™Health Network

2013 CANCER ANNUAL REPORT

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A NOTE FROM OUR CHAIRMAN This past year has certainly been an

exciting one for the Kettering Health

Network Cancer Program. Our Network

currently includes Kettering Medical

Center, Grandview Medical Center,

Sycamore Medical Center, Southview

Medical Center, Greene Memorial Hospital,

Soin Medical Center, and Fort Hamilton

Hospital. As any expanding family, we

have been striving to work together to

provide the best possible cancer care

throughout our locations. This year

the American College of Surgeons’

Commission on Cancer has evaluated us

as part of their accreditation process.

The results are excellent, but I will hold

you in suspense for a bit longer.

Communication is important at all levels

of human interaction and very important

to a Cancer Network. Our expanded

Cancer Committee gets the best minds

of cancer care providers at all of our

hospitals together to share knowledge

and best practices with each other. It is

certainly better to use a great solution

from one of our hospital rather than

have others try to figure it out on their

own. While there may be modifications to

accommodate specific location’s needs,

tweaking is easier than reinvention.

On a patient care level, interdisciplinary

conferences (cancer conferences) provide

an opportunity for surgeons, medical

oncologists, radiation oncologists as well

as other specialists, nurses, technologists,

social workers, and nutritionists to come

together. In so doing they can plan out

the best approach to help a patient fight

their cancer and be as healthy as possible

along the way. At this point, in addition

to a general cancer conference (formerly

known as Tumor Board) at each of our

hospitals, we now also have separate

conferences devoted to cancers of the

Breast, Thyroid, Head and Neck, Female

organs (Gyn), Brain and our newest, Lung.

All of these teams improve the care of

our patients, make sure all caregivers are

aware of the latest updates and improve

efficiencies in patient care.

In this document, you will be able to learn

more about the workings of the Thoracic

(Lung) Cancer Conference. The tangible

benefits cannot be under stated. The fact

that we have several of these conferences

improves the chances that if a patient has

cancer at the Kettering Health Network,

their case may be discussed in just such

a setting.

The real purpose of these activities is

to make sure that our care, thoughts,

intentions, in other words our focus is

on our patients. We think we are doing

an excellent job and patient testimonials

would attest to that. An objective outside

opinion can be reassuring. For Cancer

Programs that organization would be

the Commission on Cancer. They did

visit and review our program this year.

Their assessment is that we passed with

flying colors—that is Gold colors. We

were granted Gold Level Accreditation

for three years with commendations in

7 areas. That is the affirmation that the

work done by ALL members of our cancer

program was recognized as excellent. I

can’t possibly mention them all in this

letter, but I would be remiss if I didn’t give

a special thanks to Wally Sackett, Ken

Chaij, Lori Nay and Rae Norrod, RN for

their time and dedication to making our

program as great as it is.

We are not resting on our laurels and will

continue to strive to provide the best

possible care at a convenient location

near you. If you have any questions, feel

free to contact us at (937) 395-8646, or

if you are seeking a physician you should

call our Cancer Access Center at 1-855-

500-CURE (2873), to help you navigate to

a successful journey in cancer care.

Welcome to our 2013 annual report of the

Kettering Health Network Cancer Services reviewing 2012 data.

Stuart Merl, MD Chairman, Kettering Health Network Cancer Committee

THE 2013 CANCER ANNUAL REPORT 2013 KETTERING HEALTH NETWORK CANCER COMMITTEE

Stuart Merl, MD Medical Oncologist Chair KHN Cancer Committee

Michelle Alexander, MA, CCC-SLP Rehabilitation Representative

Krista Bensman, BSN, RN, OCN® Oncology Research Nurse

Maren Bubnick, MS, RN Clinical Nurse Manager

Alejandro Calvo, MD Medical Oncologist Cancer Registry Quality Coordinator

Cleanne Cass, DO Hospice Administrator

Kenneth Chaij, MA Director, Oncology Service Line Cancer Program Administrator

Suzanne Coleman, PhD, DHSc, RNC-OB Clinical Research Coordinator

Rebecca Collins, RN, OCN®, CHPN Hospice Nurse

Douglas Einstein, MD, PhD Medical Director Radiation Oncologist

Edward Ewing, DO Pathologist

Kay Finch, BSW, LISW Social Worker

Mark Floro Administrator

Geoff Hahm, MD Pathologist

Deborah Hamilton, BS, RHIT, CTR Coordinator, Oncology Outcomes

Nancy Hazlett, RN Oncology Nurse

Rachel Henderson, PharmD Pharmacist

Martin Jacobs, MD Cancer Conference Coordinator

Sharon Kershner, MSN, RN, OCN®, CBCN, CBPN-IC Breast Navigator

Larry Kositsin, MDiv Pastoral Care Director

Jacqueline Matthews, MS, RN, AOCN®, CNS Palliative Care Team Member

Linda McCall, RPh Pharmacist, Infusion Services

Kim Mills, BS, CTR Co-Registrar

Lori Nay, RHIT, CTR Certified Tumor Registrar

Katlin (Peverall) Newman American Cancer Society Representative

Rae Norrod, MS, RN, AOCN®, CNS Manager, Oncology Service Line Oncology Nurse Leader

James Ouellette, DO Surgical Oncologist Cancer Liaison Physician

Chirag Patel, MD Palliative Care Physician

Karen Pelfrey, MSN, RN, OCN®, CBCNTM, CBPN-C Breast Navigator Community Outreach Coordinator

Merle Peterson Director, Medical Imaging

Christy Priebe, RD, LD Registered Dietitian

Nancy Reinhardt, MD Diagnostic Radiologist

Aimee Russell, MD Radiation Oncologist

Walter Sackett Corporate Administrator

Marilyn Schemberger, VP Administrator

Dave Seidel, VP Clinical Services

Rajanish Singla, MD Radiation Oncologist

Debbie Stahlheber, RN Oncology Nurse

Erin Stelzer, LPN Radiation Oncology Nurse

Julie Strohminger, RN, OCN® Team Leader, Women’s Cancer Center

Terri VanZant, RN Manager, Infusion Clinic Oncology Nurse Ambulatory Setting

Rebekah Wang-Cheng, MD, FACP Quality Improvement Coordinator

Julie Worley, MSW, LSW Social Worker Psychosocial Services Coordinator

Kettering Medical Center Grandview Medical Center Sycamore Medical Center Southview Medical Center

Greene Memorial Hospital Fort Hamilton Hospital Soin Medical Center

Per “Cancer Registry Management Principles and Practice”

a cancer registry is a system designed to collect information

about the occurrence of cancer, the types of cancers that occur

and their locations within the body, the extent of cancer at the

time of diagnosis, and the kinds of treatments that patients

receive. There are three main types of cancer registries;

hospital based, population based, and specialty cancer

registries. The focus of the hospital-based cancer registry is

on clinical care and hospital administration. The primary goal

of these registries is to improve patient care by evaluation of

treatment outcomes.

The cancer registry is a required element of a Commission

on Cancer (CoC) accredited cancer program. As a CoC

Integrated Network Cancer Program (INCP), the Kettering

Health Network (KHN) cancer registry has standardized

registry operations with a uniform data repository.

KHN CANCER REGISTRY FACTS*:

• Facilities contributing to the KHN cancer

registry database:

1. Kettering Medical Center

2. Grandview Medical Center

3. Sycamore Medical Center

4. Southview Medical Center

5. Fort Hamilton Hospital

6. Greene Memorial Hospital

7. Indu & Raju Soin Medical Center

• Tumor Registry Reference date (date after which

all eligible cases must be included in the registry):

January 01, 2005. Total analytic caseload described

below reflects a change in the Fort Hamilton Hospital

reference date from 2000 to 2005 during 2013.

ONCOLOGY OUTCOMES MANAGEMENT (CANCER REGISTRY)

• Total analytic** cases 2005-2012 currently

maintained in the cancer registry database

and reported to the NCDB (National Cancer Data Base):

18,738 (male: 7,850 / female: 10,888)

• Total 2012 analytic cases reportable to the NCDB: 2378

• Registry staffing 2012: 7.1 FTE’s (eight employees-seven

of whom are certified tumor registrars).

• 2012 primary sites most collected by the KHN cancer

registry and reported to the NCDB: breast (546), lung

(388), colon (135), prostate (120), thyroid (116)

• Additional 2012 cases reportable to the OH Department

of Health only: 440

ADDITIONAL ACTIVITIES OF CANCER REGISTRY STAFF:

1. Coordinate scheduled facility-wide Tumor

Board Conferences

2. Monitor facility-wide Tumor Board Conferences for

attendance, documentation of staging, etc.

3. Participate in Cancer Committee meetings & efforts

to meet CoC current standards

4. Respond to requests for study data

*wherever possible, duplicate cases have been removed from totals presented

**�cases�diagnosed�at�or�receiving�any�part�of�the�first�course�of�treatment�at�the�

accessioning facility after the registry’s reference date.

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53.7%

2.4%

5.6%

3.6%

14.7%

2.9%

OH-MONTGOMERY

OH-PREBLE

OH-WARREN

OTHER

10.6%

OH-BUTLER

OH-CLARK

OH-GREENE

OH-MIAMI

6.5%

CANCER CONFERENCES Per the Commission on Cancer, Cancer Program Standards

“cancer conferences are integral to improving the care of

cancer patients by contributing to the patient management

process and outcomes, as well as by providing education

to physicians and other staff in attendance”. The Kettering

Health Network cancer conferences met ACOS requirements

in regard to multidisciplinary physicians in attendance,

conference frequency and number of case presentations. New

conferences established during 2013 (at varying start dates

approved by the cancer committee): Thoracic Conference,

Gynecologic Oncology Conference.

TOTAL 2012 CANCER CONFERENCES: 145 Planned frequency / #conferences occurred

KMC Tumor Board Conference – weekly (47)

Grandview Tumor Board Conference-monthly (12)

Fort Hamilton Tumor Board Conference – monthly (11)

Greene Memorial Tumor Board Conference –monthly (12)

Breast Cancer Conference-twice monthly (22)

Head & Neck Conference-twice monthly (15)

Thyroid conference-bimonthly (4)

Neuro-Oncology conference-twice monthly (22)

2012 CANCER CONFERENCE FORMAT The Commission on Cancer standards state that the minimum

number of cases presented each year at cancer conferences

is a percentage (15%) of the number of annual analytic

cases added to the cancer registry database. A total of

621 cases were presented at the various scheduled cancer

conferences during 2012. This total represents 26.2% of

the KHN 2012 caseload reportable to the National Cancer

Database. Conferences were monitored for documentation/

discussion of staging/prognostic indicators, clinical trials, use

of national treatment guidelines and perspective (prospective

vs retrospective) of presentation.

2012 DIDACTIC LECTURES Radiosurgery for Brain Tumors-Precision Matters

F-18 PET Bone Scanning In Cancers

Preventative Lung Cancer Screening

Colorectal Cancer-Staging & Treatment

COUNTY AT DIAGNOSIS

Breakdown of caseload

by County at Diagnosis

(all facilities):

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Sex Class of Case Status AJCC STAGE (Analytic Cases Only)

Primary Site Total (%) M F Analy NA Alive Exp Stg 0 Stg I Stg IIStg III

Stg IV

88 Unk BlankInv

Lip 1 (0.0%) 1 0 1 0 1 0 0 0 1 0 0 0 0 0

Base of Tongue 13 (0.5%) 11 2 13 0 13 0 0 1 0 1 10 0 1 0

Other Tongue 8 (0.3%) 4 4 8 0 7 1 0 1 3 0 2 0 1 1

Gum 2 (0.1%) 1 1 2 0 2 0 0 1 0 0 0 0 1 0

Floor Of Mouth 6 (0.3%) 3 3 6 0 5 1 0 2 2 0 2 0 0 0

Palate 2 (0.1%) 2 0 2 0 2 0 0 1 0 0 0 0 1 0

Other Mouth 2 (0.1%) 1 1 2 0 0 2 0 0 0 0 1 0 1 0

Parotid Gland 7 (0.3%) 4 3 7 0 7 0 0 2 1 1 1 0 2 0

Other Major Salivary Glands

2 (0.1%) 0 2 2 0 2 0 0 1 0 0 0 0 1 0

Tonsil 14 (0.6%) 9 5 14 0 12 2 0 1 1 4 7 0 1 0

Oropharynx 2 (0.1%) 2 0 2 0 1 1 0 0 0 0 2 0 0 0

Nasopharynx 3 (0.1%) 3 0 3 0 3 0 0 0 0 0 2 0 1 0

Pyriform Sinus 4 (0.2%) 4 0 4 0 2 2 0 0 0 1 2 0 1 0

Hypopharynx 3 (0.1%) 2 1 3 0 2 1 0 0 1 1 1 0 0 0

Other Lip, Oral Cavity & Pharynx

2 (0.1%) 2 0 2 0 2 0 0 0 0 0 0 2 0 0

Esophagus 24 (1.0%) 19 5 24 0 16 8 0 3 3 7 8 0 3 0

Stomach 18 (0.8%) 10 8 18 0 11 7 0 5 0 5 7 0 1 0

Small Intestine 15 (0.6%) 11 4 15 0 15 0 0 2 2 5 3 1 2 0

Colon 135 (5.7%) 69 66 135 0 122 13 7 29 37 27 30 0 5 0

Rectosigmoid Junction 15 (0.6%) 7 8 15 0 12 3 0 3 3 5 4 0 0 0

Rectum 42 (1.8%) 28 14 42 0 37 5 3 7 6 13 9 0 4 0

Anus & Anal Canal 9 (0.4%) 5 4 9 0 7 2 0 1 6 0 0 0 2 0

Liver & Intrahepatic Bile Duct

14 (0.6%) 5 9 14 0 9 5 0 6 0 2 2 2 1 1

Gallbladder 9 (0.4%) 1 8 9 0 4 5 0 1 0 2 4 0 2 0

Other Parts Of Biliary Tract

12 (0.5%) 9 3 12 0 8 4 0 2 1 0 5 0 4 0

Pancreas 68 (2.9%) 34 34 68 0 31 37 0 6 20 8 29 0 5 0

Other Digestive Organs 1 (0.0%) 1 0 1 0 0 1 0 0 0 0 0 1 0 0

Nasal Cavity & Middle Ear

3 (0.1%) 2 1 3 0 3 0 0 1 0 1 1 0 0 0

Larynx 31 (1.3%) 18 13 31 0 26 5 3 5 1 8 11 0 3 0

Bronchus & Lung 388 (16.3%) 179 209 388 0 221 167 0 75 39 73 188 1 12 0

Thymus 1 (0.0%) 0 1 1 0 1 0 0 0 0 0 0 1 0 0

Heart, Mediastinum & Pleura

4 (0.2%) 4 0 4 0 2 2 0 0 0 1 3 0 0 0

Sex Class of Case Status AJCC STAGE (Analytic Cases Only)

Primary Site Total (%) M F Analy NA Alive Exp Stg 0 Stg I Stg IIStg III

Stg IV

88 Unk BlankInv

Bones & Cartilage of Other

1 (0.0%) 0 1 1 0 0 1 0 1 0 0 0 0 0 0

Hematopoietic & Reticuloendo System

65 (2.7%) 35 30 65 0 41 24 0 0 0 0 0 65 0 0

Skin 115 (4.8%) 60 55 115 0 109 6 19 53 21 13 4 1 4 0

Retroperitoneum & Peritoneum

3 (0.1%) 0 3 3 0 3 0 0 0 0 2 0 0 1 0

Connective & Other Soft Tissue

16 (0.7%) 6 10 16 0 10 6 0 4 5 5 1 0 1 0

Breast546

(23.0%)7 539 546 0 523 23 68 225 167 55 23 0 8 0

Vulva 15 (0.6%) 0 15 15 0 14 1 5 5 1 3 1 0 0 0

Vagina 3 (0.1%) 0 3 3 0 3 0 0 2 1 0 0 0 0 0

Cervix Uteri 21 (0.9%) 0 21 21 0 20 1 0 8 6 4 3 0 0 0

Corpus Uteri 106 (4.5%) 0 106 106 0 102 4 0 73 6 14 8 1 4 0

Uterus, NOS 2 (0.1%) 0 2 2 0 2 0 0 0 0 1 0 1 0 0

Ovary 37 (1.6%) 0 37 37 0 33 4 0 12 3 15 4 0 3 0

Other Female Genital Organs

1 (0.0%) 0 1 1 0 1 0 0 1 0 0 0 0 0 0

Penis 2 (0.1%) 2 0 2 0 2 0 0 1 1 0 0 0 0 0

Prostate Gland 120 (5.0%) 120 0 120 0 113 7 0 18 72 14 9 0 6 1

Testis 5 (0.2%) 5 0 5 0 5 0 0 4 0 1 0 0 0 0

Kidney 43 (1.8%) 27 16 43 0 40 3 0 24 2 11 5 0 1 0

Renal Pelvis 6 (0.3%) 4 2 6 0 3 3 1 1 1 0 3 0 0 0

Ureter 2 (0.1%) 2 0 2 0 2 0 2 0 0 0 0 0 0 0

Bladder 54 (2.3%) 34 20 54 0 45 9 29 9 10 2 3 0 1 0

Other Urinary Organs 1 (0.0%) 1 0 1 0 1 0 1 0 0 0 0 0 0 0

Eye & Adnexa 1 (0.0%) 1 0 1 0 1 0 0 0 0 0 0 1 0 0

Meninges 27 (1.1%) 8 19 27 0 25 2 0 0 0 0 0 27 0 0

Brain 35 (1.5%) 13 22 35 0 22 13 0 1 0 0 0 34 0 0

Spinal Cord & Other CNS

13 (0.5%) 6 7 13 0 13 0 0 0 0 0 1 12 0 0

Thyroid Gland 116 (4.9%) 33 83 116 0 114 2 0 86 11 10 5 0 4 0

Other Endocrine Glands

7 (0.3%) 1 6 7 0 6 1 0 0 0 0 0 7 0 0

Lymph Nodes 102 (4.3%) 49 53 102 0 87 15 0 18 18 17 44 0 5 0

Unknown Primary Site 53 (2.2%) 24 29 53 0 26 27 0 1 0 1 2 48 1 0

Total 2,378 889 1,489 2,378 0 1,952 426 138 703 452 333 450 205 94 3

Exclusions: Not Male and Not Female 0

Continued on Page 7 >

Continued...

2012 CASELOAD Kettering Medical Center, Grandview Medical Center, Fort Hamilton Hospital and Greene Memorial Hosptial

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THORACIC CANCER CONFERENCE: A MEDICAL ONCOLOGY PERSPECTIVE By Stuart Merl, MD

Communication, Collaboration, and Coordination equal better care for cancer patients at the Kettering Health Network. Facilitating this is an important function of our Cancer Program. This report will focus on our conferences dealing with cancers of the thoracic cavity, predominantly lung cancer, but also cancers of the esophagus and mediastinum.

Years ago, these tumors would have been treated exclusively by surgeons. Post-operative therapies may have been considered at times, but there was little if any discussion with other cancer specialists before surgery. It is clear today that there is a role for multiple specialists in the total care of cancer patients. How those different treatments work together has been studied over the years. The National Comprehensive Cancer Network (NCCN) website states, “On January 31, 1995, a press conference…announce(d) the creation of a national alliance to develop and institute standards of care for the treatment of cancer...With 13 original NCCN Member Institutions, the goal was to ensure delivery of high-quality, cost-effective services to people with cancer across the country… Now an alliance of 23 of the world’s leading cancer centers, NCCN develops and communicates scientific, evaluative information to better inform the decision-making

process between patients and physicians, ultimately improving patient outcomes.” Those guidelines have become the de facto standard for cancer care in this country and often throughout the world. Those guidelines support the value of multidisciplinary care.

Statistically, nonsmall cell lung cancers are the most common malignancies of this body region. Ideally these cancers would be found at an early stage, but unfortunately cancers are often found after they have spread locally or distantly. The NCCN guidelines frequently offer multiple treatment choices such as surgery or radiation therapy or chemotherapy with radiation for certain stages of disease. There are other circumstances where radiation, chemotherapy or both are recommended after surgery. In fact, the NCCN guidelines have options for multiple modalities in all stages of nonsmall cell lung cancer.

Early stage lung cancers can be cured with surgery alone. Sometimes, despite the tumors small size and location, surgery is not feasible because of the patient’s other health problems or lung function. In those cases, radiation with or without chemotherapy can be curative. In the more advanced stage III cancers, often all modalities are used, but the sequence may vary at times. When nonsmall cell lung cancer is spread to different body parts it is no longer considered curable. Systemic therapy is the usual recommendation, but there are times when radiation may be needed to treat tumor causing severe pain, bleeding or blockage of airways. Combining and coordinating radiation with chemotherapy or targeted therapies may be preferred in such cases. For all of these circumstances, whenever different treatments are being combined, it is best to have an opportunity for the patient’s doctors to discuss, develop and agree upon a personalized plan. This makes for a better patient experience. It often equals better outcomes, as well.

Esophagus cancers have been treated with multiple anti-cancer therapies for years. It is common to use two or even all three types of treatment. Having surgeons, radiation oncologists and medical oncologists discuss the patient’s situation can assure that the patient

gets the benefits of multiple opinions regarding their care. Often that overall plan affects what any one doctor is doing. For example, the radiation and to some extent the chemotherapy plan for a patient getting surgery subsequently is different from one getting radiation and chemotherapy with curative intent. As with any tumor type for which coordination is crucial, a venue for that discussion is vital. Relying on physicians to run into each other is not good enough.

The other advantage of these cancer conferences is the opportunity to review medical images together. Fortunately, the reports and the individuals’ reviews of those pictures tend to uncover any areas of concern. On occasion, multiple people seeing the picture together can make a difference. Several months ago, an image review during Thoracic Cancer Conference resulted in a consensus opinion that the patient’s airway was in danger of collapsing. The physicians in attendance rapidly developed a plan, which involved special forms of radiation and coordination with chemotherapy and had it rapidly instituted. The discussion changed the original treatment concept and expedited care. More importantly, it helped prevent a serious complication.

At Kettering Health Network we are proud of our multidisciplinary cancer conferences. It is clear that these conferences fit with and support our focus on patients and their care. Secondarily, they make sure that all the care providers for a particular cancer have the benefit of the latest information from other disciplines. The facilitation of these opportunities for learning and communication among physicians, nurses, social workers and other therapists, assure that our patients get the best care possible.

THORACIC CANCER CONFERENCE BENEFITS DIETITIANS by Jennifer Pate, MS, RD, LD, CLCThoracic cancer conference is an effective tool for nutrition professionals. Each patient is different, and may present with different issues, and thoracic conference is a great way

to identify which patients may need nutritional intervention. We are able to identify possible patients based on areas being treated, and get a thorough understanding of the treatment plan which will help with nutrition diagnosis and assessment. We are able to better care for a patient and determine which nutritional interventions may be necessary, whether that be evaluation, supplementation, or possibly enteral or parenteral nutrition. Being part of the total care team, dietitians are now able to contribute to the overall treatment plan, and consequently contribute to better patient outcomes and satisfaction.

BENEFITS OF MULTIDISCIPLINARY THORACIC TUMOR CONFERENCE: A Radiation Oncologist’s Perspective, Douglas Einstein, MD PHD, Medical Director and Chairman of Radiation Oncology

As an oncologist my primary goal is to deliver the most state-of-the-art cancer care for my patients in a way that both cures their cancer and improves their quality of life. Multidisciplinary tumor boards are meetings of various specialists involved in the care of a patient with cancer. These specialists vary based on the type of cancer being treated. For instance the Kettering Health Network Multidisciplinary Thoracic Tumor Conference is comprised of pulmonologists, thoracic surgeons, medical oncologists, radiation oncologists, nuclear medicine physicians, pathologists, social workers, registered

dieticians, and nurse navigators. This conference was initiated this year in order to serve our patients with thoracic malignancies including lung and esophageal cancer. Certainly it takes a concerted effort and administrative support for all of these professionals to be in one room at the same time, but the benefits of this collaboration are enormous. A newly diagnosed lung cancer patient can have their pathology and imaging studies reviewed by the entire group and a detailed plan involving surgery, chemotherapy, and radiotherapy based on reviewed national comprehensive cancer center guidelines can formulated within a few minutes. The patient can then be scheduled to see the appropriate specialists in rapid fashion knowing that all of their doctors have agreed upon an optimal, tailored, state-of-the-art treatment plan for their cancer. This is not only efficient, but also comforting for a patient who is worried that there may be sub-optimal communication of the multitude of new physicians they have just met and that they may not be receiving the coordinated care. Studies have suggested that patients discussed in a multidisciplinary tumor board have more rapid initiation of cancer treatment, have more access to the latest subspecialist innovations and clinical trials, have improved satisfaction with treatment, have more cost-effective treatment, and have better clinical outcomes with improved survival in many cases. These conferences also improve specialist practices by educating physicians of one specialty with new data or findings from another specialty; thus “raising the bar” of cancer care for all specialties. In addition, these conferences serve as ad hoc expert steering committees who can recommend the most up-to-date capital improvements to network administration, thus making sure that our cancer patients do not have to travel far for the latest in state-of-the-art care. In summary, the Multidisciplinary Thoracic Tumor Conference is a welcome addition to the Kettering Health Network this year and serves as working illustration of the dedication of oncology professionals to improving the care of our patients.

THORACIC CANCER CONFERENCE Rae Norrod, MS, RN, AOCN®, CNSIn 2012, Laura Spranklin MD and Alejandro Calvo MD, conducted a Cancer Committee study, “Surgical Treatment of Early Stage Non-Small Cell Lung Cancer, Open Thoracotomy vs. VATS Approach”. The results of this study showed that patients in Kettering Health Network who underwent a VATS procedure had a shorter length-of-stay and a lower incidence of all complications, including air leaks, pneumonia, arrhythmias, and pneumothorax as compared to patients who underwent an open thoracotomy.

The results of this study were shared with the Peer Review Committee, which reports to Medical Executive Committee. In addition, the Cancer Committee recommended that a Thoracic Cancer Conference would be a good way to share this patient outcome with all of the physicians and interdisciplinary healthcare professionals who provide care to patients with a lung cancer diagnosis.

The creation of a Thoracic Cancer Conference is a 2013 Kettering Health Network Quality Improvement. The new Conference began in March and is currently meeting once per month. Thoracic surgery, pulmonology, medical and radiation oncology, diagnostic imaging/PET, pathology, nursing, social work, and dietitians regularly participate. Additional specialties are invited, as needed for specific cases. Staging, prognostic indicators, national guidelines, clinical trial options, genetic markers and/or studies, palliative care, psychosocial, and rehabilitation needs are considered for each patient case.

The Thoracic Cancer Conference provides an opportunity for everyone who is involved in a patient’s care to come together to discuss treatment options as well as individual patient needs. The conference has already identified several patients who were candidates for specific treatments and/or needed additional consultation with a specialist. Overall, 30 patients with lung cancers have already benefitted from this new service. The Thoracic Cancer Conference is another way that Kettering Health Network is improving the quality of life for people in our communities.

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SERVICES

From Prevention and Early Detection to Treatment and Rehabilitation,

Kettering Health Network has the resources and expertise to provide you

and your loved ones with excellent cancer care.

THE CANCER TEAM Our cancer program provides quality cancer care close to

home with an expert multidisciplinary team who works to

provide comprehensive care.

When you or your family member faces a cancer diagnosis,

finding the right care can seem overwhelming. Kettering

Health Network’s dedicated oncology professionals work with

you and your physician to plan the best care for you, both in

and out of the hospital. Our goal is to provide high-quality

care that is totally focused on you and your needs.

PREVENTION, EARLY DETECTION, AND AWARENESS Kettering Health Network is pleased to offer a variety of free

educational cancer presentations and cancer awareness/

screening programs. For more information about cancer

screening dates and locations, please call the Kettering

Health Outreach at 937-558-3988 or 1-800-888-8362.

NURSING CARE The nurses at Kettering Health Network facilities provide

oncology inpatient and outpatient care, including medical-

surgical care, chemotherapy & biotherapy administration,

management of central venous access devices, and symptom

management. Nurses who administer chemotherapy &

biotherapy are required to follow national standards of care.

Many of the KHN nurses who care for patients and families

who are experiencing a cancer diagnosis are nationally

certified in medical-surgical nursing, geriatric nursing (the

care of older adults), hospice-palliative care nursing, and

oncology nursing (the care of people with cancer).

SOCIAL SERVICES Kettering Health Network Social Workers provide support

and other services which can reduce stress for patients and

loved ones through all phases of the cancer journey. Our

social workers can help assist patients and families in finding

affordable medical care and prescription drug coverage,

transportation and home health care. They can also help

patients understand the process of applying for Medicaid,

social security disability benefits, and link patients to

programs that offer financial assistance.

Our social workers can help you cope with the cancer

diagnosis and the many emotions that you may be

experiencing. KHN social workers can assist patients in

finding support groups, education programs and other

resources in the community.

Kettering Medical Center and Sycamore Medical Center 937-395-8616

KMC Outpatient Oncology Social Workers 37-395-8720 or 395-8740

Fort Hamilton Hospital 513-867-2880

Greene Memorial and Soin Hospitals 937-352-2130

Grandview Hospital 937-723-3564

Southview Hospital 937- 723-3300

NUTRITION SERVICES Nutrition services are essential to comprehensive cancer

care and patient rehabilitation. Kettering Health Network

strives to provide safe and effective nutrition care across the

cancer continuum, from prevention, throughout treatment,

and into survivorship, to promote your best quality of life.

All inpatients are screened for nutrition-related problems

upon admission to KHN hospitals. Comprehensive nutritional

assessment, counseling, and education can be provided by

our team of registered dietitians. Call Kettering Cancer Care

at 1-855-500-CURE (2873).

REHABILITATION MEDICINE Kettering Health Network offers high quality rehabilitation

services including specialized care for our oncology patients.

Our outstanding team of rehabilitation professionals is

here to assist you on your survivorship journey. The goal

of rehabilitation is to improve quality of life, increase daily

functioning and independence as well as to decrease pain.

Our services include Physical and Occupational Therapy, and

Speech-Language Pathology.

Our Specialized Services Include:

• Lymphedema Therapy

• Swallowing Therapy

• Balance Therapy

• Voice Therapy

• Vision Therapy

• Pelvic Floor Therapy

• Amputee Therapy

• Head and Neck Cancer Therapy

Kettering Health Network offers rehabilitation services

at numerous locations across our communities. For more

information on specific locations of services please contact:

Kettering and Sycamore Medical Centers 937-395-8882

Grandview and Southview Medical Centers 937-723-3238

Greene Memorial and Soin Medical Centers 937-352-2300

Fort Hamilton Hospital 513-867-2473

CLINICAL TRIALS The Kettering Health Network’s Innovation Center provides

access to unique cancer studies available through our

industry partners as well as nationally sponsored clinical

trials. KHN collaborates with the Dayton Clinical Oncology

Program (DCOP) to offer National Cancer Institute trials

and with the University of Cincinnati to provide Gynecology

Oncology Group (GOG) trials at the Women’s Cancer Center,

in addition to other cancer clinical trials.

People experiencing a cancer diagnosis have the

opportunity to participate in one of over 100 research

studies, ranging from Phase II to Phase IV for nearly every

type of cancer. An experienced research nurse will assist

your physician to determine if a cancer clinical trial is

right for you and will follow you from enrollment through

completion.

It is rare to find such a comprehensive array of cancer

clinical trials and KHN is pleased to offer this cutting edge

research to patients in the greater Dayton area. Please

contact the Innovation Center for more information about

oncology clinical trials at 937-395-8390.

PALLIATIVE CARE Palliative care is an integral part of comprehensive cancer

care. The goal of palliative care is to provide relief of

suffering, in all of its dimensions, and to support the best

possible quality of life for the patient and his or her family.

Palliative care is offered simultaneously with all other

medical therapies, working with the patient’s medical team,

to support the primary plan of care.

Palliative care emphasizes the use of evidenced-based tools

for symptom management, aligns medically appropriate goal

setting among patients, families, and health care providers,

and integrates this plan with clear communication among all

members of the health care team. Major reasons for referral

to palliative care service include medical decision-making/

goals of care and symptom management for pain.

At Kettering and Sycamore Hospitals, inpatient palliative care

consultation may be requested 24/7 by physician referral.

Call Innovative Care Solutions on pager 937-334-4208. At

Fort Hamilton Hospital, call Carebridge at 513-528-8150 or

fax a referral to 513-528-8151.

SPIRITUAL CARE Hospital visits can be a time of stress, anxiety, grief and fear.

Our mission is to extend compassion and demonstrate the

healing love of God to all of our patients and their loved ones.

At Kettering Health Network we are dedicated to continue

the healing work not only with the best that medicine

can provide, but also with compassion and care for your

spiritual and emotional needs. Our chaplains understand

the importance of prayer and faith as a part of healing. By

providing spiritual support as a complement to medical

treatment, KHN’s chaplains are able to make us a leader in

healing the whole person.

Our chaplains are ready to assist you in any way we can. KHN

chaplains are trained to offer emotional and spiritual support

to persons of all faiths, from pre-surgery and outpatient

testing through the entire hospital experience.

Chaplains are on-call 24/7 and may be reached by dialing 0

for the hospital operator and asking for a chaplain. You may

also call the following numbers if you would like to speak

directly to the Spiritual Care Service Department:

Kettering Medical Center Larry Kositsin 937-395-8640

Sycamore Medical Center Raul Concha 937-395-8640

Southview Medical Center Gordon Victorson 937-401-6387

Grandview Medical CenterGordon Victorson 937-723-3878

Soin Medical Center Linda Farley 937-702-4463

Greene Memorial Hospital Ron Swiger 937-352-2693

Fort Hamilton Hospital Larry Davis 513-867-2133

Kettering Behavior Medicine Center Rick LaVenture 937-395-8640

| 1312 |

AMERICAN CANCER SOCIETY PATIENT NAVIGATOR An American Cancer Society Navigator is available to provide

individualized assistance, support, information, and link you

with community programs and resources.

Call the American Cancer Society toll free at

1-800-227-2345.

ASK A CERTIFIED ONCOLOGY NURSE NAVIGATOR A non-emergency telephone service to provide assistance

in locating local resources and answering general questions

about cancer.

Call Kettering Cancer Care during normal business hours at

1-855-500-CURE (2873).

CANCER RESOURCE CENTER A collaborative effort between your American Cancer

Society and Kettering Medical Center. The CRC is located at

Kettering Medical Center, on the ground floor, adjacent to the

Radiation Therapy waiting area, and is open to the public.

FREE information about cancer, cancer prevention and early

detection, cancer treatments, coping and support groups and

other resources is available.

Call Kettering Cancer Care during normal business hours at

1-855-500-CURE (2873). Information may also be mailed

upon request.

CANCER SUPPORT GROUP AT GREENE MEMORIAL HOSPITAL A cancer support group for people coping with any type of

cancer. Meets the first Tuesday of each month from 7PM to

8:30PM in the Ruth G. McMillan Cancer Center.

Call Greene Memorial Hospital at 937-352-2144.

CANCER SUPPORT GROUP AT FORT HAMILTON HOSPITAL A cancer support group for people coping with any type of

cancer. Meets the third Monday of each month from 6:30 to

8:30PM in the Gebhart Center for Cancer Care.

Call Fort Hamilton Hospital at 513-867-2315.

CARING & SHARING A cancer support group for people coping with any type

of cancer, their families and friends. Includes those newly

diagnosed with cancer as well as long-term survivors with

any type of cancer. Meets the first Tuesday of each month at

6:30PM except June, December, and holidays.

Call Kettering Cancer Care at 1-855-500-CURE (2873) or

visit www.ketteringhealth.org/cancercare/

CINDY WILDE VOGEL MEMORIAL LIBRARY The Cindy Wilde Vogel Memorial Library is located at

Kettering Breast Evaluation Center, 580 Lincoln Park, Suite

200. The library offers information on women’s health.

Call Kettering Breast Evaluation Center at 937-299-0099.

COUNSELING CARE CENTER The Counseling Care Center provides assistance for people

who need a confidential place to talk about frustrations,

feelings of loneliness, depression, worry or fear, relationship

difficulties, recovery from a traumatic or stressful event,

and day-to-day challenges. Licensed Professional Clinical

Counselors provide these services.

Call the Counseling Care Center (937)384-6920

GRIEF SUPPORT GROUP For information about grief support groups available in

the Dayton area, call Spiritual Care Services at Kettering

Medical Center, 937- 395-8640.

I CAN COPE An American Cancer Society program offering a series of

classes for people with cancer, their families and friends.

The program helps people meet the challenge of coping with

cancer by distinguishing cancer myths from facts. This FREE

program provides practical information about cancer, cancer

treatments, and offers self-care strategies and resources for

those facing cancer.

FREE classes are available on-line at www.cancer.org, under

“Support Programs and Services”.

2013 SUPPORT GROUPS, CLASSES, AND PATIENT RESOURCES

LEUKEMIA, LYMPHOMA, & MYELOMA FAMILY SUPPORT GROUP A Leukemia & Lymphoma Society Support Group for adult

patients and survivors with leukemia, lymphoma, Hodgkin’s

disease, multiple myeloma, and other blood-related diseases.

Families and friends are welcome. Meets the first Tuesday of

each month at 6:30PM except June, December, and holidays.

Call Kettering Cancer Care at 1-855-500-CURE (2873)

or call the Leukemia & Lymphoma Society Southern Ohio

office at 513-698-2424.

LOOK GOOD, FEEL BETTER A FREE American Cancer Society program designed

specifically for women experiencing side effects of cancer

treatments. The program was developed by the Cosmetic,

Toiletry and Fragrance Association, the National Cosmetology

Association and the American Cancer Society to provide

information on ways to enhance appearance and take care of

your skin, hair, and fingernails during treatment. The program

includes a free makeover by licensed cosmetologists and a

kit with products for demonstration purposes. Programs are

offered on the third Monday in January, April, July, & October

at Kettering Health Network facilities and at various other

Dayton area locations every month throughout the year. Call

the American Cancer Society toll-free at 1-800-227-2345

for information and to register.

LOOKING AHEAD NEWSLETTER A FREE newsletter published every-other-month for cancer

patients, survivors, families and friends, featuring KHN

cancer support groups and services, as well as selected local

cancer-related events and other resources.

To subscribe to the mail or email newsletter, call Kettering

Cancer Care at 1-855-500-CURE (2873).

MOVING FORWARD HAND-IN-HAND A support service in which breast cancer survivors offer

support and encouragement to individuals newly diagnosed

with breast cancer.

Call Kettering Cancer Care at 1-855-500-CURE (2873)

NAVIGATING THE BREAST CANCER JOURNEY A FREE class for women and men with breast cancer and

their support persons. Available at Kettering Medical Center

and Grandview Hospital locations. Provides a working

knowledge of the language and treatment options so women

can be active participants in their own care and in physical

and emotional healing.

Call Kettering Cancer Care at 1-855-500-CURE (2873)

PROSTATE CANCER FORUM A forum for men to discuss the concerns related to prostate

cancer. Meets the first Tuesday of each month at 6:30PM

except June, December, and holidays.

Call Kettering Cancer Care at 1-855-500-CURE (2873)

REACH TO RECOVERY An American Cancer Society program for women with breast

cancer. Reach to Recovery volunteers are specially trained

women who are breast cancer survivors. They may visit you

in the hospital or call you at home to offer support.

To request a Reach to Recovery volunteer, call the American

Cancer Society at 1-800-227-2345.

S.O.A.R. (STRENGTH, OPTIMISM, AND RECOVERY) For women with breast cancer. Focuses on the issues and

concerns unique to breast cancer, from new diagnosis

through long-term survivor. Meets the first Tuesday of each

month at 6:30PM except June, December, and holidays.

Call Kettering Cancer Care at 1-855-500-CURE (2873)

SOUTHWEST OHIO BRAIN TUMOR SUPPORT GROUP Provides encouragement and support to brain tumor patients

(cancer and non-cancer), their families and friends. Meets

the second Monday of each month from 7 to 8:30PM except

June, December, and holidays.

Call Kettering Medical Center, 937-298-3399

extension 55299.

WALK FOR WOMEN’S WELLNESS An annual walk held the first Sunday in May raises funds to

provide free mammograms and breast prostheses for women

who are under-insured or who have no insurance.

Call Kettering Breast Evaluation Centers at 937-299-0099

to apply for assistance.

To make a donation, call Kettering Medical Center

Foundation at 937-395-8607 or visit our website

at www.kmcfoundation.org.

| 1514 | | 15

KETTERING GIVES ME THE COURAGE TO FIGHT MY CANCER.

Kettering Health Network’s goal is to offer the very best in

cancer care – from prevention and early detection to treatment

and rehabilitation – right here close to friends and family.

Kettering has assembled a multidisciplinary team of experts

to treat patients and serve their families with support and

information to help them through the ordeal that is cancer.

Kettering’s Radiation Oncology area is a leader in the Greater

Dayton Area and uses the latest technology to provide services

similar to those offered at leading institutions nationally.

Kettering also hosts support groups for patients and families

and goes beyond the hospital walls to serve the community

with free cancer awareness presentations, personal risk profiles

and cancer screenings at health fairs and other events.

“ I could not have been taken better care of –God bless.”

TO LEARN MORE ABOUT PROVIDING GIFTS OF LIFE

For Kettering and Sycamore

Medical Centers, log on to

www.kmcfoundation.org or

call (937) 395-8607.

For gifts in support of Grandview

and Southview Medical Centers,

call (937) 723-3358.

For gifts in support of Fort Hamilton

Hospital, call (513) 867-5492.

For gifts in support of Greene

Memorial or Soin Hospitals,

call (937) 352-2250.

At Kettering, you are not alone in your fight against

cancer. From doctors and nurses, to lab technicians, aides,

educators and radiologists, a full range of caring, exceptional

professionals stands with you.

Standing behind them are people like you who have given

generously to Kettering Medical Center Foundation. Gifts,

large or small, have helped buy sophisticated diagnostic tools,

offer the latest treatments and provide a wide range of

services. Gifts have also provided free cancer screenings

to uninsured men and women throughout the greater

Dayton area. Some of these donors have faced cancer

themselves, or stood by a loved one fighting the disease.

But in a real way, they all stand with you today.

And with a gift of your own, you can join them and stand

with the next person or family who comes through the

doors of Kettering Health Network facing cancer and

needing the care of an expert staff, and the comfort of a

community of givers, right here at home.

Your Gifts Support

• Equipment and technological advances

• Facility expansion

• Community education and outreach

• Cancer research

• Encouragement for oncology patients

Find your way...to expertise and care for all forms of cancer...to life-changing technology...to a cure. When you or a loved one hear the word cancer, call us. You need answers and options—and you need them quickly.

Kettering Health Network is pleased to introduce Kettering Cancer Care where experts guide newly diagnosed patients, family members and those looking for a second opinion.

Find your way.

KETTERINGCANCERCARE.ORG