Cancer Services Outcome Report for Quality and Screening Programs

Deaconess Cancer Services has been accredited by the American College of Surgeons Commission on Cancer since 1977.  They work in conjunction with the National Cancer Database to not only collect data on our cancer patients but to also report out the level of quality compared with other centers. 

The graphs below track quality measures reflecting our treatment of Breast, Colon and Rectum cancer patients treated within Deaconess Cancer Services.  We meet or surpass the level of quality treatment given at other Community Cancer Centers in the U.S. and also in our State. 

This comparison data will soon be available for other sites including Lung and GI.  Our goal is to meet or exceed the quality measures for these sites as well.  We strive for quality!     

2016 Quality Program Report

What is the Rapid Quality Reporting System (RQRS)?

A web-based data-collection and reporting system to promote and facilitate evidence-based cancer care at Commission on Cancer (CoC)-accredited cancer programs. RQRS serves to assess compliance with National Quality Forum-endorsed accountability performance measures and quality improvement measures in real clinical time.

How Does RQRS Work?

RQRS reportable cases are submitted monthly to the National Cancer Data Base (NCDB) . Reports are then fed back to our program within a few weeks.

What Does RQRS Do For Patient Care?

Deaconess  receives real clinical time alerts for individual cases in which pending adjuvant treatment has not been reported to the system. These alerts allow us to coordinate with all physicians involved in a patient’s care to reduce any possibility of  patients from “slipping through the cracks.”

The “dashboard” reports below show the percentage of our patients that meet the benchmark criteria set by the Commission on Cancer.  Our Multidisciplinary team is able to coordinate care such that over 99% of our patients receive perfectly coordinated care.  Any patients that do not hit this mark are carefully analyzed by our team to be sure we have done all we can to provide the highest quality care possible.


Screening Program Report

Community Cancer Screenings offered in 2016

Deaconess Cancer Services provides numerous screening opportunities to our community each year.  Detailed below are specific screening events and initiatives held in 2016.
Colorectal Cancer Screening -  March 2015, Deaconess Health System pledge to increase colon cancer screening to 80% by 2018, as part of initiative of the National Colorectal Cancer Roundtable, an organization co-founded by the American Cancer Society . “ DHS pledge to promote colon cancer screenings for people in all of the communities we serve”, said Linda White, President and CEO.  Our base line 2015 Q1 (prior to pledge) screening was 50.20%, by Q3 2015 56.74, and closing the year at 58%.   Currently we are at 61.5%.  I have attached our three year action plan.  This is a true collaboration with our Primary Care Physicians, Population Health teams,  and Deaconess Cancer Services.
Breast Cancer Screening - Deaconess Breast Services provides mammograms to the medically-underserved via grants from Komen and the Deaconess Foundation. For more information about this ongoing program please call one of our Deaconess Breast Center locations at (812) 450-MAMM.
*Head & Neck Cancer Screening – A free screening event was held on April 26, 2016 at the Chancellor Center for Oncology in partnership with the Head and Neck Cancer Alliance.  This screening provided 65 individuals a H&N examination by our local ENT physicians. Those who needed referral to a physician for further follow-up were assisted by our nurse navigators.  This event is held annually.  Information about the 2017 screening event will be available in the spring. Information about the 2017 screening event will be available in the spring at
*Skin Cancer Screening – Local dermatologists partnered with Deaconess to provide free skin cancer screenings to 76 people in this annual event held on May 13, 2016. Those who needed referral to a physician for further follow-up were assisted by our nurse navigators. This screening event took place at the Chancellor Center for Oncology and was held in partnership with the American Academy of Dermatology. This event is held annually and information about the 2017 screening event will be available in the spring.  Information about the 2017 screening event will be available in the spring at
Lung Cancer Screening – Screening for lung cancer is available year round through our Lung Nodule Review Board. For more information about screenings please contact your family physician, or visit



Deaconess is accredited as a Community Hospital Comprehensive Care Program by the American College of Surgeons Commission on Cancer.

Accreditation means that patients have access to the full scope of services required to treat, rehabilitate, and support patients with cancer and their families. Deaconess is committed to providing quality, compassionate care.

The Commission on Cancer has set forth the following standards for accreditation:

  • Comprehensive care including a complete range of state-of-the-art services and equipment
  • A multidisciplinary team approach to coordinate the best available treatment options
  • Information about ongoing cancer clinical trials and new treatment options
  • Access to prevention and early detection programs, cancer education, and support services
  • A cancer registry that offers lifelong patient follow-up
  • Ongoing monitoring and improvements in cancer care AND
  • Quality care, close to home

Accreditation information provided by the American College of Surgeons Commission on Cancer.