Cancer Care - Mid Coast Hospital · 2019. 12. 31. · CANCER CARE REPORT MIDCOASTHEALTHCOM/CANCER MID COAST HOSPITAL 2019 CANCER CARE ANNAL REPORT Miguel Arguedas, MD Gastroenterology,

MID COAST HOSPITAL 2019 CANCER CARE ANNUAL REPORT

2019 ANNUAL REPORT

Cancer Care

2019 CANCER CARE REPORT MIDCOASTHEALTH.COM/CANCER


Miguel Arguedas, MD Gastroenterology, Internal MedicineDavid Benton, MD Medical Oncology, Hematology, Internal MedicineIra Bird, MD General SurgeryIan Bristol, MD Radiation OncologyRobert Campbell, MD Surgery, Urology Thomas Cesca, MD Diagnostic RadiologyMatthew Cheney, MD Radiation Oncology Jamie Kline, MD Diagnostic Radiology, Fellowship Women’s Imaging Michael Curtis, MD Urology Carl DeMars, MD Hospice, Palliative Medicine, Internal Medicine David Dumont, MD Hospice, Palliative Medicine, Internal MedicineKeith Fleming, MD NeuroradiologyMarybeth Ford, MD OphthalmologyRamesh Gaindh, MD Anatomic & Clinical Pathology

Gregory Gensheimer, MD Ophthalmology Gregory Gimbel, MD, OB-GYN, Female Pelvic MedicinePatricia Greatorex, MD General Surgery, OncologicalJohn Gullo, MD Medical Oncology, HematologyBrian Haney, MD Medical Oncology, HematologyCraig Hawkins, MD Urologic Oncology Vu Ho, MD Pulmonary, Critical Care, Sleep Medicine Sarah Holland, MD Plastic SurgeryPatrick Keaney, MD Pulmonary, Critical Care, Sleep Medicine Kurt Kelley, MD Ophthalmology Paul LaPrad, MD Pulmonary, Critical Care, Sleep Medicine Michael Mason, MD General Surgery

Mark Marotto, MD Ophthalmology James McCormick, MD Pulmonary, Critical Care, Sleep Medicine Ola Melhus, MD Anatomic & Clinical Pathology Brady Mullen, MD General Surgery Elena Nackos, MD Medical Oncology, HematologyGregory Penner, MD Otolaryngology Rodger Pryzant, MD Radiation Oncology Helge Riemann, MD DermatologyMichael Sampson, MD OtolaryngologyHal Sreden, MD Pulmonary, Critical Care, Sleep Medicine Steven Stern, MD Diagnostic Radiology Calin Stoicov, MD Gastroenterology, Internal MedicineMelissa Streeter, MD, OB-GYN, Female Pelvic Medicine

Letter from the Cancer Committee Chair

The Mid Coast Hospital Center for Cancer Care is a Commission on Cancer-accredited program offering a cross-disciplinary, wide-ranging approach to patient care.

In 2019, Mid Coast Hospital made several key developments in the cancer care we provide to our community, including improvements in breast cancer navigation, a new tobacco cessation and prevention program, and increased access to clinical trials.

Treatment opportunities will also continue to expand in 2020 through our relationship with the MaineHealth Cancer Care Network. In 2019, MaineHealth received a federal grant for its new Lifespan Program, which will allow patients at Mid Coast Hospital to participate in advanced clinical trials right here at home.

As we look ahead, we are proud of the advancements we have made in the past year and for our patients’ ongoing trust in the compassionate, comprehensive care we provide daily. We look forward to continuing our legacy of exceptional cancer care in 2020, and are grateful, as always, for our community’s continued support.

John J. Gullo, MD Chairman, Commission on Cancer Committee

Commission on Cancer Committee Members & RolesJohn Gullo, MD Medical Oncologist, Chairman

Patricia Greatorex, MD General Surgeon, Cancer Liaison

Michael Mason, MD General Surgeon, Cancer Liaison Physician

Ramesh Gaindh, MD Pathologist, Cancer Conference Coordinator

Jamie Kline, MD Radiologist, Diagnostic Radiologist

Kristin Anthony, RNC, MSN, NEA-BC Cancer Program Administrator

Barbara McCue, RN Quality Director, Quality Improvement Coordinator

Jayne Cloutier, RN Oncology Nurse Leader, Clinical Research Coordinator

Cate Parker, RN Community Outreach Coordinator

Margaret Gardiner, FNP Palliative Care Representative

Dory Holmes, MPH OTR/L Coordinator for Cancer Registry Quality

Mary Maloney, CTR Certified Tumor Registrar

Suzie Satterfield, RN Case Management Representative

Michelle Hayes Psychosocial Services Coordinator

Cancer Management Physicians & Board Certifications



Creating Opportunities for Prevention & Screenings CANCER PREVENTION EDUCATIONAs part of its commitment to building a healthier community, the Mid Coast Center for Community Health & Wellness holds regular free lectures regarding cancer prevention.

Food for Health is a series offered in the spring and fall that provides cooking demonstrations and education showing how chronic diseases can be prevented, treated, and reversed with a plant-based diet. Topics this year included:

• Healthy Diet: Separating Fad from Fact • Food and Inflammation • How a Plant-Based Diet Reduces Risk of Infectious Diseases

From January through June 2019, 508 members of the community attended a Food for Health lecture, which is more than double the 2018 attendance. Due to the popularity of the series, more Food for Health lectures were held in 2019 than in the previous year.

PROMOTING COMPREHENSIVE TOBACCO CESSATION AND EDUCATIONIn fall 2019, as part of its efforts as a Maine District Tobacco Prevention Partner, Mid Coast Hospital launched a new tobacco prevention and cessation program. The BeFree Tobacco Prevention & Treatment Program seeks to prevent all types of tobacco use among youth, including e-cigarettes, prevent exposure to secondhand smoke in public spaces, and provide treatment for those who use tobacco.

BeFree supports members of the Midcoast community in their efforts to quit using tobacco by:

• Increasing community members’ awareness of resources that can help them quit • Providing free tobacco cessation counseling • Gifting all participants with a free quit kit

SKIN CANCER SCREENING REVEALS CANCER RISKEach year, Mid Coast Hospital holds a community skin cancer screening aimed at promoting early detection and prevention of skin cancer. Offered free of charge to the public, this year’s event was held on Thursday, June 13, 2019.

Of the 34 individuals screened, 6 had positive findings requiring biopsy or follow up. They were given names of local dermatologists and advised to seek further medical care.

All who participated were also given education materials on skin cancer prevention and treatment. The screening was a collaboration of the American Academy of Dermatology, the American Cancer Society, and Mid Coast Center for Community Health & Wellness, as well as Mid Coast-affiliated dermatology experts.

WWW.MIDCOASTHEALTH.COM/BE-FREE

My Quit Journal

19 CH&W Be Free Journal_Cover.indd 1 8/19/19 10:20 AM

WWW.MIDCOASTHEALTH.COM/WELLNESS

Food for HealthLearn how a plant based diet can improve chronic disease.A FREE monthly series that provides cooking demonstrations and education showing how chronic disease can be prevented, treated and even reversed with a plant based diet for an over-all healthier lifestyle.Presentations by Timothy Howe, MD Food Demonstrations by Sheryl McWilliams RN, MPH and Lyn Howe, MPH

Tuesdays from 6:30-8 p.m. September 10 Avoid the Flu: How a Whole Food, Plant Based Diet Reduces the Risk of Infectious DiseaseOctober 8 Natural Ways to Lower Your Blood PressureNovember 12 The Benefits and Harms of a Ketogenic Diet December 10 How to Avoid the Supplement Trap

Mid Coast Center for Community Health & Wellness Teaching Kitchen 329 Maine Street-SOUTH ENTRANCE, Brunswick

For more information call (207) 373-6585 or visit www.midcoasthealth.com/wellness.

FREE Screening by Mid Coast Hopsital Dermatologist Helge G. Riemann, MD Pre- registration required.

Are you at risk for skin cancer?Skin cancer is the most common form of cancer with more than 1 million new cases every year. Join Helge G. Riemann, MD for this FREE skin cancer screening. This screening is intended for individuals who: • Do not regularly see a primary care physician • Work outdoors or spend a lot of time in the sun • Have a growth or sore on their skin

Limited availability. Pre-registration is required.

June 13, 2019, 6-8p.m.Mid Coast Hospital Parkview Campus- Infusion Center329 Maine Street–NORTH ENTRANCE, Brunswick, Maine 04011 For more information about these programs, call (207) 373-6585

www.midcoasthealth.com/wellness


Skin Cancer Screening



Treating the Total Patient PSYCHOSOCIAL DISTRESS SCREENING During patients’ initial consult, the Mid Coast Hospital Center for Cancer Care asks they complete the National Comprehensive Cancer Care Network (NCCN) Distress Thermometer, in order to assess their psychosocial needs. The NCCN Distress Thermometer rates patients’ distress on a scale of 1 through 10, and asks them to answer questions about concerns unrelated to physical health, such as family and emotional problems.

The provider and nurse navigator review and discuss the results with each patient, and referrals are made as needed. Patients in a crisis situation are referred to the Mid Coast Hospital Emergency Department.

In 2019, the Mid Coast Hospital Center for Cancer Care increased its number of distress screens given over the previous year, as well as the number of referrals to the hospital’s oncology-focused social worker. The majority of patients that scored a 5 or higher on the screening were referred to receive social work services.

ENHANCING CASE REVIEW PROCESS In 2019, following a recommendation from a Commission on Cancer surveyor, the Mid Coast Hospital Center for Cancer Care expanded its Case Review and Tumor Conference process in an effort to take a more holistic view of patients.

This expansion included involving more members of each patient’s care team in the twice monthly meetings, in an effort to take a more all-encompassing view of the patient.

The meetings now include consistent attendance of the patient’s navigation team, comprising three nurse navigators and one social work navigator, as well as a palliative care provider and inpatient services. The meetings are also now more comprehensive, with staff discussing more in-depth patient information that contributes to care, such as the results of their psychosocial distress screening and financial and transportation needs.

In addition, Interdisciplinary Team meetings are now held twice weekly, and the Medical Infusion Center team holds a daily huddle to help stay connected to patients and their conditions and symptoms.



Celebrating Survivorship 2019 MAKING STRIDES AGAINST BREAST CANCER In October 2019, Mid Coast Hospital was the Survivorship sponsor of the American Cancer Society’s Making Strides Against Breast Cancer Walk held at the Brunswick Mall. The event raised $24,000 in total to fund vital breast cancer research.

YOGA FOR CANCER Mid Coast Hospital and Maine Pines Racquet & Fitness partner to offer a weekly yoga program designed to limit stress, reduce fatigue, and promote healing for cancer patients. Yoga for cancer is free and open to cancer patients before, during, or after treatment.

The Yoga for Cancer program helps cancer patients develop a better sense of wellbeing, stimulates the immune system, and increases flexibility and strength. In 2019, Yoga for Cancer hosted 222 participants.

SURVIVORSHIP CARE PLANS Mid Coast Hospital continues to emphasize survivorship through creating Survivorship Care Plans (SCPs) with cancer patients who are completing their first course of treatment. The SCPs provide a comprehensive care summary and follow-up plan that is clearly explained.

Yoga for CancerImprove symptoms through simple movement and breathing.A FREE weekly program designed to limit stress, reduce fatigue, and promote healing for cancer patients and their caregivers, pre, post, or during treatment. Walk-ins welcome.

Thursdays from 5:00-5:45 p.m.Maine Pines Racquet & Fitness 120 Harpswell Road, Brunswick What you can expect: • A better sense of well being • Stimulated immune system • Help with building bone density • Increased strength and flexibilityFor more information call (207)729-8433.




Building the Continuum INCREASING ACCESS TO CLINICAL TRIALSDue to Mid Coast Hospital’s membership in the MaineHealth Cancer Care Network (MHCCN), a coordinated system of care comprising 12 MaineHealth member and affiliate hospitals, our cancer patients have access to world-class, coordinated cancer treatment. It is supported by a grant by The Harold Alfond Foundation.

That access expanded in an exciting way in September 2019, when the MHCCN received a six-year, $5.1 million award from the National Cancer Institute Community Oncology Research Program (NCORP). The grant allowed the cancer network to launch its Lifespan Program, the only oncology program in Northern New England to enroll patients in National Cancer Institute clinical trials at every stage of cancer from prevention to survivorship, and from pediatric to adult. The trials will have a range of objectives, from reducing the incidence of cancer to improving the way cancer care is delivered to patients.

The Lifespan Program will allow Mid Coast Hospital patients, and patients from other MHCCN hospitals, to participate in advanced clinical trials in their own communities, and provides a wonderful and potentially transformative care opportunity for patients in rural areas.

Additionally, in 2019, five Mid Coast Medical Group-Cancer and Blood Disorders patients participated in a clinical trial through the Maine Cancer Genomics Initiative, which offered them a comprehensive genomic profile that could be used to identify second-or third-line therapies.

We are grateful the MaineHealth Cancer Care Network Lifespan Program will make more innovative treatment opportunities a convenient possibility for our patients in 2020.

MAKING ADVANCEMENTS IN PATIENT NAVIGATIONPatient navigation in cancer care refers to individualized assistance offered to patients, families and caregivers to help overcome barriers and facilitate timely access to quality medical and psychosocial care.

In 2019, Mid Coast Hospital began participating in an initiative by Project ECHO, an organization dedicated to giving providers in rural areas the knowledge they need to provide high-quality specialty care.

Specifically, Mid Coast Hospital is participating in a Project ECHO program focused on breast cancer navigation. The program assists care sites throughout the state of Maine without a breast-specific program in reviewing patient cases for genetic testing eligibility.

Each month, our Mid Coast Hospital Breast Cancer Navigator joins a Project ECHO video meeting as an expert panel member. The initiative is being evaluated by the Maine Cancer Care Network, and, depending on its success, may be expanded to include other yet-to-be-determined projects.



Building the Continuum RIDING TO SUPPORT HEALTHY LUNGS Mid Coast Hospital employees, providers, friends, and family took part in the 35th Annual Trek Across Maine in June 2019. The cycling team raised just under $30,000 in support of the American Lung Association (ALA) and lung health across the state.

OSTOMY SUPPORT GROUPIn 2019, Mid Coast Hospital launched a new Ostomy Support Group, facilitated by Claire Ross, FNP-C, CWON-AP, of Mid Coast Medical Group–Wound and Ostomy Care. The support group provides people who have an ostomy, or who will have surgery for any type of ostomy, with education and support.

SUPPORTING THE CANCER COMMUNITY Mid Coast Hospital continues to be active in the cancer community through sponsorship of organizations dedicated to cancer research and treatment, including:

• American Cancer Society; Making Strides Against Breast Cancer • Maine Cancer Foundation; Tri for a Cure • Patrick Dempsey Center for Hope and Healing • Dean Snell Cancer Foundation • Oasis Free Clinics

Ostomy support GroupEducation and emotional support for people who have an ostomy.Facilitated by: Claire Ross, FNP-C, CWON-AP Mid Coast Medical Group-Wound and Ostomy Care

Second Tuesday of Every Month From 5:30-6:30 p.m. Mid Coast Center for Community Health & Wellness Classroom 1 329 Maine Street–SOUTH ENTRANCE, BrunswickThis FREE ongoing support group will discuss all aspects of living with an ostomy, from body image and relationship concerns to self-care and management. Associated with United Ostomy Association of America (UOAA).

For more information, call (207) 373-6585 or visit www.midcoasthealth.com/wellness.


Documents

Cancer Care - Mid Coast Hospital · 2019. 12. 31. · CANCER CARE REPORT MIDCOASTHEALTHCOM/CANCER MID COAST HOSPITAL 2019 CANCER CARE ANNAL REPORT Miguel Arguedas, MD Gastroenterology,