Maine Medical Center and MHCCN



Senior Director
Evie Taylor RN, BSN, MHA
Director of Quality
Lauren Couture MS
Registry Supervisor
Cynthia Hayward CTR
Quality Coordinator
Shannon Lessard CTR
Certified Tumor Registrars
Autumn Bridges
Samantha Brooks (Mid Coast)
Tiffany Ervin (Mid Coast)
Brenda Gammon
Pamela Gantt
Melanie Ouellet
Cindy Poole (SMHC)
Laura Reinbach
Arthur West
Christina Wolfgang
Cynthia Hayward CTR
Please note the 2022 Cancer Registry Annual Report is completed in 2022, but reflects data on cases diagnosed in 2021.
A Cancer Registry is an information system designed for the collection, storage, and management of data on persons diagnosed with cancer. Registries play a critical role in cancer surveillance, which tells us where we are in the efforts to reduce cancer burden. Surveillance data may also serve as a foundation for cancer research and is used to plan and evaluate cancer prevention and control interventions.
By Maine state law, all cancer registries must submit data to the state’s cancer registry. Additionally, hospital cancer programs accredited by the Commission on Cancer (CoC) submit their data to the National Cancer Data Base (NCDB) annually.
A cancer registrar (CTR) is a data collection specialist who paints a holistic picture of a patient’s medical history by looking at the diagnosis, treatment, and disease status for each patient. The case abstraction process is a vital component for supporting providers, unifying cancer treatment details from various systems, and providing summarized statistics for reportable patient trends. Together, the MMC Registry team maintains a data system which is designed for the collection, management, and analysis of data on individuals diagnosed with cancer.
Registry Coordinator
Heidi MacIver
Data Analyst
Emma Kurchin
Maine Medical Center (MMC) is accredited, certified, and/or recognized by several professional healthcare and third-party organizations.
In 2019, MMC was reaccredited by the Commission on Cancer (CoC), a quality program of the American College of Surgeons (ACOS). The CoC recognizes cancer programs for their commitment to providing high-quality, comprehensive, and integrative patient-centered care. This accreditation recognizes programs that meet the CoC standards and are dedicated to prevention, research, and education, and providing the best in patient-centered care.
MMC received a three-year/full accreditation designation in 2019 by the National Accreditation Program for Breast Centers, a program administered by the American College of Surgeons. Accreditation is granted to centers that have voluntarily committed to provide the highest level of quality breast care and to undergo a rigorous evaluation process and review of their performance.
In 2022, Maine Medical Center earned a three-year initial accreditation from the NAPRC. It is one of two programs in New England and only 45 in the nation to achieve this recognition.
MMC Radiation Oncology became ACR-accredited in 2006. ACR Accreditation is a self-assessment and peer review process focused on diagnostic image quality, staff qualification, policies, protocols, equipment, and therapeutic treatment. It allows facilities to set and surpass industry-accepted quality standards for patient care and includes recommendations for improvement.
The MaineHealth Cancer Care Network (MHCCN) is pursuing Quality Oncology Practice Initiative (QOPI) certification for eight outpatient hematology-oncology practices in the network. In 2023, the MHCCN will be submitting for our first site survey, and once approved, this will make us the first health system in the nation to achieve this level of certification.
QOPI is a quality program through the American Society of Clinical Oncology (ASCO), designed for outpatient oncology practices to foster a culture of self-examination and improvement. Participating practices can report on evidence-based quality measures and receive individual performance scores by practice, site, and provider, as well as benchmarked scores aggregated from all participating practices. Practices use this performance data to identify, develop, and implement quality improvement initiatives, leading to better care and better outcomes for their patients. Practices wanting to apply for QOPI certification must first complete the QOPI Certification Program Track and achieve a 55% or greater compliance. The MHCCN passed its first round of automated abstracting using CancerLinQ with an aggregate score of 67.6% - exceeding the required goal of 55%. In CY22, the MHCCN achieved a 73.6% aggregate score for the 20 QCP measures, demonstrating strong progress as we proceed with the certification process.
In 2022, MaineGeneral was surveyed for reaccreditation by the American Society of Clinical Oncology for the QOPI certification. In 2024, they will undergo CoC site survey for accreditation renewal.
In 2022, Mid Coast Hospital was reaccredited by the Commission on Cancer (CoC), a quality program of the American College of Surgeons.
In 2022, Southern Maine Health Care was reaccredited by the Commission on Cancer (CoC), a quality program of the American College of Surgeons. In 2023, they will undergo NAPBC site survey for accreditation renewal.
In 2022, St. Mary’s Regional Medical Center was reaccredited by the Commission on Cancer (CoC), a quality program of the American College of Surgeons. St. Mary’s was also reaccredited by the National Accreditation Program for Breast Centers, a program administered by the American College of Surgeons.
The MHCCN Survivorship Program, under the leadership of Amy Litterini, PhD, has expanded its scope to include new programming and communication touchpoints for our patients.
Among program enhancements are a Surgical Oncology pre-habilitation pilot, helping patients to physically and mentally prepare for surgery before the actual procedure; our tobacco cessation and monitoring program, geared toward informing patients who use tobacco products post treatment about making healthy lifestyle choices; and a newly-launched digital Survivorship quarterly, Thrive, for adult survivors, caregivers, community partners, and clinicians across the network with content inclusive of every aspect of the cancer experience.
In May 2022, Amit Sanyal, MD, MHCDS, was named Senior Medical Director, MHMG-Medical Oncology and Director, Division of Medical Oncology at MMC. He joins us from the Sister of St. Mary’s Health System, where he served most recently as Regional Director of Medical Oncology.
Dr. Sanyal graduated from one of the two most prestigious apex medical schools in IndiaPostgraduate Institute of Medical Education & Research in Chandigarh. From there he pursued internal medicine training and his hematology/medical oncology fellowship both at the University of Wisconsin. He spent the next 16 years in professional practice in Madison, assuming the role of Regional Director in 2020. Dr. Sanyal is the consummate clinician, a thoughtful leader, and has a keen grasp of contemporary cancer care in a health system such as ours. He especially values our academic pursuits – both undergraduate and graduate hematology and oncology training and clinical research that we have established as foundational for our community and rural cancer care network.
In August 2019, MaineHealth was one of two new organizations to join the prestigious NationalCancerInstitute(NCI) CommunityOncologyResearchProgram(NCORP). The MaineHealth NCORP is a six-year, $5.1M project (PI: S. Remick, 1UG1 CA239771).
Highlights over the first three years of our project period include the following:
Successful recruitment of >60% patients enrolled on clinical trials living in rural settings;
Fourth-leading accruer in US (see right) in NCI’s high-priority Cancer MoonshotSM Biobank (CMB) study, a longitudinal study that collects multiple tissue and blood samples, along with medical information, from cancer patients. As of 02/13/2023, we have enrolled 183 participants, approximately 80% of whom live in rural locations;
Two supplemental awards totaling an additional $412,000, supporting an MHCCN cancer workforce Covid-19 seroprevalence study and community engagement activities as part of CMB;
Four of our investigators with standing representation on NCI Steering Committees and Task Forces:
o Dr. Leslie Bradford, Gynecology Oncology
o Dr. Christine Lu-Emerson, Neuro-Oncology
o Dr. Sharon Siegel, Radiology and
o Dr. Vatche Tchekmedyian, Head & Neck Oncology.
Quality programs and initiatives are a leading area of focus for the MHCCN. Under the leadership of Evie Taylor, RN, BSN, MHA, Senior Director of Oncology Outpatient Services, and Lauren Couture, BS, MS, Director of Quality, our overall approach to quality has evolved over the past year with the introduction of more robust and sophisticated quality reporting and analytical tools.
Previously our quality work existed in the care-delivery space, heavily dependent on static data reporting and patient outcomes. We have shifted the paradigm by adding data scientists to the team: we are now able to monitor real-time clinical performance as well as mine historical clinic and operational data through an integrated data warehouse. Lauren’s team has developed an operational dashboard that updates daily and daily and highlights key performance indicators. These data points help us better understand how to improve our care-delivery workflows and models more efficiently
Over the years 2017 through 2021, the MMC cancer registry accessioned a growing number of analytic cancer cases. MMC, as part of the MaineHealth Cancer Care Network, treats the majority of new cancer cases in northern New England.
NOTE on 2020 data: With the coronavirus pandemic, there was a sharp decrease in the number of newly diagnosed cancer cases at MMC.
There were 4,428 accessioned cases at MMC in 2021; 3,833 of these cases were analytic. Analytic cases reflect patients who were diagnosed and/or received part or all their first course of treatment at MMC.
The 10 cancers with the largest number of cases in 2021 were cancer of the breast, prostate, lung and bronchus, uterine corpus, melanoma of the skin, urinary bladder, thyroid, kidney and renal pelvis, colon, and pancreas.
Percentages Based on 3,833 Total Volume
The rate of new cancer cases diagnosed and/or treated at MMC in 2021 was higher in females than males, with Breast Cancer topping the chart for females at 32% and Prostate Cancer topping the chart for males at 29% of diagnosed malignancies. Fifty-five percent of total new cancer cases were diagnosed in females and 45% of new cancer cases were diagnosed in males.
Of all analytic accessioned cases in 2021, 60% of new cancer cases were diagnosed in people between the ages of 70 and 89. This chart shows that for most cancers, increasing age is the most significant risk factor.
Cancer staging is the process of determining how much cancer is in the body and where it is located. Staging describes the severity of an individual's cancer, based on the magnitude of the original (primary) tumor and the extent cancer has spread in the body. All staging completed at MMC is based on The American Joint Committee on Cancer (AJCC) standards.
Over the years 2017 through 2021, the cancer registries of the MHCCN accessioned a growing number of analytic cancer cases. The MHCCN treats the majority of new cancer cases in northern New England.
NOTE on 2020 data: With the coronavirus pandemic, there was a sharp decrease in the number of newly diagnosed cancer cases in the MHCCN..
There were 8,113 accessioned cases at the MHCCN in 2021; 7,057 of these cases were analytic. Analytic cases reflect patients who were diagnosed and/or received part or all their first course of treatment at the MHCCN.
The MHCCN leadership would like to extend our sincere gratitude to the entire MaineHealth Cancer Registry team. Without your dedication, we would not be where we are today. We would like to recognize the following individuals for their contributions to the MMC, SMHC, and Mid Coast Cancer Registries:
Thank you to all our CTRs, for your dedication and hard work throughout the year. In 2022, you all have completed a total of 4,475 case abstractions, analytical and nonanalytical, which is a 17.5 % increase in case volume over the last five years.
Thank you to Cynthia Hayward, Cindy Poole, and Tiffany Ervin for your invaluable assistance in supporting Mid Coast Hospital during our recent transition period. Your effort to help maintain our compliance for the CoC Survey and for unifying reporting policies between MMC, SMHC, and Mid Coast does not go unnoticed.
A special thank you to Meaghan Bumpus, Shannon Lessard, Cindy Poole, and Tiffany Ervin, for their exponential work in meeting deadlines for CoC, NAPBC, and NAPRC accreditations and site surveys for MMC, SMHC, and MCH. We could not have supplied all the necessary registry metrics and reporting without your support.
A special thank you to Heidi MacIver for her level of dedication in casefinding for the MMC Cancer Registry. Casefinding is an important part of our work as diagnosis is the first step in the patient’s cancer journey.
And one more, to Emma Kurchin and Heidi MacIver, for their hard work in maintaining patient follow-up percentage rate as required by the CoC.
Evie Taylor RN, BSN, MHA Senior Director of Outpatient CareMaineHealth Cancer Care Network and Maine Medical Center
Lauren Couture MS Director
ofQuality, Information, Research and Outcomes
MaineHealth Cancer Care Network and Maine Medical Center
Cindy Hayward CTR Cancer Registry SupervisorMaineHealth Cancer Care Network and Maine Medical Center