2010-2011 cancer services annual report

B R E A S T C E N T E R

2010 -2011 Annual Report

The First Western North Carolina Hospital to win the Outstanding Achievement Award from the Commission on Canceron our first survey.

Taking Cancer Care to Heart

Table of Contents

Cancer Committee Chairman ....................................................................1Analysis: Lung Cancer .................................................................................2Specialty Services ........................................................................................7State-of-the-Art Diagnostic Radiology .......................................................10Quality Improvement Summary 2011 ........................................................11Park Ridge Health Breast Center ...............................................................12Cancer Registry .........................................................................................13Supportive Services ...................................................................................17Additional Support Services ......................................................................19Rehabilitation Services ..............................................................................19Kenmure Fights Cancer .............................................................................20Park Ridge Relay Team For Life ..................................................................20Park Ridge Health Access Points ...............................................................21Park Ridge Health Cancer Program Leadership.......................................21References .................................................................................................22Acknowledgements ...................................................................................22

Park Ridge Health’s oncology program has been recognized by the American College of Surgeons’ Commission on Cancer as offering the very best in cancer care.

Our oncology program was also awarded the Outstanding Achievement Award, becoming the first hospital in Western North Carolina to receive this honor.

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


2010-2011 Annual Report

Park Ridge Health Cancer Services

In 2010, more than 200,000 women were diagnosed with breast cancer. Twelve percent of women – that’s one in eight – will develop invasive breast cancer at some point in their lives. Two years ago, at age 73, Sharon Pratt found herself in that 12 percent. “My surgeon was looking for an oncologist who was going to be available very soon, because I was very high risk,” Sharon said.

After several surgeries, Sharon’s fears were confirmed. “The team found I had cancer in my lymph nodes,” she explained. “They removed 18 of my lymph nodes, and 16 of them had cancer.”

Now diagnosed with advanced category II breast cancer, Sharon was referred to the Park Ridge Infusion Center for treatment. What she found there, surprised her. “They turned out to be the most pleasant, knowledgeable and caring group of health care providers I’ve ever met,” Sharon said. “I felt that it was part of Park Ridge’s demeanor to make you feel comfortable, to make you feel safe.”

“There were times I wanted to quit,” she added, “but I bless the infusion team – Suzanne, Blake, Donna, everyone -- for helping me keep a positive attitude through this.” Sharon completed cancer treatment in

October – but before she did, she made a promise to herself. “I made the decision that I would be a volunteer at Park Ridge,” she said.

Now, Sharon says, she is proud to be working with the same people who gave her the strength and courage to persevere through her battle with cancer. “As someone who has recently been a patient, Sharon understands how important it is to remain positive,” said Debbie Gentry, R.N., B.S.N., Oncology/Infusion and Breast Health Manager at Park Ridge Health. “Whether it is a smile, warm blanket, hug or simply giving encouragement to patients, Sharon is always willing to stop and ask how someone is feeling. She spoils all of the staff with her willingness to help.”

“I am committed to helping others based on my experiences with the disease,” Sharon explained. “I tell patients, ‘I’ve been in that chair, and I’ve been through the chemicals, and I do understand your fears… but if you continue with a good attitude, your story will be like my story: It will be one where you can go on living.”

Sharon is doing just that. “I just turned 75,” she said. “ I feel very good. I feel very positive. My attitude has been nothing more than, ‘Let’s live each day.’”

A Survivor’s HEARTThis cancer survivor didn’t just win the battle against disease: She won the battle against fear. Now, Sharon Pratt is volunteering her time to share her story and offer her support to patients who are facing the same fight.


We at Park Ridge Health have worked hard to assure that we meet or exceed to offer our patients the very best in health care. As part of the Commission on Cancer’s Accreditation Program, we maintain the current standards of cancer care.

Our goal and vision is 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. In order to achieve this, we offer many screening and wellness programs to promote early detection. We participate in national quality programs to make sure our patients are treated with the same treatment options as the rest of the country. This offers our patients high quality treatment and care without leaving the comfort of their hometown and family support.

Mikhail Vinogradov, M.D., OncologistBoard-Certified Hematology & Medical Oncology Internal MedicineChairman, Park Ridge Health Cancer Committee


1

Cancer Committee Chairman


2

Analysis: Lung CancerAn estimated 222,520 new cases of lung cancer were expected in 2010, which is more than 610 cases a day. Lung cancer remains the leading cause of cancer deaths in both males and females. Lung cancer is classified clinically as small cell (14%) or non-small cell (85%) for the purposes of treatment. (American Cancer Society, 2010).

At Park Ridge Health there were 187 new cases of lung cancer identified between 2005 and 2010 by

our Cancer Registry. There were 151 cases of non-small cell lung cancer and 36 cases of small cell lung cancer. This study will analyze both non-small cell and small cell lung cancers diagnosed and/or treated at Park Ridge Health. Of the 187 cases, there were 85 males (45%) and 102 females (55%). In Table 1, gender at our facility is compared to data from North Carolina and the National Cancer Data Base (NCDB).

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

MALE FEMALE

45.5%58.1%56.4%

54.5%41.9%43.6%

PRHNC

NCDB

Gender: Lung CancerPRH-NC-NCDB

Table 1

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At Park Ridge Health the age at diagnosis ranged from 40 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.


Table 2

Age at Diagnosis of Lung CancerPRH-NC-NCDB

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

40-49 50-59

27.2%32.4%34.9%

PRHNC

NCDB

60-69 70-79 80-89 90+

4.0%6.1%5.0%

20.5%17.5%14.6%

36.4%31.5%29.0%

10.6%11.0%15.0%

1.3%0.5%1.0%


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Bronchoscopy and Computerized Tomography (CT) guided needle biopsy is the most frequently diagnostic procedure utilized to obtain pathologic confirmation of suspected lung cancer which determines treatment. The introduction of the Endo-Bronchial Ultrasound (EBUS), 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 2010 at Park Ridge Health presented with advanced stage lung cancer. Researchers are working on developing effective methods to screen for lung cancer. Currently, there is no generally accepted screening test for lung cancer.

Table 3

AJCC Stage of Non-Small Cell Lung CancerPRH-NC-NCDB

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

Stage 1 Stage 2 Stage 3 Stage 4 Unk Stage

PRHNC

NCDB

21.0%25.2%20.4%

5.0%7.6%7.0%

30.0%25.3%25.5%

5.0%6.9%10.4%

39.0%34.9%36.4%

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The vast majority of individuals who develop lung cancer could have avoided the disease by not consuming tobacco or tobacco-related products. Smoking awareness is extremely important in lung cancer prevention. Smoking accounts for at least 30% of all cancer deaths and 87% of lung cancer deaths. (American Cancer Society, 2010). Of the 187 cases at Park Ridge Health, 48% were current smokers; 30% were former smokers; 10% never used tobacco; and 12% of the cases had unknown tobacco usage. Table 4.

Lung cancer cases were often presented at a multidisciplinary tumor conference with review of pathology and imaging studies to facilitate a treatment plan in accordance with NCCN (National Comprehensive Cancer Network) guidelines.

For stage I and II non-small lung cancer, surgery is usually the primary treatment. At Park Ridge Health, a large portion of the patients diagnosed from 2005 to 2010 presented with advanced disease. Therefore the most common treatment for non-small cell lung cancer was chemotherapy and radiation therapy, while the most common treatment for small cell lung cancer was chemotherapy. Often palliative care was requested by the patient with advanced stage cancer, rather than aggressive therapy.

Table 4

Lung Cancer and TobaccoPRH 2005-2010

CURRENTCIGARETTESMOKER

48%

PREVIOUS USE30%

UNKNOWN12%

NEVERUSED10%


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Compared to state and national data, the five-year observed survival rate continues to be low for all stages of non-small and small cell lung cancer, which follows the national trend. In addition, the five-year survival rate for small cell lung cancer is lower than that for non-small cell lung cancer. However, while Park Ridge Health has a small selection of cases from 2005 in both of the following comparison graphs, a slightly higher overall survival rate of (Stage 4) non-small lung cancer and localized small cell lung cancer is noted.

In conclusion, lung cancer remains a common cancer diagnosed at Park Ridge Health, second only to breast cancer. From 2005 to 2010, more females were diagnosed with lung cancer than males. The majority of patients presented with advanced stage lung cancer. Non-small cell lung cancer remains more common than small cell lung cancer, which is consistent with the national trend. Tobacco is the most important risk factor for lung cancer.

Mikhail Vinogradov, M.D., Medical OncologyPRH Cancer Registry

NSCLC Observed Survival RatesPRH Cases Diagnosed in 2005PRH-NC-NCDB

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

Stage 1 Stage 2 Stage 3 Stage 4 Overall

PRHNC

NCDB

33.3%73.5%74.8%

0.0%63.4%64.0%

25.0%49.4%49.9%

17.2%15.8%15.7%

7.1%6.4%6.6%

Small Cell Lung Ca: Observed Survival RatesPRH Cases Diagnosed 2005PRH-SEER

PRHSEER

50.0%21.2%

0.0%13.6%

0.0%2.7%

11.1% 6.1%

50.0%

45.0%

40.0%

35.0%

30.0%

25.0%

20.0%

15.0%

10.0%

5.0%

0.0%Local Regional Distant Overall


Specialty ServicesPARK RIDGE ONCOLOGY 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, ample reading materials and a gorgeous view of the mountain scenery.

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 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.

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GENERAL SURGERYWe 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.

SERVICES INCLUDE:• Inpatientandoutpatientsurgeries • Generalsurgery• GPSnavigationalsurgicaltechnology using lasers to pinpoint locations for surgical treatment• Orthopedicandspinesurgeries

SOME SPECIALTY AREAS ARE:• Treatmentofbreastdisease• Minimallyinvasivebreastdisease• Stereotacticandultrasoundguided breast biopsies• Sentinellymphnodebiopsies• Lungcancersurgery• Endoscopy• LaparoscopicsurgeryforGERD(acidreflux)• Colonoscopyincludingcoloncancer screening• Sigmoidoscopy• Surgery,includinglaparoscopicsurgery for colon cancer• Skincancer• Thyroidandparathyroidsurgery

RECONSTRUCTIVE SURGERYMore and more people are opting for plastic surgery to improve their personal appearance and to enhance their self esteem. As a result, more now than ever, it is important to do your research and to clearly understand the services offered. Making the decision to have plastic surgery is not an easy one, but it could prove to be a very rewarding one.

PARK RIDGE HEALTH PLASTIC SURGERY SERVICESPark Ridge Health offers plastic surgery services for the body and skin.

BODY• Breastenhancement(augmentation). Giveyourselfesteemaboost. • Breastreduction.Relievephysicalpain and improve size.• Breastlift(mastopexy).Rejuvenateyourfigure.• Liposuction(Bodycontouring).Improveyour body’s contours and proportions.• Malebreastreduction.Getafirmer, flatterchest.

OTHER TREATMENTSWe also offer the following services to our guests. They include:• Skincancer• Breastreconstruction• Woundcare• Scarrevision

2010-2011 Annual Report2010-2011 Annual Report

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UROLOGYAt 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 HEALTHPark 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.

DERMATOLOGYPark 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.

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

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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:• 64detectorCTscannercapableofcoronaryartery, CT angiography and virtual colonoscopy.• MRIincludingdedicatedbreastMRI.• Nuclearmedicineincludingbonescans,thyroidimaging, cardiac imaging and other studies.• Highresolutionultrasound.• DEXAbonedensity.• Digital,filmlessdepartmentwithdigitalstorageanddisplayofimages.• PET/CTscanningforoptimalstagingandre-stagingofcancers.

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.

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

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SUMMARY 2011

Quality Improvement

Nursing staff continuously monitors pain assessment and interventions for inpatients on the Oncology Unit. For the year 2011 pain assessment compliance was recorded at 80 percent. Documentation of Patient Education and Response to Pain Medication was recorded at 78 percent. Alternative pain relief interventions were utilized 76 percent of the time.

Using data from January – December 2011, a comprehensive review of charts showed the following results related to the patient’s implantable ports:

a. Were assessed per policy at 70 percent of the time. b. Had dressing changes performed per protocol at 65 percent

The patient population has been expanded to include more of the inpatient population than in years prior. The Oncology Nursing Supervisor continues to provide education to those staff caring for this patient population. The Oncology Nursing Supervisor has met with the Nursing Education Director to develop learning modules to ensure Nursing Staff provides the best possible care to the oncology inpatient population.

A Quality Sub-committee of Cancer Committee has also been established during the end of 2011 to further improve Quality through Park Ridge Cancer Services. This sub-committee will meet on a bimonthly basis to guide Quality Improvement with Park Ridge Cancer Services.


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, suchas vacuum-assisted core-needle biopsy and stereotactic breast biopsy (our goal is for a new unit to be installed at the Breast Center in 2013). 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 follow-up 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 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 is obtaining further credentialing through the Mastery of Breast Surgery Certification Program. Our participation in clinical trials takes place primarily through ACOSOG.


NAP BCNATIONAL ACCREDITATION PROGRAM

FOR BREAST CENTERS 12


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Cancer RegistryThe 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 1700 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 to cancer patients diagnosed and/or treated at PRH, and focus on pre-treatment evaluation, staging, treatment strategy and rehabilitation. There were 22 cases presented during 2010 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 94% of these cases.

Summary of Cancer Registry Data for 2010:During 2010, there were 260 new cancer cases accessioned into PRH’s Cancer Registry. Of these, 80% were analytic cases (initially diagnosed and/or treated at this facility). The remaining 20% were non-analytic cases (diagnosed and/or treated elsewhere receiving subsequent treatment at this facility). The cancer registry has greater than 1700 cases since 2005.


SUMMARY OF CANCER REGISTRY DATA FOR 2010:

During 2010, there were 260 new cancer cases accessioned into PRH’s Cancer Registry. Of these, 80% were analytic cases (initially diagnosed and/or treated at this facility). The remaining 20% were non-analytic cases (diagnosed and/or treated elsewhere receiving subsequent treatment at this facility). The cancer registry has greater than 1700 cases since 2005.

All Sites Total Cases Analytic Non-Analytic Male Female 260 208 52 130 130Oral Cavity 4 3 1 1 3Digestive System 34 25 9 19 15 Esophagus 4 2 2 1 3 Stomach 2 2 0 2 0 Colon 18 12 6 8 10 Rectum 2 2 0 2 0 Liver 3 2 1 2 1 Pancreas 1 1 0 0 1 Other 4 4 0 3 1Respiratory System 47 39 8 33 14 Larynx 3 2 1 3 0 Lung/Bronchus 44 37 7 30 14Blood & Bone Marrow 9 7 2 7 2 Leukemia 3 3 0 2 1 Multiple Myeloma 2 2 0 2 0 Other 4 2 2 3 1Soft Tissue 6 6 0 6 0Skin 6 4 2 4 2 Melanoma 5 4 1 3 2 Other 1 0 1 1 0Breast 68 55 13 0 68Female Genital System 9 6 3 0 9 Cervix Uteri 1 0 1 0 1 Corpus Uteri 3 2 1 0 3 Ovary 4 3 1 0 4 Other 1 1 0 0 1Male Genital System 32 26 6 32 0 Prostate 31 25 6 31 0 Other 1 1 0 1 0Urinary System 18 12 6 15 3 Bladder 14 10 4 13 1 Kidney/Renal 3 1 2 1 2 Other 1 1 0 1 0Brain & Cns 2 2 0 1 1Endocrine 7 7 0 1 6 Thyroid 7 7 0 1 6Lymphatic System 14 13 1 9 5 Hodgkin’s Disease 4 4 0 2 2 Non-Hodgkin’s 10 9 1 7 3Unknown Primary 4 3 1 2 2 14

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GEOGRAPHIC DISTRIBUTION: 2010 ANALYTIC CASES In 2010, 71% of patients diagnosed and/or treated at Park Ridge Health for cancer were residents of Henderson County, home to Park Ridge Health.

AGE AT DX DISTRIBUTIONThe gender distribution of all cancer patients at PRH was 50% male and 50% 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 (28%). According to the 2010 Census, 22.4% of persons in Henderson County are 65 years and older, while 12.9% of the state of North Carolina falls into that age bracket.

http://quickfacts.census.gov/qfd/states/37/37089.html

2010 Age By Gender

0

5

10

15

20

25

30

35

40

20-20 30-39

MaleFemale

40-49 50-59 60-69 80-8970-79 90-99

Pitt

Wake

Hyde

BladenPender

Bertie

Duplin

Onslow

Beaufort

Nash

Craven

Sampson

Halifax

Columbus

Johnston

Jones

Carteret

Brunswick

Burke1%

Wayne

DareMartin Tyrrell

Buncombe13.5%

Gates

Lenoir

Warren

Franklin

Wilson

Pamlico

McDowell1.4%

Edgecombe

Hertford

Greene

Graham.5%

GranvilleVance

Northampton

Washington

CamdenCurrituck

ChowanPerquimans

Pasquotank

New Hanover

TENNESSEE

VIRGINIASOUTH CAROLINA

Haywood1.9%

Madison1.4%

Out of State 1.9%

Transylvania1%

Jackson.5%

Henderson71.2%

Polk2.9%

Rutherford.5%

Cleveland1%

Yancey.5%

Mitchell.5%

Alleghany.5%Overall Total 100%

Nbr/Percentage

Pitt

Wake

Hyde

BladenPender

Bertie

Duplin

Onslow

Beaufort

Nash

Craven

Sampson

Halifax

Columbus

Johnston

Jones

Carteret

Brunswick

Burke1%

Wayne

DareMartin Tyrrell

Buncombe13.5%

Gates

Lenoir

Warren

Franklin

Wilson

Pamlico

McDowell1.4%

Edgecombe

Hertford

Greene

Graham.5%

GranvilleVance

Northampton

Washington

CamdenCurrituck

ChowanPerquimans

Pasquotank

New Hanover

TENNESSEE

VIRGINIASOUTH CAROLINA

Haywood1.9%

Madison1.4%

Out of State 1.9%

Transylvania1%

Jackson.5%

Henderson71.2%

Polk2.9%

Rutherford.5%

Cleveland1%

Yancey.5%

Mitchell.5%

Alleghany.5%Overall Total 100%

Nbr/Percentage


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As shown above, cancer prevalence represents the most common cancers diagnosed and/or treated at PRH in 2010 compared to those expected across North Carolina and the United States according to the American Cancer Society, Cancer Facts & Figures 2010. Our incidence rates of breast cancer; lung cancer and Non-Hodgkin’s Lymphoma were slightly higher than national and state figures, while bladder cancer is comparable to state and national figures. Incident rates for prostate cancers were lower than state and national figures, however the incidence of prostate cancer had increased 2% when compared to 2009 PRH prostate cancer data. Incident rates for colon, corpus uteri, melanoma of skin, and leukemia were slightly lower than state and national figures.

These figures were obtained from the Cancer Facts & Figures 2010, as published by the American Cancer Society. PRH figures were obtained from the total number of analytic cases accessioned during 2010.

Respectfully Submitted,Park Ridge Health Cancer Registry

2010 Top 5 Primary Sites: Female

BREAST63% LUNG

13%

COLON11%

THYROID7%

LYMPHOMA6%

2010 Top 5 Primary Sites: Male

PROSTATE GLAND34%

URINARYBLADDER

12% LYMPHNODES

11%

BRONCHUS& LUNG

35%

CONNECTIVESUBCUTANEOUS

OTHER SOFT TISSUE8%

10 Most Prevalent Cancer SitesSource: American Cancer Society Facts and Figures 2010

BREAST

LUNG

PROSTATE

COLORECTAL

BLADDER

NH

CORPUS UTERIS

MELANOMA

LEUKEMIA

CERVIX

ALL OTHERS

PRHUSANC

26.4% 13.5% 14.4%

16.7%14.5%17.8%

12.0% 14.2% 15.3%

21.6% 28.6% 25.4%

6.7% 9.3% 9.4%

4.8% 4.6%4.2%

6.3% 4.3% 4.0%

1.0% / 2.8% / 2.6%

1.9% / 4.5% / 4.7%

1.4% / 2.8% / 2.5%

0.8% / 0.8% / 0.0%


NUTRITIONAL SERVICESNutritional 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.

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.

PASTORAL CAREAt 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.

PARK RIDGE HEALTH-BASED PASTORAL CARE SERVICES:• Anointing• Arrangementofbaptisms• Arrangementofcommunion• Crisissupportforguests,familiesandParkRidge Health team members• Devotionals• Griefcounseling• Meditationgroups• Spiritualsupport• Newguestvisitation• Surgicalguestvisitation• Inpatientvisitation

COMMUNITY-BASED PASTORAL CARE SERVICES:• Assistancewithsmokingcessationprograms• Performanceoffuneralservices• Griefcounseling• Homevisitationtoformerguestsunderthecare of home health services

Supportive Services

17


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CASE MANAGEMENT AND DISCHARGE PLANNINGCase 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.

HOSPICE CAREWorking 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.

NURSING STAFFPark Ridge Health is committed to caring compassionately for oncology patients. Our Oncology staff includes eleven 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, six of these nurses have completed additional training/certification and have received the designation of Oncology Certified Nurse (OCN). One of our staff members trained to become a Certified Breast Care Nurse (CBCN). These certifications 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/PATHOLOGYPark 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.


Additional Support Services• BreastCancerSurvivorsandFriendsSupportGroup• CancerSupportGroup• Consultation• Education• Genetics• HomeHealthCare• InfusionTherapy• LookGood,FeelBetter®

• MentalHealthCare• NutritionSupport• PainManagement• PalliativeCare&Hospice• PastoralCareServices• SmokingCessationServices• SocialServiceSupport

Rehabilitation Services• LymphedemaManagement• MusicTherapy• OccupationalTherapy• PhysicalTherapy• SpeechTherapy• StomalTherapy• WoundCare

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Kenmure Fights CancerCharitable giving touches the lives and hearts of countless people who battle cancer at Park Ridge Health. For the past three 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 $44,000. Thanks to this caring community, Park Ridge Health has purchased equipment used in cancer treatment and other needs for the comfort of our patients.

Park Ridge Team Relay For LifeDuring 2011, Team Park Ridge had 25 members participate in the Relay for Life of Fletcher and Hendersonville. Team members stayed overnight for the event and had many family and friends that provided support.

We raised a total of $13,698 for the Henderson County American Cancer Society’s Relay for Life during 2011.


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PARK RIDGE HEALTH - CLOSE TO HOME PARK RIDGE HEALTH CANCER PROGRAM LEADERSHIPYou can access the Park Ridge Health Cancer Program by letting

your physician know YOU WANT TO BE TREATED at a Park Ridge Health program. To schedule an appointment, call the following access points:

Radiology Ask your physician to schedule through Park Ridge

Stereotactic Breast Biopsy Ask your physician to schedule through Park Ridge

Breath Health Center Call 828.650.2790 for an appointment

PHYSICIAN OFFICES:ENT (Ear, Nose, Throat) Call 828.650.2748

Surgery Call 828.654.0073

Dermatology Call 828.654.6015 or 828.698.5757

Plastic/Recon. Surg Call 828.654.5005

Endoscopy/Colonoscopy Ask your physician to schedule through Park Ridge

Women’s Health Call 828.650.8077 Park Ridge OB/GYN 828.692.2258 Hendersonville OB/GYN or 828.698.9934 Park Ridge Women’s Services

Urology Call 828.654.6015 or 828.698.0896

Oncology/Hematology Call 828.681.2917

If you would like more information about any of our Park Ridge Health physicians or to make an appointment, call 855.PRH.LIFE (855.774.5433). Find us online at parkridgehealth.org.

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2010-2011 CANCER COMMITTEE MEMBERS

PHYSICIAN MEMBERSMikhail Vinogradov, M.D., Medical Oncology, Chairman

Michelle LeBlanc, M.D., Breast Health Center

R. Scott Roberts, M.D., Radiation Oncologist

Robert Dowdeswell, M.D., Pathology, Quality of Registry Data

Ralph Ricco, M.D., Diagnostic Radiologist

William McCollough, M.D., Radiation Oncology, Cancer Conference Coordinator

Philip Lartey, M.D., Behavioral Medicine

NON-PHYSICIAN MEMBERSCraig Lindsey, RN, VP Clinical Services, Cancer Program Administrator & Community Outreach

Tiffany Burghart, RN, OCN, Inpatient Oncology

Renae Johnson, RN, Quality Coordinator

ChristiGibbs,RN, Case Management

Melissa Chandler, CTR, Cancer Registrar

SarahGayle,MPH, American Cancer Society

Kimberly Kite, BSN, Nursing Director

DebbieGentry,BSN,OCN,CBCN, Oncology & Breast Health Manager

Diane Sedgwick, RN, BSPA, MHSA, Administrator of Outpatient Services and Community Outreach

Chaplain Art Slagle, Pastoral Care

Patricia Scholtz, Dietician

Paula Stegall, PharmD, Oncology Pharmacist



REFERENCESCancer Facts and Figures, American Cancer Society

National Cancer Data Base, Hospital Comparison Benchmark Reports & Survival Reports

Park Ridge Health Cancer Registry

ACKNOWLEDGMENTSThis 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.


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2010-2011 cancer services annual report

Documents

cancer care

lung cancer

fights cancer

invasive breast cancer

s t c e n t e r2010

ridge health access

ridge relay team

park ridge infusion