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2011- 2012 ANNUAL REPORT Taking Cancer Care to Heart The First Western North Carolina Hospital to Win the Outstanding Achievement Award from the Commission on Cancer


Park Ridge Health Cancer Services

Table of Contents 2

Cancer Committee Chairman

3

Analysis: Colorectal Cancer

6

Specialty Services

Providing the best in cancer care in an atmosphere of Christian compassion and healing

6

Park Ridge Oncology

6

Oncology Pharmacy

6

Otolaryngology (Ear, Nose, Throat)

7 General Surgery/Reconstructive Surgery

recognized by the American College of Surgeons’

8 Urology

Commission on Cancer as offering the very best in

8

Women’s Health

cancer care. Our oncology program was also awarded

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Dermatology

the Outstanding Achievement Award, becoming the first

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State of the Art Diagnostic Radiology

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Quality Improvement Summary 2012

11

Park Ridge Health Breast Center

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Cancer Registry

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Supportive Services

17

Kenmure Fights Cancer

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Park Ridge Team Relay for Life

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Park Ridge Health Contacts

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Park Ridge Health Cancer Program Leadership

Park Ridge Health’s oncology program has been

hospital in Western North Carolina to receive this honor.

21 References 21 Acknowledgements

BREAST CENTER

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Park Ridge Health Cancer Services

2011-2012 Annual Report

Cancer Committee Chairman

Analysis: Colorectal Cancer

Mikhail Vinogradov, M.D., Oncologist Board-Certified Hematology & Medical Oncology Internal Medicine Chairman, Park Ridge Health Cancer Committee

Colorectal cancer is the third most common cancer in both males and females. An estimated 101,340 new cases of colon and 39,870 cases of rectal cancer were expected during 2011 in the United States. An estimated 39,870 deaths were expected in the United States. In North Carolina, an estimated 4,200 new cases were expected during 2011. An estimated 1,480 deaths were expected during 20111. Over the past 20 years, improvements in early detection and treatment for colorectal cancer have decreased mortality rates in both men and women.

At Park Ridge Health we work hard to ensure we offer our patients the absolute best in health care. As part of the Commission on Cancer’s Accreditation Program, we seek to meet and exceed the current standards of cancer care, and in 2012 we implemented quality improvements to further that goal. This year has been a fruitful one. In 2012, Park Ridge Health was approved as an official CCOP affiliate of Spartanburg Regional Medical Center for clinical trials. We began two internal programs to further support cancer patients and their families – a general cancer, co-ed support group for patients, caregivers and family members and the availability of nutritional service consults in the outpatient Oncology-Infusion Center setting. We achieved the National Accreditation of Breast Program Centers Three-Year Full Accreditation and Commission on Cancer Three-Year Accreditation with Commendation as well as the American College of Radiology Breast Imaging Center of Excellence (BICE).

At Park Ridge Health there were 114 new cases of colorectal cancer identified between 2005 and 2009 by our Cancer Registry. This study will analyze Park Ridge Health’s colorectal cancer experience compared to national and state figures and as documented by the Commission on Cancer’s CP3R Quality Measures. Of the 114 cases, there were 44 males (39%) and 69 females (61%). In Table 1, gender at our facility is compared to data from North Carolina and the National Cancer Data Base (NCDB).

TABLE 1 – GENDER: COLORECTAL CANCER GENDER: COLORECTAL CANCER PRH-NC-NCDB PRH-NC-NCDB 70% 60%

Our vision continues to be to deliver oncology health care to meet the needs of our community as part of Christ’s healing ministry and to incorporate Christian values at every level. We are committed to providing and improving upon screening and wellness programs to promote early detection. We continue to offer our patients high quality treatment and care in the comfort of their hometown and family support.

50% 40% 30% 20% 10% 0% PRH NC NCDB 1

MALE

FEMALE

38.9% 51.4% 50.5%

61.1% 48.6% 49.5%

http://www.cancer.org/acs/groups/content/@epidemiologysurveilance/documents/document/acspc-029771.pdf

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Park Ridge Health Cancer Services

2011-2012 Annual Report

The risk of colorectal cancer increases with age; 90% of cases are diagnosed in individuals 50 years of 2 age and older . At Park Ridge Health the age at diagnosis ranged from 28 to greater than 90 years of age with the most common incidence between 60 to 69 years of age. Table 2 displays age at diagnosis at our facility compared to data from North Carolina and NCDB. Beginning at age 50, men and women who are at average risk for developing colorectal cancer should begin screening. Screening can result in the detection and removal of colorectal polyps before they become cancerous, as well as the detection of cancer that is at 3 an early stage . Colonoscopy is the most frequently diagnostic procedure utilized to obtain pathologic confirmation of suspected colon cancer which determines treatment. The introduction of the Endoscopic Ultrasound (EUS), an enhanced diagnostic procedure, is also utilized to help determine clinical stage or extent of disease. As shown in Table 3, the majority of patients diagnosed from 2005 to 2009 at Park Ridge Health presented with Stage 2 and 3 colon cancer.

TABLE 2 –AGE AGEATATDIAGNOSIS: DIAGNOSIS: COLORECTAL CANCER COLORECTAL CANCER PRH-NC-NCDB PRH-NC-NCDB

Surgery is usually the primary treatment for colorectal cancer. At Park Ridge Health, a significant number of the patients diagnosed from 2005 to 2009 presented with locally advanced disease. Therefore the most common treatment for colon cancer was surgery followed by chemotherapy. The most common treatment for locally advanced rectal cancer was combination chemotherapy and radiation therapy followed by surgery.

30%

25% 20%

As a Commission on Cancer accredited program, analysis of the Cancer Program Practice Profile Report (CP3R) provides cancer programs with the opportunity to examine data to determine if these performance rates are representative of the care provided at the facility. The CP3R data quality measures are monitored through the PRH Cancer Committee on a regular basis including the following colorectal measures:

15% 10% 5% 0% PRH NC NCDB

20-39

40-49

50-59

60-69

70-79

80-89

3.5% 6.8% 6.3%

16.7% 18.8% 15.4%

23.7% 25.0% 22.5%

28.9% 28.2% 28.9%

20.2% 16.2% 21.2%

4.4% 2.5% 3.8%

Adjuvant chemotherapy is considered or administered within four months of diagnosis for patients under the age of 80 with AJCC Stage III (lymph node positive) colon cancer. PRH Performance Rate: 100% since 2005

At least 12 regional lymph nodes are removed and pathologically examined for resected colon cancer. PRH Performance Rate: Greater than 85% since 2009.

Radiation therapy is considered or administered within 6 months of diagnosis for patients under the age of 80 with clinical or pathologic AJCC T4N0M0 or Stage III receiving surgical resection for rectal cancer. PRH Performance Rate: 100% since 2005.

http://www.cancer.org/acs/groups/content/@epidemiologysurveilance/documents/document/acspc-029771.pdf

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TABLE 3 AJCC – AJCCSTAGING STAGINGOF OFCOLON COLONCANCER CANCER NC-NCDB (2005-2009) NC-NCDB (2005-2009) 30%

In conclusion, colorectal cancer remains a common cancer diagnosed at Park Ridge Health. From 2005 to 2009, more females were diagnosed with colorectal cancer than males. The majority of patients presented between the ages of 60-69 years old and with locally advanced stage colorectal cancer. Surgery is the primary treatment for colorectal cancer. Colorectal screening can detect polyps before they become cancerous and detect cancer at an early stage. For detailed information on colorectal cancer screening options, see the American Cancer Society’s screening guidelines for colorectal cancer4.

25% 20% 15% 10% 5% 0% PRH NC NCDB

Mikhail Vinogradov, M.D., Medical Oncology/Hematology, Chair 0

I

II

3.3% 9.8% 7.8%

18.0% 20.6% 20.6%

29.5% 23.3% 25.5%

III 29.5% 21.3% 22.8%

IV

NA

UNK

18.0% 17.3% 15.7%

0.0% 0.2% 0.1%

1.6% 7.6% 7.4%

http://www.cancer.org/acs/groups/content/@epidemiologysurveilance/documents/document/acspc-029771.pdf

3

Paul Schaefer, MD, Medical Oncology/Hematology, Clinical Research Coordinator PRH Cancer Registry http://www.cancer.org/acs/groups/content/@epidemiologysurveilance/documents/document/acspc-029771.pdf

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Park Ridge Health Cancer Services

2011-2012 Annual Report

Park Ridge Specialty Services PARK RIDGE ONCOLOGY

GENERAL SURGERY/RECONSTRUCTIVE SURGERY

Highly trained, experienced and compassionate nurses with advanced certification in oncology nursing offer care in a comfortable relaxed setting with all the amenities of home. We have snacks, plush recliners, television, movies, Get Well Network, ample reading materials and a gorgeous view of the mountain scenery.

We are pleased to provide exceptional care to our patients. And, our services do not require a physician referral. Surgeons at Park Ridge Health are fully trained in the latest minimally invasive surgical procedures.

We have streamlined and expedited professional service maintaining close communication with primary physicians throughout the prescribed course of treatment. Our on-site infusion center pharmacy staff is extensively trained. We operate as a cost effective, outpatient service with coverage by Medicare and other insurances benefiting the patient. We are hospital-based and owned providing patients the peace of mind that we maintain strict standards under the hospital’s quality program.

ONCOLOGY PHARMACY Pharmaceutical care is an important part of Park Ridge Health Cancer Services. Our staff includes a Pharm. D. (Doctor of Pharmacy) and CPhT (Certified Pharmacy Technician) who are solely dedicated to providing chemotherapy and other intravenous medications to our patients. All medications are mixed in an on-site biologic safety cabinet (vertical flow hood) to maintain sterility, prevent contamination, and protect staff during the process of compounding medications for intravenous administration. The pharmacy staff, nurses, and physicians work as a team to ensure that each patient is receiving the most appropriate and effective medication regimen for their particular cancer. Before beginning therapy, a nurse and pharmacist meet with each patient to provide education on the medications that are prescribed in their treatment. This allows the patient to ask questions about their regimen and is another example of the personal care provided at Park Ridge Cancer and Infusion Center.

OTOLARYNGOLOGY (EAR, NOSE, THROAT) Also referred to as the ear, nose and throat doctors or ENT’s are physicians who specialize in head and neck disorders. The services our ENT physicians provide are very important in early detection of cancers arising in the head and neck.

Services Include: • Inpatient and outpatient surgeries • General Surgery • GPS navigational surgical technology using lasers to pinpoint locations for surgical treatment • Orthopedic and spine surgeries Some Specialty Areas Are: • Treatment of breast disease • Minimally invasive breast disease • Stereotactic and ultrasound guided breast biopsies • Sentinel lymph node biopsies • Lung cancer surgery • Endoscopy • Laparoscopic surgery for GERD (acid reflux) • Colonoscopy including colon cancer screening • Sigmoidoscopy • Surgery, including laparoscopic surgery for colon cancer • Skin cancer • Thyroid and parathyroid surgery Reconstructive Surgery Park Ridge Health offers plastic surgery services for the body and skin. • Breast enhancement (augmentation), reduction, lift or reconstruction. • Liposuction • Male Breast Reduction • Skin Cancer • Wound care • Scar Revision

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Park Ridge Health Cancer Services

2011-2012 Annual Report

UROLOGY At Park Ridge Health, our urologists offer professional care for men and women experiencing urinary tract issues, or those men experiencing disorders of the reproductive system. Urologic cancers develop in any organ of the urinary system.

WOMEN’S HEALTH Park Ridge Health offers complete women’s health services for women of all ages. Routine gynecological care includes yearly exams with PAP smears and diagnosis and treatment of gynecological problems.

DERMATOLOGY Park Ridge Dermatology provides expertise in the care of skin, hair and nails, including skin cancer prevention and detection. The earlier a cancer is detected, the greater chance of successful treatment and removal or treatment of premalignant abnormalities before it can become aggressive and spread. Not all lesions are cancerous; a biopsy of the tissue can identify the difference. Screening tests can also improve survival and decrease mortality by detecting cancer at an early stage when treatment is more effective.

State-of-the-Art Diagnostic Radiology Park Ridge Health continues to provide state-of-the art, full service diagnostic radiology services. High quality equipment includes: • 64 detector CT scanner capable of coronary artery CT angiography and virtual colonoscopy. • MRI including dedicated breast MRI. • Nuclear medicine including bone scans, thyroid imaging, cardiac imaging and other studies. • High resolution ultrasound. • DEXA bone density. • Digital, filmless department with digital storage and display of images. • The radiology department also provides PET/CT scanning for optimal staging and re-staging of cancers. Women’s imaging includes digital mammography with computer aided detection, breast ultrasound, as well as ultrasound guided and stereotactic guided breast biopsies. Women have their own private dressing area and waiting area for mammography and ultrasound. The breast health nurse navigator calls each patient with mammography results within twenty four hours and assists patients with scheduling and procedures. Hendersonville Radiological Consultants interpret the exams and perform interventional procedures including PICC line placement, biopsies, percutaneous drainage and vertebroplasty procedures.

Source: American Cancer Society, Cancer Prevention & Early Detection Facts & Figures

Ralph N. Ricco, M.D. Board Certified Diagnostic Radiologist

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Park Ridge Health Cancer Services

2011-2012 Annual Report

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Quality Improvement: Summary 2012 The Oncology Quality Improvement team, a subcommittee of the PRH Cancer Committee, meets on a quarterly basis to review cancer-related studies and quality measures, to identify or develop improvements as a result of studies and/or opportunities within the institution, and report the results of the activities to the PRH Cancer Committee. The following is a summary of cancer-related quality improvements during 2012: • • • • • • • • • • • • • • • • •

Monitor the Commission on Cancer, CP3R quality measures regarding breast and colorectal. Monitor a site specific study: Colorectal Cancer. (see study at beginning of this report) Monitor the Oncology Nursing Dashboard-Performance Improvement: Psychosocial Distress Screening Study. Monitor the Cancer Registry Quality Activities Expanded utilization of addressing spiritual needs as a result of the psychosocial distress screening study. Integrated Palliative Care Services with Oncology Services as a result of the psychosocial distress screening study. Established a new general cancer co-ed support group for patients, caregivers, and family members. Implemented utilization of smart pumps for the infusion center to ensure accurate and safe delivery of IV fluid products and/or medications. Ensured patient safety by utilizing new wristbands implemented with mPPID to be scanned by nurses in order to administer medication to the patient. Provided nutritional service consults in the Outpatient Oncology/Infusion Center setting. Offered clinical research trials to patients through NCI affiliate approval for participation in clinical research. Achieved American College of Radiology (ACR) Stereotactic Biopsy accreditation Achieved American College of Radiology (ACR) Breast Imaging Center of Excellence. Achieved National Accreditation Program of Breast Centers Accreditation (NAPBC) Achieved Commission on Cancer Accreditation with Commendation (CoC) Expanded outpatient oncology services to include Asheville Oncology/Hematology and Haywood Cancer Center, each a service of Park Ridge Health. Added six new medical oncologists/hematologists to the Park Ridge Health Medical Staff.

BREAST CENTER

The Park Ridge Health Breast Center is designed with women’s breast health in mind. It is a member of the National Consortium of Breast Centers and is recognized as a Certified Participant in the NQMBC program through the NCBC. The Breast Center is a multidisciplinary “clinic without walls” and offers breast surgery, medical oncology, radiation oncology, plastic surgery, an interdisciplinary breast cancer conference, genetic counseling, pathology, psychological counseling, a certified lymphedema therapist, patient navigator, and many other services either directly or by referral. Patients are seen not only for malignant disease, but also for a variety of breast concerns. The Center also offers in-office diagnostic ultrasound as well as ultrasound-guided procedures, such as vacuumassisted core-needle biopsy and stereotactic breast biopsy. Other services include mammography and breast MRI (accredited through the American College of Radiology (ACR). Surgical procedures are all performed on the Park Ridge Health campus.

The center is staffed with Oncology Certified Nurses and Navigators who coordinate individualized care for each of our patients at the clinic, as well as preoperative and postoperative education to all patients undergoing breast surgery. Our specialized team also serves as mammography nurses and facilitates the Breast Cancer Survivor and Friends support group, referrals and followup visits. Our Navigators also coordinate the American Cancer Society WNC Patient Resource Center, which is located at the Breast Center, as well as the Look Good Feel Better classes and Reach for Recovery referrals. Additionally, our care team also consists of an ONS Certified Breast Care Nurse and Breast Self-Examination Instructor through the NCBC. Our Medical Director, Mikhail Vinogradov, M.D., is board-certified in Oncology, and a member of the National Consortium of Breast Centers. Our surgeon, Michelle LeBlanc, M.D., is board-certified in Obstetrics and Gynecology, and is an Associate of the American Society of Breast Surgeons and the Mastery of Breast Surgery Certification Program. Our participation in clinical trials takes place primarily through ACOSOG.


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Park Ridge Health Cancer Services

2011-2012 Annual Report

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Cancer Registry The Cancer Registry uses a data system designed for the collection, management, analysis and reporting of information on patients with cancer who have been diagnosed and/or treated through Park Ridge Health. As required by law, each diagnosis of cancer or benign brain or central nervous system tumors in any person who is screened, diagnosed, or treated by the facility is reported to the North Carolina Central Cancer Registry, a unit of the North Carolina State Center of Health Statistics within the Division of Public Health, Department of Health & Human Services. The Cancer Program at Park Ridge Health is accredited by the American College of Surgeons, Commission on Cancer as a Community Hospital Cancer Program. Since 2005, the Cancer Registry at Park Ridge Health has accessioned more than 2100 cases into its database. Annually, Cancer Registry data is reported to the Commission on Cancer, National Cancer Data Base for use in national comparative studies; part of a nationwide effort to compile data on the diagnosis and treatment of all types of cancer. The Cancer Registry coordinates the monthly multidisciplinary Cancer Conferences. These conferences provide consultative services for patients and focus on pre-treatment evaluation, staging, treatment strategy and rehabilitation. The conferences offer education to physicians and allied health professionals in attendance. There were 28 cases presented during 2011 involving various primary sites of cancer. The Cancer Registry conducts annual follow-up on all patients treated for cancer at Park Ridge Health. Follow-up serves as a reminder to both physician and patient to schedule regular physical examinations. The Cancer Registry at PRH maintains a successful follow-up rate of 95% of these cases.

TABLE 4 – DISTRIBUTION OF CANCER BY SITE: 2011 CASES All Sites

Total Cases 348

Oral Cavity 13 Digestive System 44 Esophagus 4 Stomach 2 Colon 21 Rectum 6 Liver 3 Pancreas 6 Other 2 Respiratory System 47 Nasal/Sinus 1 Larynx 5 Lung/Bronchus 41 Blood & Bone Marrow 26 Leukemia 14 Multiple Myeloma 2 Other 10 Bone 1 Soft Tissue 3 Skin 22 Melanoma 22 Breast 84 Female Genital System 6 Cervix Uteri 1 Corpus Uteri 2 Ovary 3 Male Genital System 50 Prostate 50 Urinary System 24 Bladder 17 Kidney/Renal 7 Brain & Cns 9 Endocrine 5 Thyroid 4 Other 1 Lymphatic System 10 Hodgkin’s Disease 1 Non-Hodgkin’s 9 Unknown Primary 4

Analytic 244

Non-Analytic 104

Male Female 166 182

10 33 1 2 17 4 2 5 2 22 1 4 17 16 9 1 6 0 3 21 21 60 4 1 2 1 37 37 20 15 5 6 3 3 0 8 1 7 1

3 11 3 0 4 2 1 1 0 25 0 1 24 10 5 1 4 1 0 1 1 24 2 0 0 2 13 13 4 2 2 3 2 1 1 2 0 2 3

9 4 24 20 4 0 2 0 9 12 2 4 2 1 5 1 0 2 27 20 0 1 3 2 24 17 15 11 7 7 2 0 6 4 1 0 3 0 13 9 13 9 0 84 0 6 0 1 0 2 0 3 50 0 50 0 13 11 11 6 2 5 2 7 2 3 1 3 1 0 6 4 0 1 6 3 1 3

SUMMARY OF CANCER REGISTRY DATA FOR 2011: During 2011, there were 348 new cancer cases accessioned into PRH’s Cancer Registry. Of these, 70% were analytic cases (initially diagnosed and/or treated at this facility). The remaining 30% were non-analytic cases (diagnosed and/or treated elsewhere receiving subsequent treatment at this facility). The Primary Site Table (Table 4) reveals anatomical sites for all cancer that were either diagnosed and/or treated at PRH during 2011.


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Park Ridge Health Cancer Services

2011-2012 Annual Report

GEOGRAPHIC DISTRIBUTION: 2011 ANALYTIC CASES Diagnosis County

2011 Total Values Nbr (%)

Buncombe Caldwell Cherokee Clay Haywood Henderson Mcdowell Macon Madison Mitchell Polk Rutherford Swain Transylvania Out Of State

48 19.7 2 0.8 1 0.4 1 0.4 5 2 145 59.4 2 0.8 2 0.8 2 0.8 2 0.8 12 4.9 3 1.2 1 0.4 12 4.9 6 2.5

Overall Totals

244

0%

60% of the patients diagnosed and/or treated during 2011 were residents of Henderson County.

100

AGE AT DIAGNOSIS DISTRIBUTION The gender distribution of all cancer patients at PRH was 49% male and 51% female. The largest age distribution of patients was between the ages of 60 and 69 years (36%), followed by the 70 to 79 age group (23%). According to the 2010 Census, persons 65 years and older in Henderson County is 22.4%, while the state of NC is 12.9%. http://quickfacts.census.gov/qfd/states/37/37089.html

TABLE 6 –PREVALENT TEN MOST PREVALENT CANCER SITES 2011 TEN MOST CANCER SITES 2011

BREAST

Caldwell .8%

Vance Warren Granville

Mitchell .8%

LUNG

Madison .8%

Franklin

Haywood 2.%

PROSTATE

Wake

Buncombe McDowell 19.7% .8%

10% 15%

20% 25%

30%

Gates Northampton CamdenCurrituck Hertford Pasquotank Halifax Perquimans Chowan Bertie

Nash

Swain .4%

5%

Edgecombe

Martin

Washington Tyrrell

Dare

Wilson Pitt

Johnston

COLORECTAL

Greene

Hyde

Beaufort

Wayne Lenoir

Polk 4.9% Cherokee .4%

Clay .4%

Macon .8%

Henderson 59.4% Transylvania 4.9%

BLADDER

Rutherford 1.2%

AGE GENDER 2011 2011 TABLE 5 –BY AGE BY GENDER 60 50 40

Duplin

NH LYMPHOMA Bladen

Pamlico

Onslow

Carteret

Pender

CORPUS Columbus

UTERI

New Hanover

PARK RIDGE HEALTH 2011 Male

LEUKEMIA

Female

CERVIX

20 10 20-29

30-39

40-49

VIRGINIA SOUTH CAROLINA 50-59 60-69 TENNESSEE 70-79 80-89 90+

These figures were obtained from the Cancer Facts & Figures 2011, as published by the American Cancer Society. PRH figures were obtained from the total number of analytic cases accessioned during 2011. Respectfully Submitted, Park Ridge Health Cancer Registry

Brunswick

MELANOMA

30

0

Sampson

Craven Jones

As shown here, cancer prevalence represents the most common cancers diagnosed and/or treated at PRH in 2011 compared to those expected across North Carolina and the United States according to the American Cancer Society, Cancer Facts & Figures 2011. Our incidence rates of breast cancer; colorectal cancer, melanoma and leukemia were slightly higher than national and state figures. Incident rates for lung, Non-Hodgkin’s lymphoma, corpus uteri, and cervical cancer were slightly lower than state and national figures. While prostate cancer is comparable to state and national figures.

ACS PROJECTED FIGURES NORTH CAROLINA 2011 ACS PROJECTED FIGURES NATIONAL 2011

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Park Ridge Health Cancer Services

2011-2012 Annual Report

Supportive Services NUTRITIONAL SERVICES

HOSPICE CARE

Nutritional Services is very closely linked across the continuum of the diagnosis of cancer. Patients, families and health care providers look to the expertise of the nutrition professional to aide in their search for answers to the puzzles that a diagnosis can bring. Prevention is another area where a registered dietitian is one of the key players. They provide education and support for the many questions that arise when the word Cancer enters a person’s life.

Working in cooperation with Park Ridge Health, Four Seasons Hospice and Palliative Care, is a non-profit organization, deeply committed to serving the community through fulfilling its mission of affirming life and providing holistic care in harmony with the goals of individuals with serious life-limiting conditions while offering support to their families and loved ones.

At Park Ridge Health, a registered dietitian is at the direct disposal of anyone seeking answers before, during and after a cancer diagnosis. A trained nutrition professional is involved in the Cancer Committee, providing expertise and services the committee as needed. A “Breast Cancer Survivor & Friends” meeting is facilitated by the dietitian every year to directly answer questions patients and families might have. Clinical services are also provided in the inpatient setting for patients and families under stress and strain of a cancer diagnosis.

NURSING STAFF

PASTORAL CARE At Park Ridge Health, we believe that true health comes from caring for the whole person-mind, body and spirit. As the only faith-based hospital in Western North Carolina, we provide those guests who wish to do so, with the opportunity to grow in their spiritual health. Our Pastoral Care team is comprised of compassionate individuals who are devoted to providing non-denominational support to our guests, visitors and Park Ridge Health family. They are also available to assist with contacting your personal place of worship if you wish to visit with your personal religious counselor. To help ease the transition for those admitted to our facility, all new guests of Park Ridge Health are visited by one of our Pastoral Care team members within 24 hours of admission.

CASE MANAGEMENT AND DISCHARGE PLANNING Case Management and Discharge Planning services are available to all oncology patients and their families. Park Ridge Health Case Managers are licensed, trained professionals who are experienced when it comes to assessing patient and family needs. Case Managers meet with patients and /or their family members privately to discuss needs and to provide information regarding community resources, financial counseling and educational materials. They act as patient advocates by working closely with all members of the Healthcare Team to facilitate optimal outcomes. Their goal is to address and resolve patients’ concerns to their satisfaction. All information shared with the Case Manager is confidential.

Park Ridge Health is committed to caring compassionately for oncology patients. Our Oncology staff includes registered nurses on staff who have demonstrated a desire to go beyond traditional nursing by completing special training for administering chemotherapy and caring for oncology patients. In addition, several of these nurses have completed additional training/certification and have received the designation of Oncology Certified Nurse (OCN), and Certified Breast Care Nurse (CBCN) certifications that require candidates to demonstrate knowledge in cancer nursing through experience and testing. Our nurses demonstrate a desire to treat the entire patient emotionally, spiritually, as well as physically throughout their stay. At Park Ridge Health, we aspire to give each patient a positive experience with the knowledge that those in charge of their care take an interest in them personally.

LABORATORY/PATHOLOGY Park Ridge Health Laboratory offers comprehensive services to support the needs of the cancer program. STAT clinical laboratory testing is available to patients awaiting chemotherapy treatment. Anatomic Pathology services to include Histology and Cytology are performed on-site to minimize turnaround time of final pathology reports. Pathology services and Medical Directorship are provided through a contractual relationship with Mountain Area Pathology, a local entity that offers consistent coverage for pathology. Representatives from the Laboratory and the Medical Director are regular participants in the monthly cancer conference, an interdisciplinary committee that focuses on best practice for cancer care.

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Park Ridge Health Cancer Services

2011-2012 Annual Report

ADDITIONAL PARK RIDGE HEALTH SUPPORT SERVICES • Breast Cancer Survivors and Friends Support Group • Cancer Support Group • Consultation • Education • Genetics • Home Health Care • Infusion Therapy • Look Good, Feel Better® • Mental Health Care • Nutrition Support • Pain Management • Palliative Care & Hospice • Pastoral Care Services • Smoking Cessation Services • Social Service Support

PARK RIDGE HEALTH REHABILITATION SERVICES • • • • • • •

Lymphedema Management Music Therapy Occupational Therapy Physical Therapy Speech Therapy Stomal Therapy Wound Care

Kenmure Fights Cancer

Park Ridge Health Contacts

Charitable giving touches the lives and hearts of countless people who battle cancer at Park Ridge Health. For the past four years, the residents of Kenmure in nearby Flat Rock have dedicated their annual fundraising efforts toward fighting cancer in our community. Park Ridge Health is deeply grateful to be a beneficiary of Kenmure Fights Cancer and for its gifts totaling $61,000. Thanks to this caring community, Park Ridge Health continues to purchase much needed equipment used in our patients’ cancer treatment.

You can access the Park Ridge Health Cancer Program by letting your physician know you want to be treated at Park Ridge Health. To schedule, call the following access points:

Park Ridge Team Relay for Life On, June 20, 2012, dozens of Park Ridge team members came out to the annual Fletcher Relay for Life on to volunteer, cheer and show their support for cancer survivors and hope for a cure.

Radiology - Ask your physician to schedule through Park Ridge. Stereotactic Breast Biopsy - Ask your physician to schedule through Park Ridge. Physician Offices: ENT (Ear, Nose, Throat) – 828.650.2748 Surgery – 828.654.0073 Dermatology - 828.654.6045 Plastic/Recon. Surgery – 828.654.5005 Endoscopy/Colonoscopy - 828.654.0073 Urology – 828.654.6015 Women’s Health Park Ridge OB/GYN - 828.650.8077 Hendersonville OB/GYN - 828.687.3800 Park Ridge Women’s Services - 828.698.9934 Cancer Services Offices: Breath Health Center – 828.650.2790 Park Ridge Health Hematology and Oncology – 828.681.2917 Asheville Hematology & Oncology – 828.254.8232 Haywood Infusion Center – 828.456.5214 If you would like more information about any of our Park Ridge Health physicians or to make an appointment, call 855.PRH.LIFE (855.744.5433). Find us online at parkridgeheatlh.org/cancer-services.

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Park Ridge Health Cancer Services

2011-2012 Annual Report

Park Ridge Health Cancer Program Leadership

Park Ridge Health Cancer Program

2011-2012 CANCER COMMITTEE MEMBERS

REFERENCES

PHYSICIAN MEMBERS

Cancer Facts and Figures, American Cancer Society National Cancer Data Base, Hospital Comparison Benchmark Reports & Survival Reports Park Ridge Health Cancer Registry

Mikhail Vinogradov, MD, Medical Oncology/Hematology, Chair Daniel Baseman, MD, Radiation Oncology Quinten Black, MD, Radiation Oncology Rory Dalton, MD, Pathology Thomas Eisenhauer, MD, General Surgery Patricia Hart, MD, Palliative Care Services Michelle LeBlanc, MD, OB/GYN, Breast Surgeon, Cancer Liaison Physician W. Mark McCollough, MD, Radiation Oncology, Cancer Conference Coordinator Ralph Ricco, MD, Diagnostic Radiologist Paul Schaefer, MD, Medical Oncology/Hematology, Clinical Research Coordinator

ADDITIONAL MEMBERS Leigh Angel, RN, Med/Surg Director Tiffany Burghart, RN, OCN, Inpatient Oncology Melissa Chandler, CTR, Cancer Registry Sarah Gayle, MPH, American Cancer Society Debbie Gentry, BSN, OCN, CBCN Oncology & Breast Health Manager Renae Johnson, RN, Quality Coordinator Kimberly Kite, RN, BSN, Med/Surg Nursing Director Sharon Labbate, CTR, Cancer Registry Craig Lindsey, RN, VP Clinical Services Jenna Miller, PT, DPT, CLT, Rehabilitative Services Patricia Scholtz, RD, Dietician Diane Sedgwick, RN, BSPA, MHSA, Cancer Program Administrator, Community Outreach Coordinator Chaplain Art Slagle, Pastoral Care Paula Stegall, PharmD, Oncology Pharmacist Suzanne Watkins, RN, OCN, Patient Navigator Deborah Wooten, RN, Case Management

ACKNOWLEDGMENTS This has been an outstanding year for our cancer program and would not be possible without the great team of dedicated professionals working together to meet this goal. This report can also be accessed via the Park Ridge Health website: parkridgehealth.org/cancer-services

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