2018 WellStar Cancer Network Annual Report
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<strong>2018</strong> ANNUAL REPORT<br />
BASED ON CY 2017 CANCER<br />
NETWORK ACTIVITIES
VISION<br />
TO DELIVER WORLD-CLASS CANCER CARE<br />
MISSION<br />
TO ELIMINATE THE BURDEN OF CANCER<br />
ON OUR COMMUNITY BY PROVIDING<br />
COMPREHENSIVE PREVENTION AND<br />
EARLY DETECTION, TREATMENT AND<br />
SURVIVORSHIP PROGRAMS, DELIVERED IN<br />
A PATIENT-CENTERED ENVIRONMENT BY<br />
IMPASSIONED CAREGIVERS
<strong>WellStar</strong>: Connecting Patients<br />
to a <strong>Network</strong> of Care<br />
In April 2016, <strong>WellStar</strong> Health System expanded<br />
its footprint to 11 hospitals. With this change,<br />
cancer services also expanded, and the quality<br />
of our patient-centered cancer care improved<br />
throughout our multidisciplinary programs.<br />
The essence of world-class care is having<br />
dedicated caregivers who remain updated on the<br />
literature, use state-of-the-art technology, and<br />
communicate with the patient and each other.<br />
Multidisciplinary care, however, is taken to an<br />
even higher level through <strong>WellStar</strong>‘s STAT Clinic<br />
concept. At one of these unique clinics, whether<br />
for lung, breast, brain or prostate cancer, the<br />
patient comes to the clinic and is seen by all<br />
their physicians at one time. There is maximum<br />
discussion and the patient leaves knowing<br />
that they have learned their options and have<br />
received their unique treatment plan.<br />
Through our STAT Clinics, we have been able to<br />
deliver a higher level of cancer care and patient<br />
satisfaction, which leads to quicker times to<br />
treatment, adherence to protocols and improved<br />
survival. For example, prostate cancer is a<br />
common cancer that men fear because treatment<br />
can be associated with erectile dysfunction and<br />
urinary incontinence. A patient with an elevated<br />
PSA wants to know that if a cancer diagnosis is<br />
made, he will receive treatment that is just right<br />
for his specific situation. Our surveillance rate of<br />
40% and our STAT Clinic for prostate cancer give<br />
our patients confidence and reassurance that<br />
they have made the right decisions regarding<br />
their cancer treatment.<br />
The growth of our genetic counseling program<br />
and expansion throughout our System has been<br />
an area of excellence led by Director Kimberly<br />
King-Spohn. She and her team are involved in<br />
providing consultation services throughout our<br />
service areas, and also in our multidisciplinary<br />
tumor boards and STAT Clinics. In 2017, the<br />
genetic counselors performed 3,818 patient<br />
consultations.<br />
Our affiliation with Mayo Clinic continues to<br />
strengthen and grow through our popular second<br />
opinion consultation program. We simply upload<br />
radiology imaging digitally and send pathology<br />
slides for a second opinion. Within 48 hours, the<br />
patient and physician receive a formal second<br />
opinion consultation from the experts at Mayo<br />
Clinic, which can be helpful in deciding patient<br />
treatment. Patients receive a high-quality second<br />
opinion without travel and with no additional<br />
CY 2017 <strong>Cancer</strong> Case Distribution<br />
Breast: 23%<br />
Lung: 15%<br />
GYN: 7%<br />
Colorectal: 8%<br />
Prostate: 14%<br />
expense to them. We performed 50 second<br />
opinion consultations with Mayo Clinic during<br />
2017, and we expect that to double next year.<br />
<strong>WellStar</strong> <strong>Cancer</strong> <strong>Network</strong> had a good year in 2017<br />
and I would personally like to thank all of the cancer<br />
administration team and cancer providers for their<br />
dedicated service and patient-first attitude.<br />
Chief <strong>Cancer</strong> Officer<br />
Michael B. Andrews, M.D.<br />
2017 CANCER PROGRAM ANNUAL REPORT | 1
<strong>WellStar</strong> In the National Spotlight<br />
<strong>WellStar</strong> <strong>Cancer</strong> <strong>Network</strong> Distinctions<br />
Commission on <strong>Cancer</strong> (COC) Accreditation with Gold<br />
Commendation Outstanding Achievement Award<br />
The Commission on <strong>Cancer</strong> (CoC), a program of the American<br />
College of Surgeons (ACoS), recognizes cancer care programs<br />
for their commitment to providing comprehensive, high-quality,<br />
and multidisciplinary patient centered care.<br />
<strong>WellStar</strong> Chief Surgical Officer Testifies<br />
Before Congress to Advance Lung<br />
<strong>Cancer</strong> Clinical Outcomes<br />
In March 2017, <strong>WellStar</strong> Chief Surgical Officer<br />
Bill Mayfield, M.D., met with Health and Human<br />
Services Secretary Tom Price in Washington,<br />
D.C. They discussed opportunities to advance<br />
better outcomes for lung cancer patients.<br />
Dr. Mayfield (right) is pictured alongside Laurie<br />
Fenton Ambrose, president & CEO of the<br />
Lung <strong>Cancer</strong> Alliance, and Secretary Price.<br />
Dr. Mayfield was in D.C. testifying as part of the<br />
State of Lung <strong>Cancer</strong> Congressional Briefing.<br />
National Accreditation Program for Breast Centers<br />
(NAPBC) Accreditation by the American College of<br />
Surgeons, Commission on <strong>Cancer</strong><br />
NAPBC breast programs ensure multidisciplinary<br />
leadership representation and nationally recognized<br />
breast cancer quality performance measures for quality<br />
improvement.<br />
<strong>Cancer</strong> Screening Designated Center of Excellence –<br />
Accreditation by the American College of Radiology (ACR)<br />
This designation is awarded to lung cancer imaging sites that<br />
have met all of the ACR lung cancer screening measures,<br />
including participating in a lung cancer screening registry.<br />
Breast Imaging Center of Excellence (BICOE) Designation<br />
by the American College of Radiology (ACR)<br />
The BICOE designation is awarded to breast imaging centers<br />
that achieve excellence by seeking and earning accreditation<br />
in all of the ACR’s voluntary breast-imaging accreditation<br />
programs and modules, in addition to the Mammography<br />
Accreditation Program.<br />
2 | WELLSTAR HEALTH SYSTEM
<strong>WellStar</strong> Oncology Nursing Is Nationally<br />
Recognized for Innovation and Leadership<br />
Across the <strong>WellStar</strong> <strong>Cancer</strong> <strong>Network</strong>, 26 oncology nurses hold national<br />
certifications, including 24 as Oncology Certified Nurse (OCN), one<br />
as a Certified Breast Care Nurse (CBCN), and one as an Advanced<br />
Oncology Certified Nurse (AOCN).<br />
Additionally, three team members participated in national conferences,<br />
highlighting <strong>WellStar</strong>’s leadership and innovation:<br />
At the American College of Surgeons Commission on<br />
<strong>Cancer</strong> Conference, Michelle Guibault, BSN, RN, OCN,<br />
co-presented “Reducing Surgical Readmissions.”<br />
At the 42nd <strong>Annual</strong> Oncology Nursing Society Congress,<br />
Sara Owens, BSN, RN, OCN, nurse navigator at <strong>WellStar</strong><br />
Kennestone Hospital, presented “Survivors Offering Support<br />
(SOS): Peer Support for Women with Breast <strong>Cancer</strong>.”<br />
At the same conference, Barbara J. Wilson, MS, RN,<br />
AOCN, ACNS-BC, director of Oncology Professional<br />
Practice, co-presented “Ins and Outs of Neutropenia,”<br />
which highlighted evidence-based practice for inpatients<br />
and outpatients who may have treatment related<br />
neutropenia (low white blood cell counts).<br />
Wilson was also tapped to co-lead the Oncology Nursing<br />
Society’s update of the ONS Scope and Standards of<br />
Practice, slated for release in 2019, and to participate in<br />
creating a series of webinars on infection prevention for<br />
healthcare workers nationwide.<br />
<strong>WellStar</strong> Nursing Excellence<br />
Five <strong>WellStar</strong> oncology nurses were recognized for their commitment<br />
to care in 2017.<br />
Sara Owens, BSN, RN, OCN, nurse navigator at <strong>WellStar</strong> Kennestone<br />
Hospital was awarded the Crump Excellence in Nursing award, which<br />
recognizes oncology nurses who embody the core values of the<br />
<strong>WellStar</strong> <strong>Cancer</strong> <strong>Network</strong>, and who strive to go the extra mile while<br />
providing care for those in our community who are battling cancer. As<br />
part of the award, recipients also receive a $2,000 professional growth<br />
and development scholarship.<br />
Wanda Lowe, RN, nurse navigator at <strong>WellStar</strong> West Georgia Hospital,<br />
was awarded the Matt Mumber Visionary Patient Navigator Award for<br />
2017. The award and its associated $2,000 grant is presented yearly<br />
by the <strong>Cancer</strong> Patient Navigators of Georgia and embraces the CPNG<br />
values of inclusiveness, collaboration, compassion, and a holistic<br />
approach to achieving optimal patient outcomes.<br />
Three nurses Sherry Weaver, BSN, RNC, <strong>WellStar</strong> Paulding Hospital,<br />
Infusion; Julie Jones, BSN, RN, <strong>WellStar</strong> Kennestone Inpatient; and<br />
Kellie Mitchell, BSN, RN, OCN, <strong>WellStar</strong> Paulding Hospital, Infusion,<br />
received Daisy Awards. An acronym for Diseases Attacking the<br />
Immune System, the DAISY Foundation was formed in November<br />
1999, by the family of J. Patrick Barnes who died at age 33 of<br />
complications of Idiopathic Thrombocytopenic Purpura (ITP). The<br />
nursing care Patrick received when hospitalized profoundly touched<br />
his family. Nurses are nominated by anyone in the organization –<br />
patients, family members, other nurses, physicians, other clinicians<br />
and staff – who observes or experiences extraordinary compassionate<br />
care by a nurse.<br />
2017 CANCER PROGRAM ANNUAL REPORT | 3
Breast <strong>Cancer</strong> Program<br />
According to data collected<br />
from the CDC in 2015, breast<br />
cancer is the most often<br />
diagnosed cancer in the state<br />
of Georgia, with 1 in 8 women<br />
affected by the disease.<br />
<strong>WellStar</strong> <strong>Cancer</strong> <strong>Network</strong> provides<br />
a comprehensive program for early<br />
detection and treatment of breast<br />
cancer to women in the Metro<br />
Atlanta area and beyond.<br />
The Breast <strong>Cancer</strong> Program<br />
encompasses a multidisciplinary<br />
team, including dedicated breast<br />
surgeons; medical and radiation<br />
oncologists; state-of-the-art imaging<br />
and treatment facilities; and a<br />
robust support services program,<br />
which includes nurse navigation,<br />
nutritional counseling, social work<br />
and psychological services.<br />
In 2017, the Breast <strong>Cancer</strong> Program<br />
made several advances in care and<br />
services provided to patients.<br />
In an attempt to increase breast<br />
cancer screening and early diagnosis<br />
of breast cancer in the community,<br />
<strong>WellStar</strong> facilities provided 1,035<br />
4 | WELLSTAR HEALTH SYSTEM<br />
breast imaging exams in 2017 to<br />
uninsured and underinsured women<br />
at no charge to the patient. These<br />
services were made possible by<br />
contributions from It’s the Journey,<br />
Inc., Susan G. Komen Greater<br />
Atlanta, East/West Church in Austell<br />
and the <strong>WellStar</strong> Foundation’s Team<br />
Member Giving program.<br />
Recognizing the importance<br />
of early detection and timely<br />
intervention for lymphedema,<br />
a common side effect of breast<br />
cancer treatment, the <strong>WellStar</strong><br />
Foundation donated funds to offset<br />
patient costs for screening with the<br />
L-Dex system. L-Dex system is a<br />
measurement tool that can identify<br />
lymphedema up to 10 months prior<br />
to evidence of limb swelling.<br />
Our peer support program, Survivor’s<br />
Offering Support, continued its<br />
success in 2017 with seven dedicated<br />
patient-volunteers working with<br />
newly diagnosed breast cancer<br />
patients. These volunteers are<br />
breast cancer survivors, who are<br />
at least one year out of their own<br />
cancer treatment. They provide<br />
resources, emotional support, and<br />
guidance for patients throughout<br />
their breast cancer journey.<br />
Breast <strong>Cancer</strong> Subcommittee: (Back row, left to right): Kimberly King-Spohn,<br />
MS, CGC; Jay Patel, M.D.; Sara Owens, BSN, RN, OCN; Lisa Sherman, BSN, RN,<br />
CBCN; Leigh Webb, DrPH, MPH, CTR; Aimee Popp, M.D.; Kate Gavin, Certified<br />
MDT, CLT-LANA; Barbara Wilson, MS, RN, AOCN, ACNS-BC; Kellie Mitchell<br />
BSN, RN. (Front row): Hillary Hahm, M.D.; Catherine Goodwin, M.D.<br />
Not pictured: Carlos Alarcon, M.D.; Michael Andrews, M.D.; Diane Austin, RN;<br />
Sarah Bentley, RN; Diane Brandon, RN; Sheree Brown, M.D.; Kristin Caudell,<br />
director of Community Education and Outreach; Marcus Crawford, M.D.;<br />
Kathy Dugger, BSRT (M) (CV); Michael Folk, M.M., R.T. (T); Heather Gatcombe,<br />
M.D.; Samantha Griner, executive director, Women’s Service Line; Lynn Hanks,<br />
ARRT-R, ARRT-M; Rhonda Howell, executive director, Women’s Nursing; Anna<br />
Meyerson, M.D.; Christine Min, M.D.; Leena Nehru, MSW, LCSW, OSW-C; Barry<br />
Roseman, M.D.; Chad Schaeffer, MS, FACHE; Jeralynn Scott, BSRT (M); Paulomi<br />
Shroff, M.D.; Rhonda Wachsmuth, M.D.; Theresa Wang, M.D.; Keith West, M.D.
As part of the program’s dedication to<br />
increasing breast cancer awareness and to<br />
providing the most up-to-date treatment and<br />
diagnostic advances, Laura Pearson, M.D.,<br />
and Glenn Morehead, M.D., were invited to<br />
present a lecture at the <strong>WellStar</strong> Kennestone<br />
Auditorium in September of 2017, entitled,<br />
“Recent Advances in Breast <strong>Cancer</strong> Care.”<br />
This lecture, open to providers in the <strong>WellStar</strong><br />
community and beyond, touched on the<br />
latest surgical and medical options for breast<br />
cancer treatment.<br />
With an ever-increasing complexity of<br />
cancer care, many patients find the delay<br />
between diagnosis and the start of their<br />
treatment to be a frustrating and scary time.<br />
The Breast <strong>Cancer</strong> STAT Clinic at <strong>WellStar</strong><br />
North Fulton Hospital continues to provide<br />
the opportunity for patients to see a full<br />
multidisciplinary team of specialists in a<br />
single visit. This allows for rapid development<br />
of a treatment plan, and reduces delays from<br />
diagnosis to definitive treatment. The Breast<br />
<strong>Cancer</strong> STAT Clinic features a team comprised<br />
of a fellowship-trained breast surgeon,<br />
board certified plastic surgeons, medical<br />
oncologists, radiation oncologists, and a<br />
breast cancer nurse navigator. In addition,<br />
each patient seen in the clinic is evaluated by<br />
a genetic counselor to determine the patient’s<br />
risk for hereditary cancers.<br />
1 in 8<br />
women<br />
affected by the disease<br />
in Georgia<br />
WELLSTAR PARTNERS WITH THE ATLANTA BRAVES<br />
FOR BREAST CANCER AWARENESS<br />
Atlanta Braves fans were encouraged to wear pink when<br />
<strong>WellStar</strong> hosted a “Pink Out” of SunTrust Park to raise<br />
awareness for breast cancer. <strong>WellStar</strong>-branded tomahawks<br />
were given to the first 20,000 fans. More than 290 breast<br />
cancer survivors and 544 additional family members and<br />
friends participated in activities, including a photo booth<br />
and patient education tents.<br />
2017 CANCER PROGRAM ANNUAL REPORT | 5
Gastrointestinal <strong>Cancer</strong> Program<br />
With a multidisciplinary approach,<br />
the Gastrointestinal (GI) <strong>Cancer</strong><br />
Program continues to seek out<br />
new methods for improving<br />
patient outcomes and treatment<br />
for cancers of the GI system.<br />
<strong>WellStar</strong> patients receive state-of-the-art<br />
robotic surgeries, along with targeted<br />
chemotherapies, immunotherapies,<br />
biologic therapies, radiation – including<br />
Cyberknife and Tomotherapy – and<br />
clinical trials. With the largest genetic<br />
department in the state, we use<br />
genetic testing to determine the best<br />
chemotherapy treatment option for a<br />
patient’s specific cancer.<br />
In 2017, 175 colorectal patients<br />
underwent surgical resection at<br />
<strong>WellStar</strong>, during which IHC screening<br />
for Lynch syndrome, the most common<br />
hereditary colon cancer syndrome,<br />
was performed. Ten of these patients<br />
had abnormal testing results and<br />
four elected to have genetic testing.<br />
Ultimately, one of these patients was<br />
diagnosed with Lynch syndrome,<br />
showing the impact of testing and<br />
identifying genetic mutations in our<br />
patient population.<br />
The Enhanced Recovery After Surgery<br />
Program (ERAS) also began in 2017.<br />
The individualized pre-operative class<br />
for GI patients helps alleviate fears<br />
and stress about their upcoming<br />
surgery and treatment. It also helps<br />
to decrease length of stay and<br />
readmissions within the first thirty days<br />
following surgery by making sure the<br />
patient knows what is expected of<br />
them – and what they can expect from<br />
their care team – before, during and<br />
after surgery.<br />
<strong>WellStar</strong> provides a dedicated GI<br />
oncology nurse navigator to assist<br />
patients in their treatment plan and<br />
survivorship. Atlanta Magazine featured<br />
the program in an article about how the<br />
patient benefits from the guidance of a<br />
navigator throughout the cancer journey.<br />
In<br />
2017,<br />
175<br />
colorectal patients underwent<br />
surgical resection at <strong>WellStar</strong>,<br />
during which IHC screening<br />
for Lynch syndrome was<br />
performed<br />
6 | WELLSTAR HEALTH SYSTEM
Rachel White, RD,<br />
CSO, LD, an oncology<br />
dietician for <strong>WellStar</strong><br />
<strong>Cancer</strong> <strong>Network</strong>, works<br />
as part of the ERAS<br />
team to assist patients<br />
before and after<br />
surgery.<br />
Nancy Page, BSN,<br />
RN, OCN, led the<br />
Oncology ERAS<br />
initiative for <strong>WellStar</strong>.<br />
Kimberly King-Spohn,<br />
MS, CGC, director<br />
of the <strong>WellStar</strong><br />
Center for Genetics<br />
& Individualized<br />
Medicine<br />
Gastrointestinal Subcommittee: (Back row, left to right): Steven McCune, M.D., Ph.D; Sahir Shroff, M.D.;<br />
Sartaj Sanghera, M.D.; Michael Folk, M.M., R.T. (T); Robin Gohacki, NP; Leigh Webb, DrPH, MPH, CTR;<br />
Justin Hart, M.D., Ph.D; (Front row): Leena Nehru, MSW, LCSW, OSW-C; Kimberly King-Spohn, MS, CGC;<br />
Nancy Page, BSN, RN, OCN; Dean Kirkel, M.D.; Sachin Goel, M.D.; Carmen Klass, M.D., Ph.D<br />
Not pictured: Michael Andrews, M.D.; Donna Byfield, RN, MSN, CWCON; Jaydip Datta, M.D.; Scott<br />
Early, M.D.; Sujatha Hariharan, M.D.; Aron Kefela, M.D.; Chad Kuhlman, M.D.; Hao Hai Liang, M.D.; Harry<br />
Liberman, M.D.; Thomas Murphy, M.D.; Stephen Odum, M.D.; Raul Oyola, M.D.; Raj Sappati, M.D.; Chad<br />
Schaeffer, MS, FACHE; Jeffrey Schwab, M.D.; George Suku, M.D.; Kate Vasconcellos, M.D.; Rachel White,<br />
RD, CSO, LD, CNSC; Roger Williams, DO; Barbara Wilson, MS, RN, AOCN, ACNS-BC; Mark Wyatt, M.D.<br />
2017 CANCER PROGRAM ANNUAL REPORT | 7
Genitourinary <strong>Cancer</strong> Program<br />
With state-of-the-art diagnostic<br />
services and tailored options for<br />
treatment, our Genitourinary<br />
<strong>Cancer</strong> Program serves patients<br />
with kidney, bladder, prostate,<br />
testicular and penile cancers.<br />
challenges physicians face when<br />
treating prostate cancer is actual<br />
detection of the exact, specific<br />
location of the malignant tissue.<br />
Fusion MRIs are a recent technique<br />
used to improve detection and<br />
target cancerous tissue. Doctors<br />
use software that fuses the detailed<br />
MRI scans with live, real-time<br />
ultrasound images of the prostate.<br />
This “fusion” of images produces a<br />
3-D ultrasound/MRI view that allows<br />
physicians to guide the biopsy<br />
needles precisely to find the “right”<br />
tissue. This is similar to using a GPS<br />
to find one’s exact destination.<br />
Our advanced prostate cancer<br />
patients have been an important<br />
focus of the program, with several<br />
patients on immunotherapy<br />
for metastatic cancer that has<br />
spread to other parts of the body.<br />
Immunotherapy uses the body’s<br />
immune system to help attack<br />
the cancer cells. Our goal is to<br />
ensure that metastatic patients<br />
are benefiting from treatments that<br />
will give them the best possible<br />
quality of life.<br />
For patients with low-risk cancers,<br />
<strong>WellStar</strong> employs an “active<br />
surveillance” treatment method.<br />
This allows us to track, using PSA<br />
testing and repeat biopsies when<br />
necessary, and monitor patients on<br />
a regular basis to ensure that their<br />
cancer cells are not growing.<br />
While we deploy the traditional<br />
testing methods such as PSAs, and<br />
the Gleason score – a prognostic<br />
Our multidisciplinary<br />
clinic for prostate cancer<br />
continues to be an attractive<br />
option for patients.<br />
Our multidisciplinary clinic for prostate<br />
cancer continues to be an attractive<br />
option for patients, as it gives them<br />
the opportunity to see a surgeon<br />
and a radiation oncologist at the<br />
same appointment. To accommodate<br />
increased patient need, <strong>WellStar</strong> now<br />
offers two clinics per month.<br />
New in 2017, <strong>WellStar</strong> began using<br />
fusion MRIs for prostate patients.<br />
One of the most significant<br />
Genitourinary Subcommittee: (left<br />
to right) Becky Hippensteel, RN,<br />
BSN, CNOR, CASC; Stuart Resnick,<br />
M.D.; Justin Watson, M.D.; William<br />
Thoms, M.D.; Justin Hart, M.D.,<br />
Ph.D.; Michelle Guibault, RN, BSN,<br />
OCN; Michael Andrews, M.D.; Dean<br />
Kirkel, M.D.; Cesar Angeletti, M.D.<br />
Not pictured: Chad Schaeffer,<br />
MS, FACHE; Kimberly King-Spohn,<br />
MS, CGC; Nicolas Symbas, M.D.;<br />
Jeffrey Tharp, M.D.; Leigh Webb,<br />
MPH, CTR; Barbara Wilson, MS, RN,<br />
AOCN, ACNS-BC.<br />
8 | WELLSTAR HEALTH SYSTEM
60%<br />
of low-risk prostate<br />
cancer patients are on<br />
active surveillance<br />
grading system, which determines the probable behavior<br />
of prostate cancer over time – we continue to search for the<br />
latest techniques and technology to improve diagnosis and<br />
prognosis.<br />
To that end, we added the Decipher test to our arsenal in fighting<br />
prostate cancer. This test predicts the probability of metastasis<br />
after surgery and provides an independent assessment of tumor<br />
aggressiveness. This additional test provides a distinct set<br />
of information from that provided by other tests, such as the<br />
Gleason or PSA.<br />
We continue to use genomics – testing of tumor cells to help<br />
identify specific genes that may be causing a tumor to grow. This<br />
information can help predict the disease progression in patients<br />
with low-risk, low-grade cancer. This test has allowed us to<br />
monitor appropriate patients without any invasive treatments.<br />
Our Prostate Support Group provides emotional support for<br />
patients with monthly meetings. In 2017, we hosted our sixth<br />
annual Prostate Survivors’ Celebration in conjunction with<br />
Prostate <strong>Cancer</strong> Awareness Month.<br />
GRATEFUL PATIENT PAINTS<br />
PORTRAIT OF RADIATION<br />
ONCOLOGIST<br />
<strong>WellStar</strong> West Georgia Medical<br />
Center patient Emil Barlow showed<br />
his appreciation to his radiation<br />
oncologist, Robert Taylor, M.D., by<br />
painting a portrait of the physician,<br />
whom Barlow said gave him hope,<br />
encouragement and a listening ear<br />
during treatment for prostate cancer.<br />
“I’m grateful my path crossed with<br />
Dr. Taylor’s,” Emil Barlow said. “He<br />
and his team did so much to help<br />
me get through this.”<br />
Diagnosed after PSA readings as<br />
high as 45 and 58, Barlow began<br />
seeing Dr. Taylor at <strong>WellStar</strong> West<br />
Georgia for external beam radiation<br />
therapy followed by a seed implant,<br />
a type of radiation treatment that<br />
works from inside the body to kill<br />
prostate cancer cells.<br />
“Dr. Taylor said it might be a year<br />
after the seed implant that my PSA<br />
levels would be back to normal,”<br />
said Barlow, who lives in Thomaston.<br />
“Instead, my levels were zero-pointzero<br />
30 days after the implant.”<br />
Emil Barlow, pictured here with Robert<br />
Taylor, M.D., is now retired and enjoys<br />
painting about seven to eight portraits<br />
a year.<br />
Barlow said he enjoyed getting to<br />
know Dr. Taylor and his fellow team<br />
members in Radiation Oncology.<br />
“All of [the team members] were so<br />
sincere in their desire to help me get<br />
better,” he said. “Dr. Taylor said to<br />
me, ‘I’ll treat you as if you were my<br />
father.’ That’s an earth-shattering<br />
thing for a patient to hear; it really<br />
touched me.”<br />
2017 CANCER PROGRAM ANNUAL REPORT | 9
Gynecology <strong>Cancer</strong> Program<br />
The Gynecology <strong>Cancer</strong> Program<br />
continued to grow in 2017 with the<br />
ability to see patients at <strong>WellStar</strong> Cobb,<br />
Kennestone and North Fulton hospitals,<br />
as well as <strong>WellStar</strong> Medical Group<br />
Internal Medicine at Princeton Lakes.<br />
In addition, we will expand to <strong>WellStar</strong><br />
Vinings Health Park in <strong>2018</strong>.<br />
Gynecology Subcommittee Chair<br />
Jeffrey Hines, M.D.<br />
Jeffrey Hines, M.D., and Amy Carroll, M.D.,<br />
provide a wide range of complex surgeries,<br />
including robotic and minimally invasive<br />
procedures, as well as evidence-based therapies<br />
on virtually all types of gynecological cancers,<br />
including cervical, endometrial, ovarian, vaginal,<br />
vulvar and gestational trophoblastic disease.<br />
Additionally, the Gynecology team works closely<br />
with supportive services, including genetic<br />
counseling, nutritional counseling, psychosocial<br />
services and palliative medicine to ensure<br />
patients receive full comprehensive care and<br />
treatment. In 2017, in order to improve access<br />
and timeliness for our patients, we made a<br />
promise to them that new gynecological cancer<br />
patients would have their first consult with a<br />
gynecological oncologist within 48-72 hours of<br />
receiving a referral.<br />
Our chemotherapy patients are treated at three<br />
state-of-the-art chemotherapy centers located in<br />
Austell, Marietta and Roswell.<br />
Looking ahead, we have plans to expand our<br />
offering of clinical trials with the addition of<br />
gynecologic protocols through the National<br />
<strong>Cancer</strong> Institute (NCI). We are also working to<br />
enhance our ancillary and supportive services<br />
through the expansion of psychosocial and other<br />
counseling services.<br />
Nurse Navigator Susan<br />
Willard, BSN, RN, OCN,<br />
started Navigation<br />
services for patients<br />
with gynecologic cancers<br />
at <strong>WellStar</strong> Cobb and<br />
<strong>WellStar</strong> Kennestone<br />
hospitals.<br />
Our chemotherapy patients are<br />
treated at three state-of-the-art<br />
chemotherapy centers located in<br />
Austell, Marietta and Roswell.<br />
The Population Health team at <strong>WellStar</strong> will<br />
continue to conduct meaningful screening for<br />
at-risk populations in our service area, including<br />
expanding these services to a new office<br />
location at <strong>WellStar</strong> Acworth Health Park.<br />
10 | WELLSTAR HEALTH SYSTEM
In 2017, new<br />
gynecological cancer<br />
patients would have<br />
their first consult<br />
with a gynecological<br />
oncologist within<br />
48 to<br />
72hrs<br />
of receiving a referral<br />
Gynecology Subcommittee members:<br />
(left to right) Pictured: Michael Andrews,<br />
M.D.; Evelyn Reynolds, M.D.; Susan Willard,<br />
BSN, RN, OCN; and Leena Nehru, MSW,<br />
LCSW, OSW-C.<br />
Not pictured: Nicole Dinnall, practice<br />
manager; Scott Early, M.D.; Milele Francis,<br />
M.D.; Heather Gatcombe, M.D.; Kimberly<br />
King-Spohn, MS, CGC; Carlos Osmon, M.D.;<br />
Leigh Webb, DrPH, MPH, CTRnn; Barbara<br />
Wilson, MS, RN, AONC, ACNS-BC; Jeffrey<br />
Hines, M.D.<br />
Gynecologic<br />
Oncologist<br />
Amy Carroll, M.D.<br />
2017 CANCER PROGRAM ANNUAL REPORT | 11
Thoracic <strong>Cancer</strong> Program<br />
Beverly Green, MS,<br />
RN, CNL, serves as<br />
an Oncology nurse<br />
navigator for the<br />
<strong>WellStar</strong> Cobb and<br />
<strong>WellStar</strong> Douglas<br />
STAT Clinics.<br />
<strong>WellStar</strong>’s Thoracic <strong>Cancer</strong> Program<br />
is dedicated to helping patients who<br />
have cancer in any of the organs of<br />
the chest cavity, including the lungs<br />
and esophagus.<br />
Patients whose chest imaging studies show<br />
abnormal results are eligible to be referred to the<br />
multidisciplinary Thoracic STAT (Specialty Teams<br />
and Treatments) Clinic. Patients can be referred<br />
to the STAT Clinic by physicians (primary care or<br />
pulmonology) or by self-referral.<br />
Our multidisciplinary approach includes<br />
pulmonologists, medical oncologists, radiation<br />
oncologists, thoracic surgeons, and nurse<br />
navigators as part of the visit. Having the entire<br />
care team in one central location takes the stress<br />
out of going from one appointment to the next.<br />
It significantly reduces the lead time between<br />
diagnosis and treatment, but more importantly,<br />
the collaborative effort breaks down the silos<br />
often experienced in healthcare settings and<br />
enhances critical decision-making processes in<br />
treatment planning.<br />
<strong>WellStar</strong> offers three clinics each week to<br />
accommodate these patients. We have Monday<br />
and Wednesday clinics at <strong>WellStar</strong> Kennestone<br />
Hospital <strong>Cancer</strong> Center; and Thursdays,<br />
Nurse Navigator<br />
Wendy Bailey, BSN,<br />
RN, OCN<br />
alternating weekly, at <strong>WellStar</strong> Cobb Hospital<br />
<strong>Cancer</strong> Center and <strong>WellStar</strong> Douglas Hospital<br />
Physicians Building.<br />
After patients are scheduled for a diagnostic<br />
procedure, they return to the STAT Clinic to<br />
receive their results. During that visit, the case will<br />
be reviewed by the care team to identify diagnosis<br />
and develop a treatment plan. The recommended<br />
treatment plan and other options are extensively<br />
In 2017, <strong>WellStar</strong><br />
performed<br />
baseline<br />
950<br />
lung cancer screenings<br />
12 | WELLSTAR HEALTH SYSTEM
discussed with patients, and<br />
procedural and follow-up<br />
appointments are made prior<br />
to the patient leaving the STAT<br />
Clinic. Patient feedback has been<br />
tremendously positive regarding<br />
the STAT Clinic, as their travel<br />
time and time off from work has<br />
been significantly reduced.<br />
Patients who need chemotherapy<br />
have access to the latest clinical<br />
trials through the oncologists who<br />
staff the STAT Clinic, and patients<br />
can also opt for second opinion<br />
with the Mayo Clinic through<br />
our collaborative <strong>WellStar</strong>-<br />
Mayo partnership. Our thoracic<br />
surgeons and pulmonologists<br />
offer the most advanced<br />
techniques, including minimally<br />
invasive procedures.<br />
LUNG SCREENING<br />
Many patients who are referred<br />
to the STAT Clinic for their care<br />
get their referrals through another<br />
successful program at <strong>WellStar</strong>. The<br />
Lung <strong>Cancer</strong> Screening Program<br />
refers many patients with abnormal<br />
screening CTs to the Clinic to<br />
determine whether patients need<br />
more frequent follow up in screening<br />
or need to be followed in STAT clinic<br />
to get tissue testing. The earlier we<br />
can catch lung cancer, the better the<br />
outcome for the patient.<br />
61%<br />
of Stage I and<br />
II lung cancer<br />
patients are seen<br />
in STAT Clinic<br />
2017 CANCER PROGRAM ANNUAL REPORT | 13
Leading with Genetics<br />
Between five and 10 percent of cancers<br />
are diagnosed in people with an inherited<br />
predisposition to increased risk.<br />
Through genetic risk assessment, the <strong>WellStar</strong><br />
Center for Genetics and Individualized<br />
Medicine, in its tenth year of service in 2017,<br />
aims to stop cancer before it appears.<br />
Housed in <strong>WellStar</strong> <strong>Cancer</strong> Center at <strong>WellStar</strong><br />
Kennestone Hospital, the Center includes<br />
custom-designed consultation rooms and an<br />
in-house lab draw station. After determining<br />
whether genetic testing is appropriate, <strong>WellStar</strong><br />
genetic counselors test for specific hereditary<br />
conditions known to increase the risk of various<br />
cancers and other genetic disorders. Counselors<br />
then recommend a specific plan based on the<br />
results, which could include increased screenings,<br />
lifestyle modifications or other procedures. Each<br />
patient’s individualized plan provides the best<br />
chance for prevention and early detection.<br />
5%-10%<br />
of cancers are diagnosed<br />
in people with an inherited<br />
predisposition to increased risk<br />
Genetic Counselors: (left to right) Amy Bradley,<br />
MMSc, CGC; and Caitlin Wright, MS, CGC<br />
For patients already diagnosed with cancer,<br />
the Genetics team uses its testing, including<br />
family history, personalized risk assessment and<br />
appropriate screening tests, to determine the risk<br />
for future cancers. Testing can help determine<br />
why a person has a certain cancer and how to<br />
best treat it, based on the patient’s genetics.<br />
Knowing a patient’s genetic predisposition to<br />
cancer can lead to proactive measures in order<br />
to prevent a future problem.<br />
The Center continues to be the highest volume<br />
cancer genetics program in Georgia and the only<br />
one providing services across the lifespan within<br />
the same department. <strong>WellStar</strong> offers genetic<br />
counseling services at locations across our service<br />
area, including <strong>WellStar</strong> Atlanta Medical Center<br />
South, <strong>WellStar</strong> Cobb Hospital, <strong>WellStar</strong> Douglas<br />
Hospital, <strong>WellStar</strong> Kennestone Hospital, <strong>WellStar</strong><br />
North Fulton Hospital, <strong>WellStar</strong> Paulding Hospital,<br />
<strong>WellStar</strong> Spalding Regional Hospital and <strong>WellStar</strong><br />
West Georgia Medical Center.<br />
The Center also offers:<br />
✓<br />
✓<br />
✓<br />
✓<br />
✓<br />
Hereditary Cardiovascular<br />
Disease Risk Assessment<br />
Adult Genetic Clinic with<br />
specialty in connective tissue<br />
and metabolic disorders<br />
Preventive Genetics Testing<br />
Pre-conception and Prenatal<br />
Genetic Risk Assessment<br />
Pediatric Genetic Risk<br />
Assessment for cancer and<br />
cardiac conditions<br />
<strong>WellStar</strong>’s genetics program<br />
celebrates<br />
10 years<br />
of providing cancer risk<br />
assessment<br />
14 | WELLSTAR HEALTH SYSTEM
Patient Patty Watkins encourages others to<br />
consider genetic testing.<br />
“The diagnosis definitely<br />
scared me, but I knew I had<br />
a strong support system<br />
from my husband, two<br />
children and the rest of my<br />
family. I knew I could get<br />
past this horrible disease.”<br />
PATIENT TOUTS GENETIC TESTING<br />
In 2014, Patty Watkins was diagnosed with<br />
metastatic lung cancer. Two years later, the cancer<br />
metastasized to her brain, where 49 tumors were<br />
found. “The diagnosis definitely scared me, but<br />
I knew I had a strong support system from my<br />
husband, two children and the rest of my family.<br />
I knew I could get past this horrible disease.”<br />
Months after being diagnosed with lung cancer,<br />
Patty was able to celebrate the momentous<br />
occasion of completing chemotherapy at the<br />
<strong>WellStar</strong> Kennestone Hospital Outpatient<br />
Infusion Center. In 2017, she was placed on a<br />
targeted therapy drug after her tumor biopsy<br />
was positive. Today she shows no evidence of<br />
the disease.<br />
“Now that there is no evidence of lung cancer,<br />
I’ve decided to be an advocate for lung cancer<br />
patients and survivors,” Patty says. “I’m vigilant<br />
in telling all newly diagnosed patients to be<br />
tested for a genetic mutation. It saved my life<br />
and it can save countless others.”<br />
2017 CANCER PROGRAM ANNUAL REPORT | 15
Support, Survive and Thrive: Center for Survivorship and Support (CSS)<br />
<strong>WellStar</strong> <strong>Cancer</strong> <strong>Network</strong> features the<br />
Center for Survivorship and Support, an<br />
integrated system of care for helping<br />
patients navigate through all aspects of<br />
cancer diagnosis, treatment and care.<br />
Nurse Navigation<br />
Working as part of an interdisciplinary team,<br />
<strong>WellStar</strong> <strong>Cancer</strong> <strong>Network</strong> nurse navigators serve<br />
as one of the primary contacts for patients and<br />
their families, offering personalized guidance<br />
and support from diagnosis through treatment<br />
and beyond. These nurses help in facilitating<br />
communication between patients and their<br />
treatment teams, assisting with physical and<br />
emotional needs, and connecting patients with<br />
resources at <strong>WellStar</strong> and within the community.<br />
<strong>WellStar</strong> Kennestone Hospital Center for<br />
Survivorship and Support Staff: (Back row, left<br />
to right) Rachel White, RD, CSO, LD; Michelle<br />
Guibault, BSN, RN, OCN; Sara Owens, BSN,<br />
RN, OCN; Lisa Sherman, BSN, RN, CBCN; Susan<br />
Willard, BSN, RN, OCN. (Front row, left to right)<br />
Carey Baumann, BSN, RN; Leena Nehru, MSW,<br />
LCSW, OSW-C; Nancy Page, BSN, RN, OCN.<br />
Nutritional Counseling<br />
<strong>WellStar</strong> <strong>Cancer</strong> <strong>Network</strong> understands the<br />
importance of eating well both during and<br />
after cancer treatment. Through nutrition<br />
classes, cooking demos, and nutrition<br />
counseling with our Oncology Registered<br />
Dietitian, patients are given the tools they<br />
need to eat well during treatment and as<br />
they recover.<br />
Oncology Nurse Navigators: (left to right) Beverly<br />
Green, MSN, RN, CNL; Sherry Henson, BSN, RNC;<br />
and Wanda Lowe, RN.<br />
The Manning Wellness Kitchen, made<br />
possible by the <strong>WellStar</strong> Foundation, is a<br />
state-of-the-art demonstration kitchen that<br />
provides the perfect environment to learn<br />
more about nutrition.<br />
16 | WELLSTAR HEALTH SYSTEM
Psychiatrist Kajal<br />
Patel, M.D., <strong>WellStar</strong><br />
Medical Group<br />
Psychological (Psychosocial) Services<br />
Following a cancer diagnosis, patients<br />
can experience a wide range of emotional<br />
and physical challenges. <strong>WellStar</strong> <strong>Cancer</strong><br />
<strong>Network</strong> recognizes the importance of treating<br />
the whole patient by offering a variety of<br />
evidence-based psychosocial and behavioral<br />
health services to meet patient needs.<br />
For patients with more complex needs or<br />
those who prefer one-on-one care, the <strong>Cancer</strong><br />
<strong>Network</strong> partners with oncology behavioral<br />
health specialists within <strong>WellStar</strong> Medical<br />
Group to provide psychiatric and psychological<br />
intervention. Support groups provide an<br />
invaluable venue for patients to express their<br />
emotions and gain support from others, while<br />
psychoeducational workshops provide practical<br />
information and tools to help patients manage<br />
emotions and symptoms effectively.<br />
Social Services and Support<br />
One of the more challenging aspects of<br />
battling cancer is the necessary multifaceted life<br />
adjustments, which can include concerns around<br />
financial resources and psychosocial distresses.<br />
<strong>WellStar</strong> oncology social workers assist patients<br />
and their families with adjustment to their cancer<br />
diagnosis. An integral part of the healthcare<br />
team, social workers can quickly identify patients’<br />
financial and psychosocial needs, tailor a<br />
specific plan, and link patients with appropriate<br />
resources based on each patient’s needs.<br />
In 2017, with the integration of five new hospitals<br />
into the <strong>WellStar</strong> Health System, the social<br />
services team standardized the Comprehensive<br />
Biopsychosocial Distress Screening throughout<br />
the <strong>WellStar</strong> <strong>Cancer</strong> <strong>Network</strong>. The goal of<br />
the screening is to measure patients’ distress<br />
throughout their treatment regimen, which can<br />
last from a few weeks to several months, and to<br />
rapidly address those suffering from high distress.<br />
Clinical Psychologist<br />
Jennifer Kilkus, Ph.D.<br />
Support and Education<br />
<strong>WellStar</strong> offers a full array of educational classes<br />
and seminars for patients to help heal the mind,<br />
body and spirit. From prevention, exercise and<br />
healthy cooking classes to survivorship series<br />
discussions and special events, we strive to<br />
ensure our patients and their families receive<br />
the support they need during their journey.<br />
We understand the critical role of developing<br />
future social workers to care for our patients.<br />
<strong>WellStar</strong> <strong>Cancer</strong> <strong>Network</strong> is proud to have taken<br />
part of in a year-long education of master’s level<br />
social work program for students at <strong>WellStar</strong><br />
Kennestone Hospital.<br />
Fallon Blaze and Hayley Schneider<br />
both served as <strong>WellStar</strong> student<br />
interns<br />
2017 CANCER PROGRAM ANNUAL REPORT | 17
<strong>WellStar</strong> and the Community<br />
Think Pink Spirit Girls’ Night Out<br />
More than 300 women attended the<br />
2017 Spirit Girls’ Night Out – an annual<br />
celebration hosted by <strong>WellStar</strong> Health<br />
System in partnership with Town Center<br />
at Cobb’s Think Pink campaign to kickoff<br />
Breast <strong>Cancer</strong> Awareness month.<br />
<strong>WellStar</strong>’s Community Education &<br />
Outreach Department performed 191 free<br />
health screenings. The event also featured<br />
“Ask the Expert” health information<br />
booths, and a fabulous “Ribbons and<br />
Bows” fashion show, featuring 12 local<br />
breast cancer survivors.<br />
Paint The Town Pink<br />
<strong>WellStar</strong> West Georgia Medical Center hosted<br />
the annual Paint The Town Pink event, bringing<br />
together about 800 community members to<br />
promote breast cancer awareness and to offer<br />
free clinical breast exams and mammogram<br />
vouchers to qualified women. Sponsored by the<br />
Breast Friends For Life support group, Paint The<br />
Town Pink was held in conjunction with the HOPE<br />
for a Day walk, helping to raise funds for local<br />
women and men with breast cancer.<br />
Community members celebrate survivorship and<br />
promote breast cancer awareness.<br />
More than<br />
300<br />
women attended<br />
the 2017 Spirit Girls’<br />
Night Out<br />
18 | WELLSTAR HEALTH SYSTEM
50,381<br />
Number of participants<br />
in <strong>WellStar</strong> Community<br />
Events in 2017<br />
BRAdazzled Event Raises<br />
Record Amount to Support<br />
Free Mammogram Program<br />
<strong>WellStar</strong> Spalding Regional Hospital<br />
hosted more than 280 guests at its<br />
fourth-annual BRAdazzled fashion<br />
show and live auction. The program<br />
assists uninsured and underinsured<br />
women in the hospital’s service<br />
area. The 2017 event was the most<br />
successful to date, raising more than<br />
$13,000 for the <strong>WellStar</strong> Foundation in<br />
support of <strong>WellStar</strong> Spalding Regional<br />
Hospital’s free mammogram program.<br />
<strong>WellStar</strong> volunteers give countless hours of their energy, time and compassion to our patients. Pictured,<br />
left to right: Denise Corrente, Rick Nally, JC Palmer, Nancy McPartland, Pat Hunt, Barb Robinson and<br />
Richard Greenfield<br />
WELLSTAR KENNESTONE REGIONAL<br />
MEDICAL CANCER CENTER VOLUNTEERS<br />
The <strong>WellStar</strong> Kennestone Regional Medical<br />
<strong>Cancer</strong> Center volunteer program brings<br />
together a diverse group of individuals with<br />
a common dedication and passion to care<br />
and assist our cancer patients. The cancer<br />
program has one of the largest volunteer<br />
programs within <strong>WellStar</strong>, and the volunteers<br />
have become the true ambassadors for our<br />
volunteer and cancer programs.<br />
The <strong>Cancer</strong> Center volunteers are an amazing<br />
group of people. The display of genuine care<br />
and concern for the well-being of our patients<br />
is always evident in their daily interactions. Their<br />
kindness and compassion extend not only to the<br />
patients, but to their families and among each<br />
other as a team.<br />
Quite often, we hear comments, such as, “Thank<br />
you for being so kind,” “Your smile brightens<br />
my day,” and “You make it easier coming here,”<br />
voiced by patients passing through the <strong>Cancer</strong><br />
Center hallways. This is especially true for our<br />
long-term patients, who are known not only by<br />
their names, but have developed friendships with<br />
our volunteers. It is a privilege to see the <strong>Cancer</strong><br />
Center volunteers in action as they are shining<br />
stars. They are <strong>WellStar</strong>!<br />
2017 CANCER PROGRAM ANNUAL REPORT | 19
<strong>WellStar</strong> Foundation<br />
Getting Care to Those in Need<br />
Through grants secured by the <strong>WellStar</strong><br />
Foundation, <strong>WellStar</strong> <strong>Cancer</strong> <strong>Network</strong> addresses<br />
disparities in healthcare access by providing<br />
free breast screening and diagnostic services to<br />
uninsured and underinsured individuals, with the<br />
goal of reducing late stage breast cancer and<br />
mortality in our communities.<br />
With funding from Susan G. Komen Greater<br />
Atlanta and It’s the Journey, Inc., <strong>WellStar</strong> works<br />
to educate the community on the importance<br />
of breast cancer screening and removes the<br />
financial barrier to care for hundreds of patients<br />
each year. To be eligible to participate in this<br />
program, patients must be at least 40 years old,<br />
uninsured or underinsured, and live below the<br />
250% federal poverty threshold.<br />
<strong>WellStar</strong> removes the<br />
financial barrier to care for<br />
than<br />
patients<br />
500more<br />
a year<br />
Qualified patients are provided with a voucher<br />
that gives them access to screening and<br />
diagnostic services, including 3D mammograms<br />
in many cases, at various <strong>WellStar</strong> locations.<br />
Transportation assistance is also available from<br />
the <strong>WellStar</strong> Foundation.<br />
To ensure community members are aware of the<br />
health resources available, <strong>WellStar</strong>’s Community<br />
Education and Outreach team distributes<br />
educational materials in English and Spanish at<br />
health fairs, community events, and through our<br />
congregational nurse network, as well as through<br />
social media.<br />
In addition to community education, <strong>WellStar</strong><br />
utilizes community partnerships to work toward<br />
the goal of reducing late-stage breast cancer.<br />
<strong>WellStar</strong> works with community clinics and<br />
partners in our service areas to ensure patients<br />
in need of breast cancer screening, diagnostic<br />
services or treatment receive appropriate care.<br />
<strong>WellStar</strong> Honors Susan G. Komen<br />
Greater Atlanta and It’s the Journey, Inc.<br />
for Continued Grant Support<br />
In 2017, Susan G. Komen Greater Atlanta and<br />
It’s The Journey, Inc., supported <strong>WellStar</strong> with<br />
grants funding free mammograms and diagnostic<br />
services to uninsured and underinsured patients.<br />
<strong>WellStar</strong> Atlanta Medical Center brought together<br />
patients with representatives from Susan G.<br />
Komen Greater Atlanta and It’s The Journey in<br />
appreciation for funding of free mammograms.<br />
To say thank you, <strong>WellStar</strong> Atlanta Medical<br />
Center (AMC) hosted events honoring each<br />
organization. Representatives from both<br />
organizations were onsite at AMC’s downtown<br />
campus and <strong>WellStar</strong> Outpatient Imaging at<br />
Camp Creek, so patients could personally thank<br />
them for funding the mammograms.<br />
“I think it is very important for women to get<br />
screenings done for breast cancer. I don’t want<br />
any surprises,” said patient Tracie Johnson.<br />
“I want to be in-the-know about my own health.<br />
I am very thankful I was able to partake in the free<br />
mammogram program at <strong>WellStar</strong>,” she said.<br />
20 | WELLSTAR HEALTH SYSTEM
Thank You<br />
to <strong>WellStar</strong><br />
Foundation<br />
Donors<br />
MR. AND MRS. MARC ACREE*<br />
ADVANCED SKINCARE, LLC,<br />
SANDRA BUTLER<br />
AMERICAN CANCER SOCIETY<br />
DR. AND MRS. MICHAEL<br />
ANDREWS<br />
MR. AND MRS. MATT BARRETT*<br />
BERRY GLOBAL, INC.<br />
MR. AND MRS. ANDY FRITCHLEY*<br />
SELMA M. AND THOMAS B. GORE*<br />
GRIFFIN HOME CARE, INC.<br />
GRIFFIN KIWANIS FAIR<br />
ASSOCIATION<br />
MRS. FAYE M. HEWATT<br />
MR. AND MRS. LARRY HINDS<br />
HOPE FOR A DAY, INC.*<br />
NEIGHBORS FUND*<br />
DR. JAMES PARKER*<br />
MR. AND MRS. MARK E. PREWITT<br />
SUSAN G. KOMEN GREATER<br />
ATLANTA<br />
MS. ASHLEY THOMPSON*<br />
MR. WILLIAM TURNER*<br />
DR. NICK A. VLACHOS*<br />
With great<br />
appreciation, we<br />
recognize these<br />
supporters, who<br />
each made donations<br />
of $1,000 or more<br />
to the <strong>WellStar</strong><br />
Foundation in 2017.<br />
MR. AND MRS. SPEER BURDETTE*<br />
MR. AND MRS. JEFFREY A. COX<br />
MS. KELLIE L. COX<br />
MR. WINN CRUMP<br />
DIVERSE POWER*<br />
FIRE MINISTRIES - EAST<br />
WEST CHURCH<br />
IT’S THE JOURNEY, INC.<br />
KELL TOUCHDOWN CLUB<br />
MR. AND MRS. BILL LOWE*<br />
MR. AND MRS. FRED LUNDBERG*<br />
DR. AND MRS. TOM MALONE*<br />
DR. AND MRS. DAVID MARTIN*<br />
WELLSTAR WEST GEORGIA<br />
MEDICAL CENTER AUXILIARY*<br />
MS. BARBARA J. WILSON<br />
*In support of <strong>WellStar</strong> West Georgia<br />
Health Foundation<br />
To learn more about the <strong>WellStar</strong> Foundation or to make a<br />
contribution in support of the <strong>WellStar</strong> <strong>Cancer</strong> <strong>Network</strong>, call<br />
770-956-GIVE (4483) or visit wellstar.org/give. To donate<br />
directly to <strong>WellStar</strong> West Georgia Medical Center, please<br />
contact Susan Ferguson at 706-883-7332.<br />
2017 CANCER PROGRAM ANNUAL REPORT | 21
Investments in <strong>Cancer</strong><br />
With a newly integrated <strong>Cancer</strong><br />
<strong>Network</strong>, <strong>WellStar</strong> is focused on<br />
new ways to bring care to patients.<br />
T-VEC Treatments<br />
<strong>WellStar</strong> became the first community hospital<br />
network in Georgia to begin offering T-VEC, a<br />
treatment for melanoma that uses a live virus to<br />
kill cancer cells. T-VEC is injected directly into the<br />
lesion by a surgical oncologist every two weeks<br />
until the lesion(s) is gone. It may also stimulate<br />
the body’s own immune system to fight the<br />
cancer. T-VEC is approved for use in patients with<br />
advanced melanoma (Stage IIIB, IIIC or IV) that<br />
cannot be completely removed with surgery.<br />
<strong>WellStar</strong> became<br />
the 1st<br />
community hospital<br />
network in Georgia to<br />
begin offering T-VEC<br />
22 | WELLSTAR HEALTH SYSTEM
Digital PET<br />
In 2017, <strong>WellStar</strong> Kennestone Hospital became<br />
the second healthcare facility in the United States<br />
to invest in digital positron emission tomography<br />
(PET), which allows radiologists to compare high<br />
resolution, color images through an advanced<br />
Picture Archiving and Communication (PAC).<br />
Digital PET enables the team of professionals<br />
reviewing cases to have increased decisionmaking<br />
capability. An arrow on the images shows<br />
exactly where the disease is identified on the<br />
scan, making diagnosis and treatment of disease<br />
a precise target. This technique offers better<br />
sensitivity and specificity in locating the area of<br />
concern, which translates to increased reliability<br />
of images used for diagnosis and treatment of<br />
cancer at <strong>WellStar</strong>.<br />
Brian Gordon, M.D., led the<br />
digital PET initiative at <strong>WellStar</strong><br />
PET enables the team of professionals reviewing cases to have<br />
increased decision-making capability.<br />
2017 CANCER PROGRAM ANNUAL REPORT | 23
Looking Ahead<br />
Cutting Edge Technology for<br />
Treating Brain and Lung Tumors<br />
<strong>WellStar</strong> West Georgia Medical Center<br />
(WGMC) continued adding to its cutting-edge<br />
capabilities in Stereotactic Radiosurgery (SRS)<br />
and Stereotactic Ablative Radiation Therapy<br />
(SABR) with an Optical Surface Monitoring<br />
System (OSMS). <strong>WellStar</strong> West Georgia was<br />
one of the first cancer centers in Georgia to<br />
add this capability, which Radiation Oncologist<br />
Robert Taylor, M.D., uses to track patients during<br />
precision treatments for brain tumors.<br />
OSMS is a 3D tracking solution consisting<br />
of three sets of laser scanning banks coupled<br />
with high-resolution sensors around the patient.<br />
It monitors the patient’s position by tracking<br />
3,000 points on the patient’s body surface<br />
30 times a second. If the patient moves even a<br />
millimeter, the system automatically shuts down<br />
the radiation beam, allowing Dr. Taylor to treat<br />
with incredible precision.<br />
Radiation Oncologist<br />
Robert Taylor M.D.,<br />
West Georgia<br />
This technology further enhances the hospital’s<br />
SRS program, especially for precise targeting<br />
of high doses of radiation to brain tumors.<br />
Radiosurgery is painless and requires no<br />
cutting, anesthesia or recovery time. It takes<br />
less than an hour, and patients can drive<br />
themselves home afterwards.<br />
<strong>WellStar</strong> West Georgia also uses Rapid Arc<br />
capability with OSMS. This enhances even<br />
further the treatment of all tumors with<br />
precision radiotherapy and decreased radiation<br />
to normal tissues. Rapid Arc targets radiation<br />
beams from 360 degrees around the patient<br />
that collectively focus precisely on destroying<br />
the tumor.<br />
Rapid Arc is especially useful with lung tumors<br />
when used with SABR treatment where high<br />
doses are given in early lung cancer. It offers<br />
an excellent chance at a cure without surgery.<br />
SABR uses many radiation beams that precisely<br />
destroy the tumor while leaving normal tissue<br />
with minimal radiation. This treatment kills the<br />
lung tumor in greater than 90 percent of cases.<br />
<strong>WellStar</strong> West Georgia also has Respiratory<br />
Gating capabilities, allowing Dr. Taylor to track<br />
the tumor with 1-millimeter accuracy during the<br />
breath cycle. The radiation is turned on only<br />
when the tumor is in the correct position and<br />
automatically turns off when the tumor moves<br />
due to breathing motion.<br />
<strong>WellStar</strong> West Georgia’s nurse navigator team<br />
includes (Left to right): Charlene McClanahan,<br />
RPh, director of oncology services; Wanda Lowe,<br />
RN, cancer care navigator; Lori McClung, RN,<br />
BSN, lung health navigator; and Rhonda Rogers,<br />
RN, breast health navigator<br />
Rapid Arc targets<br />
radiation beams from<br />
360 degrees<br />
around the<br />
patient<br />
24 | WELLSTAR HEALTH SYSTEM
New Infusion Center to Support<br />
Paulding <strong>Cancer</strong> Patients<br />
In <strong>2018</strong>, <strong>WellStar</strong> Paulding Hospital will<br />
open the new Imogene Walraven Waldrop<br />
& Charles W. Waldrop Infusion Center, a<br />
2,806-square foot facility, with the capacity<br />
to serve 12 patients simultaneously. All<br />
patient bays include a motorized, reclining<br />
chair; enough space for a caregiver to<br />
accompany the patient for treatment; a<br />
personal television; and a modular station<br />
for storage. The new space also offers<br />
a lounge and nourishment center for<br />
patients, family members and caregivers.<br />
Kellie Mitchell, BSN,<br />
RN, OCN, <strong>WellStar</strong><br />
Paulding Hospital<br />
Infusion Center<br />
The new space also offers a<br />
lounge and nourishment center<br />
for patients, family members<br />
and caregivers.<br />
The newly renovated Radiation Oncology<br />
Department will feature external-beam<br />
therapy on an Elekta Linear Accelerator<br />
for all cancer types. We also offer High<br />
Dose Rate Brachytherapy, (HDR) for Breast<br />
and Gynecologic cancers as well as Low<br />
Dose Rate Seed Implants for Prostate<br />
cancer. Coordination of care for patients<br />
is provided through nurse navigators.<br />
The infusion center was supported by a planned gift from Paulding County native Imogene Walraven Waldrop<br />
to the <strong>WellStar</strong> Foundation. Pictured (left to right): <strong>WellStar</strong> Foundation board member Jay Wallace;<br />
<strong>WellStar</strong> Foundation development director Gene Weeks; Dallas resident Imogene Walraven Waldrop;<br />
Chad Schaeffer, vice president, Oncology Services, <strong>WellStar</strong> Health System; and <strong>WellStar</strong> Paulding Hospital<br />
President John Kueven.<br />
2017 CANCER PROGRAM ANNUAL REPORT | 25
<strong>WellStar</strong> <strong>Cancer</strong> <strong>Network</strong> Locations<br />
wellstar.org