Cancer Program

Quality of Care

The National Cancer Data Base (NCDB), a joint program of the Commission on Cancer (CoC) of the American College of Surgeons (ACoS) and the American Cancer Society (ACS), is a nationwide oncology outcomes database for more than 1,500 CoC-accredited cancer programs in the United States and Puerto Rico. Some 70 percent of all newly diagnosed cases of cancer in the United States are captured at the institutional level and reported to the NCDB. Begun in 1989, the NCDB now contains approximately 29 million records from the hospital cancer registries across the United States. Data on all types of cancer are tracked and analyzed. These data are used to explore trends in cancer care, to create regional and state benchmarks for participating hospitals, and to serve as the basis for quality improvement.

Five quality indicators from the NCDB's Cancer Program Practice Profile Report (CP3R) are included below. Three indicators are for breast cancer, and two are for colon cancer.

Colon Cancers

The following two colon cancer quality-focused measures have been endorsed by the National Quality Forum (NQF). With submission of EMHC-specific data to the National Cancer Data Base (NCDB), we are able to compare our compliance rate of these accountability or quality improvement measures against state and national rates. These measures emphasize not only the quality of patient care but also the importance of accurate and complete documentation.

To learn more about Colon Cancer Prevention and Screening and view the 2013 Cancer Program Outcomes Report.

Comparison data below are for colon cancer cases diagnosed in calendar year 2011.

Adjuvant chemotherapy — colon cancer

Adjuvant chemotherapy is considered or administered within four months (120 days) of diagnosis for patients under the age of 80 with AJCC Stage III (lymph node-positive) colon cancer.

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12 Regional Lymph Nodes — colon cancer

At least 12 regional lymph nodes are removed and pathologically examined for resected colon cancer.

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Source: American College of Surgeons Commission on Cancer (CoC), National Cancer Data Base (NCDB), Cancer Program Practice Profile Report (CP3R) — 10/02/2013
EMHC: Elmhurst Memorial Healthcare
IL: All CoC-Accredited Cancer Programs in the State of Illinois
CCCP: All CoC-Accredited Comprehensive Community Cancer Programs (EMHC is a CCCP program.)


Breast Cancer

The following three breast cancer quality-focused measures have been endorsed by the National Quality Forum (NQF). With submission of EMHC-specific data to the National Cancer Data Base (NCDB), we are able to compare our compliance rate of these accountability measures against state and national rates. These measures emphasize not only the quality of patient care but also the importance of accurate and complete documentation.

Comparison data below are for breast cancer cases diagnosed in calendar year 2011.

Breast Conservation Surgery/Radiation Therapy

Radiation therapy is administered within one year (365 days) of diagnosis for women under age 70 receiving breast-conserving surgery for breast cancer.

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Combination Chemotherapy

Combination chemotherapy is considered or administered within four months (120 days) of diagnosis for women under 70 with AJCC T1c N0 M0, or Stage II or III ERA and PRA negative breast cancer.

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Hormone Therapy

Tamoxifen, a third-generation aromatase inhibitor, is considered or administered within one year (365 days) of diagnosis for women with AJCC T1c N0 M0, or Stage II or III ERA and/or PRA positive breast cancer.

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Source: American College of Surgeons Commission on Cancer (CoC), National Cancer Data Base (NCDB), Cancer Program Practice Profile Report (CP3R) — 10/02/2013
EMHC: Elmhurst Memorial Healthcare
IL: All CoC-Accredited Cancer Programs in the State of Illinois
CCCP: All CoC-Accredited Comprehensive Community Cancer Programs (EMHC is a CCCP program.)

Award-Winning Care and Accreditations

Elmhurst Memorial Healthcare is the recipient of the Commission on Cancer Outstanding Achievement Award, which recognizes cancer programs that strive for excellence in providing quality care. In 2012, EMHC was one of only five hospitals in Illinois and 79 nationwide to receive this award.

The cancer program has also received a three-year accreditation in radiation oncology by the American College of Radiology (ACR). Elmhurst Radiation Oncology is one of only 12 facilities in Illinois, and the only one in DuPage County, to have earned this accreditation. EMHC also is proud to be fully accredited by the National Accreditation Program for Breast Centers (NAPBC) and our breast cancer quality-focused measures have been endorsed by the National Quality Forum (NQF).

Elmhurst Memorial Healthcare Network

This site is part of the Elmhurst Memorial Healthcare network of Web sites, which covers a variety of topics using the same philosophy: When it comes to medical care, we know that you have a lot of options. And we want you to know that you're more than a patient to us. You're an individual. We would appreciate the opportunity to provide you with state-of-the-art medical care and down-to-earth, personalized attention.

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