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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

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