Mainstream Issue 38
Accountable Care Act –
Spotlight on Clinical
Implications for Cancer Care
First Culture Value is
Accountability – Thomas P. Flynn, MD
Meet the Manager With the recent Supreme Court ruling on the Patient Protection and
New Providers at Accountable Care Act (PPACA or ACA), health care reform is again at
Minnesota Oncology the forefront on the political scene. The national debate will continue
Mpls-St. Paul Magazine on how to structure our health care delivery system to provide high
Nurses in the Twin quality care at a lower cost and provide Americans access to health
Cities insurance. Regardless of one’s political views or opinions on the “mandate” and other aspects
Clinicians of the legislation, there are provisions within the law that are important to cancer patients and
National Organizations cancer care. Thus, the American Society of Clinical Oncology (ASCO) issued a statement in
Celebrating Our response to the Supreme Court ruling (see link below). In this statement it was pointed out
Nursing and Laboratory that while there will be much analysis and discussion about the decision and its implications
Relentless for a Cure on Medicaid and other entities charged with implementing the legislation, “ASCO will
Taking a Stand…and continue to work with policy makers to protect and retain these core patient safeguards that
Still Standing on Their are critical to individuals who have cancer or who are at risk for cancer”.
Walking the Walk and The provisions important to those with cancer outlined by ASCO, most of which have
Talking the Talk
bipartisan support are:
Creativity Reigns in
Projects Protections for patient access to preventive screening for cancer. The ACA includes
Everyone Makes a safeguards to provide coverage of preventive screenings for cancer (and other diseases) and to
Difference provide such coverage without charging copayments or coinsurance to individuals. The ACA
New or Updated safeguards apply to private health care insurance, Medicare and Medicaid. Promoting access
Handouts to Help to preventive screenings is an obvious and important step that will save lives and improve the
Patients quality of care through earlier diagnosis and better outcomes.
A Dream Come True
2012 2nd Quarter US Protections to help vulnerable individuals with cancer secure and retain access to
Oncology Research health care insurance. The ACA includes straightforward provisions that are critically
important to provide cancer patients and cancer survivors with meaningful access to health
MN Oncology Employee care coverage. First, the ACA requires private insurers to allow individuals to remain covered
Discounts under their parents’ health insurance plan until at least age 26. Second, the ACA eliminates
Quarterly Calendar of lifetime caps on insurance coverage so that cancer patients who need repeated courses
of treatment do not lose coverage merely because they have significant health care
Thomas P. Flynn, MD Safeguards for individuals with cancer and other pre-existing
Randy Thompson conditions. The ACA ensures that individuals are not excluded from
Editor & enrolling in a health insurance plan on the basis of pre-existing conditions,
Writer Continued on top of page 3
Spotlight on Clinical Excellence
- Mark D Sborov, MD, Quality Medical Director
For the past two years we have been focusing on in programs such as tumor
practice-wide initiatives to enhance patient satisfaction conferences and specialty
and encourage a patient-centric culture throughout programs like our lung and
Minnesota Oncology. Our management teams have breast cancer programs are but
been diligently reviewing, adjusting and improving a few of the topics that this
the entire continuum of care model, and we are committee is discussing.
delighted to see the fruit of their labor as physicians
and staff members alike continue to embrace this The objective of the Clinical Excellence Committee is
philosophy. to define and implement rigorous criterion for
identifying the characteristics and behaviors necessary
This year we have instituted a Clinical Excellence to be truly excellent. All of the programs and
Committee to concentrate on the ever-evolving initiatives underway at Minnesota Oncology
and critical area of clinical excellence…the are important, but surely the pursuit of
cornerstone of Minnesota Oncology and the excellence should top the list.
defining attribute we expect and strive for
in all areas of the practice. The term The committee welcomes more physician
“excellence” is used quite liberally and participation, so if any of you are
loosely in the marketplace; but in the interested in joining this team,
medical profession it is a tangible please contact Dr. Gesme or
philosophy that we must always adopt Dr. Thurmes.
and improve upon. CULTURAL
Values We look forward to hearing more
Dr. Dean Gesme and Dr. Paul Thurmes from this committee as the year
are heading up this new group whose progresses so that we can acquire a
main goal is to clarify for ourselves and clearer understanding of what clinical
the community what we mean by clinical excellence truly involves, and move
excellence and what is required to forward to articulate, adopt and adhere
achieve and maintain it. Adherence to to its principles in a meaningful and
clinical pathways, board certification and participation intentional way.
First Culture Value is Accountability
Minnesota Oncology has identified 5 Core Values that are defined in our Company Compact and which are
to be embraced and actively lived out the coming months and years. The first value is that of Accountability.
The Accountability Value Team, made up of Rhonda Henschel, Terry Trana, Dr. Nicole Hartung and Etta
Erickson, has developed a 30-minute class on this topic and are making the rounds to the Business Office and all
Clinic sites to share the concepts taught in a book entitled The Oz Principle - Getting Results through Individual
and Organizational Accountability. Using the characters from the Wizard of Oz, the 4 Steps to Accountability
Lion - Finding the Courage to see Reality
Tin Woodsman - Having the Heart to Own your part in the situation
Scarecrow - Use your Brain to search out solutions
Dorothy - Resolve to Do It and persist until your get the results you want.
Accountability is defined as being the opposite of Victimization. When someone is stuck in the Victim Cycle, it
results in excuse making, finger pointing, and passivity. The book refers to this is “Below the Line Behavior”.
When someone steps into a position of Accountability, personal power and resolve is evident in their behavior.
They become solution oriented, committed and deeply invested in their goals. The book refers to this as “Above
the Line Behavior”. This simple concept makes it easy to recognize when we are operating from a stance of
power and control rather than being passively stuck in the victim role.
Each clinic now has a large colorful poster in the break room to remind staff of the steps required to move out of
the Victim Cycle and into Accountability - to See It, Own It, Solve It, and Do It.
Accountable Care Act – Implications for Cancer Care– Continued from page 1
such as a history of cancer. Although we recognize the instances, clinical trials provide individuals with cancer
political debate over health reform has identified the best chance for a successful outcome. The ACA
different approaches for addressing the issue of pre- safeguard for patients who need access to clinical trials is
existing conditions, there appears to be widespread similar to a protection that already exists for Medicare
agreement that meaningful steps must be taken to beneficiaries.
protect individuals with pre-existing conditions who seek
health insurance coverage. Regardless of what happens to the ACA as a whole, it will
be important to preserve these elements of the
Protections for patient access to clinical trials. legislation. The challenge will be to accomplish this as
The ACA includes a safeguard to ensure that individuals we work to control health care costs.
with cancer and other life-threatening conditions are
covered under private insurance if they and their http://ascoaction.asco.org/Home/tabid/41/articleType
physicians determine enrollment in a clinical trial (also /ArticleView/articleId/313/ASCO-Response-to-US-
known as a “clinical study”) is their best option. In many Supreme-Court-Ruling-on-Healthcare-Reform-Law.aspx
Moving On – Healthcare Reform
- Randy Thompson, Executive Director
This week the Supreme Court upheld the Affordable improving efficiency, patient
Care Act (ACA) – also known as Obamacare, including satisfaction (experience) and
the law’s individual insurance mandate in a 5-4 quality while controlling or
decision. This effectively ends the drama surrounding reducing costs.
this issue in terms of legal challenges.
Minnesota Oncology is in a
The real referendum on ACA will happen in the uniquely positioned to succeed and thrive in this
upcoming November elections. If the election results “brave new world.” Our advantages include:
in a split government in any way, ACA will continue as
the law of the land. Only if the Republicans take both • Large, multi-specialty practice
houses of Congress and the Presidency will ACA be • Pathway-driven
repealed – this is unlikely but possible.
• Offer cutting edge research trials
My comments above are not meant to be exhaustive or
predictive. There is endless background and political • Excellent and efficient care and operations
information from reputable sources on line and
elsewhere. • Superb providers AND staff
The point of this article is to reinforce that health • Metro-wide, excellent facilities
reform is here to stay – whether or not the law is Health reform is here – let’s seize the moment on
repealed in the future. Health reform is inevitable. behalf of our patients and their families.
It is up to all of us to continue down the path of
Meet the Manager
A warm welcome to Chris B. “I appreciate and value working collaboratively with
Johnson, Practice Administrator providers, department leaders and staff to achieve
at the St Paul Cancer Center, who organizational goals,” says Chris “I am very excited to be
joined the practice in April. part of the team at Minnesota Oncology.”
Chris has served in a healthcare She is currently attending Baker College online to
leadership role for the past achieve a master’s degree in Management with an
thirteen years, most recently as emphasis on healthcare.
Director of Operations at Summit
Orthopedics. Her managerial In her downtime, Chris enjoys traveling, reading,
experience encompasses positive spending time with family and friends, shopping and
leadership, strategic planning, checking out new restaurants.
clinic operations and physician/employee relations, as
well as facility design/remodel, project management and
revenue cycle management. 3
New Providers at Minnesota Oncology
A warm welcome to Dr. Jocelin Huang, the newest member of our physician team who will
begin her practice at the Edina and Waconia clinics beginning August 1, 2012.
Dr. Huang received her medical degree from the University of Chicago’s Pritzker School of
Medicine and comes to us from the Mayo Clinic in Rochester where she recently completed her
fellowship in oncology and hematology.
Areas of special interest to Dr. Huang include the treatment of Colorectal, Pancreatic &
Hepatobiliary Cancers, as well as Breast Cancer, Multiple Myeloma and Lymphoma
I believe that every patient deserves a compassionate physician who will listen and help develop a
collaborative, tailored treatment plan by incorporating the most up-to-date science with patient preferences and
their individual life philosophy.
Originally from Illinois, Dr. Huang met her husband while training in Chicago. They moved to Rochester during her residency
and fellowship at the Mayo Clinic and fell in love with Minnesota.
The Huang family enjoys spending time with family and friends and two fluffy Ragdoll cats. Dr. Huang also enjoys healthy
cooking, fitness and motorsports.
Meet Meghan Lawless PA-C, our newest Physician Assistant. Meghan came on board in May,
joining the Thoracic Oncology/surgery team at the Minneapolis clinic.
Meghan comes to us from the Minneapolis Heart Institute where she worked in the Thoracic and
Transplant Surgery unit for four years.
She holds a Masters of Medical Science degree in Physician Assistant studies from Midwestern
University in Downers Grove, IL as well as a Bachelor of Arts degree in Anthropology and Pre-
professional Studies from the University of Notre Dame, South Bend, IN.
Meghan’s special interest is Thoracic Surgery and patient education during the perioperative
period. Speaking of her philosophy of care, Meghan says:
Several years ago I read a book, Better, by Dr. Atul Gawande. I took to heart his idea that in medicine, there is
no good enough, so I continually strive to be better and to provide my patients with the best possible care every day. I love being part of an inter-
disciplinary group of providers who are united in our efforts to improve patient care and outcomes every day.
Meghan is a native Minnesotan who enjoys golf, travel, hiking, backpacking and rollerblading; however, she is never happier than
when she can be in South Bend on a college football Saturday (Go Irish!).
New to the Maplewood Cancer Center is Heather Penning, CNP who joined the provider team
in June, working in the Radiation Oncology department of the clinic.
Prior to coming to Minnesota Oncology, Heather worked at the Hubert Humphrey Cancer
Center as an oncology nurse practitioner, primarily in the chemotherapy and stem cell
Heather holds both a Bachelor of Science degree in Nursing and a Masters of Science degree in
Oncology nursing from Viterbo College in La Crosse WI. Her Post-graduate Certificate for
Adult/Gerontologic Nurse Practitioner was earned at the College of St Catherine, St Paul, MN
My goal is to help patients cope with cancer using all of their strength and resources; and to make their cancer
diagnosis less frightening by providing information in easy to understand terms.
Favorite pastimes include watching her husband and son race remote control cars, gardening and a watching a wide variety of
movies and television shows, some of which involve alligators and swamp people!
MPLS-ST PAUL Magazine Highlights Outstanding
Nurses in the Twin Cities.
TWO of our Minnesota Oncology nurses have been chosen as
finalists for this award. Nominations of nurses who have
demonstrated excellence in their field were solicited from local
hospitals, private practices, nursing homes and educational
institutions. Finalists were chosen to represent 19 different
nursing categories (from cardiovascular to women’s health).
Congratulations to Cindy Olive and Michele O’Brien, who will
be honored at a formal dinner reception in July and will be
profiled in the August issue of the MSP magazine.
Michele O-Brien, RN, CNS, MSN, AOCNS Cindy Olive, RN from Maplewood Cancer Center
Survivorship Coordinator from Edina Clinic (Collaborative Nurse for Dr. Bronagh Murphy)
Clinicians Acknowledged by National Organizations
Minnesota Oncology is proud of the many clinical Review Team, Jackie contributed markedly to the Society’s
professionals throughout the practice who routinely mission of excellence in cancer nursing and quality cancer
volunteer their expertise to various professional care…The Society gains from the knowledge and passion of
organizations across the country. our volunteers, and they ultimately bring skills learned
through their volunteer experience back to the employer.” ~
This spring, The Commission on Dietetic Registration Carlton Brown, PhD, President, ONS
(Academy of Nutrition and Dietetics) sent a special
thanks to Minnesota Oncology for the contributions of ONS also recognized the role of our leadership team
Heidi Ganzer, RD, CSP, LD who served as an and physicians whose support and encouragement
oncology nutrition expert at their March, 2012 enable these talented professionals to represent
Oncology Specialty Examination Meeting. Heidi was Minnesota Oncology in such a positive way.
selected from specialists across the country to review
questions and determine the cut scores for their recent Kim Ness, RN, CNS, our colorectal nurse
tests, as an important step in ensuring that navigator at the Edina Clinic, was nominated for the
examinations are fair and achieve the purpose of Extraordinary Healer Award at this year’s ONS Congress.
protecting the public from unqualified practitioners. This nomination was submitted to CURE magazine
based on a wonderful essay submitted by one of the
Heidi also presented at a national seminar on Building patients she serves.
an Oncology Nutrition Program for the Association of
Community Cancer Centers (ACC), with co-presenter The heart of this essay is summed up here: “Kim is
Kim Jordan from the Seattle Cancer Center. She was basically one-stop shopping for all needs of a colorectal patient.
much in demand in April, presenting on the topic She has made a big difference in my life while facing Stage IV
Oncology Nutrition at the North Dakota State Dietetics colorectal cancer. Kim celebrates the little victories with me
Meeting and on the topic of Nutrition Reimbursement and supports me through rough times. She is a mentor helping
at the National Oncology Nutrition Symposium in me support and advocate for myself and other colorectal
Dallas. patients….Every cancer patient should have the opportunity to
work with a nurse navigator; I am blessed to have a very
The Academy of Nutrition and Dietetics has also invited special one.”
Heidi to present findings from her research study;
The Symptom Burden over Time in Head and Neck Cancer Kim is also part of the project team who received the
Patients, during their national conference in October. 2012 Minnesota Cancer Alliance Spirit of Collaboration
Award for the project, Survivorship Care Plan at their
Acknowledgement was also received for Jackie Foster, summit on June 6th. The reviewers were impressed by
RN, OCN, MPH, breast cancer navigator at Edina, her team’s collaborative efforts and contributions to
regarding her contributions to the Oncology Nursing cancer control in Minnesota; recognizing their work in
Society (ONS). supporting the Alliance’s mission “to reduce the state’s
“By serving with the Breast Cancer Survivorship Quality
Measures Team and the Putting Evidence into Practice (PEP)
Celebrating Our Nursing and
The annual celebration of National Laboratory Professionals Month and Oncology
Nursing Month were held in April and May.
Laboratory Professionals Month at Minnesota Oncology was observed with a well-
attended dinner on April 23rd. In addition to a yummy dinner at Axel’s in St Paul,
festivities included door prizes for all. Lab staff members very much appreciated this
recognition, as well as an opportunity to get together outside of office hours, let their
hair down and have a great time.
Throughout the month, Lab personnel also enjoyed an hour of Yoga, focusing on
relaxation and stress relief techniques.
May was Oncology Nurses Month. To celebrate and thank our amazing Oncology
Nurses at MN Oncology, two educational dinner programs were held for our nursing
staff, with door prizes and table favors thanks to Minnesota Oncology. We had a great
turnout of close to 60 nurses attending, and some nurses attending both programs
due to their desire to hear both speakers. The food was delicious, courtesy of Amgen
and Ambry Genetics.
Featured speakers were our very own Heidi Ganzer, RD, MS (Dietitian) and Anna Leininger, MS (Certified Genetic
Counselor). Anna’s presentation on “Hereditary Cancer Risk: Biological Basis, Practical Implications” was held at
Mozza Mia in Edina on May 10th and Heidi’s presentation on “Drinking Water from a Fire Hose: Practical Nutrition
Tips for Those Working with Oncology Patients” was held on May 23rd at Jax Café in Minneapolis. With their deep
knowledge base, passion for their profession, and excellent humor-infused communication skills, they were well
received with the audience requesting more in the near future!
Relentless for a Cure
Congratulations to Dr. Steven Rousey who was
named the 2012 Relentless for a Cure Lifeblood
Award recipient by the Minnesota Chapter of
The Leukemia & Lymphoma Society (LLS)
on June 27th.
The Relentless for a Cure Award is presented
annually to an outstanding Minnesota medical
professional whose research, diagnosis and/or
treatment has contributed to improved quality of
life for patients and their families and/or great
advancements in the field of oncology.
His nominator and presenter, LLS employee Heidi Dr. Rousey and his wife
Gusenius, said, in part:
“Not only is Dr. Rousey highly regarded in the field of hematology and oncology, he saved my life! I'm eternally grateful
to him for providing me with extraordinary, compassionate care to help me win my battle with AML (acute myeloid
leukemia). On behalf of myself, the rest of his patients and The Leukemia & Lymphoma Society, we sincerely thank you
for your commitment to treating your patients and support of LL.”
Taking a Stand…and Still on Their Feet
Hard Core Mudslinger
It was no girly-girl stuff for Jill Kuethe, Nurse Practitioner at our Fridley
clinic, as she participated in the “Tough Mudder” obstacle course in May.
This 10-12 mile course designed by British Special Forces tests all-around
stamina, mental grit and camaraderie and requires maximum effort.
Proceeds from these multi-national events go to the Wounded Warrior
Project, helping service men and women who have wounded in combat.
With a most innovative course, half a million participants and more than $3
million dollars raised for the Wounded Warrior cause, “Tough Mudder” is Hoorah!
the premier adventure challenge series in the world.
On the very hot first weekend in July, Edina staff
members bravely manned the Hot Dog Cart at Cub
Foods to raise money for Angel Foundation…and it
wasn’t just the hot dogs that were steaming as our
heat wave set in!
The team was quarterbacked by Mary Rausch and
included Michele Hafner, Sandy Babcock, Meranda
Hansen, Jill Lee, Belinda Nalls, Kim Ness, Marisue
Muellner, Rhonda Hastings, Darlene Clay, Michelle Koepp, Brenda Mayes, Julie
Despain, Gina Berger, Carrie Williams, Melba Johnson.
Hot dog sales raised $878.00 to help Angel provide non-medical support and
education to cancer patients. Many thanks to our sizzling sales force for giving up
part of their weekend on behalf of Angel.
L to R: Gina Berger, Michelle Koepp &
Losing to Win Mary Rausch
Right now, twelve staff members at our Fridley
Clinic and VPCI don’t mind being called “losers.”
In fact, they each hope to be named the “biggest
loser” soon. Of course this is all part of their
Biggest Loser weight loss competition.
The pound shedding began in May with an
informative nutrition presentation by Heidi Ganzer, RD that included tips
for healthy weight loss, meal planning, dieting resources and a discussion
of some common weight loss misconceptions. Heidi also demonstrated the
ReeVue machine that is available at Minnesota Oncology through our Back row Wendy Trenda, Jade Anderson, Betty
dietitians. This test helps determine metabolic rate and the correct caloric Harlan, Evelyn Dulver, Robin Dahlstrom
intake needed for individuals to lose weight. Front row Jacquette Gage, Dorothy Falk,
Rosanne Johnson, Ali Anderson
Allie, Denise and Roseanne have won the traveling trophy for the biggest
weekly loser; and (gasp!) one week it went to a person who is actually trying to gain weight. Mercy feedings were
encouraged for the weight gainer, and I hear that for others it was a challenge not to fall prey to the tater tot
casserole at tumor conference!
Winner of Biggest Loser is Rosanne Johnson
Total weight lost by the team –14 lbs.
Congratulations to all for personal dedication and perseverance in achieving your weight goals. 7
Walking the Walk and Talking the Talk
The Twin Cities has been beehive of cancer awareness events since the spring. We want to
thank all the wonderful Minnesota Oncology employees who have dedicated their time and
energy as volunteers at these events. They wouldn’t happen without you
Neither gusty winds that nearly blew the Minnesota Oncology tent away during the Susan G.
Komen Race for the Cure… nor dreary early morning rain showers that preceded this year’s
Get Your Rear in Gear 5K for colorectal cancer, could deter our many staff and physician
volunteers and thousands of walkers from taking a stand against cancer in May.
The volunteer spirit shone bright as a total of over 100 employees, family members and
friends came out to work at our tent and be part of Minnesota Oncology’s presence during
Pretty in Pink
Our signature bandanas and tote bags were back by popular demand,
giving our volunteers a chance to greet many of those in attendance
with a smile, offer encouragement and share a bit about the practice.
Events such as these continue to raise community awareness about
cancer and provide funds for research and education. But the biggest
benefit may be the surge of support and hope they give to cancer
survivors and their families.
Robin Highum, Dr. Schwartz
and Lisa Knowles
Early Bird Volunteers Unpack
Never fear…their rears were in gear
This year was another great year for MN Oncology Volunteers at the
Get Your Rear in Gear Colon Cancer Awareness Walk/Run. There were
about 55 volunteers at the Minnesota Oncology tent and approximatley 10
staff members participated in the walk/run. Our volunteers were eager and
excited to talk about colorectal
cancer prevention, hereditary
colon cancer, and our practice;
and it appeared that a few
visitors to the tent may have
been talked into getting their
screening colonoscopies. Kim Ness & patient survivors
This year we ordered
Minnesota Oncology Logo
T-shirts for all volunteers
and walkers to wear. It was a wonderful way for the public to see our
support for colorectal cancer patients.
According to Anne Carlson-Davis, Executive Director for Get Your Rear
in Gear, the Twin Cities event boasted approximately 4,000
walkers/runners and raised about $250,000.
Relay for Life Season Begins
The Relays for Life season has kicked off with events in S. Washington County
and Anoka. Minnesota Oncology was once again on hand to promote the cancer
awareness and offer information and give-away items to the participating teams
and survivors families.
Relays for Life raise both community awareness about cancer and much needed
funds for the American Cancer Society’s many services. These are overnight
events with team members taking turns walking around the track all through the night. The
family-friendly environment includes fun activities and entertainment. New friendships are
often formed and wonderful survivor stories are shared, offering encouragement and
motivation to others. The tracks are warmly lit with traditional lighted luminaries that glow in
the night, representing hope in difficult places.
Shelly Daniels reports that our crazy hair chair was in demand, creating wild and wacky hair
styles at the S. Washington County event. The Anoka County fairground was the scene
for that city’s relay, and our supply of bottled water was a hit with thirsty visitors.
Woodbury volunteers: Muhaz Fisseha, Wendy Stahnke, Faith Lucht, Bobbie Miles, Lisa
Prigge, Tim Gleiter, Shelly Daniels and oncology liaison Riana Bennerotte with her
Coon Rapids volunteers: Deb Brayton, Tracy Grant, Regina Peters, Patty Thompson,
Lisa Prigge, Patty Theis, Carrie Hookom, Lori Hudalla, Melissa Shidell, Michelle
Schlosser, Dawn Waskosky, Kari Bruneau, Sharalyn Matson, Kari Otten, Tiffaney
Hammer and Beth Schreiner.
Next up are the Burnsville and Stillwater Relays for Life on August 3rd. Kids love that crazy hair!
Creativity Reigns in Spring Fundraising Projects
Knit one, pearl two...just imagine what you can do
Early this year, Fridley Practice Manager Kathy Davis challenged her staff to find
creative ways to raise funds for Angel Foundation, and Terra Smuder, M.A. has risen to
the challenge in a big way.
It all began when her mother was looking for a scarf to wear on her vacation trip to
Italy. Finding the price of scarves quite high, Terra began to look for homemade
alternatives, with the Angel challenge also in mind.
Turns out that her local yarn store had many options
and she even found a fun pattern for crafting
backpacks out of t-shirts! Terra taught herself to
knit… her Mom got a great scarf to take on vacation…
and her personal fundraising plan for Angel was off to the races.
With an initial fundraising goal set at $500, staff members and a number of
interested patients enthusiastically supported scarf sales and offered
encouragement. As of June, $500 had already been raised, inspiring Terra to
increase her 2012 goal to $1,000.
Other ideas continue to churn in her creative mind; Terra hopes to expand her
sales inventory to include baby hats, t-shirt back packs, homemade jam preserves
and canned pickles. Next year’s goal is to raise money for a mission trip with
Terra shows off her wares her church.
Cookies Raise Some Dough for Angel
Few could resist the aroma of fresh-baked cookies at the Burnsville clinic in May as staff
members and physicians took part in a Cookie Bake-off and sales to raise some dough for
Angel Foundation. Those who succumbed donated $5.00 for the fun of polishing off the
entries following the judging.
From cookie sheets to cooling racks to the clinic…a wide variety of treats were entered by
these “Cookie Monsters” in a competitive race for bragging rights.
And talk about serendipity… a patient named Cookie was even there on judging day to
serve as an official cookie taster.
And the winners are:
Deb Gioielli: “Most Unique Cookie” for her
Megan Blakely: “Most Original Cookie” for her
By day’s end, there was nothing left but a trail of
crumbs…a lot of smiling faces…and more money to help
Angel Foundation serve cancer patients in need.
Deb & Megan Rule! Just one little bite
Everyone Makes a Difference
From the front desk person to the physician and everyone in between, each of us
has a profound effect on our patients’ experiences. The following touching note
recently received at the Edina clinic confirms and highlights this critical
concept...that each of you makes a difference.
Dear Edina staff:
Thank you for your sympathy card. Lucy’s battle did not end the way anyone had hoped,
but I know she gained many months of quality life because of the expert care she received.
Everyone treated her with dignity and respect, compassion and professionalism. All of you
played a part in her battle.
Mere words fail to describe how grateful I am to each of you. Each of the days that Lucy gained
because of your care was treasured by her loved ones and friends. We remained hopeful until her
condition worsened and appreciated your honesty even when the new was not what we wanted to hear.
Most importantly, we never had false hope. This helped Lucy prepare herself for leaving this life and it helps
me deal with her passing. I feel that she did not lose her cancer battle; but rather, her battle ended.
Thank you Dr. Boente, for dedicating your career to helping women with cancer and for your tireless research
efforts. Thank you Molly, for your knowledge, compassion and skill. Thank you Ann, for helping Lucy deal with
insurance, pharmacies and the complications of her battle. The three of you were very dear to Lucy. She never
once wondered if she could get better care elsewhere because she knew you were the best.
Thank you to Michele, June and Katie for masterfully juggling schedules and always having a smile for Lucy.
Thank you to Marisue, Rhonda and everyone else in the chemo area for your smiles, compassion and
conversation. Thank you to Dr. Thurmes, Rousey, Nashawaty and Weinshel for your skill and compassion during
Lucy’s DVT episodes. Thank you to Marynne, Jackie and Suzanne for everything you did for Lucy. I didn’t get to
know everyone’s name at the front desk and in the lab, but thank you for your professionalism and compassion.
It is an honor and privilege to know you. Thank you again for your thoughtfulness. I wish you the best for the
New or Updated Treatment Related Handouts to Help Patients
By Jan Merriman, Clinical Services Director
Over the past year, the Clinical Practice Committee has • “Anti-Nausea Plan” - A handout listing the various anti-
approved a number of helpful new or updated handouts nausea medications available, with instructions and
for patients. Please remember to use these when information on side-effects.
appropriate, to help our patients through their cancer
• “General Food Safety” - Recently updated and included in
treatments. These are all available for order on your
our patient Chemo Packets.
clinic supply request sheet and some are also available on
the public drive. • “Suggestions for Increasing Calories and Protein” - Recently
• “When Stopping Chemotherapy is the Best Option” - a tool
for physicians to use and give to patients after having this • “FOLFOX” and “FOLFIRI” Patient Handouts - An outline
conversation. of these complicated regimens for patients.
• “Taking Care of Yourself During Chemotherapy” - a one • Nutrition Handouts/Resources -Our Dietitians have placed
page handout for patients with various tips and guidance to many useful resources for patients on the public drive in the
help them manage the challenges of chemotherapy treatment. Nutrition folder.
A Dream Come True
We all have our own life to pursue, our own kind of dream to be weaving. And we all have some
power to make wishes come true, as long as we keep believing. ~Louisa May Alcott
The Dream Begins Participants enjoy sharing their stories with and each
other and staff, and find comfort, strength and hope
For several years Chara Anderson, a nurse practitioner through listening to those with similar experiences. We
at our Minneapolis clinic, has enjoyed scrapbooking are also fortunate to have the assistance of the likes of
with a friend in the evening or on weekends as a social Kelly Grosklags, cancer survivor and therapist from
and creative outlet. She found it therapeutic and was Minneapolis, and others who help lead meaningful
delighted when she realized that her family also enjoyed discussions throughout the day.”
her creations as mementos of their activities, milestones
and accomplishments. “The volunteer staff and I especially appreciate the
opportunity to take off our “clinical hats” and spend a
About six years ago while pondering the positive effect day with patients, allowing for the opportunity to share
scrapbooking had on her life, Chara recognized the their lives and support them in a way they may not have
important impact scrapbooking could have on the lives experienced before. This time connects patients with
of others, particularly her own patients. Over the next others and validates their feeling and concerns. It’s a
few years, thoughts became a dream that she wishfully wonderful way for patients and staff to make a
shared on many occasions with her family and friends. difference in the lives of others. It is simply a wonderful
Chara’s husband was listening; in 2008 one of his experience.”
Christmas gift to her was a thoughtful letter expressing
his desire to help make her dream a reality. Included in A Team Effort
the letter was a gift of money to seed the very first
Scrapbooking for Meaning event. Scrapbooking events have occurred biannually each
April and October since the fall of 2008. The success of
Scrapbooking for Meaning is mainly due to the
continued support of volunteers and donors who supply
everything needed for a day of scrapbooking. Chara
plans to continue to host these events as long as this
wonderful support continues and the desire of those in
need for this type of support remains.
Special thanks to the following groups for their
* Minnesota Oncology physicians
* Volunteer Massage Therapists
* Caribou Coffee
* Shepherd of the Valley Lutheran Church
* The many people who generously donate
scrapbooking materials, finances and their personal
What Fuels the Passion? time to make each event a special time together.
Chara’s vision for Scrapbooking for meaning: The Patients Respond
“When the focus in the clinic is about a patient’s cancer
Patient feedback has been overwhelmingly positive.
care it’s easy to begin seeing the disease instead of the
person; however, many patients share with me their fear “The best day ever!”
and sadness about the possibility of dying. Frequently
they are concerned that family, children or friends will
“This is so healthy and helpful.”
forget them; specifically those memories that were “I couldn’t have asked for a better day.
shared and enjoyed together.” I am so blessed.”
“Some patients have a hard time finding the words to “This event is so awesome; you must keep it going.”
share, the strength and/or hope during this difficult The next scrapbooking event scheduled for
time, so having a special day (Like Scrapbooking for
October. Feel free to contact Chara at
Meaning) to create a memory book using journaling,
Caring Bridge entries, photographs, etc. provides a email@example.com for more
great source of encouragement and support. information to participate, volunteer or donate.
2012 Second Quarter US Oncology Research Report
Lynn Anderson RN, BSN, OCN
Thanks to all of you the US Oncology Research program is having a great year!
2nd Quarter Update
• Dr. Matthew Boente is the top accruing physician for second quarter with 6 accruals
• Edina is the top accruing location with13 accruals.
• In May Amy Wyrowski (Edina US Oncology Research Nurse) tied for top accruing CRC
• US Oncology research continues on target for 2012 with 31 accruals in the second quarter. In 2011 we had
5 accruals for the same time period
• We are on target to meet our accrual goal of 120 for 2012 and are currently at 57 compared to a total of 22
for 2011. Our top accruing year to date was 2005 with 104
• Keep those referrals coming
New studies: Here is another interesting study that is accruing
Do you have a new patient starting chemo for the
first time? Check out this study: USO 11076:
Decision Impact Analysis of Foundation Medicine’s
USO 11195: Comprehensive Cancer Genomic Test in Advanced Solid
A Phase 3, Multicenter, Randomized, Double-Blind, Tumors
Active-Controlled Study of the Safety and Efficacy of
1. Are able to understand and provide written informed
Abbreviated Inclusion Criteria:
Rolapitant for the Prevention of Chemotherapy-Induced
Nausea and Vomiting (CINV) in Subjects Receiving consent (most recent patient informed consent form [ICF])
Moderately Emetogenic Chemotherapy (MEC) and health Insurance Portability and Accountability Act
Inclusion Critiera Highlights: (HIPAA) Authorization prior to initiation of any study-specific
Subject is naive to moderately or highly emetogenic procedures. 2. Have metastatic cancer of any histologic type
chemotherapy and is to receive a first course of MEC and are on their 2nd or 3rd line of therapy. (Patients with
including one or more of the following agents: pancreatic cancer could be on their 1st line of therapy). 3.
cyclophosphamide IV, doxorubicin, epirubicin, carboplatin, Patients are within 10 weeks of starting their current 2nd or
idarubicin, ifosamide, irinotecan, daunorubicin or cytarabine 3rd line (or 1st line if pancreatic) of therapy, consented, and
IV; Subject has adequate bone marrow, kidney and liver registered in eDC before their 1st CT scan. 4. Have adequate
function per protocol. organ and bone marrow function as defined in protocol. 5.
Have an expected survival of 3 months, as estimated by the
Exclusion Criteria Highlights: treating oncologist. 6. Have an Eastern Cooperative Oncology
Subject has taken the following agents within 48 hours prior Group performance status (ECOG PS) of 0-1. 7. Have a
to the start of the treatment: 5-HT3 antagonists, negative serum pregnancy test within 7 calendar days prior
Phenothiazines, Benzamides, Domperidone, Cannabinoids, to first scheduled day of study dosing (female patients of
NK1 antagonist or Benzodiazepines; Subject is scheduled to childbearing potential [not surgically sterilized and between
receive any other chemotherapeutic agent with an menarche and 1 year post-menopause]).
emetogenicity level or 3 or above from Day -2 through Day 6
except on Day 1; Subject is scheduled to receive any
1. Have a new line of interventional cancer therapy initiated
Abbreviated Exclusion Criteria:
radiation therapy to the abdomen or pelvis from Day -5
through Day 6; Subject has received systemic corticosteroids after enrollment for this study and before the FMI test was
or sedative antihistamines within 72 hours of Day 1 except as performed and results returned to physician. 2. Have any
a premed for chemotherapy; Subject has ongoing nausea, history of another malignancy within 5 years of study entry.
vomiting, retching caused by any etiology or has a history of 3. Are receiving concurrent investigational therapy or have
anticipatory nausea and vomiting. received such therapy within the past 30 days.
Please note, concurrent radiation is allowed if not given to Research provides new options that often become the new
abdomen and pelvis. standard of care, ask if there is an option for your patient.
Help when cancer strikes Mission Statement
Through an innovative and integrated approach
of financial assistance, education, and support,
SAVE THE DATE!
Angel Foundation helps adults with cancer and Events and Program Activities
their families so that they may live life well with
stability, strength, and resilience.
August 7, 8, & 9
Eden Wood Center, Eden Prairie
Family Consult Program Family Topic Night
Bringing help sooner in the cancer throughout the cancer experience. We will September 24
experience provide such psycho-education in one to three College Connectors
meetings and refer families to the appropriate Angel Foundation Office, Minneapolis
Cancer is a family disease. When a parent with resources. Like all of the programs at Angel
young children is diagnosed with cancer their first Foundation, the
concern is often about their children. They wonder Education and Support Series-Facing
how to talk to them about it and worry about how program will be Cancer Together
to honestly address difficult questions like, “does offered free of charge Mondays, October 15, 22;
this mean you are going to die?” For many years, to families. November 5, 12, 19; December 3
Angel Foundation has helped families navigate Park Nicollet
those discussions. “What we have learned is that “We are excited to
partner with Angel Frauenshuh Cancer Center, St. Louis Park
developmentally accurate information about the
diagnosis, expected course of the disease, and the Foundation on this
prognosis delivered with a hopeful interpretation program pilot,”says All programs offered free of charge.
has been shown to decrease distress levels in Ness. “We believe For Teen Outreach contact Jill at
that this resource will As part of the Family firstname.lastname@example.org
parents and children,” says Missy Lundquist, Consult program, a series
program director for Facing Cancer Together. be a great benefit to our of informational For other FaCT programs, contact
“Unfortunately, many families do not receive the patients and families.” pamphlets geared for email@example.com
parents and children will
guidance they need early enough in their cancer be available free of charge 612.627.9000, ext. 503
experience,”she says. to families.
St. Louis Park
As a response to this gap, Angel Foundation is
initiating a pilot of the Family Consult Program in Welcome new staff–Jennifer Kielas Events:
September that offers family consultations to As Angel Foundation’s Minnesota Oncology Employee
patients diagnosed with cancer who are raising Financial Assistance Appreciation
minor children. This program will be piloted with Program Coordinator, August 29
patients at the University of Minnesota Masonic Jennifer is
Cancer Clinic and at the Edina Minnesota Oncology 11:30 a.m. to 12:30 p.m. – all locations
responsible for all
office. The pilot was made possible in part through a aspects of the Angels & Divas
partnership with Mt. Sinai Community Foundation. financial assistance October 3
“We see patients every day who are concerned program process from
The Saint Paul Hotel, St. Paul
about how their children will cope with their assisting patients and
diagnosis,”says Kim Ness, colorectal nurse navigator health care Angels Attic
in Minnesota Oncology’s Edina clinic. “This program professionals with mid-October, Location TBD
brings individualized support offering information policies and procedures to processing all financial
about cancer and tools for stronger communication assistance applications. Jennifer will also serve as Bowling for Angel
to help make cancer less scary for parent and child,” the key liaison between Minnesota Oncology and November 10
she says. Angel Foundation. She has a B.S. from Michigan
State University and has more than 10 years of Park Tavern, St. Louis Park
The Family Consult Program will meet families financial experience. In addition, Jennifer brings Angel Awards 2013
as early as possible at several points of extensive experience in working with people in
crisis–diagnosis, treatment completion, recurrence January 26, 2013, Minneapolis Hilton
crisis through nearly four years of service as a
and/or end of life–with the information and police officer. Having lost her own mother to Connect with Angel Foundation at
support they will need to forge resilience cancer, Jennifer is sensitive to the needs of those
throughout the cancer experience and beyond. www.mnangel.org or follow us on Facebook,
Twitter-our handle is @angelfoundation and
The program will serve as a resource as questions our blog at mnangel.org/post/blog.
and concerns arise about how to parent (how to talk
with their children, establish new routines, etc.)
For more information about Angel Foundation or to sign up for a Facing Cancer Together program,
visit www.mnangel.org or call 612-627-9000.
Follow Angel Foundation on Twitter and Facebook: @angelfoundation, www.facebook.com/angelfoundation
Founded and supported by Minnesota Oncology
Take advantage of all the available Discounts for our Employees
and their families
Discounted tickets for Adults, Children and Seniors
as well as Parking are available through Human
Resources. The order form can be found on the
public Drive (P:\Employee Information - HR
Related\Valleyfair order form) Huge savings over gate prices!
Newly available, a discount card that is
good for multiple uses for the card
holder and guests through December
NO COST! Ask HR for a discount card
(limit 1 per person)
Pre-purchase all day wristbands for $23.50,
normally $29.95. Ordering instructions are
available on the public drive: P:\Employee
Information - HR Related\Nickelodeon
Save up to 40% on tickets costs by pre-ordering
online: $14 Adult/$9 Child
Ordering instructions are on the public drive:
P:\Employee Information - HR Related\Sea
Life Minnesota Aquarium
Coming soon – look for announcements for the 2012 sales of discounted
State Fair and Renaissance Festival Tickets!
And Don’t forget about the discounts available through the USOncology Perks Program
(http://www.beneplace.com/uson). This website offers discounts on rental cars,
National Theme parks and much, much more!
Quarterly Calendar Taking Note
July O Stork Club
I July 3 - Look Good Feel Better, Edina Clinic,
10:00am - 12:00pm Congratulations to Oncology Liaison Elizabeth Watterson and her
I July 5 - Lung Cancer Support Group, husband Paul on the arrival of their son, Cole Riley, on June 11th.
Minneapolis Clinic Conference Rm., Ste 100, Baby arrived weighing 7 lbs 9 oz and was 21 inches long.
I July10 - CARS (Colorectal Cancer) Burnsville, Best wishes to Jennifer Maaske-Swain and her family on the arrival
825 Nicollet Blvd, Ste 108, 6:30-8:30pm of their son, Jamisen David, born on June 16.
I July 10- Look Good Feel Better, St Paul CC Conference Rm., Jamisen weighed 7lbs, 14oz and was 20 inches long.
10:00am - 12:00pm
I July 11- Look Good, Feel Better, Woodbury Clinic, 1:30-3:30pm Kelly Daly, RN welcomed a baby girl on
I July 11 - Lung Cancer Support Group, St Paul Lung Suite 300, June 14th. Little Nellie Frances weighed
225 Smith Ave N, 4:00-5:00pm
I July 19 - CARS (Colorectal Cancer) Support Group,
Edina Clinic, 5:30-7:00pm
I July 20 - Look Good Feel Better, Maplewood CC, O Achievements
10:00am - 12:00pm Jill Kuethe, CNP at the Fridley Clinic has
I July 24 - CARS (Colorectal Cancer) Burnsville, 825 Nicollet Blvd, earned her Advanced Oncology Nurse
Ste 108, 6:30-8:30pm
Practitioner Certification. Oncology Nurse
I July 26 - Look Good Feel Better, Burnsville Clinic, Main Floor
Conference Rm., 10:30am-12:30pm Practitioners have begun serving in non-
traditional healthcare roles such as being
August involved in symptom management and
I August 2 - Lung Cancer Support Group, Minneapolis survivorship education, as well as active
Clinic Conference Rm., Ste 100, 5:30-7:00pm participation in diagnostics and service delivery
I August 7 - Lung Cancer Support Group, Southdale for high-risk and early detection. The ONP
Medical Bldg, C73 Edina, 4:00-5:00pm certification clearly demonstrates exceptional
I August 7 - Look Good Feel Better, Edina Clinic, knowledge and unique skills for delivering
10:00am - 12:00pm
high-quality cancer care along with their
I August 8 - Lung Cancer Support Group, St Paul Lung Suite 300,
225 Smith Ave N, 4:00-5:00pm supervising oncology physicians. Congratulations to Jill on this
I August 14 - CARS (Colorectal Cancer) Burnsville, 825 Nicollet tremendous achievement.
Blvd, Ste 108, 6:30-8:30pm
August 16 - Look Good Feel Better, Minneapolis Clinic,
10:00am - 12:00pm O A Summer BBQ at SPCC
I August 16 - CARS (Colorectal Cancer) Support Group, Chris Johnson, Practice Manager and
Edina Clinic, 5:30-7:00pm Terrie Smith, Office Manager
I August 17 - Look Good Feel Better, Maplewood CC, rewarded physicians and staff at
10:00am - 12:00pm
SPCC with a picnic lunch barbeque
I August 23 - Look Good Feel Better, Burnsville Clinic,
Main Floor Conference Rm., 10:30am-12:30pm at the end of June for successfully
I August 28 - CARS (Colorectal Cancer) Burnsville, managing staff and physician changes
825 Nicollet Blvd, Ste 108, 6:30-8:30pm that took place during the first half
of the year. Here Chris Johnson
September queries Dr. Savage, Michele
I September 4 - Lung Cancer Support Group, Szyplinski, Cheryl Paolony, Youa Yan,
Southdale Medical Bldg, C73 Edina, 4:00-5:00pm and Rachel Hames on “How is lunch,
I September 4- Look Good Feel Better, really?”
Edina Clinic, 10:00am - 12:00pm
I September 5 - Look Good, Feel Better, Woodbury
Clinic, 1:30-3:30pm O Coming Events
I September 6 - Lung Cancer Support Group, Minneapolis Clinic
Conference Rm., Ste 100, 5:30-7:00pm I July 27 - White Bear Lake Relay for Life, WBL High School
I September 11- Look Good Feel Better, St Paul CC Conference I July 29 - Company Outing - Minnesota Twins VS Cleveland
Rm., 10:00am - 12:00pm Indians
I September 11 - CARS (Colorectal Cancer) Burnsville,
825 Nicollet Blvd, Ste 108, 6:30-8:30pm I August 3 - Burnsville Relay for Life: Nicollet Jr. H.S.
I September 12 - Lung Cancer Support Group, St Paul Lung Suite I August 3 - Stillwater Relay for Life, Stillwater Area Sr. High
300, 225 Smith Ave N, 4:00-5:00pm School
I September 20 - CARS (Colorectal Cancer) Support Group, Edina
Clinic, 5:30-7:00pm I August 18 - A Breath of Hope 5K Lung Run/Walk - Lake Calhoun
I September 21 - Look Good Feel Better, Maplewood CC, 10:00am - I September 8 - MOCA Silent No More 5K: Rosland Park, Edina
I September 25 - CARS (Colorectal Cancer) Burnsville, I September 15 - Purple Ride for Pancreatic Cancer: Elm Creek
825 Nicollet Blvd, Ste 108, 6:30-8:30pm National Park
I September 27 - Look Good Feel Better, Burnsville Clinic, I September 23 - Light the Night Walk (Leukemia/Lymphoma):
Main Floor Conference Rm., 10:30am-12:30pm Target Field