CONNECTED CARE: CANCERCARE MANITOBA’S STRATEGY FOR CANCER CancerCare Manitoba 2011/2012 Progress Report

CancerCare Manitoba
2011/2012 Progress Report
CONNECTED CARE:
CANCERCARE MANITOBA’S STRATEGY FOR CANCER
OUR VISION
OUR VALUES
Working together, we will reduce the
impact of cancer on all Manitobans.
P A T IEN T » F A MILY »
COMMU N IT Y F OCU S
We believe in a balanced patient,
family and community centered
focus where care is delivered with
compassion and sensitivity.
OUR MISSION
Through early detection, care,
research, education and public
outreach, CancerCare Manitoba
will contribute to the prevention of
cancer and improve the outcomes
and quality of life for Manitobans
with cancer and blood disorders.
M ES S A G E FR OM
TH E C H A IR M A N OF THE BOARD 1
R EPOR T FR OM
TH E PR ES IDEN T & CEO 2
A BOUT US 4
IM PR OV ING P REVE NTION 8
IM PR OV ING EARLY D IAGNOSIS 11
IM PR OV ING OU TCOME S 16
IM PR OV ING P ATIE NT E XP ERIE NCE 20
C ONDENS ED FINANCIAL STATEME NTS 24
EFF IC IENC Y A ND E FFECTIVENESS 26
C A NC ER C A R E MANITOBA FOU ND ATION 2 8
A W A R DS A ND ACHIEVE ME NTS 3 3
C OR POR A TE INFORMATION 3 4
RESP ECT
We believe in the dignity and worth
of every individual and in each
person’s right to be treated with
respect, honesty, openness and
fairness. We listen to and learn from
each other in an open and trusting
manner.
T EA MW ORK
We foster a working environment
that is motivating, rewarding,
collegial and characterized by
teamwork. We believe in working
cooperatively with others through
partnership and collaboration,
valuing collective achievement.
CON T IN U OU S LEA RN IN G
A N D IMPROV EMEN T
We continuously work to improve
everything we do and to deepen our
understanding of our work and the
conditions that affect it. We believe
in the roles of research, education
and systematic evaluation.
ST EW A RD SH IP
We endeavor to make wise use of
the resources available to CCMB.
In accepting the responsibilities
entrusted to us by the people of
Manitoba, we strive to serve others –
and each other – in a manner that
is effective and accountable.
CA N CERCA RE MA N IT OB A ’ S V I S I ON, M I S S I ON
A N D V A LU ES A RE CU LT IV A T E D WI TH PATI E NT,
P U B LIC A N D P A RT N ER IN PU T, AND ARE ADVANCE D
T H ROU GH PU B LIC OU T REA CH.
A MESSAGE FROM
THE CHAIRMAN OF THE BOARD
On behalf of the Board of Directors, I am pleased to present CancerCare Manitoba’s (CCMB)
Annual Progress Report for the fiscal year ending March 31, 2012. This report has been
prepared under the governance of the CCMB Board, in accordance with the Regional Health
Authorities Act, and with guidance from Manitoba Health and Healthy Living departments.
The CancerCare Manitoba Board of Directors has approved the contents of this report.
First and foremost, I would like to extend my thanks to the
staff of CancerCare Manitoba for their care and commitment
to Manitobans facing cancer. CCMB staff often work with
patients and their families during some of the most difficult
times in their lives, and I extend my gratitude and respect to
those providing the excellent care and heartfelt compassion
we all count on. The hours are long, and the workload
demanding, yet all Manitobans can rely on our staff to do their
utmost when patients and families are in their greatest need.
To do so, CancerCare Manitoba is working with many
partners in health care, government, primary care and
patients themselves, to find the best ways to streamline the
patient journey. We’ve augmented our partnerships with all
regional health authorities, such as the Winnipeg Regional
Health Authority, and are reaching out to physicians and
health care providers across the province. All of us – from
Churchill to Emerson, from Brandon to Pinawa – are working
on finding ways to improve cancer services.
As this is my last year as Chairman of the Board of Directors,
I would like to extend personal thanks to my fellow Board
members, who have dedicated many hours to CancerCare
Manitoba. The expertise and guidance each of you brings to
the Board is greatly appreciated. I would also like to extend
a personal thanks to CCMB’s 400 other volunteers, who are
often seen making deliveries, assisting patients, or providing
refreshments to patients and families, along with many
other necessary tasks. These volunteers are a great help to
CancerCare Manitoba and its staff, as any comfort for patients
or easing of workload for staff makes an important difference.
To meet the growing needs of cancer patients today and
those in the future, CCMB continues to work towards plans
for its new facility, announced by the province in April 2011.
The new facility will enable CCMB to meet the 50% rise
in new cancer cases expected in the next two decades.
While there is much to do, we are committed to these
projects and both will allow CCMB to improve and continue
to provide the highest standard of quality patient care.
This past fiscal year has been an important one in terms of
long term planning for CCMB. We have continued to build
upon the Manitoba Cancer Plan, our five year strategic plan
that maps the course of cancer care and treatment for this
province. To further this critical work, came valued support
from the government of Manitoba through the Cancer
Patient Journey Initiative – a $40 Million plan to improve
cancer patient services in this province.
The Cancer Patient Journey Initiative is the first such wait
time reduction plan of its kind in Canada. The initiative will
decrease the wait for treatment for cancer patients from
suspicion of cancer to treatment. Over the next five years,
that wait - which often means stress and worry for patients
and families - will be reduced from the current three to nine
months, down to two months or less.
Again, I extend my thanks to my fellow Board members,
the senior executive of CCMB, and to the staff at CCMB,
and welcome our new Board chair, Dr. Arnold Naimark.
Manitobans can take comfort and pride in knowing
CancerCare Manitoba is diligent in care, committed to
excellence, and is leading the way nationally to set the
standard in cancer services, on their behalf.
Lorne DeJaeger
chair, b oard of d irectors
cancercare manitob a
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A MESSAGE FROM
THE PRESIDENT AND CEO
While radiation wait times in Manitoba are some of the
shortest in the country and within national standards,
the overall cancer journey for most patients can now
take three to nine months, and is full of anxiety, and waits
for test results, diagnosis and finally start of treatment.
A laudable, unprecedented commitment has been made
by all key partners (Winnipeg Regional Health Authority,
all other Regional Health Authorities, Diagnostic Services
Manitoba, Manitoba eHealth, primary care and specialist
providers), to reduce the journey to less than two months,
by transformative system-wide improvements through a
collective effort. This will reduce inefficient processes and
benefit non-cancer patients too.
On behalf of CancerCare Manitoba (CCMB), I am pleased
to submit the Annual Progress Report 2011-2012 to our
Board of Directors, CCMB’s many stakeholders, our valued
partners, and to patients, their families and the people
of Manitoba.
This report outlines substantial success to meet the
accelerating demand for cancer services throughout
Manitoba, from prevention to palliation. The challenges
are equally substantial, with cancer now the main cause
of death in Canada and North America.
This memorable year began with the province of Manitoba
announcing $70 Million towards a new facility adjoining the
McDermot site building to address urgent space needs, and
yet maintain essential proximity of clinicians and researchers.
Soon after, a bold, ambitious five year plan was funded by the
government of Manitoba to dramatically reduce wait times
in cancer. This $40 Million initiative is the first of its kind to
address the entire patient journey from suspicion of cancer,
to treatment and beyond.
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Work has begun in earnest on:
D System and process re-engineering.
D Patient navigation, tracking the progress of each patient.
D Province’s first cancer hub at Boundary Trails Health
Centre (near Morden/Winkler). Similar hubs will serve
all Manitobans to expedite and broaden the scope of care.
.
“A laudable, unprecedented commitment has
been made by all key partners… to reduce the
patient journey to less than two months,
by transformative system-wide improvements
through collective effort.”
“Following a review by Accreditation Canada surveyors where our staff and Board took part,
CCMB received the highest possible rating – Accreditation with Exemplary Status.”
The past fiscal year saw several projects come to fruition after
intensive development with the support and hard work of our
partners and CCMB staff:
D The June 2011 opening of the Western Manitoba Cancer
Centre (WMCC), which brought radiation therapy service
outside of Winnipeg for the first time, and care closer to
home for western patients. The WMCC rapidly began
operating at near capacity, thereby reducing travel and
improving access to comprehensive services for patients
and their families.
D Manitoba Home Cancer Drug Program was launched
to provide pace setting access to oral cancer and support
drugs without cost to patients, lessening the financial
burden, broadening choice, reducing drug wastage, and
increasing evidence based drug utilization.
In addition, CCMB was recognized for the quality of its care
to patients and families, and the commitment of staff at
all four CCMB locations through the Accreditation Canada
process. Following a review by Accreditation Canada surveyors
where all staff and our Board took part, CCMB achieved
the highest possible rating available – Accreditation with
Exemplary Status. This achievement confirms the quality
of our processes, ability to find efficiencies, and the efforts
of staff to provide the best care possible to Manitobans.
Challenges remain in other areas, however. Progress to
eliminate the dual paper and electronic medical record has
been slow, due to funding constraints. Access to cutting edge
treatments through clinical trials is far from satisfactory.
Clinical trials have the potential to improve outcomes and
help manage drug costs, which are rising by 15 – 18%
annually across the country.
We’ve had many successes and much support in 2011-2012,
and we extend thanks to our many supporters, such as the
province, our health care partners, and the CancerCare
Manitoba Foundation for its vital funding. We are grateful
for our strong connections with these partners, which enable
us to provide the best and improving care to Manitobans
facing cancer.
I would like to thank the staff and volunteers at CancerCare
Manitoba at the MacCharles, Taché, Misericordia and
Brandon sites. Your efforts make all the difference to
Manitobans. Your commitment to caring is appreciated
on any given day, and deserves high commendation when
additional concerns such as the flood of 2011 or drug
shortages add new stresses.
Mr. Lorne DeJaeger, our outgoing CCMB Board of Directors
Chair, has provided unstinting support to our organization,
and I extend my gratitude to him and all members of the
Board for their dedication to CancerCare Manitoba.
Dr. H.S. Dhaliwal
p resid ent & ceo
cancercare manitob a
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About Us
CANCERCARE MANITOBA
CancerCare Manitoba is the provincially legislated cancer agency for Manitoba, and is responsible for delivery
of cancer services across the province. CCMB provides care, treatment and support services across the entire
cancer service spectrum – from prevention, early diagnosis, treatment and care, to palliation or end of life care.
CancerCare Manitoba, Winnipeg
St. Boniface Hospital, Winnipeg
With the support of the government of Manitoba, CancerCare
Manitoba works closely with partners to provide world class
cancer services and care of blood disorders to Manitobans.
Our valued partners include Manitoba’s regional health
authorities such as the Winnipeg Regional Health Authority
(WRHA), the University of Manitoba’s Department of
Medicine, Diagnostic Services Manitoba, and volunteer
funding agencies, in particular the CancerCare Manitoba
Foundation.
CCMB has two tertiary locations in Winnipeg, with our
main site at 675 McDermot Avenue, at the Health Sciences
Centre campus. Our second site is at the St. Boniface
Hospital. Thanks to a collaborative partnership with the
WRHA, CCMB specialists work with health care providers at
additional Winnipeg sites, through programming such as the
Leukemia/Bone Marrow Transplant program at the Health
Sciences Centre, and chemotherapy and support services at
the Breast Health Centre, Concordia, Grace, Seven Oaks and
Victoria General hospitals.
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Western Manitoba Cancer Centre, Brandon
Gimli Community Cancer Program,
one of 17 partner communities.
CCMB has also formed strong partnerships with
the province’s four additional health authorities across
Manitoba, through the Community Oncology Program.
The program is a provincial network of cancer services,
cancer support services, and primary care givers who’ve
received specialized training from CCMB. The programs
work through 17 health care centres across the province,
enabling CCMB to provide cancer services to Manitobans
much closer to home. An excellent example of expanded
partnerships is the Western Manitoba Cancer Centre in
Brandon, which opened in June 2011, providing radiation
therapy outside of Winnipeg for the first time.
Joint efforts to better control cancer are a top priority for
the government of Manitoba, CCMB and our many partners.
Through the Manitoba Cancer Patient Initiative announced
in June 2011, a $40 Million provincial commitment is
enabling CCMB and partner health care providers to find
ways to streamline and expedite the time it takes a cancer
patient to receive treatment. The five year initiative touches
every component of cancer care in this province, with the aim
of improving Manitoban’s cancer services, and perhaps the
entire health care system.
MacCharles Unit
675 McDermot Avenue
(204) 787-2197
Toll free: 1-866-561-1o26
St. Boniface Unit
O Block - 409 Taché Avenue
(204) 237-2033
COMMUNITY CANCER PROGRAMS NETWORK
The Community Cancer Programs Network (CCPN)
is a provincial program of CancerCare Manitoba that
allows patients to receive cancer care in, or near, their
home communities. Working in partnership with
regional health authorities, the CCPN currently
supports 16 Community Cancer Programs, and the
network is growing. In 2010, the Eriksdale Community
Patient Representative:
(204) 787-2065
Communications & Public Affairs:
(204) 787-4540
Cancer Resource & Support Centre (CCRSP) opened,
launching the network’s first community cancer support
service facility.
Bethesda Health/Bethesda Place (Steinbach)
Human Resources:
(204) 787-8503
Boundary Trails Health Centre
School of Radiation Therapy:
(204) 789-0909 or (204) 789-0903
Deloraine Health Centre
Volunteers:
(204) 787-2121
CancerCare Manitoba
Breast Cancer Centre of Hope
Dauphin Regional Health Centre
Eriksdale Community Cancer
Resource & Support Centre
Flin Flon General Hospital
Gimli Community Health Centre
Hamiota Health Centre
691 Wolseley Avenue
(204) 788-8080
Toll free: 1-888-660-4866
Neepawa Health Centre
CancerCare Manitoba Screening Programs
Russell District Health Centre
5-25 Sherbrook Street
Administration office: (204) 788-8633
Selkirk & District General Hospital
BreastCheck CancerCare Manitoba
The Pas Health Complex
Appointment inquiry: (204) 788-8000
Toll free: 1-800-903-9290
Thompson General Hospital
Pinawa Hospital
Portage District Hospital
Swan Valley Health Centre
Western Manitoba Cancer Centre (Brandon)
CervixCheck CancerCare Manitoba
(204) 788.8626
Toll free: 1-866-616-8805
ColonCheck CancerCare Manitoba
(204) 788-8635
Toll free: 1-866-744-8961
CancerCare Manitoba Foundation
(204) 787-4143
Toll free: 1-877-407-2223
For information call: (204) 787-5159
Toll-free: 1-866-561-1026
Visit our website at www.cancercare.mb.ca
Watch us on YouTube
Follow us on Twitter
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About Us
TRANSFORMING
THE CANCER SYSTEM
With the number of cancer cases in Manitoba expected
to increase by 50% in the next two decades, CancerCare
Manitoba and its partners are working to improve current
services, while planning for the future. Currently, wait
times and delivery of cancer care in Manitoba are on par
with national averages, but the cancer system is stressed.
Improvements must be made to meet the expected rise
in cancer cases.
The cancer system must be transformed, and to do so
requires both breakthrough initiatives, and constant
improvement of current practices. With provincial support,
CCMB is collaborating with partners on the $40 Million
Cancer Patient Journey Initiative which will dramatically
improve wait times over the next five years. Plans for a
new facility, aided by $70 Million in provincial government
support and community fundraising, will expand services.
LEAN PROJECT
Current practices are being transformed and reworked as
well. CCMB has committed to LEAN business principles,
which requires finding maximum value while reducing
waste. LEAN principles are being applied to facilities, work
flow, and many other processes where measurable results
will benefit the organization.
For example, staff efforts and enthusiasm for the LEAN
concept resulted in improved efficiency and delivery of
chemotherapy in CCMB’s MacCharles treatment rooms,
which means better and faster care for cancer patients.
Nursing stations were reorganized to include better access
to chemotherapy trays, and a colour coded system is being
implemented to help with identification, early alert that
medication is ready, and return of empty trays.
Additional LEAN projects have been initiated within
CCMB and work is ongoing.
DR. CURTIS KRAHN,
Community Cancer Care Physician in Steinbach, Manitoba
For the past 20 years, patients in the
Steinbach area have relied on Dr. Curtis
Krahn for primary health care. Dr. Krahn
in turn, has relied on a continuously
developing relationship with CCMB to
help patients facing cancer.
“CancerCare Manitoba is a model of how
we need to run other programs in health
care,” says Dr. Curtis Krahn, a Community
Cancer Care Physician in Steinbach. “It is
well run, organized, connected to primary
care providers, and has a can-do attitude
that results in the best care for patients.”
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Dr. Krahn says CCMB’s electronic health
record is a great benefit, by providing
access to patient patient information when
needed. “We are instantly on the same
page as CCMB’s experts, which keeps us
informed about patient care, and expedites
treatment decisions.”
CCMB’s use of Patient Navigators is also
a great asset, says Dr. Krahn. Patient
Navigators track a patient through the
system to find the fastest pathway to the
right care. “Patient Navigators push the
system and help reduce the emotional toll
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of waiting,” says Dr. Krahn. “That can be
the hardest part for patients – when is my
test? What are the results? When does
treatment start?”
Dr. Krahn welcomed the June 2011
provincial announcement of the Manitoba
Cancer Patient Journey Initiative as
another step in the right direction to
improved cancer patient care. “Our cancer
system is good, but slow and cumbersome.
We, as health care providers, all need to
work together to create the best cancer
service possible for Manitobans.”
MANITOBA CANCER PLAN 2011-2015 » YEAR ONE PROGRESS REPORT
In 2011, CancerCare Manitoba released its five year plan for cancer services in Manitoba. The plan included five objectives
with supporting strategic priorities and activities. Here are a few highlights of what has been achieved in the past year:
on track
some progress with significant challenges
slow progress with significant concerns
GOAL: PREVENTION
We will enhance efforts aimed at reducing the incidence of cancer.
Reduce use of tobacco products through smoking cessation programs.
1. For individuals, patients, families, public.
2. Target workplaces for smoking cessation program.
Use public education and information campaigns to increase knowledge of skin cancer.
1. Coordinate and implement a Sun Safety Strategy.
2. Promote public policy encouraging positive behaviours e.g. reduce use of tanning beds.
GOAL: ACCESS
We will endure timely access to cancer services for all Manitobans.
Work with First Nations, Metis and Inuit populations to implement
an enhanced First Nations, Metis and Inuit Cancer Control Program.
1. Design culturally responsive services including translation,
traditional healing, spiritual, role of family.
Reduce the percentage of Manitobans who do not have access to adquate care.
1. Open the Western Manitoba Cancer Centre to provide cancer treatment.
GOAL: SAFETY AND PATIENT-CENTRED CARE
We will keep people safe and put patients and their families at the centre of care.
1. Pass or exceed all Accreditation Canada required organization practices.
2. Improve upon organization practices to develop and encourage
increased internal/external communication.
3. Implement Screening for Distress to enhance availability of psychsocial support.
GOAL: EFFICIENCY AND EFFECTIVENESS
We will improve the system’s performance and responsiveness.
1. Expand the Provincial Oncology Drug Program.
2. Complete implementation of the electronic medical record system.
3. Begin/complete construction of new CCMB facility.
GOAL: EDUCATION AND RESEARCH
We will prioritize the roles of research and education to promote
improvements in cancer control and treatment.
1. Train and support newly promoted supervisors and managers.
2. Increase research on patient’s responses to disease treatment and recovery.
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Improving Prevention
PREVENTION
Up to 50% of cancers can be prevented through lifestyle changes, such as eating healthier, exercising more,
drinking less alcohol and quitting smoking. It is crucial that CancerCare Manitoba provide community-based education
programs that educate and enable the public to make changes and choices that help prevent cancer. As an organization
focused on early detection, care, support services and research, CCMB is committed to developing cancer prevention
programs that help Manitobans improve their health and enhance their quality of life.
IMPLEMENTING THE QUIT SMOKING PROGRAM
ENGAGING AND ENCOURAGING YOUTH
Despite an overall decline in smoking in Manitoba,
youth smoking rates continue to be one of the highest
in Canada, at 21%. Every year, 1,800 Manitobans die from
disease caused by smoking and another 250 die from
exposure to secondhand smoke.
CancerCare Manitoba is a member of Partners in Planning
for Healthy Living (PPHL), a group of 23 health, education
and governmental partners that facilitated and published
the 2009 Youth Health Survey of Manitoba students in
Grades 9 to 12. In 2012, PPHL launched a DVD called
Moving Towards Healthier Lifestyles: Stories from the
Manitoba Youth Health Survey. The DVD features unique
initiatives intended to inspire youth and encourage them to
make healthy choices in life.
Lawrence Unger, Social Worker: Patient and Family Support Services
Kicking the habit is very difficult, and can be especially hard
for those facing the stress of illness. To assist, CancerCare
Manitoba initiated its Quit Smoking program in early 2012.
This comprehensive clinical service is offered free of charge
to patients living with cancer, and their family members.
The program employs a team approach by providing access
to a nurse practitioner, a registered nurse, a social worker,
and a pharmacist, all of whom offer support and guidance.
Individuals receive counseling and access to treatment
options such as prescription medications and nicotine
replacement products.
There are also plans to offer the Quit Smoking Program
through the Community Cancer Program Network (CCPN),
by telephone or TeleHealth. The confidential program has
also been made available to CCMB staff.
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For Ruth Betts School in Flin Flon, MB, the 2009 Youth
Health Survey identified youth were at risk of tobacco use.
In response, regional health authority staff, area teachers and
students at the school worked together to develop the Tobacco
Tackle program including a music video with lyrics on the
effects of smoking.
Spurred by their YHS results, students in Lundar set out
to increase their fruit and vegetable consumption through
Lundar Salad Days. The one-day event was met with much
success – students report being more willing to try new
things thanks to their hands-on salad prep work – and it is
hoped it will become a year-round activity.
PPHL also initiated the 2012 Youth Health Survey, to gather
additional information about chronic disease risk factors in
young people. The survey’s results will provide valuable data
that will be used to help schools, school divisions, agencies
and governments develop
programs and policies
that address the needs of
young people in Manitoba.
“Connected care is the result of extensive collaboration between CCMB departments, community
groups and policy partners to ensure that data gathering, health promotion, screening, treatment
and therapeutic care are mutually supportive.” Dr. Jane Griffith
NEW TANNING REGULATION TARGETS TEENS
In 2009, the World Health Organization declared that UV
rays from indoor tanning equipment are a known carcinogen
– this means that indoor tanning equipment is known to
cause cancer, as does tobacco.
Manager, Epidemiology Unit
MANITOBA NUMBERS p CASES PER 100,000 PEOPLE
1960
2009
46 127
The World Health Organization has also stated that the risk
of developing melanoma skin cancer – the most lethal kind
of skin cancer – is increased by 75% for those who use indoor
tanning equipment under the age of 30.
In June 2010, the Manitoba legislature passed legislation
providing some regulation of the indoor tanning industry.
CCMB recognizes this as an important step and appreciates
provincial government support of indoor tanning regulation.
Provincial legislation now requires youth under 18 years old
to have written consent from a parent or guardian, and youth
16 and younger require a parent or guardian to be onsite
during indoor tanning sessions.
Nova Scotia has enacted a complete ban on indoor tanning
for minors, and CancerCare Manitoba strongly supports a
similar move through future legislation.
PROMOTING SUN/UV SAFETY
Over the past five decades, Manitoba has seen a large
increase in the number of people diagnosed with skin cancer.
The increase can be linked to a number of factors including
an aging population, depletion of the ozone layer and
unprotected sun exposure and tanning. An estimated
50-90% of skin cancers are attributed to sun/UV exposure.
276
BASAL CELL
% CARCINOMA
Most common form.
Lowest risk of death.
9 28
311
SQUAMOUS CELL
% CARCINOMA
Less common than basal cell.
Slightly higher risk of death.
0.8 12.4
1550%
MELANOMA
Least common form.
Highest risk of death.
To promote sun/UV safety and skin cancer prevention
among Manitobans, an awareness program is being
developed at CCMB. Established as a collaboration between
the departments of Epidemiology, Communications, Medical
Oncology, the Cutaneous Oncology Disease Site Group
and the CancerCare Manitoba Foundation, the CancerCare
Manitoba Sun/UV Safety Group is analyzing a wide range
of data to develop and promote meaningful messaging
regarding prevention and early detection of skin cancer
that resonates with Manitobans.
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Improving Prevention
FIRST NATIONS, METIS
AND INUIT COMMUNITIES
Cancer control among First Nations, Metis and Inuit peoples is a priority for CancerCare Manitoba. The First Nations,
Metis and Inuit Cancer Control program is expanding, enabled by an investment from the Province of Manitoba,
to increase work with communities, patients and families, continue developing relationships and community-based
initiatives, and create a culturally safe environment at CCMB.
Improving cancer care for First Nations, Metis and Inuit
communities in Manitoba is a collaborative effort. Members
of CCMB’s First Nations, Metis and Inuit Cancer Control Unit
have been traveling to points around the province to engage
communities, their leaders and other partners in care to build
relationships and trust.
A preliminary analysis of Manitoba data suggests that cancer
is increasing in First Nations populations. Cancer rates in
First Nations people have traditionally been much lower than
non-First Nations people, but data from the past decade show
the rates are now almost the same. If the trend continues,
First Nations people will soon have much higher rates of
cancer than in non-First Nations groups.
CancerCare Manitoba has been building a foundation to
create a culturally safe environment and provide culturally
responsive services. To support this work and enhance
information already offered through two day staff cultural
safety workshops, the Unit developed the Knowledge Keepers
series. The lecture series features guests who speak on topics
that promote better understanding, and appreciation of
cultural differences.
The Honourable Justice Murray Sinclair was the first
Knowledge Keepers speaker. He is chair of the Truth and
Reconciliation Commission of Canada – a commission
hoping to guide and inspire a process of truth and healing
leading toward reconciliation and relationships based
on mutual understanding and respect. Justice Sinclair’s
presentation provided a better understanding of the direct
and inter-generational effects of the Indian Residential School
system on First Nations, Metis and Inuit peoples in Canada.
Additional speakers are planned.
Hon. Justice Murray Sinclair and CCMB First Nations, Metis, Inuit Cancer Control
Program staff.
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Improving Early Diagnosis
SCREENING
FOR DISTRESS
Known as the sixth vital sign, distress symptoms can
manifest physically or present as issues patients
must deal with as a result of their illness. CancerCare
Manitoba caregivers have a new tool to ensure patients
receive care and support for any symptoms and problems
causing them distress. Patients complete a short
questionnaire, known as COMPASS (COMprehensive
Problem And Symptom Screening) on a regular basis,
which is then used to guide a conversation with a health
care provider to address symptoms and concerns that
may have been identified.
Distress symptoms include fatigue, pain, anxiety or
depression, or handling personal issues such as getting to
and from appointments, financial difficulties, worry about
relationships, or treatment decision making.
By learning what patients are experiencing, staff can ensure
the right support and information are provided, and that
patients are connected to the appropriate services as soon
as possible.
Dr. Paul Daeninck at CCMB’s St. Boniface Hospital site.
The new one page COMPASS questionnaire includes the
ESAS (Edmonton Symptom Assessment Scale) which CCMB
patients have completed at every physician visit since 1999.
COMPASS was implemented using a step wise approach,
with the goal being to have all patients screened in all CCMB
clinics, and all 17 Community Cancer/Community Cancer
Resource and Support Programs across the province.
PATIENT COMMENTS
“My care has been excellent.
The survey provided an opportunity
to highlight concerns I may not
have expressed in person.”
“It helped me focus on getting
better on all fronts and I was able
to better communicate to the care
givers! Thanks!”
“I believe that completion of the COMPASS
questionnaire enabled me to alert the
CancerCare staff about areas of potential
problems that may or may not have required
immediate action. The result is better care.”
c a n c e r c a r e m a n it o b a / 2 0 1 1 -2 0 1 2 p r o gr e s s r e port
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Improving Early Diagnosis
D With breast screening mobile sites now available
in Sagkeeng First Nation, Lorette, Transcona and the
North End Wellness Centre, BreastCheck has over
90 locations for women to be screened in the province.
D BreastCheck successfully completed Canadian
Association of Radiologists accreditation for all CCMB
mammography units.
CANCER SCREENING SAVES LIVES
Improving early detection and diagnosis is a vital component
of CancerCare Manitoba’s overall cancer strategy. The three
provincial screening programs – BreastCheck, CervixCheck
and ColonCheck – contribute to the long-term delivery of
cancer care through widespread, population-based screening
for breast, cervical and colorectal cancer. Preventing and
discovering cancers earlier can improve treatment outcomes
and reduces the burden on individuals, their families and the
cancer care system.
PARTNERING TO PROMOTE AWARENESS
To help increase screening participation rates in Manitoba,
the Check programs connect with primary care providers.
In 2011 the It Matters to Them! campaign was launched to
engage primary care providers, update them on screening
guidelines and inform them about recent advancements
in screening research and technology. CCMB’s screening
programs hosted multiple continuing medical education
events that focused on providing the most current
information. For example, in October 2011, the screening
programs hosted a cancer screening workshop following
CCMB’s annual Community Cancer Care conference in
Brandon. In March 2012, a webinar was held to inform
participants about colon cancer screening and surveillance
for people with inflammatory bowel disease.
Research shows that a recommendation by an individual’s
primary care provider is one of the top reasons why someone
will get screened. This was reinforced with the It Matters
to Them! campaign key message – “Your recommendation
counts, talk to your patients about screening.”
D BreastCheck continues to work with hard-to-reach
populations to educate women on the importance of
breast screening and to reduce barriers that hinder their
participation. Activities include training community
champions in various ethnic communities across Manitoba
and expanding resources available in different languages.
CervixCheck
D Partnerships between CervixCheck and health care
providers resulted in 63 communities across Manitoba
hosting at least one Pap test clinic, making it easier for
women to access cervical cancer screening services.
D A data quality coordinator was hired to ensure integrity of
the cervical screening registry.
D Women who were sent an invitation letter were twice as
likely to have a Pap test compared to women who were not
sent one.
ColonCheck
D The direct mail component of ColonCheck was expanded
to include Central, Brandon and NOR-MAN Regional
Health Authorities.
D ColonCheck welcomed family physician consultant
Dr. Ravi Gupta to help strengthen the program’s
connections with primary care providers across Manitoba.
D A nurse practitioner was hired to conduct pre-colonoscopy
assessments for ColonCheck patients with an abnormal
fecal occult blood test result to improve wait times for
colonoscopy.
D Partnered with the Canadian Institutes of Health
Research/CancerCare Manitoba Primary Care Oncology
Research Team at a Knowledge Translation Workshop to
build collaborations with Winnipeg family physicians.
“Since introducing its three screening programs, CCMB has focused on engaging and educating
the public and health care providers across Manitoba about the benefits of early detection.
It is a far-reaching initiative that connects care with researchers, medical experts, primary care
and other health care providers, and Manitobans in their communities.”
Jean Dale,
Manager, ColonCheck
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2012 ACHIEVEMENTS
SCREENING
BreastCheck
47490
Number of Manitoban
women screened by
BreastCheck.
63.1%
Percentage of eligible women
had at least one Pap test
between 4/11/08 to 3/31/11.
4.3
Cancer detection rate per
1,000 women screened.
4835
Women over the age of 69
who made BreastCheck
appointments in 2011/2012.
6883
Number of women who recieved
screening invitation letters
distributed to Manitoba’s most
unscreened and at-risk.
REDUCING
BARRIERS
TO SERVICE:
33
14
Number of communities
reached in this campaign.
Number of Pap test clinics
co-ordinated in conjunction with
the distribution of the letters.
75165
Number of FOBT kits
distributed in 2011/2012.
22%
Percentage of eligible
Manitobans who completed
ColonCheck’s FOBT test.
3-4%
Percentage of Manitobans
requiring follow-up testing.
c a n c e r c a r e m a n it o b a / 2 0 1 1 -2 0 1 2 p r o gr e s s r e port
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Improving Early Diagnosis
RESEARCH
Scientific research is a vital part of the continuum of care at CancerCare Manitoba. It connects the diagnosis and treatment
of patients through the design and development of new, next generation therapeutic strategies. Basic research is essential to
understanding cancer in all its forms and has the potential to improve outcomes for patients in Manitoba and around the world.
BUILDING A WORLD-CLASS RESEARCH PROGRAM
With funding from CCMB and the CancerCare Manitoba
Foundation, Drs. Versha and Shantanu Banerji completed
their postdoctoral research at Harvard University and have
returned to Manitoba with their young family to help CCMB
build its world-class biomedical research program.
Through her research with CCMB’s Chronic Lymphocytic
Leukemia (CLL) Translational Program, Versha is searching
for a process that would enable early diagnosis of CLL
patients who require, or who are resistant to, therapy.
To accomplish this, she is trying to establish a metabolic
profiling platform based on signature changes in amino
acids that are easily tested.
Shantanu’s work focuses on genome sequencing in cancer,
which can help identify key gene mutations as targets for
anticancer drugs that slow cancer cell growth and reduce
overall toxicity in patients. Through his collaborative work
some tantalizing new discoveries have led to identifying new
targets for treating some aggressive cancers. He is working
on establishing a testing facility at CCMB that will provide
local and timely DNA sequencing analysis, which would
ultimately improve early diagnosis and expedite the start
of therapy.
Dr. Shantanu Banerji
“Patients don’t always get to see the research
side of cancer care. In my research program,
I divide my time between clinical care and
biomedical research. My hope is that this dual role
can foster linkages between departments at CCMB
and improve the overall outcomes of patients.”
Dr. Shantanu Banerji,
Medical Oncologist, Department of Medical Oncology and Hematology
Dr. Versha Banerji (centre)
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DEVELOPING EFFECTIVE DRUG TREATMENTS
Dr. Kirk McManus and his research team are working to
understand and exploit the molecular origins of colorectal
cancer (CRC). Using CRC tumour samples, Dr. McManus
is seeking to identify and characterize chromosomal
abnormalities. These tumour samples are allowing
Dr. McManus and his team to uncover the weak points
of CRC so that novel drug targets can be identified to
combat the disease.
Because these abnormal chromosomes are restricted to
CRC tumour cells, and not normal cells, Dr. McManus
believes that his research can lead to selective targeting of
cancer cells. His team is performing laboratory experiments
to confirm the efficacy of several promising drug targets
and to characterize the molecular pathways and biological
processes involved. Armed with this insight into the biology
of CRC tumours, Dr. McManus’ research team is assisting
in finding the most effective and efficient treatments for
Manitoba patients.
Dr. Kirk McManus (front) and his research team.
FROM RESEARCH TO CARE:
EXPANDING CLINICAL TRIALS
Clinical trials are how new treatments are tested on people, before being approved for widespread medical use. Testing is
carefully controlled by national and international government agencies, by ethical review boards and by members of the research
team who ensure study participants are carefully monitored for reactions, improvements or changes.
Clinical trials are the cutting edge of medical treatment,
as research is translated into meaningful care for patients.
The current rate of patient participation in intervention trials
run through CCMB’s Clinical Investigations Office is 5%
for adults and 47% for pediatrics. Higher participation rates
for the pediatric population are a result of a smaller number
of cases, all of whom come to CCMB for their treatment.
We are able to offer trials for most of the common childhood
cancers through our active participation in the cooperative
group who coordinates clinical trials for pediatric cancer.
These rates are in line with national averages, however
CCMB is working hard to increase the number of clinical
trial participants, given the benefits such translational care
can mean for all.
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Improving Outcomes
MANITOBA HOME
CANCER DRUG PROGRAM
The result of months of work by CancerCare Manitoba and
provincial staff, the government of Manitoba announced the
Manitoba Home Cancer Drug Program (MHCDP) in April
of 2012. The program enables Manitoba cancer patients to
access oral cancer and select supportive care drugs, at no cost.
In the past, Manitobans had to cover the cost of oral cancer
drugs and supportive care drugs through the provincial
Pharmacare program, by paying a deductible. The deductible
often made the cost of these medications prohibitive,
affecting treatment choices.
Effective April 19, 2012, all oral cancer drugs and
select supportive care drugs were made available at
no cost to patients, once they were registered with
the MHCDP program, which is done by CCMB.
The program offers multiple benefits to Manitobans
facing cancer:
D Easing of the financial burden for oral cancer medications.
D Enables best choice in tailored treatment by making
all forms available.
D More efficient use of cancer resources such as reduced
chair time.
D Care closer to home for patients.
D Eliminates the need for patients to have vascular access
devices for their intravenous treatments, thus avoiding
the possible complications.
SUPPORTING
SURVIVORSHIP CARE
MOVING FORWARD AFTER CANCER TREATMENT
A new session was launched in Thompson, Manitoba in
November, 2011 that focused on follow-up care for cancer
patients. Called Moving Forward After Cancer Treatment,
the project was developed by Patient and Family Support
Services, the Breast Cancer Centre of Hope and the CCMB
Community Oncology Program.
The program centred on a patient’s post-treatment needs
and the importance of a family physician or nurse
practitioner in providing follow-up care. The sessions will
be offered throughout Manitoba as a method of supporting
patients requiring long-term care. This project is part of
a broader effort, including meeting the unique needs of
adolescents and young adults.
Cancer survivors are the fastest growing population
in the cancer field.
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Survey results report CCMB is a strong organization,
with staff members providing excellent patient
ACCREDITATION
and family-centred care.
RECOGNIZING HEALTH CARE EXCELLENCE
In 2011, CancerCare Manitoba was assessed according to new Accreditation Canada decision levels,
and achieved the highest accreditation level – Accreditation with Exemplary Standing.
The opportunity to evaluate its performance against
national standards of excellence allowed CCMB and its
staff to celebrate their successes and learn how to refine
and enhance their processes and procedures to provide
the best possible care to patients and their families.
While there are always some challenges identified by the
survey, CCMB has responded to the preliminary findings and
efforts are being made to make the necessary improvements
in the identified areas – medication reconciliation, education
and training, and communication.
Within Accreditation Canada’s 2011 review, CCMB met
98% of the survey’s indicators. The indicators measured
the organization’s commitment to required organizational
practices of safety culture, communication, worklife and
workforce, infection control, medication use, falls prevention
and risk assessment. System-wide standards also address
quality and safety at the organizational level in areas such
as governance (Board of Directors) and leadership.
Survey results report CCMB is a strong organization,
with staff members providing excellent patient and
family-centred care.
As a result, a long list of achievements were identified,
including:
D CCMB’s success in recruiting oncologists.
D The implementation of Computerized Physician Order Entry.
“Earning Accreditation with Exemplary Standing
is a significant achievement. It demonstrates a
commitment to ongoing quality improvement and
achieving the highest standards in health care.”
Wendy Nicklin
President and CEO of Accreditation Canada
D Establishment of Disease Site Groups, interdisciplinary
teams and Clinical Practice Guidelines.
D Availability of patient information in 22 languages.
D The launch of the Western Manitoba Cancer Centre.
D The replacement and addition of new treatment
technologies.
“Accreditation is a reflection of all that you’re
doing well and all that you need to do better.
At the end of the day, the surveyors described CCMB
as ‘phenomenal’ and having a solid foundation on
which to build even more success.”
Venetia Bourrier
Director, Provincial Oncology Drug Program and CancerCare Manitoba Pharmacy Program,
Interim Director, Quality, Patient Safety & Risk (to December 2011)
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17
Improving Outcomes
WESTERN MANITOBA
CANCER CENTRE
For cancer patients and their families in western Manitoba, the June 2011 opening of the new Western Manitoba
Cancer Centre (WMCC) in Brandon brought cancer care much closer to home.
The WMCC offers chemotherapy and outpatient care,
as well as providing radiation therapy services outside
Winnipeg for the first time. The above ground, door-free,
linear accelerator delivers state-of-the-art radiation techniques.
Treatment planning for radiation therapy patients is directly
linked to CancerCare Manitoba in Winnipeg, allowing for
multidisciplinary consulting. Patients are also able to have
clinic visits with oncologists in Winnipeg through MB
Telehealth units.
The provincial investment of $24 Million in cancer services is
proving invaluable. Patient volumes at the WMCC are higher
than expected, which has resulted in a request for increased
staffing. The WMCC’s linear accelerator, which provides
radiation treatments for the first time outside of Winnipeg –
is already at capacity, having quickly taken on almost 10%
of the load of radiation treatments in all of Manitoba.
All CCMB Patients
(prior to WMCC open)
2010-2011
All CCMB Patients
(including WMCC)
2011-2012
Percentage
Increase
WMCC Patients
2011-2012
Total CCMB patient visits
to radiation oncologists
3161
3438
9%
280 p 8% OF TOTAL
Total CCMB patients
receiving radiation therapy
2969
3130
5.4%
285 p 10% OF TOTAL
“My wife and I are extremely happy that CCMB opened its new facility in Brandon.
Treatment is two and half hours, instead of a daily seven and a half hour trip to and from Winnipeg.”
Alvin Jones
WMCC Patient
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COMMUNITY
ONCOLOGY PROGRAM
To meet the challenges of providing community-based
oncology care within the parameters of the Manitoba Cancer
Patient Journey Initiative, UPCON and CCPN have combined
forces to create the Community Oncology Program. Both
programs are nationally respected as leading providers of
cancer care in rural and northern settings, and for their
collaboration with the primary care sector.
The Community Cancer Programs Network (CCPN)
is an innovative CancerCare Manitoba program that works
in partnership with Manitoba’s Regional Health Authorities
to enable patients living outside of Winnipeg to receive cancer
care closer to home. The CCPN has 16 Community Cancer
Programs (CCPs) and one Community Cancer Resource and
Support Program. All are linked to CCMB’s electronic medical
record system with access to patient records for consultation.
The Uniting Primary Care and Oncology Network (UPCON)
connects primary care providers with cancer experts through
ongoing education, information sharing and communitybased cancer care.
HOW THE COMMUNITY
ONCOLOGY PROGRAM
WORKS »
These two networks will be working together as the
Community Oncology Program to advance the Manitoba
Cancer Patient Journey Initiative, and the development
of rural hubs of cancer expertise across the province.
Through strong relationships between regional health
authorities, individual primary care providers and CCMB
specialists, the foundation has been laid for better
connected cancer care in Manitoba.
“To better meet the complex needs of cancer
patients and to continue the evolution of ‘closer
to home’ cancer care, the development of rural
hubs will greatly improve the range of oncology
services in Manitoba.”
Dr. Joel Gingerich
Medical Director
PATIENT IS REFERRED TO CANCERCARE
MANITOBA BY THEIR PHYSICIAN OR SURGEON.
PATIENT VISITS ONCOLOGIST.
CARE PLAN IS DETERMINED.
PATIENT AND ONCOLOGIST DECIDE
BEST LOCATION FOR CARE.
CARE AT A CCP BY TEAM TRAINED IN
ONCOLOGY. CCMB ONCOLOGIST RETAINS
OVERALL RESPONSIBILITY FOR TREATMENT.
CARE IN WINNIPEG.
“Shared care is the most effective way to meet the complex needs of cancer patients and their families.
We strive to ensure that patients feel confident that their primary care and specialist teams are
working together to provide the best care and support for them and their family.”
Dr. Jeff Sisler
Medical Lead, Primary Care
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19
Improving Patient Experience
MANITOBA CANCER PATIENT
JOURNEY INITIATIVE
On June 10, 2011 CancerCare Manitoba and the province of Manitoba made a pledge to Manitobans: cancer wait times
would be improved, through a $40 Million first-in-Canada cancer strategy, known as the Manitoba Cancer Patient Journey
Initiative (MCPJI). This initiative will streamline cancer services in the province, thereby dramatically reducing wait times
from the time cancer is suspected to the start of treatment.
The initiative will be a life-changer for Manitobans facing
cancer. Currently, patients must navigate a complex pathway
to treatment, one that involves multiple health care providers
at different facilities. While Manitoba currently has the
shortest wait time for patients requiring radiation therapy,
the standard measure does not include what happens to
a patient before being declared ready to treat: referrals,
testing, diagnosis, re-testing, and development of a treatment
plan. The current patient pathway is complex with gaps
and bottlenecks. The entire journey can take from three to
nine months before a patient receives treatment. A patient
is usually referred to CancerCare Manitoba during the last
third of their cancer journey.
The Manitoba Cancer Patient Journey Initiative will
streamline cancer services through a provincial approach.
Working with local teams, Rapid Improvement Leads (RILs)
are mapping the entire cancer patient pathway in different
cancers from primary care to treatment, in search of service
improvements that can expedite delivery. Patient Navigators
connect with and help cancer patients and their families
through their entire journey by ensuring they have the right
information, the right test, treatment and support, at the right
time. They are now in place in Boundary Trails (Morden/
Winkler), Brandon, Deloraine, Eriksdale, Portage la Prairie,
and Swan River.
On December 1, 2011, in an important step for the
initiative, the first rural cancer hub was announced at the
Boundary Trails Health Centre. The new hub expands on
chemotherapy and psychosocial services to improve cancer
care for patients in southern Manitoba.
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There is still much more work to be done. The MCPJI will
take up to five years to implement, and efforts are shared
with key partners, such as the Winnipeg Regional Health
Authority, other provincial health authorities, primary care
providers, patients and the provincial government. A team
approach covering every facet of the cancer patient journey
is bringing this vision of dramatically improved cancer
services to reality. National and international collaborations
will accelerate progress by adopting proven strategies.
Cancer Patient Journey Steering Committee
Patient Advisory Committee
CURRENT CANCER PATIENT JOURNEY »
SPECIALIST AVAILABILITY
MULTIPLE LOCATIONS
SUSPICION
OF CANCER
WAIT
DIAGNOSTIC
TESTS
WAIT
REFERRED TO
SPECIALIST
WAIT
SPECIALIST
CONSULT
WAIT
PATHOLOGICAL
DIAGNOSIS
WAIT
PATIENT
INFORMED
SPECIALIST AVAILABILITY
WAIT
MORE
TESTS
WAIT
REFERRED
WAIT
WAIT
BIOPSY
CANCER
TREATMENT
PLANNING
SURGEONS
MEDICAL ONCOLOGY
RADIATION ONCOLOGY
TREATMENT
DISCHARGE
PALLIATIVE
CARE
IDEAL CANCER PATIENT JOURNEY »
SUSPICION
OF CANCER
URGENT
SPECIALIST
REFERRAL
RAPID
DIAGNOSTIC
NETWORK
IMAGING
BIOPSY
PATHOLOGY
DIAGNOSIS
CANCER
TREATMENT
PLANNING
SURGEONS
MEDICAL ONCOLOGY
RADIATION ONCOLOGY
TREATMENT
DISCHARGE
PALLIATIVE
CARE
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Improving Patient Experience
THE FUTURE OF
CANCER CARE IN MANITOBA
OUR VISION: THE COLORECTAL CANCER CENTRE OF EXCELLENCE
On April 13, 2011, the province of Manitoba announced a $70 Million commitment towards improved facilities
for CancerCare Manitoba. The new building will be home to expanded and specialized cancer services,
such as First Nations, Metis and Inuit Cancer Control programming, Manitoba Cancer Research Centre,
team-based clinic space, and a Colorectal Cancer Centre of Excellence.
Preliminary planning is underway to determine the full
cost of the state of the art facility, and to identify how to best
integrate the new facility into the existing CCMB campus.
The need for specialized and expanded cancer services such
as a Colorectal Cancer Centre of Excellence is growing as
Manitoba’s population ages. Colorectal cancer is the most
common cancer diagnosis in Manitoba, and is the second
leading cause of cancer death.
The proposed centre will be both virtual and onsite, by providing
a centre of expertise that works closely with health care providers
across the province through technology. Manitobans will
benefit from expedited care realized through faster testing
and greater collaboration focused on this type of cancer.
DENNIS MAIONE: THE PATH HE TRAVELED
“The cancer journey is psychologically
difficult to deal with, and any time
you can eliminate the gaps between
diagnosis, treatment and follow-up,
you’re creating a welcome sense
of forward movement.”
22
In 1992, Dennis Maione was a newly
married, 28-year-old student preparing
for the future. An unexpected diagnosis
of colorectal cancer, however, forced
Dennis to confront life’s uncertainties.
After surgery to remove part of his bowel,
Dennis regained his health, and for the
next 15 years, he and his wife Debra built
careers and raised a family.
Then in 2007, Dennis was again
diagnosed with colorectal cancer,
which led to a complete resection of
his large intestine. It was a setback,
but as he says, he was confident not only
in his medical team, but also his own
determination to get back on his feet.
can cercare m an i t o ba / 2 0 11- 2 0 12 pro g res s r e p o r t
“I’ve had cancer twice, but my attitude has
always been that you’re limited only by
what you let it do to you,” Dennis explains.
“Six months after my second surgery I ran
my first half-marathon, and I’ve never
looked back.”
Dennis looks at his two encounters with
cancer with the perspective of experience.
He welcomes plans for a new Colorectal
Cancer Centre of Excellence in a new
facility, and improvements to the cancer
patient journey.
DIAGNOSTICS
INTAKE CENTRE
The centre will feature expedited access to
sophisticated diagnostic tests, thanks to
partnerships across the province. Key partners
such as Diagnostic Services Manitoba will assist
in providing accurate answers to patients and
families to expedite treatment and care.
Specialized genetic and molecular testing and
counseling through the University of Manitoba’s
Genetics Department will help families who may
face hereditary issues with colorectal cancer.
Care of all Manitobans with a high suspicion of colorectal cancer
will be coordinated and fast tracked. Along with confirmed cases,
the centre will also see patients who lack a primary care physician
or have symptoms of colorectal cancer, or those who present
urgent signs of advanced undiagnosed disease.
PROVINCIAL TEAM APPROACH
Through Telehealth, the Community Oncology
Program, and onsite, the centre will enhance
pan provincial medical consultations between
cancer experts, primary care physicians, surgeons
and other health care providers across the province,
reducing the need for patient travel at a difficult time.
Educational opportunities to broaden cancer
expertise will also be enhanced.
PATIENT RESOURCE CENTRE
MULTIDISCIPLINARY TEAM APPROACH
Patients will be able to acquire knowledge, support
and specialized services through a patient resource
centre, which will offer peer support meetings,
counseling, education and access to the latest
information.
Patients will be under the care of a multidisciplinary team of experts
from the start. The patient’s complete care package will be determined
quickly and efficiently by medical staff such as medical and radiation
oncologists, surgeons, psychosocial counselors, etc. from CCMB and
partner health care providers.
870
Colorectal cancer
cases in Manitoba
in 2012.
310
Number of lives
claimed by
Colorectal cancer
in Manitoba this year.
30%
Amount the
Colorectal cancer rate
is expected to climb
within the next 15 years.
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EFFICIENCY
AND EFFECTIVENESS.
MEASURES OF
CANCER SYSTEM PERFORMANCE
Using CancerCare Manitoba’s Community Health
Assessment (CHA) as a blueprint, CCMB demonstrated
its commitment to providing indicators about Manitoba’s
cancer system performance. The latest figures and trends
are provided on the next page. Data sources reflect the most
current, complete data, including:
p Canadian Community Health Survey (CCHS)
p Manitoba Health
p NRC Picker’s Ambulatory Oncology Survey
p CCMB, specifically the Manitoba Cancer Registry,
Screening Programs and Radiation Therapy Program.
Currently there is no single data system in place to answer
all of our cancer questions, but there is growing consensus
among national and international researchers that certain
indicators can help describe the cancer system’s performance.
The indicators of cancer system performance shown in
this report and the CHA were chosen using three guiding
principles:
1. Use reliable data that is already published or are routinely
cited, wherever possible;
2. Use indicator definitions that are used by at least one other
partner (provincial or national) wherever possible;
3. Provide an indication of whether CCMB is improving in
a particular cancer-related area by indicating the trend.
The indicators are:
Prevention: Highlighting risk factors for cancer including
obesity, smoking, alcohol consumption, poor diet and
physical inactivity.
Screening: Measures of screening tests for breast, cervical
and colorectal cancer.
Access (diagnosis and treatment): Measures related to
radiation oncology and breast cancer diagnosis.
Outcomes: Incidence, survival and patient satisfaction.
Infrastructure: Basic availability of key information in the
Manitoba Cancer Registry (stage at diagnosis), and linear
accelerators (a key piece of radiation treatment equipment).
Trends are indicated by arrows:
A increases of 10% or more
D little change
G a drop of 10% or more
Colour shows whether the trend is:
good
neutral
or needs to improve.
Until standardized measurements are adopted across
provinces (and ultimately, international jurisdictions),
readers are cautioned that comparisons to data from
other sources are not always valid and should,
therefore, be avoided.
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Current
Index
PREVENTION
Obesity % of adults (ages 18+) with Body Mass Index classified as “obese.”1
21.8%
Smoking % of daily current or occasional smokers, (ages 12+).1
20.0%
Alcohol % consuming five or more drinks on one occasion,
at least once a month in the past year (ages 12+).1
22.9%
Colorectal Cancer Screening % of men and women (ages 50-74) who had a fecal occult
blood test in the last two years, or colonoscopy in the last five years.2
67%
Cervical Cancer Screening % of women (ages 20-69) who had a Pap test in the last three years.3
63.1%
Breast Cancer Screening
% of women (ages 50-69) who had a mammogram in the last two years.4
64.8%
Breast Cancer Assessment Waits media waiting time (in days) for women (ages 50-69)
from screening mammograms at BreastCheck to final diagnosis.5
21 days
Radiation Oncology Waits % of patients treated with radiation therapy within four weeks
from ready to treat to start of treatment.6
100%
Trend
Change of
10% or more
SCREENING
ACCESS (DIAGNOSIS AND TREATMENT)
OUTCOMES
Cancer Incidence annual number of cancers diagnosed.
6,085
(age-standardized incidence rate per 100,000)7
(469 per 100,000)
Cancer Survival five-year relative survival for all invasive cancers.7
59.8%
Patient Satisfaction % of patients satisfied with outpatient care based on patient satisfaction survey.8
95.4%
INFRASTRUCTURE
Capture of Stage Data 7 100.0%
Linear Accelerators in Regular Use 6
7
1
Based on self-report in the Canadian Community Health Survey (CCHS) 2011.
Statistics Canada Table 105-0501 – Health indicator profile, annual estimates,
by age group and sex, Canada, provinces, territories, health regions (2011
boundaries) and peer groups, occasional, CANSIM (database).
2
Canadian Partnership Against Cancer,
http://www.partnershipagainstcancer.ca/2012/02/02/world-cancer-daymarked-with-new-canadian-survey-results-showing-increase-in-coloncancer-screening/
3
4
From Manitoba Health – includes women who had a mammogram through BreastCheck or a bilateral mammogram outside the Program, data for
April 1, 2010 - March 31, 2012.
5
From BreastCheck, data for April 1, 2010 - March 31, 2012.
6
From Radiation Therapy, CancerCare Manitoba, data for April 1, 2011 March 31, 2012. Wait times: excludes patients delayed for medical reasons.
Linear accelerators: CCMB had seven linear accelerators operational in
2010/2011 fiscal year; new unit opened in Brandon in June 2011.
7
From the Manitoba Cancer Registry, incidence data for invasive cancers
(excluding non-melanoma skin cancer) diagnosed in 2010, rates agestandardized to the Manitoba 2001 population; five-year survival for patients
diagnosed in 2005-2007. Stage percentage excludes cancer sites where TNM
staging is not applicable.
8
Picker Patient Satisfaction Survey, 2008. Respondents giving a positive
score regarding the quality of all of cancer care in the past 6 months.
From CervixCheck, data from April 1, 2009 - March 31, 2012.
c a n c e r c a r e m a n it o b a / 2 0 1 1 -2 0 1 2 p r o gr e s s r e port
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CANCERCARE MANITOBA
CONDENSED STATEMENT OF FINANCIAL POSITION
Year ended March 31, 2012, with comparative figures for 2011
2012
2011
general
capital
fund
fund
total
total
clinical, basic
research and
special projects
fund
Assets
Current assets:
Cash
$
Restricted cash
Short-term investments
Due from Manitoba Health Accounts receivable
Inter-fund accounts
Prepaid expenses
Vacation entitlements receivable –
$
– $
3,599
$
3,599
$ 1,903,127
2,041,296
– – 2,041,296 2,020,952
4,275,899
– 794,713 5,070,612 1,159,004
4,628,756
– – 4,628,756 6,681,205
2,929,377
– 9,058,321 11,987,698 7,744,818
130,387 2,928,805 (3,059,192)
– –
748,500
– – 748,500
572,689
1,730,141
– – 1,730,141 1,730,141
16,484,356 2,928,805 6,797,441 26,210,602 21,811,936
Restricted cash 3,636,629
– – 3,636,629
Retirement entitlement
obligation receivable 1,419,400
– – 1,419,400
Investments 6,246,400
– 3,180,334 9,426,734
Capital assets – 63,519,829
370,270 63,890,099
$ 27,786,785
$ 66,448,634
$ 10,348,045
$ 104,583,464
3,600,385
1,419,400
12,489,692
68,707,598
$108,029,011
Liabilities, Deferred Contributions and Fund Balances
Current liabilities:
Bank indebtedness
$ 1,452,998
$
Accounts payable and
accrued liabilities 12,413,090
Due to Manitoba Health
617,624
Deferred contributions expenses of future periods 2,546,438
17,030,150
–
$
7,234
– – – $1,452,998 $
–
55,620 12,475,944 9,648,369
– 617,624 6,883,645
– 2,546,438 2,686,318
7,234
55,620 17,093,004 19,218,332
Deferred contributions - capital assets – 66,280,951
Retirement entitlement obligations 5,127,100
– – 66,280,951 70,373,401
– 5,127,100 4,672,554
22,157,250 66,288,185
55,620 88,501,055 94,264,287
Fund balances:
Invested in capital assets
– Externally restricted
– Internally restricted 2,041,296
Unrestricted 3,588,239
160,449
370,270
– 9,031,773
– 890,382
– – 5,629,535
160,449 10,292,425 16,082,409 13,764,724
$ 27,786,785
$ 66,448,634
$ 10,348,045
530,719
697,427
9,031,773 8,385,950
2,931,678 2,747,402
3,588,239 1,933,945
$ 104,583,464
$108,029,011
CANCERCARE
MANITOBA ADMINISTRATIVE COSTS
Summary of Administrative Expense
percentage of total percentage of total
2011/12 expenses
2010/11 expenses
(restated)
Corporate
Patient-Care Related
Human Resources and Recruitment
2.6
0.7
0.7
3.0
0.7
0.9
Total
4.0
4.6
A complete set of financial statements, Public Sector Compensation information,
and the Auditor’s report can be obtained from CancerCare Manitoba. Call (204)787-1662.
26
can cercare m an i t o ba / 2 0 11- 2 0 12 pro g res s r e p o r t
CANCERCARE MANITOBA
CONDENSED STATEMENT OF OPERATIONS AND CHANGES IN FUND BALANCES
Year ended March 31, 2012, with comparative figures for 2011
2012
2011
general
capital
fund
fund
total
total
clinical, basic
research and
special projects
fund
Revenue:
Manitoba Health
$112,525,003
$
– $
501,062
$ 113,026,065
$101,546,058
Other recoveries 1,773,420
– – 1,773,420 1,349,563
Grants
– – 14,635,077 14,635,077 13,113,622
Amortization of deferred
contributions
– 5,883,659
– 5,883,659 6,609,597
Amortization of deferred
contributions - expenses
of future periods
–
– –
–
179,920
114,298,423 5,883,659 15,136,139 135,318,221122,798,760
Expenses:
Compensation
Medical remuneration
Building occupancy
Amortization of capital assets
General administration
Equipment rentals and maintenance
Supplies and other
departmental expenses
Drugs:
Provincial oncology drug program
Other
Referred-out services
46,791,502
– 8,469,625 55,261,127 52,286,000
15,432,799
– – 15,432,799 15,200,416
1,782,767
– – 1,782,767 1,844,448
– 5,883,659
204,135 6,087,794 6,992,715
3,276,697
– – 3,276,697 3,208,420
1,154,096
– 232,385 1,386,481 1,158,749
5,129,566
34,666,451
1,014,467
3,869,681
– 5,593,071 10,722,637 9,175,646
– – – – 34,666,451 29,235,446
– 1,014,467
836,393
155,663 4,025,344 3,742,871
113,118,026 5,883,659 14,654,879 133,656,564123,681,104
Excess (deficiency) of revenue over
expenses before the undernoted 1,180,397
– 481,260
Investment income
– 161,787
494,241
1,661,657 (882,344)
656,028
442,527
Excess (deficiency) of revenue over
expenses 1,674,638
–
643,047 2,317,685 (439,817)
Fund balances, beginning of year 3,954,897
160,449 9,649,378 13,764,724 14,204,541
Fund balances, end of year
160,449
$ 5,629,535
Total Revenues for the Year ended March 31, 2012
manitoba health
84%
other recoveries
1%
grants
11%
amortization of deferred contributions
4%
$
$ 10,292,425
$ 16,082,409
$ 13,764,724
Total Expenses for the Year ended March 31, 2012
medical remuneration 12%
building occupancy 1%
amortization of capital assets 5%
general administration 2%
equipment rentals and maintenance 1%
supplies and other expenses 8%
compensation 41%
referred-out services 3%
drugs 27%
These condensed financial statements do not contain all of the disclosures required by Canadian generally accepted accounting principles.
Readers are cautioned that these statements may not be appropriate for their purposes. For more information on the Company’s financial
position, results of operations, changes in fund balances and cash flows, reference should be made to the related complete financial
statements of CancerCare Manitoba as at and for the year ended March 31, 2012, on which KPMG LLP expressed an opinion without
reservation in their report dated June 21, 2012.
c a n c e r c a r e m a n it o b a / 2 0 1 1 -2 0 1 2 p r o gr e s s r e port
27
CANCERCARE MANITOBA
FOUNDATION ALL FUNDS RAISED STAY IN MANITOBA
As the only organization fundraising exclusively for CancerCare Manitoba, the Foundation Board takes its role very seriously.
Only peer-reviewed research and program grant proposals that fit CCMB’s strategic plan are considered for funding.
Thanks to the generosity of thousands of donors, community event coordinators, event participants, corporate sponsors
and volunteers, the Foundation’s level of grant support to CCMB for the 2011-12 period was over $5.4 Million.
THE FOUNDATION SUPPORTS THREE KEY AREAS
Patient and Family Support Services, providing programs
free of charge to anyone affected by a cancer diagnosis.
Research Projects and Infrastructure Funding, including
Translational Research, CancerCare Manitoba’s Tumour
Bank, Clinical Trials, and Epidemiology.
YOUR DOLLARS AT WORK
5 year
average
awareness & risk reduction
4%
patient & family support services
fundraising & administration
14%
17%
Prevention and Risk Reduction Education and Awareness.
research, equipment & clinical trials
CANCERCARE MANITOBA FOUNDATION BOARD
2011-2012
The Foundation is accountable to our valued donors, whose
gifts have allowed us to date, to grant more than $74 Million
towards CCMB’s critical work.
Janice Filmon, o.m., lld
David Popke
CHAIR
Robert G. Puchniak
Steve Bannatyne
Hal Ryckman
Joyce Berry
Emoke J.E. Szathmáry,
Keith Boyd
c.m., o.m., ph.d
James W. Burns, o.c., o.m.
Annitta L. Stenning
Hennie Corrin
Lorne DeJaeger
Richard L. Frost
Our dedicated team of staff and volunteers is proud to
help raise the funds so critically needed to support CCMB.
On behalf of CCMB’s health care professionals and especially
our patients and their families, we extend a heartfelt thank
you to all our donors for their exceptional generosity.
EXECUTIVE DIRECTOR,
CANCERCARE MANITOBA
F O U N D AT I O N
H.S. Dhaliwal, m.d.
PRESIDENT & CEO,
Doug Harvey
CANCERCARE MANITOBA
Sara Israels, m.d.
Raymond L. McFeetors
Barb Lillie
DIRECTOR EMERITUS
Paul Mahon
Andrew B. Paterson
Jeffrey Morton, fca
65%
DIRECTOR EMERITUS
Arnold Naimark,
m.d., o.c., o.m.
The Indo-Canadian Charity Golf Tournament presents the Foundation
with a much-appreciated donation.
Glen R. Peters
A DECADE OF CARING.
With the kind and loyal support
of our donors, we have been
able to achieve great things
over the last decade! Here are
some of the highlights:
28
2000
First gala dinner in support
of prostate cancer.
2001
Establishment of
the Manitoba Cervical
Cancer Screening Program.
can cercare m an i t o ba / 2 0 11- 2 0 12 pro g res s r e p o r t
2002
The Manitoba Institute of Cell Biology
explores the molecular origins of cancer,
risk factors and chemotherapies.
The play area in the Paterson Children’s Area
opens, featuring a tree house and skylight
generously donated by the Cheung Family.
COMMUNITY EVENTS
SIGNATURE EVENTS
The Foundation could not continue its support of CancerCare
Manitoba’s research and patient care programs without
the help of our community. In the 2011-12 fiscal year, over
400 community events were held, raising over $1.4 Million.
Some highlights from the past year include:
The Foundation holds a number of signature events each
year to fulfill its fundraising and awareness commitment
to the community.
Songs for Alanna
On March 30 & 31, 2011, 92 Citi FM held a radio-thon in
honour of morning show host Joe Aiello’s wife Alanna,
who passed away after a courageous battle with cancer.
Bottoms Up!
The inaugural and highly successful Bottoms Up!
for Colorectal Cancer was held April 26, 2011 at the
Hotel Fort Garry.
The $77,000 raised at this event was dedicated towards
CCMB’s work in colorectal cancer treatment and prevention.
For 27 hours, the radio station took song requests from
listeners who pledged a minimum of $50 to CCMB.
The Songs for Alanna event raised over $177,000.
“When I remember Alanna, I will think of what you all
have done and I will smile,” Joe said.
Coffeehouse to End Cancer
Determined to support a friend who had just been diagnosed
with cancer, 16-year-old Paige Procter organized a coffee
house in Grosse Isle. She was overwhelmed by the support of
her hometown and community, who not only bought tickets,
but also donated their time, talents and funds to the cause.
“For the coffee house, we set a goal of $3,000 – and we
doubled it. It was the greatest thing I have ever done and
I want to do it again and again and again,” Procter said.
“Seeing my community come together in honour of my friend
was empowering. I have always heard that one person can
make a difference, but seeing it happen was amazing.”
The Indo-Canadian Charity Golf Tournament
The 3rd annual Indo-Canadian Charity Golf Tournament was
held August 19, 2011 at Larters at St. Andrews Golf & Country
Club. Having raised nearly $65,000 for CCMB, this event
offered sponsorship opportunities and a fun golf tournament
while fundraising to provide hope for today and generations
to come.
2003
Building for the Future capital campaign raises more
than $20 Million to support the opening of the new
CCMB building at 675 McDermot Avenue.
Bottoms Up! for Colorectal Cancer
Challenge for Life
The fourth annual Challenge for Life was held on
June 11, 2011. Nearly 700 walkers, supported by over
14,000 incredible donors and more than 200 amazing
volunteers, raised over a million dollars again. Kids Count
was the top fundraising team, raising almost $122,000.
Guardian Angel Benefit
The 20th annual Guardian Angel Benefit for Women’s
Cancer was held on October 18, 2011. Special guest speaker
Sherry Abbott, founder of the Look Good Feel Better
and Facing Cancer Together programs, shared personal
experiences of her own journey with ovarian cancer.
In 2011, the Guardian Angels—a volunteer committee
of CancerCare Manitoba Foundation—raised $258,000
to support CCMB’s extraordinary efforts in the area of
women’s cancer.
2004
The Manitoba Prostate Centre opens, offering multidisciplinary assesment, diagnostics, treatment and
support for men with prostate disease.
2005
The Manitoba Great-West Life Breast Cancer
Research Centre opens, a world-class facility
using a multi-disciplinary approach to research.
Bears on Broadway created to celebrate CCMB
75th Anniversary along with the “Bear Facts”
Risk Reduction awareness campaign.
c a n c e r c a r e m a n it o b a / 2 0 1 1 -2 0 1 2 p r o gr e s s r e port
29
CancerCare Manitoba Foundation » All funds raised stay in Manitoba
CONNECTING
WITH OUR COMMUNITIES
The Foundation’s support extends far beyond the boundaries of Winnipeg. Our commitment is to all Manitobans who find
themselves on a cancer journey. The following is a description of four Foundation-funded programs that are providing support
and crucial services to Manitobans living in rural or remote communities.
THE COMMUNITY CANCER CARE
EDUCATION CONFERENCE
A cancer diagnosis is disruptive enough without having
to travel thousands of miles from your family and friends
to receive treatment.
The annual Community Cancer Care Educational Conference
allows health care providers from 17 communities throughout Manitoba to receive up-to-date information and training
through panel discussions, presentations, and workshops.
The opportunity to network with colleagues from CancerCare
Manitoba and the Winnipeg Regional Health Authority
Oncology Program is another highlight for attendees.
While radiation treatments are available only in Winnipeg
and Brandon, most chemotherapy can be done in other
centres. This conference decreases the professional isolation
that staff working in rural locations may face, by connecting
them to oncology experts from across Manitoba.
“Before the Community Cancer Programs Network,
everyone would have had to come to Winnipeg for all cancer
treatments,” explains Ruth Loewen, Program Director of the
Community Oncology Program. “This conference allows
patients to stay within their own communities, keeping the
family unit together and supporting the family emotionally
and economically.”
The Foundation has covered nearly 30% of the costs of the
conference for the past four years, and provided ongoing
support for many years previously.
“Without Foundation support, the attendance would be much,
much lower. The dollars we receive from the Foundation
help us pay for all the rural folks to come to the conference,
creating a large buy-in,” Loewen says.
The 2011 Community Cancer Care Educational Conference
This two day conference brings pharmacists, pharmacy
technicians, nurses, physicians, social workers, and dietitians
together for in-depth learning. This team of health care
providers initially comes to CCMB for oncology training,
and then uses the conference as a way to stay informed
throughout the year.
2005
The CancerCare Manitoba Foundation
announces a five-year strategic
investment in Epidemiology.
30
2006
CancerCare Manitoba Foundation doubles its
investment in Clinical Trials, which provide access to
leading-edge treatments while allowing research to
test potential life-saving therapies.
can cercare m an i t o ba / 2 0 11- 2 0 12 pro g res s r e p o r t
The 2011 conference was held in Brandon from
September 29-October 1. It has sold out for the last
two years. Over 250 people attend per year, with over 50%
coming from rural Manitoba.
2007
Manitoba Colorectal Cancer
Screening program created.
The Cancer Registry celebrates its 70th anniversary holding one of the
most comprehensive registries in the world. It plays an important role
in surveillance for disease site groups and supports the setting of
treatment guidelines and practice for CCMB.
COMMUNITY-DRIVEN CANCER PREVENTION INITIATIVES
Prevention is the Best Medicine
The incidence of cancer in First Nations, Metis, and Inuit
communities in Manitoba is increasing.
Early studies indicate cancer rates in First Nations people
have traditionally been much lower than non-First Nations,
but data from the past decade shows the rates are now almost
the same.
If the trend continues, First Nations people will soon have
much higher rates of cancer than non-First Nations.
The Community-Driven Cancer Prevention Initiatives
program was created to help CancerCare Manitoba staff
and community members work cooperatively to create
meaningful prevention and awareness materials and events.
Initially a pilot project started in Norway House and funded
by Health Canada, the program has expanded to include four
communities - three First Nations and one Metis region.
Each initiative is community-motivated, promoting
ownership at the local level.
“Elders say that cancer was a word they never heard until
recently,” says Kali Leary, Director of Development for
First Nations, Metis, and Inuit Cancer Control at CCMB.
“The communities are asking for information on cancer
services and prevention. There’s an energy building right now,
and we want to keep this momentum going. We want to be
aware of these opportunities and be ready to act on them.”
Awareness programs like these four community projects
are critical in raising cancer awareness and building strong
partnerships. The $35,000 Foundation grant supports this
work through the development and implementation of
community events and their associated costs.
VOLUNTEER AND COMMUNITY BASED INFORMATION
AND SUPPORT PROGRAMS
A Helping Hand Where and When You Need It
A cancer diagnosis can be overwhelming, especially when
you live in a rural or remote community. Through the
Volunteer and Community Based Information and Support
Program, volunteers are trained to offer support to women
who have been diagnosed with breast or other women’s
cancers in Manitoba.
The Community Contacts connect women and their families
to information and resources close to home.
“The Community Contacts are trained to be the link to
information and support in their home communities
throughout rural Manitoba,” says Jill Taylor-Brown,
Director of Patient and Family Support Services for CCMB.
“CancerCare Manitoba is a national leader when it comes to
this kind of community outreach.”
There are between 30 and 35 Community Contacts working
in Manitoba at any one time. These trained volunteers
provide information on risk reduction and work closely
with CancerCare Manitoba’s screening programs to increase
(continued next page)
2008
First annual Challenge for Life
Raises more than $650,000
for all cancers.
2009
Foundation partners with CCMB programs for“It Matters to You”
awareness campaign, leading to eventual re-branding of
BreastCheck, CervixCheck and ColonCheck programs.
Annual Guardian Angel Benefit for
Women’s Cancer raises a record
$400,000
CancerCare Manitoba Prostate
Tumour Bank opens.
c a n c e r c a r e m a n it o b a / 2 0 1 1 -2 0 1 2 p r o gr e s s r e port
31
CancerCare Manitoba Foundation » All funds raised stay in Manitoba
CONNECTING WITH OUR COMMUNITIES CONTINUED.
awareness of the importance of early detection. Their primary
role is to link patients and their families to information and
support they may need along their cancer journey. This can
include information on local support groups, websites, and
written material, how to access programs, or a referral to the
peer support program. Peer Support offers encouragement
through a trained volunteer who has had a similar experience
with breast cancer.
CANCER SPECIFIC INFORMATION
AND SUPPORT SESSIONS
Connecting Patients with the Knowledge They Need
Knowledge is power, and never is that more true than when
fighting a disease like cancer. Cancer Specific Information
and Support Sessions are a way of providing up-to-date
information about a particular cancer and its treatment to
those Manitobans directly affected by it.
These evening information sessions are held once a month
nine to ten times per year, with each session focusing on a
different type of cancer. Every Manitoban diagnosed with
that particular type of cancer in the past three years is invited
to attend, either in person or via Telehealth. Telehealth is a
high-quality video-conferencing system that allows people in
rural communities to join the conversation along with their
community volunteer or health care provider.
Volunteers at the Breast Cancer Centre of Hope
“The Foundation has been very generous and very important
to our work. We couldn’t do the depth or breadth of the
work we do without their support,” Taylor-Brown adds.
“The Foundation provides funding for the training of the
Community Contacts and Peer Support volunteers—
maintaining and sustaining them in their roles, and
making sure they have the skills and knowledge to carry
out these roles.”
The $87,600 grant awarded to this program supports the
Community Contact and Peer Support programs and the
printing and distribution of Our Voice, a newsletter written
by and for women with breast cancer.
“Women hear and see themselves in the newsletter,”
says Taylor-Brown. “They read it and know they’re not alone.”
2010
Rick Mercer headlines Gold-Plated
Evening gala dinner in support of
prostate research at CCMB.
32
A range of CCMB health care providers—medical or
radiation oncologists, nurses, pharmacists, social workers
and dietitians—give presentations at these sessions. This
education helps increase patients’ understanding of their
cancer so they can make informed decisions. Each session
always includes a presentation by someone living with the
disease who shares his or her personal experience.
“People have lots of opportunity to ask questions and they
can bring their friends and family with them. They meet
others in similar circumstances which helps them to feel
less alone,” explains Jill Taylor-Brown, Director of Patient
and Family Support Services with CCMB. “We work hard
to find creative ways to meet the needs of patients and
families throughout Manitoba.”
A Foundation grant of $8,500 ensures these sessions
remain free of charge for the people who need them.
These funds pay for the coordination and promotion
of the sessions.
2011
Two BreastCheck mobile mammography vans are
purchased with the support of Breast Cancer Pledge
Ride and the Government of Manitoba.
can cercare m an i t o ba / 2 0 11- 2 0 12 pro g res s r e p o r t
CancerCare Manitoba Foundation holds its
first major funding event for colorectal cancer
— Bottoms Up!
CCMB celebrated the return of two cancer specialists,
Drs Versha and Shantanu Banerji, after their four years of
studying cancer genomics (critical genes in cells)
at Harvard in Boston. The Foundation funded this research.
Brief Highlights of Some of Our Successes
AWARDS, HONOURS
AND ACHIEVEMENTS
AWARDS
ACHIEVEMENTS
Dr. Harvey Chochinov
Dr. Piotr Czaykowski
2011 American Association for Hospice & Palliative Medicine
Award for Excellence in Scientific Research.
named Chair of the Medical Oncology Examination
Committee, Royal College of Physicians & Surgeons
of Canada.
2009-2012 Honorary Professor, Centre on Behavioural
Health, The University of Hong Kong
Dr. Brent Schacter
Principal investigator - CTRNet (Funded by CIHR-ICR [$3.8 +
$2.5 Million respectively],) Award for Excellence in Medicine
and Health from the Canadian Cancer Society.
Dr. Emily Rimmer
Dr. Gary Harding
named Executive Director of the Curriculum Undergraduate
Medical Education Program, U of M Faculty of Medicine.
Dr. Catherine Moltzan
appointed as a Medical Education Scholar University of
Manitoba, May 2011, Department of Medical Education.
CSL-Behring Award, Canadian Hemophilia Society.
Dr. Ade Olujohungbe
Uniting Primary Care and Oncology (UPCON)
appointed to the national Myeloma Canada Scientific
Research Committee.
Health Innovation - Partnership Award from the Manitoba
Patient Access Network.
The Manitoba Cancer Registry
Gold Standard for Registry Certification from the North
America Association for Central Cancer Registries.
ACKNOWLEDGEMENTS
Dr. Majid Shojania
Congratulations and many thanks
to Dr. Majid Shojania, who retired
after 46 years as a hematologist at
CCMB. Dr. Shojania provided care
and treatment to patients facing
cancer and blood disorders.
Lorena Gerl
Breast Cancer Centre of Hope, was as a special guest of the
U.S. Government under the International Visitor Leadership
Program, which promotes mutual understanding between
American professionals and colleagues from other countries.
BMT’s 20th Anniversary
Congratulations to the Manitoba Blood and Marrow
Transplant Program’s on the 20th anniversary of the
program. Over 920 patients have received the life saving
treatment since 1991. This program is possible thanks to
partnerships between CCMB and the Children’s Hospital
Winnipeg, the Health Sciences Centre, Cadham Laboratory,
Canadian Blood Services and many others.
c a n c e r c a r e m a n it o b a / 2 0 1 1 -2 0 1 2 p r o gr e s s r e port
33
CANCERCARE MANITOBA BOARD
EFFECTIVE MARCH 31, 2012
BOARD OF DIRECTORS
BOARD COMMITTEES
Mr. Lorne DeJaeger
Dr. Tricia Magsino Barnabe
CHAIR
Ms. Susan Boulter
Mr. Donald MacDonald
Mr. George Campbell
PAST CHAIR
Dr. Arnold Naimark
VICE-CHAIR
Mr. David Popke
S E C R E TA R Y
Ms. Barb Lillie
TREASURER
Ms. Jean Cox
PLANNING
Mr. Ben Lee
CHAIR
Mr. Lorne DeJaeger
Ms. Vera Derenchuk
EX-OFFICIO
Dr. John Foerster
Ms. Vera Derenchuk
Dr. Gary Glavin
Ms. Susan Boulter
Ms. Gina Guiboche
EXTERNAL MEMBERS:
Ms. Vanessa Hamilton
Mr. Martin Hak
Ms. Bonnie Hoffer-Steiman
Mr. Richard Johnson
Ms. Alyson Kennedy
Ms. Annitta Stenning
EX-OFFICIO:
Dr. Dhali Dhaliwal
FINANCE & AUDIT
P R E S I D E N T, M S A , C C M B
GUESTS
Ms. Annitta Stenning
EXECUTIVE DIRECTOR, CCMF
Mr. Jeff Peitsch
COO, CCMB
EX-OFFICIO
Ms. Rosemary Friesen
Ms. Marvelle McPherson
Ms. Vanessa Hamilton
Ms. Gina Guiboche
C O M M U N I C AT I O N S
& P A R T N E R S R E L AT I O N S
CHAIR
Ms. Barb Lillie
Mr. Lorne DeJaeger
CHAIR
EX-OFFICIO
Mr. Lorne DeJaeger
Ms. Rosemary Friesen
EX-OFFICIO
PRESIDENT AND CEO, CCMB
Dr. Donna Wall
Mr. Lorne DeJaeger
Mr. David Popke
Mr. Ben Lee
Mr. Gregory J. Tallon
Ms. Bonnie Hoffer-Steiman
CHAIR
Mr. George Campbell
Appointee of Minister of Health
Ms. Anna Maria Magnifico
COMMUNITY
ADVISORY COUNCIL
Ms. Bonnie Hoffer-Steiman
Mr. Donald MacDonald
Mr. Donald MacDonald
Dr. Arnold Naimark, M.D.
Ms. Barb Metcalfe
Ms. Alyson Kennedy
Ms. Shaneen Robinson
EXTERNAL MEMBERS:
EXTERNAL MEMBERS:
Mr. Keith Findlay
Ms. Annitta Stenning
Q U A L I T Y & P AT I E N T S A F E T Y
ADVISORY MEDICAL BOARD
Ms. Susan Boulter
Dr. John Foerster
CHAIR
CHAIR
CANCERCARE MANITOBA
WISHES TO THANK:
Mr. Lorne DeJaeger
Mr. George Bass
EX-OFFICIO
Ms. Marvelle McPherson
Ms. Rosemary Friesen
Ms. Vanessa Hamilton
Ms. Barb Metcalfe
Ms. Shaneen Robinson
F O R T H E I R D E D I C AT I O N
AND COMMITMENT TO
CANCERCARE MANITOBA
AND MANITOBANS,
N O M I N AT I O N S
& GOVERNANCE
Mr. Donald MacDonald
Mr. Donald MacDonald
Ms. Marvelle McPherson
CHAIR
Ms. Vera Derenchuk
Mr. Lorne DeJaeger
EXTERNAL MEMBERS:
Mr. William (Bill) Daviduk
EX-OFFICIO
Dr. Arnold Naimark
Mr. David Popke
Ms. Barb Metcalfe
DURING THEIR TERMS
34
OF SERVICE ON THE CCMB
EXTERNAL MEMBERS:
BOARD OF DIRECTORS
Dr. Tom Hack
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SENIOR MANAGEMENT/CLINICAL LEADERS
ORGANIZATIONAL CHART
Dr. H. S. Dhaliwal
PRESIDENT & CEO
Mr. Jeff Peitsch
C H I E F O P E R AT I N G O F F I C E R
PRESIDENT & CEO
Mr. George Normandin
CHIEF HUMAN RESOURCE OFFICER
V I C E P R E S I D E N T, C L I N I C A L O N C O L O G Y
C H I E F O P E R AT I N G
OFFICER
(ACTING) DR. H. S. DHALIWAL
Ms. Sue Bates
Ms. Ruth Loewen
INTERIM CHIEF NURSING OFFICERS
Dr. Spencer Gibson
CHIEF HUMAN
RESOURCES OFFICER
M E D I C A L S TA F F
A S S O C I AT I O N
DIRECTOR,
M A N I T O B A I N S T I T U T E O F C E L L B I O L O G Y,
ACTING DIRECTOR, RESEARCH, CCMB
Dr. Donna Turner
C O M M U N I C AT I O N S
AND PUBLIC AFFAIRS
V I C E P R E S I D E N T,
CLINICAL ONCOLOGY
MEDICAL & ADMIN. DIRECTORS
PROVINCIAL DIRECTOR,
P O P U L AT I O N O N C O L O G Y
Dr. Eric Bow
DIRECTOR WRHA ONCOLOGY
Q U A L I T Y, P A T I E N T S A F E T Y
AND RISK MANAGEMENT
CHIEF NURSING OFFICER
AND CCMB CLINICAL AND ACADEMIC
AFFAIRS
Dr. Sara Israels
H E A D , P E D I AT R I C
O N O C O L O G Y / H E M AT O L O G Y
P AT I E N T
R E P R E S E N TAT I V E
PROVINCIAL DIRECTOR,
RESEARCH
Dr. Ethan Lyn
MEDICAL DIRECTOR,
R A D I AT I O N O N C O L O G Y P R O G R A M
Dr. Sri Navaratnam
PROVINCIAL DIRECTOR,
P O P U L AT I O N O N C O L O G Y
HEAD, DEPARTMENT OF MEDICAL
O N C O L O G Y / H E M AT O L O G Y
Ms. Kathy Suderman
A D M I N S T R AT I V E D I R E C T O R ,
R A D I AT I O N O N C O L O G Y P R O G R A M
C O M M U N I C AT I O N S & P U B L I C A F F A I R S
Jackie Shymanski
DIRECTOR
David Hultin
C O M M U N I C AT I O N S C O O R D I N AT O R
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THE PUBLIC INTEREST DISCLOSURE ACT
( WHISTLEBLOWER PROTECTION ACT )
The Public Interest Disclosure (Whistleblower Protection)
Act came into effect in April 2007. This law gives employees
a clear process for disclosing concerns about significant and
serious matters (wrongdoing) in the Manitoba public service,
and strengthens protection from reprisal. The Act builds on
protections already in place under other statutes, as well as
collective bargaining rights, policies, practices and processes
in the Manitoba public service.
Wrongdoing under the Act may be: contravention of federal
or provincial legislation; an act or omission that endangers
public safety, public health or the environment; gross
mismanagement; or, knowingly directing or counseling a
person to commit a wrongdoing. The Act is not intended
to deal with routine operational or administrative / human
resource matters. A disclosure made by an employee in good
faith, in accordance with the Act, and with a reasonable belief
that wrongdoing has been or is about to be committed is
considered to be a disclosure under the Act, whether or not
the subject matter constitutes wrongdoing. All disclosures
receive careful and thorough review to determine if action is
required under the Act, and must be reported in the region’s
annual report in accordance with Section 18 of the Act.
The following is a summary of disclosures received by
CancerCare Manitoba for fiscal year 2011 - 2012: 0
The number of disclosures received, and the number
acted on and not acted on Subsection 18(2)(a): 0
The number of investigations commenced as a result
of disclosure: Subsection 18(2)(b): 0
In the case of an investigation that results in a finding
of wrongdoing, a description of the wrongdoing and any
recommendations or corrective action taken in relation to
the wrongdoing, or the reasons why no corrective action was
taken: Subsection 18(2)(c): 0
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CancerCare Manitoba
2011/2012 Progress Report
Questions?
Email: [email protected]
www.cancercare.mb.ca