Page 1

2017 Annual Report With 2016 registry data

Cancer Center Annual Report

I


Table of Contents Overview 1 Treatment 2 Services 4 Accreditations 7 Key Accomplishments 8 Clinical Trials 8 Cancer Committee 9 Cancer Registry Data 11 Quality Study 12 Survivor Story 13 Partnerships 14 Resource Directory 15

II

Cancer Center Annual Report


Welcome At CaroMont Health, we strive for more than just the highest ratings, our intention is to provide the best possible cancer care for our community. This report provides an overview of the comprehensive cancer prevention, genetic counseling and screening, early detection, education, treatment and follow-up, symptom management and survivorship services provided by our multidisciplinary team of compassionate experts. We are proud to highlight our accomplishments and strategic initiative implementations from the past year. Cancer can happen to anyone. Regardless of where patients are in their cancer journey, CaroMont Health is ready to assist in making the best decisions about their diagnosis and treatment. The CaroMont Cancer Center is fully accredited by the American College of Surgeons Commission on Cancer as a Comprehensive Cancer Program and recently received a full three-year accreditation with commendation level status. Our comprehensive Breast Center is accredited by the National Accreditation Program for Breast Centers and our Radiation Oncology Center is accredited by the American College of Radiology – Radiation Oncology Program Administration. In the past year we have continued to grow, develop and invest in our cancer program. The Radiation Oncology service completed a major renovation project which included the acquisition and installation of a second TrueBeam linear accelerator treatment system. We have continued to add to our expert medical staff through the addition of Carmine Dalto, MD at CaroMont Pulmonary Medicine., Linh O’Connor, MD, FACS at CaroMont Surgical Associates, as well as C.K. Oh,MD, Farzad Nowrouzzadeh, MD and Paul Oh, MD at CaroMont Gastroenterology & Hepatology. On behalf of our team of caring and compassionate healthcare professionals, it is with pleasure we present the 2017 Cancer Program Annual Report. In Good Health! Rick Varterasian Oncology Service Line Director

Cancer Center Annual Report

III


Overview Mission It is our mission to improve the health of the people and communities we serve by providing high-quality, timely, compassionate oncology services that are nationally-recognized and accredited.

Promise Our promise is to provide excellent care. The physicians and professional staff of the CaroMont Cancer Center take pride in providing the very best care for you and consider it a privilege to provide your treatments.

History The CaroMont Cancer Center was established in 1989 on the campus of CaroMont Regional Medical Center to address the need for comprehensive cancer services in Gaston County. Since then, the program has grown significantly in staff and technology, and recently expanded into neighboring Lincoln County. Founded on the principle of providing high-quality, convenient care to our community, CaroMont Cancer Center continues to work to improve the health of the people and communities we serve.

About CaroMont Cancer Program The CaroMont Cancer Center provides an overall system-of-care approach to the treatment of cancer. This includes prevention, early detection, education, treatment, follow up, symptom management and patient survivorship services. We focus on a patient-centric approach to cancer care, which places the patient and their family at the heart of decision making and treatment planning. Our highly-responsive team of physicians and staff members initiate care in a coordinated manner with other necessary support services provided in the community. Our patients benefit from sophisticated technology and expertise, as well as a unique healing environment designed for wellness and hope. We understand that patients prefer to stay close to home when receiving cancer treatment. That’s why we offer nationally-accredited cancer care - in your community.

1

Cancer Center Annual Report

1


Treatment Radiation Therapy Radiation therapy is one of the most effective weapons in the war against cancer. It is given as part of an initial treatment plan if necessary or as a means to lessen or control symptoms, such as cancer-related pain. This rapidly changing field, with several evolving technologies, offers the most advanced, precise and sophisticated cancer treatments available. CaroMont Cancer Center uses a targeted therapy approach that utilizes specific treatment to limit side effects. CaroMont Cancer Center therapies include TrueBeam™ Stereotactic Radiosurgery and Stereotactic Body Radiosurgery (SBRT), Intensity Modulated Radiation Therapy (IMRT), Breast MammoSite® and Brachytherapy. This advanced technology is available at our two locations: CaroMont Regional Medical Center and Lincoln Cancer Center. The treatment is highly technical and requires a special team of Radiation Oncologists, Dosimetrists, Radiation Therapists and Medical Physicists. The Radiation Oncology program is nationally accredited by the American College of Radiology (ACR).

Surgery CaroMont Health has highly-trained, board-certified surgeons on staff to address the surgical needs associated with cancer treatment plans. These surgeons work closely with care teams to ensure the best possible outcomes. Depending on the type of cancer, a patient could see one of the following: Ear Nose & Throat (ENT) Surgeon, General Surgeon, Colorectal Surgeon, Fellowship-Trained Breast Surgeon, Neurosurgeon, Plastic Surgeon, Thoracic Surgeon or Urologist.

Medical Oncology and Hematology Treatment may also involve medical oncology, and CaroMont Cancer Center’s accredited program offers compassionate care from board-certified medical oncologists. CaroMont Cancer Center offers convenient on-site access to inpatient and outpatient infusion services. A specially-trained team of nurses provide chemotherapy and other systemic treatments in local physician offices and the CaroMont Cancer Center.

Cancer Center Annual Report

2


Treatment (continued) Medical Oncology Unit CaroMont Regional Medical Center’s Medical Oncology Unit is focused on meeting the special needs of cancer patients. The nursing staff is comprised of Registered Nurses who have been specifically trained through the Oncology Nursing Society to administer chemotherapy and manage the care of patients receiving cancer therapies. Many have achieved national nursing certification in Oncology (OCN).

Infusion Center As with the Medical Oncology Unit, our Registered Nurses have extensive experience in infusion therapy and have received certification in chemotherapy and biotherapy administration through the Oncology Nursing Society. These nurses work collaboratively with physicians to address patient emotional and physical needs during treatment. Treatment is provided in private areas with reclining chairs, televisions and easy access from the parking deck. A sample of the services offered in the Infusion Center include: ƒƒ Administration of intravenous medications and chemotherapy ƒƒ Administration of blood and blood component therapy ƒƒ Administration of hydration and antiemetics

3

Cancer Center Annual Report

3


Services CaroMont Cancer Center recognizes that cancer can affect every aspect of a person’s life and the journey can be very challenging for the patient and their loved ones. CaroMont Cancer Center offers a number of support services to assist patients physically, psychologically, emotionally, socially and spiritually.

CaroMont Comprehensive Breast Center Without leaving the community, breast cancer patients benefit from a personalized plan of treatment recommendations from a multidisciplinary team of radiologists, medical oncologists, pathologists, radiation oncologists and surgeons. In ONE visit, newly-diagnosed breast cancer patients receive: ƒƒ A comprehensive evaluation ƒƒ A discussion of the diagnostic and/or treatment options ƒƒ A personalized plan of treatment recommendations ƒƒ An assessment for clinical trial eligibility ƒƒ A meeting with a nurse navigator and oncology dietitian ƒƒ An assessment for Genetic Counseling

Counseling Services

Oncology Counseling is available to assist patients and their family in coping with the emotional and psychosocial effects of the cancer experience.

Palliative Care Many people with chronic illness suffer symptom burden that impacts their quality of life. In an effort to improve the care of patients, CaroMont Regional Medical Center provides outpatient palliative care services to help with the elimination or lessening of their symptoms. The team works to create a plan of care that is individualized for the patient and incorporates cultural and spiritual needs.

Cancer Center Annual Report

4


Services (continued) Navigation Services The goal of navigation is to make sure that services offered through the CaroMont Cancer Center and the community are available to all patients. Navigators eliminate barriers that could interfere with or delay treatment. They educate patients and families and provide access to local and national resources. Navigation services are offered through the CaroMont Cancer Center by a team of nurses, social workers, financial counselors. These services are provided from diagnosis into survivorship.

Pastoral Care Chaplains are available to support cancer patients, families and friends in making use of faith or spiritual values to work through the challenges of cancer. Pastoral Care may include conversation, prayer, liturgy, worship, sacraments, scripture reading, reflection and program referral. The pastoral care service is interfaith, personal and specific for the individual and family in need. The William McKinley Roberts Memorial Chapel is located on the second floor of CaroMont Regional Medical Center and is open for personal meditation 24 hours a day.

Gaston Hospice CaroMont’s Gaston Hospice cares for people who have a life-limiting illness that is no longer responding to curative treatment. Hospice care helps to allow these patients to live at home as fully as possible. Since 1981, the highly experienced staff and volunteers have dedicated themselves to providing the most compassionate and highest quality hospice care for your loved one and you. Hospice also provides services at CaroMont Regional Medical Center, Robin Johnson Hospice House and local long-term care facilities. To learn more, please visit www.gastonhospice.org.

5

Cancer Center Annual Report

5


Services (continued) Nutritional Counseling Nutrition services, specific to cancer patients and survivors, are offered by a registered dietitian with special training in oncology.

P.R.I.D.E. Program - Oncology Wellness Program

Power to Recover through Individualized Development and Exercise P.R.I.D.E. is a wellness program designed to assist cancer survivors in managing the physical, social, psychological and spiritual side effects of cancer treatment. The program, developed by the CaroMont Health and Fitness Center and the Cancer Center, provides both physical exercise and lecture-style educational presentations during and posttreatment. The goals of P.R.I.D.E. include: ƒƒ Reducing fatigue ƒƒ Maintaining or improving strength and endurance ƒƒ Decreasing risk of depression ƒƒ Increasing Independence for normal activities ƒƒ Improving quality of life ƒƒ Educating and informing patients

P.R.I.D.E. CANCER WELLNESS PROGRAM

Power to Recover through Individualized Development and Exercise

Cancer Center Annual Report

6


Accreditations CaroMont Health and CaroMont Cancer Center are proud to be recognized and accredited by a number of renowned professional healthcare organizations, including: American College of Surgeons (ACOS) - Commission on Cancer National Accreditation Program for Breast Centers (NAPBC) American College of Radiology (ACR) Radiation Oncology Program The Joint Commission (TJC) College of American Pathologists American College of Radiology’s CT Accreditation Program American College of Radiology’s Mammography Accreditation Program American College of Radiology’s MRI Accreditation Program American College of Radiology’s Nuclear Medicine Accreditation Program American College of Radiology’s PET/CT Accreditation Program American College of Radiology’s Ultrasound Accreditation Program American College of Radiology’s Breast Center of Excellence Member of the Association of Community Cancer Centers (ACCC). The ACCC is a recognized leader and premier provider of resources for the cancer centers. ACCC serves as an education and advocacy organization for the entire cancer team.

7

Cancer Center Annual Report

7


2017 Key Accomplishments Expansion of Services To better serve the needs of our patients, we expanded both our Pulmonary Medicine and Gastroenterology & Hepatology departments. With the addition of Dr. Carmine Dalto and Rhodenna Arn, MSN, FNP-C, there will be an increase in services through the Pulmonary Nodule clinic and CT Lung Cancer Screening. We also welcomed three new physicians to Gastroenterology & Hepatology, Dr. C.K. Oh, Dr. Farzad Nowrouzadeh and Dr. Paul Oh.

Carmine Dalto, MD

Rhodenna Arn, MSN, FNP-C

Chang Oh, MD

Farzad Nowrouzzadeh, MD

Paul Oh, MD

Clinical Trials Clinical trials are strictly controlled studies of new and emerging therapies. These students test whether a new drug, prevention strategy or screening option is safe and effective for patients. CaroMont Cancer Center is part of a consortium of North Carolina cancer centers with access to a wide variety of clinical trials sponsored by government organizations such as the National Cancer Institute. This includes pharmaceutical trials and physician-initiated studies developed by our own physicians and research team. In 2017, 14.1% of the new cancer patients at CaroMont Health were enrolled in clinical trials related to cancer prevent, diagnosis, screening, treatment, and quality of life or tissues studies. Many of the patients enrolled in clinical trials in previous years continue to participate. This ensures that our patients are receiving the most up-to-date cancer care.

Cancer Center Annual Report

8


Cancer Committee

The Cancer Committee is the designated multidisciplinary body for the administrative oversight, development and review of cancer care services at CaroMont Health. The group meets quarterly and is charged with assessing and evaluating the quality of the cancer program and making recommendations.

Cancer Committee Membership: Steven Yates, MD Alec Akbarov, MD Kathleen Besson, RN Diane Block, RN Rebecca Brown, MD Jerome Butler, MD Michael Case, MD Mark Chaparro William Charles, MD Ashley Cloninger, RN Tammy Cozad, RN Todd Davis, MD Robert Doline, MD Lisa Ganem, CTR James Greelish, MD Heidi Hartman, DO Jay Hendler, MD Janice Hill, RN Donald Howard Amanda Johnson, RN Doug Johnson, DO Gayla Jones Carrie Klamut Richard Lahm Steve Lemons Ashley Long, RN Paula Lundgren, MD Charles Meakin, MD Ashley Migliaro Meredith Mills

9

Chairman/Medical Oncologist Cardiothoracic Surgeon Chief Operating Officer Oncology Nurse Navigator Quality of Life Coordinator/Palliative Care Chairman/Radiation Oncologist Medical Director, Gaston Hospice Director, Pharmacy Medical Oncologist/Cancer Conference Coordinator Assistant Manager, Oncology Nursing Manager, Clinical Research Chief Medical Officer Radiation Oncologist Certified Tumor Registrar (Cancer Registry Quality Coordinator) Cardiothoracic Surgeon Radiologist Pulmonologist Clinical Nurse Manager Manager, Outpatient Rehabilitation Oncology Quality Coordinator Diagnostic Radiologist Cancer Registry American Cancer Society Executive Director, Gaston Hospice Director, Pastoral Care Senior Director, Patient Care Breast Surgeon Radiation Oncologist Genetic Counselor Oncology Nutritionist

Cancer Center Annual Report

9


Tristy Morrow, RN Tiffany Ormand, RN Margie Owenby Tamara Patterson Courney Psomadakis, RN Rici Reid Stephanie Roberts Deanna Roe Hayley Rutkowski, RN Lindsay Sain, RN Amelia Sloan Sandy Schultz, MD Hannah Smith Lia Spina, MD Brian Sutton, MD Hope Toney Steve Tracy, MD Rick Varterasian

Clinical Manager, PI Oncology Nurse Navigator Oncology Program Coordinator (Community Outreach Coordinator) Manager, Cancer Center Case Management Oncology Social Worker (Psychosocial Services Coordinator) Executive Director, Cancer Services of Gaston County Director, Medical Imaging Oncology Nurse Navigator Oncology Nurse Navigator American Cancer Society General and Breast Surgeon Oncology Councelor (Psychosocial Services Coordinator) Cancer Liaison Physician/Medical Oncologist Pathologist Oncology Financial Navigator Pathologist Director, Oncology Service Line

Cancer Center Annual Report

10


CaroMont Cancer Registry Data The Cancer Registry is an essential component of the CaroMont Health Cancer Program. The Cancer Registry staff works closely with the Cancer Committee to maintain accreditation as a Community Hospital Comprehensive Cancer Program by the Commission on Cancer of the American College of Surgeons. Responsibilities of the registry include the accurate and timely collection of information on cancer diagnosed and/or treated at CaroMont Health, as well as the management and analysis of this data. The information collected, such as demographics, anatomic site, tests, treatment and extent of disease, has multiple uses which include outcome reporting, patient care reviews, physician education, clinical research and hospital planning. The data collected by the Cancer Registry is electronically submitted to the State of North Carolina and the National Cancer Database (NCDB). This allows comparative analysis with other hospitals or databases. Data analysis for specific sites can be done to compare elements to other published state, regional or national data. This information provides the cancer program benchmarking opportunities to patterns of patient care and survival.

CaroMont Health 2016 Cancer Cases

Breast 305 26% All Other 485 41%

Lung 192 16% Prostate 98 8%

Breast

11

Cancer Center Annual Report

Lung

Colorectal 101 9%

Colorectal

11

Prostate

All Other


2017 Quality Study Lung Cancer Screening Program Clinical Lead Physician: Jay Hendler, MD CaroMont Pulmonary Medicine Objective: The study objective is to assess CT Lung Screening Program effectiveness. Study Population: The study looked at all patients who received a Low Dose CT (LDCT) screening from December 2012 to December 2016. Methodology: Identify patients who received a LDCT screening and evaluate the effectiveness by tracking diagnosis and stage a diagnosis. Conclusions: In conclusion, by performing low dose CT scanning for screening, we assure early detection of lung cancer in high risk individuals. This impacts both survival and treatment options. One challenge we have identified is increasing the number of patients we screen given the high percentage of tobacco usage in our community. PATIENTS STATE AT YEAR SCREENED DIAGNOSED DIAGNOSIS 2012 12 0 N/A 2013

103

2

1 Stage III; 1 Stage IV

2014

104

5

4 Stage I; 1 Stage IV

2015

52

2

Stage I, Stage I

2016

78

2

Stage I, Stage I

Cancer Center Annual Report

12


Patient Survivor Story A Warrior's Tale Beverly Washington is a soft spoken woman. In fact, she considers herself a homebody. But after beating cancer, she was determined to reach outside of her comfort zone and be a support system for others fighting the same battle. “It was a fight. I saw the t-shirts that said ‘Fight like a Girl” for breast cancer and I joined a support group at Cancer Services called Life Warriors. I knew I had to be a warrior and put up a fight.“ Beverly Washington

BRE AST CA NCER SURVIVOR

During a trying time in her life, Beverly learned just how CA NCER CEN TER PATIEN T much of a warrior she was. Cancer was only one of the challenges taking place. “My first battle came in the form of a domestic violence relationship. That assault led to finding out that I had cancer. Then during the middle of my treatment, my son was shot and killed. You’ll hear me talk about God a lot because He brought me through this time.” Beverly described the loss of her son as, “taking the bottom out of her world” and she didn’t think that she could see the light at the end of the tunnel. Through this trial, Beverly’s doctors and CaroMont staff members encouraged her to stay strong and keep fighting for survival. Losing her son gave Beverly the drive that she needed to reach outside of her comfort zone and help others going through the same battle. She noticed that others around her were hurting and she found that her purpose in life was helping others. There came a time through chemo where the side effects were so bad that she didn’t think that she could go on. “I found out that I was stronger than I thought I was,” Beverly reflected. “I’ve come out stronger and it helps me go back and pull others up and say, ‘Come on, let’s fight!’ so that they can get through it, as well.” Since her cancer diagnosis and remission, Beverly has spent every Tuesday volunteering at the CaroMont Cancer Center. From sitting with patients during treatment to helping them get to their car, she finds joy in helping others fight their battle. On the last Thursday of each month, Beverly leads a bingo group through Cancer Services, where she serves as the “Bingo Lady.” She encourages patients to take their mind off of what they’re going through, have fun and bond with one another. Through her own trials, Beverly has found a sense of solace through writing poetry and sharing it with patients and staff at the Cancer Center. From posting weekly quotes to sharing the words of encouragement that she received from staff during her own time in treatment, Beverly will continue to help others through their time at the Cancer Center.

13

Cancer Center Annual Report

13


In the Game Written by: Beverly Washington It’s not easy to stay positive, with so much going on. Cancer inside us, we want it gone. Wow, this a big endeavor, everyone has to work hard and be clever. This thing has us in it’s mouth, throwing us all about. We have to fight back, go on the attack. We want to be loosened, all we need is a boost. Well, thank you doctors and treatments, into this thing you’ll make a dent. Yes, it’s tough, it gets so rough. God, give us strength and courage, we look to you to be nourished. You know our struggle and the outcome, so we will trust in you until it’s all done. Feel better now, even though it’s hard, Because I know God may give me the winning card!!! I’m still in the game.

Partnerships CaroMont Cancer Center partners with the American Cancer Society, Susan G. Komen Foundation, Cancer Services of Gaston County, and many other local, regional and national organizations to further enhance and support our mission. We actively seek local and national cancer care partners to bolster our strengths and better enable us to carry out the vision of CaroMont Health. Continuous improvement is not a solo performance. It requires an orchestrated effort, and we are eager to team up with organizations that can boost quality, help control costs and provide opportunities to promote community wellness. We are proud of our cancer care partnerships in the community and the outreach programs in which we participate. Our dedicated medical professionals and volunteers contribute many hours to the community and participate in many different health events. From our support and involvement in CaroMont Health free screenings, to volunteering in our community, wellness events and educational classes, the Cancer Program is proud to participate in these activities because of their value to our community.

Cancer Center Annual Report

14


Resource Directory Cancer Center 704.834.2944 Cancer Registry 704.834.4375 CaroMont Comprehensive Breast Clinic 704.834.3540 CaroMont Health 704.834.2000 CaroMont Heart 704.834.3278 Clinical Research 704.834.2810 Gaston Hospice 704.861.8405 Infusion Center 704.834.3545 Inpatient Oncology Unit 704.834.5200 Inpatient Palliative Care 704.834.3403 Lincoln Cancer Center 704.735.6637 Medical Imaging (Radiology) 704.671.5300 Oncology Nutritional Services 704.834.3966 Pastoral Care 704.834.2888 Patient Navigation 704.671.7783 P.R.I.D.E. Program 704.671.7930 Radiation Oncology 704.834.2944 Social Worker 704.671.7784 Volunteer Services 704.834.2256

15

Cancer Center Annual Report

15


Cancer Center Annual Report

16


704.834.2944 | caromonthealth.org

Profile for CaroMont Health

CaroMont Cancer Center 2017 Annual Report  

CaroMont Health is the region's leading independent healthcare system, dedicated to building healthy, vibrant communities.

CaroMont Cancer Center 2017 Annual Report  

CaroMont Health is the region's leading independent healthcare system, dedicated to building healthy, vibrant communities.