” z Modern Healthcare: “As Local Cancer Centers Grow, Hospitals Look for Ways to Advertise Their Superiority” ACCC in the News 15% growth 641 more than last year, a Facebook: 777 Likes Twitter: 1,391 Followers LinkedIn: 2,735 Members Youtube: 19,478 views
  • 6. 4 Association of Community Cancer Centers I accc-cancer.org Meetings by the Number With an ever-expanding roster of meetings, ACCC offered a multitude of opportunities for every member of the multidisciplinary cancer care team to come together to learn about and discuss critical and timely issues in oncology. More than 600 cancer care professionals gathered for the ACCC 32nd National Oncology Conference, October 21-23, 2015, in Portland, Oregon. Common themes across conference sessions and networking conversations focused on collaboration, integration, evidence-based medicine, and demonstrating value.   The ACCC 42nd Annual Meeting, CANCERSCAPE, held March 2-4, 2016, in Washington, D.C., provided insight into the key drivers of change impacting our evolving oncology care delivery system—policy, value, and quality. Capitol Hill Day, March 2, addressed how policy impacts oncology care in the community setting.  49 4,725 37 413 448 Meetings Participants Cities Sessions Hours Oncology Pharmacy Education Network (OPEN) Regional Meetings: z New Brunswick, NJ z Ft. Lauderdale, FL z Charlotte, NC OPEN Pre-Conference z Portland, OR Oncology Reimbursement Meetings z Chicago, IL z Raleigh, NC z Scottsdale, AZ z Indianapolis, IN z Birmingham, AL z Boston, MA Financial Advocacy Network (FAN) Regional Meetings z Burlingame, CA z Silver Spring, MD z Tampa, FL Financial Advocacy Network (FAN) Case-Based Workshops z New Brunswick, NJ z Chicago, IL Institute for Clinical Immuno-Oncology (ICLIO) z Philadelphia, PA New to Oncology Pre-Conference z Portland, OR ACCC 32nd National Oncology Conference z Portland, OR ACCC 42nd Annual Meeting, CANCERSCAPE z Washington, D.C. 30 Oncology State Society Network Conferences accc-cancer.org/meetings
  • 7. 2015/2016 Annual Report I accc-cancer.org 5 Advocacy ACCC provides members with the information and resources needed to effectively advocate on the issues that are important to them. This past year, ACCC: z Helped our members to effect real change on Capitol Hill by meeting with 80 members of Congress in over 23 states on issues like repealing the Sustainable Growth Rate (SGR), passing a federal oral parity law, and eliminating the prompt pay discount in the Medicare program. z Partnered with several patient advocacy organizations to pass oral parity legislation in six states in 2015. ACCC co-hosted a briefing on Capitol Hill on the federal oral parity bill, in which an ACCC physician represented the provider perspective, and spearheaded an effort to create educational materials on oral parity and cost-sharing obligations for the clinical setting. z Testified before the Hospital Outpatient Payment (HOP) Panel and successfully mitigated cuts to radiation oncology payments and secured reimbursement for advance care planning and lung screening services through comments on the Medicare Physician Fee Schedule (PFS) and Hospital Outpatient Prospective Payment System (HOPPS) rules. z Submitted comments on the 340B Program “mega-guidance,” the new Medicare reimbursement system required by the Medicare Access and CHIP Reauthoriza- tion Act (MACRA); proposed changes to the Medicare Shared Savings Program (MSSP) and on the revised draft of USP Chapter <800> guidelines. z Closely monitored policy conversations about value and drug pricing, submitting comments on ASCO’s Value Framework. z Launched the Oncology Care Model (OCM) Resource Center to educate members on the first oncology-specific payment reform model from the Center for Medicare and Medicaid Innovation (CMMI). At the end of 2015, ACCC launched the OCM Collaborative to serve as a forum to share implementation tips, best practices, and educational resources as the model is implemented. z Nominated several ACCC members to federal advisory panels, including the Medicare Evidence Development and Coverage Advisory Committee (MEDCAC) and CMMI technical expert panels (TEPs) for the Oncology Care Model (OCM).
  • 8. 6 Association of Community Cancer Centers I accc-cancer.org In 2015-2016, ACCC published a wide variety of timely resources for mem- bers. These publications help the multidisciplinary cancer care team suc- ceed in their roles by providing solution-based approaches, best practices, and benchmarking data to use in strategic planning. This annual publication provides the tools and resources providers need to help their patients pay for cancer treatment. The latest guide includes: z Enrollment instructions and links to pharmaceutical and foundation patient assistance and co-pay programs z A Q&A on financial toxicity from the physician and financial advocate perspective z Tips for optimizing co-pay assistance programs z Payer-specific patient assistance flow charts (i.e., uninsured, Medicare, Medicaid, HMOs) z A drug-specific quick reference guide to patient assistance programs. Patient Assistance & Reimbursement Guide ASSOCIATION OF COMMUNITY CANCER CENTERS / 2016 Patient ASSISTANCE GUIDE REIMBURSEMENT & $VVRFLDWLRQ RI &RPPXQLW &DQFHU &HQWHUV 7KLV SXEOLFDWLRQ LV D EHQH¿W RI PHPEHUVKLS Oncology Issues Publications Oncology Issues, the official journal of ACCC, is the only oncology-related publication devoted to policy, program- matic management, and reimbursement issues of concern to multidisciplinary cancer care providers. With practical strategies that are working successfully in cancer programs today, the journal helps members succeed in a complex, ever-changing healthcare delivery system. Featured articles this past year covered patient navigation, personalized medicine, survivorship services, radiation and infusion center benchmarking, and more. Unlock the Potential of the Cancer Registrar DUAL RESPO NSIB IL IT IE S ONCOLOGY ISSUES Association of Community Cancer Centers This publication is a benefit of membership Association of Community Cancer Centers January | February 2016 Patient Navigation: Metrics Return On Investment | 62 Patient Navigation: Core Competencies Certification | 54 Improve Patient Engagement; Improve Your Program | 44 ONCOLOGY ISSUES Advanced Practice in Oncology Nursing | 40 Implementing a Web-Based Patient Tracker | 30 A Web-Based Education Resource for Oncology NPs | 52 This publication is a benefit of membership Association of Community Cancer Centers November | December 2015 Association of Community Cancer Centers Closing the Loop with a Post-Biopsy Breast Clinic ONCOLOGY ISSUES The Embedded Nurse Navigator Model | 36 Molecular Subtyping and Breast Cancer | 28 Value-Based Cancer Care in Rural Communities | 42 This publication is a benefit of membership Association of Community Cancer Centers September | October 2015 Association of Community Cancer Centers Building a Personalized Medicine Program
  • 9. 2015/2016 Annual Report I accc-cancer.org 7 In its sixth year, the ACCC 2015 Trends in Cancer Programs survey educates members on nationwide developments in the business aspects of cancer care. The survey is also a tool to assist members in evaluating their own organization’s performance relative to similar cancer programs—to help identify quality improvement and/or per- formance improvement initiatives. Trends in Cancer Programs WHO Took Our Survey? Many Cancer Programs Continue to Experience STAFFING SHORTAGES STAFFING SHORTAGES (OUTSIDE OF PHYSICIANS) More Cancer Programs are Employing PHYSICIAN EXTENDERS GROWTH Areas Q 2015 Survey Q 2014 Survey Q 2013 Survey ADVANCED DIAGNOSTIC TESTING OFFERED GENETIC COUNSELING OFFERED MOLECULAR TESTING OFFERED 2015 TRENDS IN CANCER PROGRAMS BIGGEST CHALLENGES Facing Cancer Programs Today 2015 Survey 2014 Survey • Lack of reimbursement for supportive care services 65% • Budget restrictions 61% • Lack of physical space 49% • Marketplace competition 49% • Ability to meet multiple accreditation requirements 46% • Cost of drugs 45% • Increased number of patients unable to pay for treatment 44% HOW ARE YOU ADDRESSING THESE STAFFING SHORTAGES? This annual survey, which began in 2009, provides key insight into nationwide developments in the business of cancer care. A joint project between the Association of Community Cancer Centers and Lilly Oncology, this report highlights 2015 findings. $VVRFLDWLRQ RI RPPXQLW DQFHU HQWHUV 7KLV WRRO LV D EHQH¿W RI PHPEHUVKLS 66% Hospital-based outpatient cancer program 13% Shared operation 5% University-based cancer program 4% Physician-owned oncology practice 7% Hospital-employed physician oncology practice 5% University-affiliated cancer program or teaching hospital INCREASED USE OF PHYSICIAN EXTENDERS? Yes 78% Yes 63% No 22% No 37% 0 20 40 60 80 100 Billers and coders Nurse practitioners Cancer registrars Oncology nurses 42% 34% 21% 19% 0 20 40 60 80 100 Outsourced tasks to third-party entities (billing, coding, registry) Increased use of volunteers Implemented staff retention policies Increased recruitment efforts 51% 21% 18% 15% 83% 78% 58% 81% 72%75% 72% 60% 47% Many ACCC education programs included standalone publications with comprehensive resources for the multidisciplinary oncology team on a wide variety of topics, including: z Psychosocial distress screening z Molecular testing z Physician dispensing z Stem cell transplant Education Publications Association of Community Cancer Centers • Ongoing Advances Improvements in MOLECULAR TESTING 1 Ongoing Advances Improvements in MOLECULAR TESTING $VVRFLDWLRQ RI RPPXQLW DQFHU HQWHUV 7KLV WRRO LV D EHQH¿W RI PHPEHUVKLS PSYCHOSOCIAL DISTRESS SCREENING LessonsLearned fromThree ACCCMember Programs ASSOCIATION OF COMMUNITY CANCER CENTERS 11600 Nebel Street, Suite 201 Rockville, MD 20852 301.984.9496 G accc-cancer.org $VVRFLDWLRQ RI RPPXQLW DQFHU HQWHUV 7KLV SXEOLFDWLRQ LV D EHQH¿W RI PHPEHUVKLS DISPENSING PHARMACY: A VALUE PROPOSITION FOR ONCOLOGY PRACTICES Effective Practices in RENAL CELL CARCINOMA Programs $VVRFLDWLRQ RI RPPXQLW DQFHU HQWHUV 7KLV SXEOLFDWLRQ LV D EHQH¿W RI PHPEHUVKLS 1 ProcessImprovement Workshop 2 PatientEducation 3Psychosocial Support Financial Counseling 4Care Coordination Medical Co-Management 5Plan-Do-Study-Act Model TheTransplant Treatment Path Optimizing patient– centered care for ASCT in multiple myeloma patients
  • 10. 8 Association of Community Cancer Centers I accc-cancer.org Provider Resources Financial Advocacy Network (FAN) In 2015 FAN rolled out a number of resources, including: z 3 regional meetings where attendees had the opportunity to learn from expert presenters and network with colleagues z 2 interactive case-based workshops that examined real–world scenarios through peer–to–peer discussion, high–level analysis, and collaborative problem solving z Highlights of a comprehensive provider survey to help member programs improve and adequately train and staff their financial advocate team z A revamped website z The FAN Financial Assistance app (accc-FAN-app.org) that ensures critical patient assistance resources are just a click away. Key features include: breaking news, the ability to search pharmaceutical patient assistance and co-pay programs by brand or generic drug name, foundation and non-profit patient assistance and co-pay programs, and travel and housing assistance. ACCC Provider Resources offer practical strategies for meeting the challenges of delivering quality cancer care. Tools focus on programmatic operations, coverage and reimbursement, supportive care services, financial advocacy, and more. Provider Education Projects Launched in 2015-2016: z Psychosocial Distress Screening z 2015 Practice Profiles: Molecular Testing z 2015 Trends in Cancer Programs z Dispensing Pharmacy in the Community Cancer Center Setting: A Pilot Project to Overcome Access Barriers z Treatment Path: Optimizing Patient-Centered Care for Autologous Stem Cell Transplant in Multiple Myeloma z Renal Cell Carcinoma: Tools Resources for the Multidisciplinary Team z Supportive Care Summit
  • 11. 2015/2016 Annual Report I accc-cancer.org 9 Institute for Clinical Immuno-Oncology (ICLIO) ACCC recognized the critical need to translate advancements in cancer immunotherapy—through specific immuno-oncology biologics—into practical applications. To meet this need, ACCC created the Institute for Clinical Immuno-Oncology (ICLIO). ICLIO helps to bring these therapies from bench side to bedside by addressing issues, challenges, and implementation strategies for the multidisciplinary cancer care team. Advancing Immuno-Oncology in the Community Setting ICLIO Resources in 2015-2016 ICLIO provided targeted content to help the multidisciplinary team prepare for and meet the challenges and opportunities presented by immuno-oncology. Deliverables this past year included: z 9 e-newsletters for clinicians and fellows z 9 e-courses presented by distinguished faculty with real-world clinical, programmatic, and operational applications z The first ICLIO National Conference, October 2, 2015, Philadelphia, PA z The first ICLIO white paper, Advancing Immuno-Oncology in the Community Setting Learn more at accc-cancer.org/ICLIO. ICLIO is made possible by a charitable donation from Bristol-Myers Squibb and supported by an educational grant from Merck Co., Inc.
  • 12. 10 Association of Community Cancer Centers I accc-cancer.org Awards Patricia Layton, RN, BSN The Annual Clinical Research Award is presented to an individual, or individuals, whose research has significantly and positively impacted the oncology patient, family, and community. The 2015 Annual Clinical Research Award was presented to Patricia Layton, RN, BSN, at the ACCC 32nd National Oncology Conference in Portland, Oregon. Ms. Layton is a research nurse at the Cancer Center at Saint Barnabas Medical Center in Livingston, New Jersey. She brings more than 25 years of experience managing Phase I–IV clinical trials across multiple therapeutic areas in the hospital and pharmaceutical industry settings. Her research experience has been focused in oncology, hematology, immunology, virology, and solid organ and bone marrow transplantation, and she has global clinical trial monitoring experience. . 2015 Annual Clinical Research Award 2015 ACCC Innovator Award Winners The ACCC Innovator Awards honor member programs that have exhibited forward-thinking strategic planning and developed pioneering programs and creative solutions. 2015 Innovator Award Winners presented their innovations at the ACCC 32nd National Oncology Conference in Portland, Oregon. Innovations were also shared online, and in our award-winning journal, Oncology Issues. Congratulations to our 2015 winners! Eastern Maine Medical Center Cancer Program: EMMC Cancer Care Improve Efficiency, Safety, the Patient Experience with Location Technology Lancaster General Hospital, Ann B. Barshinger Cancer Institute Community Collaboration Reduces Financial Distress Mary Washington Healthcare Regional Cancer Center Prehab Improves Outcomes for Oncology Patients PIH Health Comprehensive Community Cancer Program Engaging Patients Assisting PCPs in Lung Cancer Screening Providence Cancer Center Bridging the Gap: A Family Program for Parents with Cancer and their Children Seton Family of Hospitals, Seton Cancer Program Fusing Clinical and Business Metrics to Improve Quality and Effect Change
  • 13. 2015/2016 Annual Report I accc-cancer.org 11 2015-2016 Committee Members Audit Committee Thomas Gallo, MS, Chair Faye Flemming, RN, BSN, OCN Cecilia Zapata, MS, MHA Awards Committee Becky DeKay, MBA, Chair Ernest Anderson Jr., MS, RPh, FASHP, FMSHP Al Benson III, MD, FACP James Chingos, MD, CPE, FACP George Kovach, MD Luana Lamkin, RN, MPH Richard Reiling, MD, FACS Virginia Vaitones, MSW, OSW-C E. Strode Weaver, FACHE, MBA, MHSA Bylaws Committee Diane Otte, RN, MS, OCN, Chair Dale Fuller, MD Luana Lamkin, RN, MPH Teresa Smith, RN, MS Clinical Affairs Committee Al Benson III, MD, FACP, Chair Vijayan Aroumougame, MS, PhD, MBA, DABR, FACHE Laurence Heifetz, MD, FACP Randall Oyer, MD Laeton Pang, MD, MPH Cary Presant, MD, FACP Thomas Whittaker, MD, FACP Corporate Development Committee Edward Braud, MD, Chair George Kovach, MD Richard Reiling, MD, FACS Editorial Committee Susan van der Sommen, MHA, CMPE, FACHE, Chair Al Benson III, MD, FACP Linda Corrigan, MHE, RHIT, CTR Amanda Henson, MSHA, MBA, FACHE Morton Kahlenberg, MD, FACS Nicholas J. Petrelli, MD Cary Presant, MD, FACP Michael J. Reff, RPh, MBA Chad Schaeffer, FACHE Brian Schmalhofer, MBA, RT(R)(T) Matt Sherer, MBA, MHA Judy Stone, CMPE Editorial Advisory Panel Teri Guidi, MBA, FAAMA Kelley D. Simpson Matthew Sturm, MBA Education Committee Becky DeKay, MBA, Interim Chair Leigh Boehmer, PharmD, BCOP Nicole Bradshaw, MS, MBA J. Brian Cassel, PhD Melanie Feinberg Una Hopkins, DNP, RN, FNP-BC Barbara Jensen, RN, BSN, MBA Jeff Kendall, PsyD Clara Lambert Lori A. McNulty, RN Thomas Whittaker, MD, FACP Governmental Affairs Committee Wendalyn Andrews, BS, Chair Ernest Anderson Jr., MS, RPh, FASHP, FMSHP Vijayan Aroumougame, MS, PhD, MBA, DABR, FACHE Edward Braud, MD Nicole Bradshaw, MS, MBA Jeffrey Bubis, DO Becky DeKay, MBA Albert Einstein, MD, FACP Dale Fuller, MD Thomas Gallo, MS Brenda Gordon, RN, MSN, OCN Judith Hall-Laughlin, MBA, BSN, RN William L. Holden, III, MBA, RT(T)(R) FACHE George Kovach, MD M. Tom Manion, MPA Thomas Marsland, MD Randall Oyer, MD Laeton J. Pang, MD, MPH Matt Sherer, MBA, MHA Virginia Vaitones, MSW, OSW-C Thomas Whittaker, MD, FACP Guidelines Committee Mandi Pratt-Chapman, MA, Chair Robin Abbass, RT(T) Tara Ballard Colleen Gill, MS, RD, CSO John Montville, MBA, FACMPE, CAAMA Diane Otte, RN, MS, OCN Richard Reiling, MD, FACS Gary D. Upp, MHSA Virginia Vaitones, MSW, OSW-C Investment Committee Thomas Gallo, MS, Chair John E. Hennessy, CMPE George Kovach, MD Membership Committee Catherine Brady-Copertino, BSN, MS, OCN, Chair Marija Bjegovich-Weidman, RN, MSN Christine Conkling Faye Flemming, RN, BSN, OCN Ruth Niebuhr, RN, OCN Margaret Salmassy, MHA Matt Sherer, MBA, MHA Gary D. Upp, MHSA Kim Woofter, RN, OCN Cecilia R. Zapata, MS, MHA Nominating Committee Thomas Whittaker, MD, FACP, Chair Brendan Fitzpatrick Amanda Henson, MSHA, MBA, FACHE William Holden, MBA, RT(T)(R), FACHE Virginia Vaitones, MSW, OSW-C Strategic Planning Committee Jennie Crews, MD, FACP, Chair George Kovach, MD Diane Otte, RN, MS, OCN Laeton Pang, MD, MPH Thomas Whittaker, MD, FACP Cecilia R. Zapata, MS, MHA
  • 14. 12 Association of Community Cancer Centers I accc-cancer.org Treasurer’s Report The statement of Financial Position shows an increase in net assets from $3,581,894 to $6,790,742 for fiscal year 2014-2015. The increase is largely due to funding for new education programming. The Statement of Activities and Change in Net Assets shows total unrestricted net assets at year end of $984,666, up from $931,719 at the begin- ning of the year. The cash reserve account increased from $533,540 to $578,134. Financial statements for the fiscal year ended June 30, 2015, are provided. Amendments to the budget for the purpose of conducting special projects in conjunction with the Corporate Develop- ment Committee have been approved for fiscal year 2016. The Finance Committee approved budget amendments for up to $7,440,000 of revenue with associated direct project costs of $7,068,000. Funding commitments as of Decem- ber 31, 2015, for the 2016 fiscal year, are approximately $6,200,000, with associated project costs estimated at $5,890,000. Statement of Financial Position as of June 30, 2015 ASSETS Thomas A. Gallo, MS, Treasurer LIABILITIES AND NET ASSETS CURRENT LIABILITIES Accounts Payable Accrued Liabilities $ 577,461 Deferred Revenue Membership Dues 388,155 Other 89,814 Total Current Liabilities 1,055,430 NET ASSETS Unrestricted $ 984,666 Temporarily Restricted 5,806,076 Total Net Assets 6,790,742 Total Liabilities and Net Assets $ 7,846,172 CURRENT ASSETS Cash $ 4,430,702 Investments 1,271,544 Accounts Receivable 218,082 Sponsorship Receivable 1,882,363 Prepaid Expenses 43,481 Total Assets $ 7,846,172
  • 15. Membership Dues $ 862,782 - 862,782 Conferences and Meetings 468,845 551,735 1,020,580 Journal 266,055 160,500 426,555 Interest 3,561 - 3,561 Other 60,896 58,000 118,896 Pharmaceutical Reimbursement Project 4,720 9,001,977 9,006,697 Net Assets Released from Donor Restrictions 6,616,311 (6,616,311) - Total Revenue $ 8,283,170 3,155,901 11,439,071 EXPENSES Program Services Conferences and Meetings $ 1, 116,906 - 1,116,906 Journal 397,514 - 397,514 Membership 354,051 - 354,051 Other 44,735 - 44,735 Pharmaceutical Reimbursement Project 5,560,692 - 5,560,692 Total Program Services $ 7,473,898 7,473,898 Supporting Services General $ 756,325 756,325 Total Expenses $ 8,230,223 - 8,230,223 Statement of Activities and Change in Net Assets for the Year Ended June 30, 2015 TEMPORARILY REVENUE UNRESTRICTED RESTRICTED TOTAL Change in Net Assets $ 52,947 3,155,901 3,208,848 Net Assets, Beginning of Year $ 931,719 2,650,175 3,581,894 Net Assets, End of Year $ 984,666 5,806,076 6,790,742
  • 16. Thank you to our supporters Industry Advisory Council Emerging Companies Council Technical Advisory Council