Tripler Army Medical Center
Survivorship Care
Dustin L. Boyer, M.D.
LTC, MC, USA
12 November 2016
UNCLASSIFIED / FOUO
ARMY MEDICINE
One Team…One Purpose!
Conserving the Fighting Strength Since 1775
Disclosures
• Off-Label Use Disclosure
• I do not intend to discuss an off-label use of a product
• Financial Disclosure
• I have not had any relevant financial relations during the
past 12 months to disclose
COL Julie Tullberg / MCHK-CM / (808) 433-5025
Slides 2 of 20
01 September 2016
ARMY MEDICINE
Survivorship
One Team…One Purpose!
Conserving the Fighting Strength Since 1775
• Survivorship Care in the Military is Challenging!!!
•
Provider centered
•
•
•
•
3 year tour, little continuity
Deployments
Patient centered
•
•
Geography
Lack of family support
Health system centered
•
•
•
Fragmented
Different Services
Government
COL Julie Tullberg / MCHK-CM / (808) 433-5025
Slides 3 of 20
01 September 2016
ARMY MEDICINE
Survivorship
One Team…One Purpose!
Conserving the Fighting Strength Since 1775
• Up to the Challenge!!!
•
•
•
Command has been very supportive
3 Patient Navigators hired in the last year
All Eligible Providers (including some physicians) participate
COL Julie Tullberg / MCHK-CM / (808) 433-5025
Slides 4 of 20
01 September 2016
ARMY MEDICINE
Survivorship
One Team…One Purpose!
Conserving the Fighting Strength Since 1775
• Implementation of Survivorship Care at TAMC
• Gynecologic Oncology - 2012
•
•
•
Breast – 2015
5 Major Sites – 2016
All sites - 2017
TAMC Cancer Incidence: 2011-2014
Year
BREAST
COLORECTAL
LUNG
PROSTATE
CERVIX
ALL SITES
2011
45
43
35
60
10
457
2012
62
31
36
55
5
449
2013
57
27
41
39
9
424
2014
64
25
38
59
11
432
TOTALS
228
126
150
213
35
1762
COL Julie Tullberg / MCHK-CM / (808) 433-5025
Slides 5 of 20
01 September 2016
ARMY MEDICINE
Survivorship
One Team…One Purpose!
Conserving the Fighting Strength Since 1775
• How are we doing???
•
•
Chart review underway
Will present at last TAMC Cancer Care Committee Meeting
COL Julie Tullberg / MCHK-CM / (808) 433-5025
Slides 6 of 20
01 September 2016
Questions?
UNCLASSIFIED / FOUO
COL Julie Tullberg / MCHK-CM / (808) 433-5025
Slides 8 of 20
01 September 2016