1. Multidisciplinary Approach to Oral Cancer
Cancer Symposium for Medical and Dental Professionals
The Inn at St. John’s
September 9, 2016

2. Multi D Head and Neck Cancer at St. Joseph Mercy
Jan Akervall, MD, PhD
Deb Young, RN, BSN
September 9, 2016

3. Thanks Beth LaVasseur Paula Wallace Lauren Smoker Phil Stella
Sarah Sabol
Rita Vershum
Lori Morelli
Deb Young

4. Disclosures
Dr. Paul Hoff has identified the following potential conflicts of interest: Case Observation Proctoring for Intuitive Surgical. All other persons involved in this CME do not have any financial relationships with any commercial interest related to the content of this activity. This activity has not received any commercial support.
©2015

5. Background HN cancer treatment is complex:
Radical surgery
Radiation of sensitive areas
Chemotherapy
HN cancer treatment affects:
Speech
Swallowing
Cosmesis
Social and financial situation

6. This is why… Management should be done in a multidisciplinary setting
All specialties represented
Right decision at the right pace
Coordination is key
All aspects need to be considered all the time
Prognosis
Complications/side affects

7. MultiD at St Joe Prepare patients for the Tumor board
Path report
Radiologic work-up completed
Treatment decision at Tumor Board
Discuss best treatment w regards to prognosis AND functional outcome
Appointment at The Multidisciplinary clinic same day
Give consistent information to patient and family
One stop shop

8. St Joe’s Tumor Board
ENT Research – Clinical Trials Rad Onc Speech Med Onc Nutrition Neuro-radiology Social Work Pathology Nurse Navigator

9. The day of TB and MultiD New referrals are presented
Patient appointment to meet members of the care team
Patients leave with a plan

10. Coordinating Care Through Treatment
Speech Pathologist
Financial Counselors
Nutritionists
Genetic Counselors
Spiritual Care Leader
Palliative Care
Clinical Research Team
Social Work

11. MultiD care after treatment
Coordinate appointments
Ancillary services
Nutrition
Speech and swallow
Social work
Radiologic follow-up

12. How to refer a Patient to the MDC
Deb Young, Nurse Navigator
Call HOPE
Fax to
Send patients name, DOB, and office notes
We will take if from there!

13. Mr. Ron Harte A Patient’s Perspective