healing arts - 2014 annual cancer report

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  • Healing Arts2014 AnnualCancer Report

  • Our footprint is expanding, making the Cone Health Cancer Center an even greater resource for handling the growing need for cancer care in our communities. The expansion can be attributed, in large measure, to the opening of the new Cancer Center at Alamance Regional Medical Center. The $21 million, two-story, 44,000-square-foot facility opened in January 2014.

    The renovated and expanded facility houses 24 exam rooms, two treatment rooms and 30 chemotherapy treatment areas three times the space that was previously available. The chemo areas range from private rooms to communal areas where patients can establish bonds with others during time-consuming treatments. All of the spaces have views of a 2.5-acre healing garden.

    The Cone Health Cancer Center at Alamance Regional Medical Center houses two radiation vaults, one of which contains a new TrueBeam linear accelerator. The TrueBeam uses powerful bursts of highly-focused radiation to accurately target and kill cancer cells, resulting in fewer side-effects and shorter treatment times. The other vault contains equipment to plan radiation treatments and equipment used in brachytherapy, an advanced seed implantation technique used to treat prostate cancer.

    Growth of the Cone Health Cancer Center can also be attributed to a partnership between Cone Health and Randolph Hospital to bring state-of-the-art cancer care to Randolph County and surrounding areas.

    Novel Use of Technology to Improve Patient Safety

    Thanks to the innovative and creative thinking of Cone Health Physicists David Wiant, PhD, and B. J. Sintay, PhD, cameras and computers ordinarily used to monitor patients are being used in a novel way to make treatments safer and more effective.

    The AlignRT system uses computers and six cameras to collect 3,000 data points that create detailed 3-D images of patients. Wiant and Sintay are using these images to position a patient on a radiation treatment table to within 1mm accuracy. The systems accuracy means that the cancer gets as much radiation as possible while sparing the surrounding healthy cells and structures. This method also reduces the amount of radiation the patient gets from X-rays that were previously used to align the patient and the lasers.

    This novel use is the first time doctors can correct for any small patient movement, which allows Cone Health doctors to better use breathe and hold techniques for breast cancer patients. Taking a deep breath fills the lungs with air moving the breast tissue away from the heart, reducing radiation to the heart and avoiding subsequent heart problems in 15 to 20 years. Seeing a detailed image allows the radiation to be turned off when the patient begins exhaling. Cone Health Cancer Center will begin exploring the use of AlignRT-assisted breathe and hold techniques for other cancer patients such as those with liver cancer and lung cancer.

    These are the types of best practices we will share with the Levine Cancer Institute of Carolinas HealthCare System as we move forward with building a mutually beneficial, collaborative relationship. A hallmark of the Cone Health Cancer Center is sharing what weve learned through our own innovation as well as learning from others as they work to discover and create best-in-class cancer care.

    Healing Arts:As Observed by An Artist Letter to our Stakeholders

    I noticed two women taking

    photographs of the revolving butterfly

    sculpture on the second floor of the

    Cancer Center and asked if they liked

    it. One of them replied,Oh, yes. My

    brother is being treated here for neck

    cancer. I come here with him, but it is

    so hard and so painful. The only thing

    that makes it possible for me to come

    into this building is the art.

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  • Breaking Ground with Oral Chemotherapy

    Another such innovation involves making the growing practice of prescribing oral chemotherapy as safe as possible. Chemotherapy, while effective in treating cancer, is also highly toxic. Chemotherapy works by killing cancer cells within the body, which also causes harm to healthy, normal cells. However, while healthy cells regenerate, cancer cells do not. In a clinical setting, we can very closely monitor dosage and the effect on patients. But what happens when a patient is taking oral chemotherapy at home? That question is currently being studied by Cone Health researchers.

    We are one of several cancer centers around the nation looking into and establishing best practices for communicating with patients. Those practices include how and when to take these drugs, safe storage, drug handling and disposal procedures, and when it is important to check in with a professional healthcare provider.

    This groundbreaking work will help define the next generation of cancer care.

    In This Report

    The theme of this years report is Healing Arts. When you arrive at the Cone Health Cancer Center, one of the first things you experience is the power of art to stimulate, to inspire and to heal. This power can be felt throughout the Cone Health Cancer Center as you enjoy the more than 70 pieces of art that were underwritten by community contributions. The healing arts collection celebrates all forms of visual arts, including paintings, photography, fused and stained glass, ceramics and metal sculpture. In 2014, we invited local artists to set up a table and art supplies to create a dedicated space where patients can engage in spur-of-the-moment, interactive art activities. Throughout this report, you will find photos of the artwork as well as the stories told to and by the artists as theyve witnessed the profound impact art has had on our patients.

    Also in the following pages, we summarize some of our most important advances for 2014 as well as 2013 data from our Cancer Registry.

    If you or a loved one has cancer, wed like to help. Please go to conehealth.com for additional information about our program.

    Sincerely,

    Cone Health Cancer Center at Wesley Long Hospital is accredited by the American College of Surgeons Commission on Cancer and the National Accreditation Program for Breast Centers. The Cone Health Cancer Center at Alamance Regional has earned a three-year accreditation with commendation from the American College of Surgeons. The Cone Health Cancer Center at Alamance Regional is also certified under the Quality Oncology Practice Initiative Program of The American Society of Clinical Oncology.

    The data in this report includes Alamance Regional Medical Center and represents calendar year 2013 unless otherwise noted.

    Skip Hislop Brendan Fitzpatrick Vice President for Oncology Services Executive Director, Cone Health Cancer Center atCone Health Cancer Center at Wesley Long Hospital Alamance Regional Medical Center

    Firas Shadad, MD Timothy Finnegan, MDChairman, Cancer Committee Chairman, Cancer CommitteeCone Health Cancer Center at Cone Health Cancer Center at Wesley Long Hospital Alamance Regional Medical Center

    Faera Byerly, MD Timothy Oaks, MDCancer Liaison Physician Cancer Liaison PhysicianCone Health Cancer Center at Cone Health Cancer Center at Wesley Long Hospital Alamance Regional Medical Center

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  • Cone Health Surpasses Others in Quality Patient CareEach year, we submit specific data to the National Cancer Data Base, which allows us to compare the effectiveness of our quality improvement measures against those of other cancer centers across the nation, including other programs that are accredited by the American College of Surgeons Commission on Cancer. The measures against which we benchmark ourselves are endorsed by the National Quality Forum. These measures emphasize the quality of patient care as well as the importance of accurate and complete documentation of care. Breast, colon and rectum cancers are the only ones identified by the Commission on Cancer for inclusion in this benchmarking.

    The following charts, based on 2012 data, demonstrate how Cone Health Cancer Center compares and the percentage of patients who were affected.

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    Cone HealthCancer Center

    100

    90

    80

    70

    60

    50

    40

    30

    20

    10

    0

    Perc

    enta

    ge

    Dia

    gn

    ose

    d

    Bre

    ast

    Can

    cer

    Pati

    ents

    88.9

    SimilarPrograms

    88.4

    All Commissionon Cancer Approved

    Programs

    87

    Radiation Therapy Administered Within One Year for Patients Receiving Breast Conservation Surgery

    Cone HealthCancer Center

    100

    90

    80

    70

    60

    50

    40

    30

    20

    10

    0

    Perc

    enta

    ge

    Dia

    gn

    ose

    d

    Bre

    ast

    Can

    cer

    Pati

    ents

    92.9

    SimilarPrograms

    86.4

    All Commissionon Cancer Approved

    Programs

    85.7

    Chemotherapy Administered Within Four Months

  • Two different patients approached

    me in the lobby to comment on the

    Gardens of Joy displayed throughout

    the lobby. These small sculpture

    gardens were created by patients in

    the Healing Art Days program. One

    individual said she was very much

    touched by the wishes for joy that

    patient participants had expressed to

    those who would see the gardens.

    The other said that the gardens were

    so colorful and joyful that she had to

    wander around the lobby to find each

    of the five pots of clay flowers and

    examine each one.

    Healing Arts:As Observed by An Artist

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    Cone HealthCancer Center

    100

    90

    80

    70

    60