1. 2014-2015 Commission on Cancer Update for Massachusetts Cancer Liaison Physicians Massachusetts Chapter American College Surgeons Peter Hopewood MD FACS CoC State Chair

2. Congratulations to the following Hospitals CoC accredited during 2014 St. Elizabeth’s Medical Center Brighton Good Samaritan Medical Center Brockton Mercy Medical Center Springfield Signature Healthcare Brockton Hospital Health Alliance Hospitals Leominster Steward Carney Hospital Dorchester Tufts Medical Center Boston South Shore Hospital South Weymouth Lahey Clinic Hospital Burlington Beth Israel Deaconess Medical Center Boston Sturdy Memorial Hospital Attleboro Falmouth Hospital Falmouth Lowell General Hospital Lowell Holyoke Medical Center Holyoke Milford Regional Medical Center Milford Noble Hospital Westfield Cooley Dickinson Hospital Northampton Metrowest Medical Center Framingham Winchester Hospital Winchester Dana Farber/Brigham & Women’s Cancer Center Boston Lawrence General Hospital Lawrence Boston Medical Center Boston Mount Auburn Hospital Cambridge Northeast Hospital Corporation Beverly Beth Israel Deaconess Hospital Needham

3. SPECIAL RECOGNITION COMMISSION ON CANCER 2013 OUTSTANDING ACHIEVEMENT AWARD GOOD SAMARITAN MEDICAL CENTER BROCKTON, MASS CANCER LIAISON PHYSICIAN RICHARD SAMAHA MD

4. Cudos to these Hospitals ≥ 20% Referral rates to American Cancer Society (ACS) Lawrence General Hospital Holy Family Medical Center UMass Medical Center St. Vincent Hospital Mercy Medical Center Falmouth Hospital Cape Cod Hospital Mass General Hospital Beth Israel Deaconess Medical Center

5. High 5↑ the Highest !! UMass Medical Center 50% Mercy Medical Center ≤ 50% MGH ≈ 40% HOW DID THEY DO IT ? American Cancer Society (ACS) Patient Navigators ACS Cancer Resource Volunteers Contact your ACS representative for more information about these programs

6. 2014 Winner CoC Paper Competition Massachusetts Chapter ACS Primary Retroperitoneal Sarcomas: Rate of Microscopic Organ Invasion, Rationale, and Prognosis Mark Fairweather, MD 1, Jiping Wang, MD, PhD 1, 4, Vickie Y Jo, MD 2, 4, Elizabeth H. Baldini, MD, MPH 3, 4, Monica M. Bertagnolli, MD 1, 4, Chandrajit P. Raut, MD, MSc 1, 4 1 Department of Surgery, Division of Surgical Oncology, Brigham and Women’s Hospital and Dana-Farber Cancer Institute, Boston, MA; 2 Department of Pathology, Brigham and Women’s Hospital and Dana-Farber Cancer Institute, Boston, MA, 3 Department of Radiation Oncology, Brigham and Women’s Hospital and Dana- Farber Cancer Institute, Boston, MA, 4 Center for Sarcoma and Bone Oncology, Dana-Farber Cancer Institute, Boston MA This was presented at the annual meeting of the Massachusetts Chapter of the American College of Surgeons December 6 at UMass

7. COLORECTAL CANCER UPDATE using NCDB, CDC and MA. DPH Data EVERY MARCH IS COLORECTAL CANCER AWARENESS MONTH Take advantage of the National Buzz to market your Screening and Treatment Programs

8. Public Opinion per CDC

11. 80% CRC SCREENING BY 2018 “80 x 18” America’s New Goal! 

14. National Statistics

15. COLORECTAL CANCER MASSACHUSETTS

16. Why is cancer prevention and control important in Massachusetts? Reason #1: Cancer is the leading cause of death in Massachusetts, surpassing heart disease and stroke. Every year over 36,000 Massachusetts residents are diagnosed with cancer and nearly 13,000 die from cancer. 16 Massachusetts Comprehensive Cancer Prevention and Control Plan 2012-2016 www.macompcancer.org

17. 17 Massachusetts Comprehensive Cancer Prevention and Control Plan 2012-2016 www.macompcancer.org

18. Colorectal Ca Trends Massachusetts Men Women

21. Incidence 2000-2012 Massachusetts Colon Cancer Rectal Cancer (note the different scales used) 0-750 scale 0-200 scale

25. DIFFERENCE IN AGE AT PRESENTATION 2011 Mass. Colon  Older IncreasesRectal  Older Decreases

28. Stage at Diagnosis 2011 Mass. Colon  Bell Curve peak Stage IIRectal  Descending Peak Stage I

33. s

35. CRC 5 years Survival by Stage All CoC cases from 2003-2006 Colon CancerRectal Cancer

37. Mortality Colorectal Ca Massachusetts

39. RECTAL CANCER CAN WE IMPROVE OUTCOMES? The following proposal for Rectal Cancer Centers of Excellence was approved by the American College of Surgeons Here is What You Need to Know

49. NOV 2014 OVER 120 OSTRiCh MEMBERS MASSACHUSTTS MEMBERS BAYSTATE CAPE COD HEALTH LAHEY CLINIC MGH SOUTHCOAST

51. Let’s Work Together Make Colorectal Cancer a Disease of the Past !