Best practices

Improving cancer care: Best practices from Virginia Piper Cancer Institute

At the Virginia Piper Cancer Institute®, we are dedicated to providing patients and families with exceptional care and service, with access to the most advanced treatment and research options.

The Institute includes program committees designed to drive Allina Health's vision for best clinical practice and will guide clinical program development through system integration. The programs are in place to ensure patients receive consistently high quality care with an exceptional patient experience across Allina Health and the continuum of care.

Best practice consensus guidelines

Consensus guidelines are comprehensive in describing the rationale for these recommendations and references to support them. We believe we have been thorough in putting them together through the experts we have in our community of expert oncology physicians.

The following best practice consensus guidelines have been implemented by Allina Health's Oncology Clinical Service Line:

Breast cancer and ovarian cancer

Ductal Carcinoma In Situ (DCIS): Management of surgical margins and recommendations for margin re-excisions in patients having breast conserving therapy

Evaluation and management of breast lumpectomy and mastectomy specimens by surgeons and pathologists

Identification of breast cancer patients at risk for inherited cancer risks

Identification of patients or family members at high risk for inherited gynecologic cancers

Invasive carcinoma: Management of margins, and recommendations for margin re-excisions in patients having breast conserving therapy 

Mammography screening for women at average risk for breast cancer

Oncotype DX assay testing for treatment of breast cancer

Pathological evaluation of the axillary sentinel lymph nodes in patients undergoing lumpectomy and radiation therapy

Post-mastectomy radiation for patients with 1-3 + lymph nodes

Whole breast hypofractionation

Colorectal cancer

Use of imaging in colon cancer

Sequence of colon cancer work up

Esophageal and gastric cancer

Sequence of esophageal and gastric cancer work up

Lung cancer 

Establishing the diagnosis of lung cancer and adequate tissue samples

Imaging for central nervous system staging in non-small cell lung cancer

Treatment of stage 1 lung cancer

Post stereotactic ablative radiotherapy (SABR) follow-up

Hepato-biliary / pancreatic cancer

Hepatocellular carcinoma surveillance

Hepatitis C screening guidelines

Guidelines are not meant to replace clinical judgment or professional standards of care. Clinical judgment must take into consideration all the facts in each individual and particular case, including individual patient circumstances and patient preferences. They serve to inform clinical judgment, not act as a substitute for it. These guidelines were developed by a Review Organization. These guidelines may be disclosed only for the purposes of the Review Organization according to Minn. Statutes §145.64 and are subject to the limitations described at Minn. Statutes §145.65.