2018 adventhealth cancer institute waterman …...2019/01/08  · cancer therapies. we are by your...

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For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 1 2018 AdventHealth Cancer Institute Waterman Outcomes Report Table of Contents Vision Statement AdventHealth Cancer Institute Waterman Facts Overview from Comprehensive Cancer Committee Chair Overview from Director Summary of Services Quality, Compassionate Cancer Care Affiliations and National Accreditations Cancer Care Navigators Radiation Oncology Multidisciplinary Tumor Board Cancer Registry Data Quality Performance Improvement Breast Cancer Statistics AdventHealth Waterman Breast Cancer Program Patient Support Statistics Social Services Monthly Support Groups Meeting the Needs of Our Community Improving Access to Cancer Care Cancer Prevention Awareness Campaign Supporting Survivors Community Outreach Program Leadership Teams Radiation Oncology Medical Oncology Leadership Cancer Committee Members Foundation 2017 Contributions and Distributions Clinical Trials <Next Page>

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Page 1: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 1

2018 AdventHealth Cancer Institute Waterman Outcomes Report

Table of Contents

Vision Statement AdventHealth Cancer Institute Waterman Facts Overview from Comprehensive Cancer Committee Chair Overview from Director Summary of Services Quality, Compassionate Cancer Care Affiliations and National Accreditations Cancer Care Navigators Radiation Oncology Multidisciplinary Tumor Board Cancer Registry Data Quality Performance Improvement Breast Cancer Statistics AdventHealth Waterman Breast Cancer Program Patient Support Statistics Social Services Monthly Support Groups Meeting the Needs of Our Community Improving Access to Cancer Care Cancer Prevention Awareness Campaign Supporting Survivors Community Outreach Program Leadership Teams Radiation Oncology Medical Oncology Leadership Cancer Committee Members Foundation 2017 Contributions and Distributions Clinical Trials <Next Page>

Page 2: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 2

AdventHealth Waterman, formerly known as Florida Hospital Waterman, is proud to present

our 2018 Annual Outcomes Report, including 2017 activities and 2016 Cancer Registry data.

VISION STATEMENT

To grow and enhance oncology services and be recognized as Lake County’s leading provider of choice for comprehensive, quality cancer care

CANCER INSTITUTE FACTS

Since its establishment in 1938, AdventHealth Waterman has been a leading provider of health care in Central Florida. The AdventHealth Cancer Institute Waterman, formerly known as Florida Hospital Waterman Cancer Institute, continues to expand its services, offering the growing Lake County population easy access to the latest advances in cancer care. In 2017, the Cancer Institute invested in the most advanced radiation imaging equipment in the county. With the TrueBeam™ linear accelerator, radiation is delivered more precisely and quickly, better protecting surrounding healthy cells.

Our community outreach programs educated thousands of area residents about cancer prevention, life-saving screenings and local resources.

The AdventHealth Cancer Institute Waterman offers high-quality cancer care in a compassionate setting. Each year, our knowledgeable and experienced medical group, led by eight oncology physicians and 12 oncology-certified registered nurses, cares for hundreds of patients who place their trust in our expert team. NOTE: CALL-OUT BOX FOR 2016 VOLUME STATS BELOW>

AdventHealth Cancer Institute Waterman 2016 Patient Care

• Newly Diagnosed Patients 644

• Outpatients Served 488

• Inpatients Served 23

• Radiation Procedures 11,036

• Cancer Surgeries 167

• Patients Enrolled in Clinical Trials 42

<Next Page>

Photo: CCC Chair

Page 3: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 3

Dear Patients, Community Members and Colleagues:

2017 was a year of great accomplishments and positive change at AdventHealth Cancer Institute Waterman, formerly known as Florida Hospital Waterman Cancer Institute. Our dedicated team of medical professionals and support staff continued to work hard to provide the best care for each patient while expanding access to quality health care for our entire community. We maintained prestigious accreditations, acquired the latest technology and recruited talented individuals to join our team. Below are a few of our notable 2017 achievements:

• Installed and initiated treatment using our new TrueBeam™ linear accelerator. This

state-of-the-art radiation treatment machine uses advanced technology to deliver

radiation to tumor sites with increased speed and accuracy.

• Established inpatient palliative care consultation services, led by Dr. Ajit V. Hansalia,

allowing our patients greater access to more optimized pain management, comfort-care

measures and supportive care.

• More than 350 palliative care consultations were performed in 2017 and the service

continues to grow.

• Welcomed aboard Leslie Maxwell, our new director of AdventHealth Cancer Institute

Waterman. Leslie brings more than 18 years of cancer center executive leadership and

experience to AdventHealth Waterman, formerly Florida Hospital Waterman. She will

continue to strengthen and develop the cancer program.

• Enhanced our presence in the community through local outreach focused on prostate

and gynecologic cancers, and other awareness-building activities for cancer screening

and prevention.

These and many other achievements demonstrate the dedication and commitment of our team. We are grateful for the support of our partners, community and donors. We will continue to build deeper relationships with our patients, physicians and community, and reaffirm our commitment to providing the highest quality, state-of-the-art cancer care close to home. Regards, <add signature> Anudh Jain, MD Radiation Oncology Specialist

Page 4: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 4

Comprehensive Cancer Committee Chair

Dear Patients, Community Members and Colleagues:

Did you know that the AdventHealth Cancer Institute Waterman, formerly known as Florida Hospital Waterman Cancer Institute, is the most comprehensive cancer program in Lake County? We offer more services for cancer prevention and screening, diagnosis, treatment, education, support and survivorship than any other local cancer center. Most of these services are provided in one building for the ease and convenience of our patients and their families.

And our program uses leading-edge technology to help patients fight and beat cancer. We were the first in Lake County to offer the most innovative radiation therapy technology. Through our partnership with Florida Cancer Specialists, we are able to offer innovative treatments options through clinical trials. In addition, because we are part of the AdventHealth Cancer Institute, the largest cancer program in the state of Florida, we have access to even more cancer specialists and advanced technology so we can link our patients to additional resources when needed. Our expert team of physicians, nurses, technicians and support personnel are committed to providing complete and personalized care for each patient. Our service standards are based on the AdventHealth Whole Person Care philosophy to keep patients safe. We care for patients like they are members of our own families, make it easy for patients to access the health care they need, and work to quickly resolve any issues patients may have. This model is founded in AdventHealth’s mission, vision and values. What does all of this mean to you? It means that cancer patients in our community do not have to travel far from home for personalized high-quality care, expert clinicians, and the latest cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

<add signature> Leslie K. Maxwell, MBA Director AdventHealth Cancer Institute Waterman <Graphic Header>

Page 5: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 5

AdventHealth Waterman Mission, Vision, Values and Service Standards

FHW_visions

atwork_exec dir ltr_10.26.pdf

<Next Page>

SUMMARY OF SERVICES Quality, Compassionate Cancer Care From diagnosis to recovery, the AdventHealth Cancer Institute Waterman, formerly known as Florida Hospital Waterman Cancer Institute, offers innovative state-of-the art health care. We connect Lake County to a network of care, as part of AdventHealth Cancer Institute, that ensures the highest quality, most integrated services in one place. Our oncologists are experts in cancer care, having trained at top medical schools and in other prominent hospitals and institutions. The Cancer Institute is also accredited as a Comprehensive Community Cancer Program by the Commission on Cancer of the American College of Surgeons so we meet the highest national standards in comprehensive patient-centered care. At AdventHealth Cancer Institute Waterman, you can stay close to home – connected to the community – while receiving the latest cancer treatments and therapies. But state-of-the-art doesn’t mean strictly technical. Our physicians and staff are part of the community and proud to practice with caring and compassion in a profession and city we all love.

Page 6: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 6

The best health care engages the body, mind, and spirt and each contributes to healing. That’s why we invest in people and technology, from the TrueBeam™ linear accelerator that targets tumors with pinpoint accuracy to cancer care coordinators who help patients coordinate medical appointments and provide emotional support to overcome the hurdles during cancer recovery.

Affiliations and National Accreditations

Cancer Care Navigators <COPY> INCLUDE PHOTOS OF NURSE NAVIGATORS WITH FOLLOWING PHOTO CAPTION. Eileen Bascombe, RN, Certified Cancer Navigator Holly Soucy, RN, Certified Cancer Navigator In 2017, AdventHealth Cancer Institute Waterman was the only hospital in Lake County to offer Cancer Care Navigators, specially trained and nationally certified nurses who serve as critical liaisons between patients and their medical team during treatment and recovery. The complimentary services include personalized education and support, assistance with appointment scheduling, follow-up on test results and consultations, and help accessing financial assistance and psychosocial support.

Radiation Oncology In 2017, the AdventHealth Cancer Institute Waterman continued to pursue the latest innovations in radiation oncology to ensure patients have access to the safest, most effective radiation care.

Page 7: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 7

The Cancer Institute acquired Lake County’s first TrueBeam™ linear accelerator, a radiotherapy system that uses state-of-the-art synchronized imaging and dose delivery to produce more efficient and accurate imaging results. TrueBeam™ imaging technology makes it possible to treat tumors within a few minutes per session, delivering radiation faster and with pinpoint accuracy that results in less radiation exposure to the patient. Additional technological advances in radiation oncology have paved the way for the AdventHealth Cancer Institute Waterman to implement more non-surgical therapy options, including brachytherapy, a treatment with minimal side effects and shorter recovery times for some skin and prostate cancers.

Multidisciplinary Tumor Board A multidisciplinary approach is often used to determine the most effective individualized treatment plans for our patients. Each week a team of our specialty physicians meets to review and discuss individual cases before recommending the best course of treatment. During these weekly tumor board meetings, each case is also reviewed against the Clinical Practice Guidelines established by the National Comprehensive Cancer Network (NCCN), an alliance of leading cancer centers. These guidelines offer additional clinical evidence and support to ensure our patients are receiving the best treatment options. <Next Page>

CANCER REGISTRY Improving the survival and quality of life of our patients is our top priority. As part of our accreditation with the Commission on Cancer of the American College of Surgeons, the AdventHealth Cancer Institute Waterman, formerly known as Florida Hospital Waterman Cancer Institute, maintains a Cancer Registry. This information system allows us to track and compare our cancer outcomes with other facilities across the country. The collective data helps us stay up to date on successful treatment trends and clinical trials, and guides us in designing programs to keep our community better educated about the importance of cancer screenings and prevention. Newly Diagnosed Cancer Patients Five-year Trend: 2012-2016

Year 2012 2013 2014 2015 2016

Patients 874 951 922 876 877

Source: AdventHealth Cancer Institute Waterman Cancer Registry Data

Page 8: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 8

Cases Reviewed by Tumor Board

2016 cc

5-top-sites.xlsx At AdventHealth Waterman, patients with complex cancer conditions are supported by a team of oncologists and other cancer specialists who collaborate through the Tumor Board to determine the best possible treatment plan. Breast cancer, the most commonly diagnosed form of cancer, was also the most frequently reviewed type of cancer by the Tumor Board at AdventHealth Waterman in 2016.

Source: AdventHealth Cancer Institute Waterman Cancer Registry Data

Primary Tumor Site

Breast cancer was the most commonly diagnosed cancer at AdventHealth Waterman in 2016, followed by digestive and respiratory cancers. Connective and soft tissue cancers were the least frequently diagnosed.

2016 - Site

Distribution_resorted_tb.xlsx

Primary Site Total Analytic* Non-analytic**

Breast 179 161 18

62

35

22

12 11

BREAST LUNG COLON SKIN PROSTATE

Page 9: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 9

Digestive System 162 128 34

Colon 58 53 5

Pancreas 29 17 12

Rectum 18 15 3

Liver 15 11 4

Esophagus 13 9 4

Other 11 10 1

Stomach 10 6 4

Anus/Anal Canal 8 7 1

Respiratory System 156 125 31

Lung/Bronc-Non Small Cell 101 86 15

Lung/Bronc-Small Cell 32 25 7

Larynx 10 9 1

Other Bronchus & Lung 10 3 7

Nasal/Sinus 3 2 1

Other 0 0 0

Urinary System 73 52 21

Bladder 49 39 10

Kidney/Renal 21 10 11

Other 3 3 0

Blood & Bone Marrow 72 26 46

Leukemia 33 12 21

Multiple Myeloma 21 10 11

Other 18 4 14

Male Genital 58 33 25

Prostate 57 32 25

Testis 1 1 0

Other 0 0 0

Female Genital 45 28 17

Corpus Uteri 27 21 6

Ovary 13 6 7

Cervix Uteri 4 1 3

Other 1 0 1

Vulva 0 0 0

Oral Cavity 32 24 8

Other 19 15 4

Page 10: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 10

Tongue 8 5 3

Lip 2 1 1

Hypopharynx 2 2 0

Oropharynx 1 1 0

Lymphatic System 29 21 8

Non-Hodgkin's 27 19 8

Hodgkin's Disease 2 2 0

Skin 28 23 5

Melanoma 26 21 5

Other 2 2 0

Brain & Central Nervous System 21 17 4

Other 14 10 4

Brain (Benign) 0 0 0

Brain (Malignant) 7 7 0

Endocrine 10 8 2

Thyroid 9 7 2

Other 1 1 0

Connect/Soft Tissue 4 2 2

Other/Ill-Defined 2 2 0

Unknown Primary 6 5 1

All Sites 877 655 222 * Analytic: Patients diagnosed and/or received their first course of treatment at AdventHealth Cancer Institute Waterman. ** Non-analytic: Patients treated at AdventHealth Cancer Institute Waterman for subsequent treatment or for other conditions not related to first diagnosis/treatment.

Note: Includes malignant and reportable benign cases Source: AdventHealth Cancer Institute Waterman Cancer Registry Data

Page 11: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 11

Ten Most Commonly Diagnosed Cancers

10 Most Prevalent

Sites.xlsx

In 2016, 512 cancer cases were diagnosed in patients at AdventHealth Waterman. Of the ten

most commonly diagnosed cancers, breast and lung cancers accounted for more than half of all

cases.

Source: AdventHealth Cancer Institute Waterman Cancer Registry Data

spell out the abbreviations used in the treatment combination charts below, e.g., Radiation instead of

Rad and Surgery instead of Surg, etc.>

Bladder Cancer Cases Treatment Combinations

19 2223

24

26

32

39

53112

162

Hodgkins Lymphoma Corpus Uteri Skin

Oral Cavity Blood and Bone Marrow Prostate

Bladder Colon Lung

Breast

Page 12: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 12

In 2016, about three out of four patients with bladder cancer were treated surgically at AdventHealth Waterman. Chemotherapy combined with surgery was the second most common form of treatment.

Rx Combination

Graph_2016 BLADDER CANCER CASES.xlsx

Source: AdventHealth Cancer Institute Waterman Cancer Registry Data

Prostate Cancer Cases Treatment Combinations Radiation was the most frequently used therapy to treat AdventHealth Waterman patients diagnosed with prostate cancer in 2016.

Rx Combination

Graph_2016 PROSTATE CASES_bz.xlsx

Surgery74%

Surg/Chem13%

Surg/Rad5%

Surg/Chem/Rad/Immu2%

Chem/Rad3%

Rad3%

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Source: AdventHealth Cancer Institute Waterman Cancer Registry Data

Colon Cancer Cases Treatment Combinations In more than two-thirds of cases, patients with colon cancer were treated surgically at AdventHealth Cancer Institute Waterman. Surgery combined with chemotherapy was the second most common form of therapy.

Rx Combination

Graph_2016 COLON CANCER CASES_bz.xlsx

Rad53%None

35%

Horm3%

Surg3%

Surg/Rad3%

Surg/Rad/Horm3%

Rad None Horm Surg Surg/Rad Surg/Rad/Horm

Page 14: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 14

Source: AdventHealth Cancer Institute Waterman Cancer Registry Data

Lung Cancer Cases Treatment Combinations Radiation and/or chemotherapy was used to treat more than half of all patients diagnosed with lung cancer at AdventHealth Cancer Institute Waterman.

Rx Combination

Graph_2016 LUNG CANCER CASES-bz.xlsx

Surgery68%

Surgery/Chemo-therapy

12%

None11%

Chemotherapy/Immunotherapy

5%

Chemo-therapy2%

Surgery/Chemotherapy/ Radiation

2%

Page 15: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 15

Source: AdventHealth Cancer Institute Waterman Cancer Registry Data

Breast Cancer Cases Treatment Combinations Surgery and surgery accompanied by hormone therapy accounted for more than two thirds of all therapies used to treat 123 AdventHealth Waterman breast cancer patients.

Rx Combination

Graph_2016 BREAST CASES_bz.xlsx

None…

Radiation21%

Chemotherapy16%

Chemotherapy/Radiation

15%

Surgery 5%

Chem/Rad/Immu3%

Radiation/Immunotherapy…

Immunotherapy1%

Chemotherapy/Immunotherapy

1%

None

Rad

Chem

Chem/Rad

Surg

Chem/Rad/Immu

Rad/Immu

Immu

Chem/Immu

Page 16: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 16

Source: AdventHealth Cancer Institute Waterman Cancer Registry Data

Cancer Cases Stage at Diagnosis The majority of AdventHealth Waterman cancer patients were diagnosed either in early Stage 1 or late Stage 4. The stage in which the disease is detected often varies by cancer type and the availability of screenings for early detection.

40 39

1512

108 8 8

5 42 2 2 2 2 1 1 1 1

0

5

10

15

20

25

30

35

40

45N

um

be

of

case

s

Page 17: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 17

Source: AdventHealth Cancer Institute Waterman Cancer Registry Data

Cancer Cases Summary Stage at Diagnosis For about 40 percent of patients diagnosed at AdventHealth Cancer Institute Waterman in 2016, their cancer was discovered while still localized to the area in which it originated. Slightly less than one-third of patients were diagnosed after the cancer had spread to distant parts of the body.

SEER summary stage

at diagnosis_10.31.xlsx

50

142

126

80

150

54

57

0 20 40 60 80 100 120 140 160

Stage 0

Stage 1

Stage 2

Stage 3

Stage 4

Unknown

N/A

Total Cases = 659

69

233

157

185

23

0 50 100 150 200 250

In-situ

Local

Regional

Distant

Unknown

Page 18: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 18

Source: AdventHealth Cancer Institute Waterman Cancer Registry * SEER: The Surveillance, Epidemiology, and End-Results Program of the National Cancer Institute (NCI) is

an authoritative source of information on cancer incidence and survival in the United States.

In-situ: Abnormal cells present but have not spread Local: Cancer limited to where it originated Regional: Cancer that has spread to nearby tissue or body parts Distant: Cancer that has spread to distant parts of the body

Cancer Cases Five-year Survival 2011-2015 The five-year survival rate for cancer patients treated at AdventHealth Waterman compared favorably to national data.

Source: AdventHealth Cancer Institute Waterman Cancer Registry

Cancer Cases Diagnosis by Race Distribution

Race Distribution.xlsx

0%

20%

40%

60%

80%

100%

120%

Breast Colorectal Head/Neck Lung Prostate

FHW National

Page 19: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 19

50 patients diagnosed at AdventHealth

Waterman but received no treatment there

86 patients diagnosed at

AdventHealth Waterman or associated physician's office;

received all , part or no treatment at AdventHealth Waterman

342 patients diagnosed at AdventHealth Waterman or

associated physician's office and received all, part or no treatment at AdventHealth Waterman

181 patients diagnosed

elsewhere and received full or partial treatment at AdventHealth Waterman

Source: AdventHealth Cancer Institute Waterman Cancer Registry

Cancer Cases By Diagnosis and Treatment Center

Of 609 patients with cancer treated at AdventHealth Waterman, slightly more than 70 percent were also

initially diagnosed at the hospital or an associated physician’s office. Less than 10 percent of patients

diagnosed at AdventHealth Waterman received of their treatment elsewhere.

Class Distribution.xlsx

Source: AdventHealth Cancer Institute Waterman Cancer Registry

93%

6%1%

White Black Other

Page 20: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 20

Cancer Cases Diagnosis by Gender Of the patients diagnosed with cancer in 2016, 55 percent were men and 45 percent were women.

Sex distribution.xlsx

Source: AdventHealth Cancer Institute Waterman Cancer Registry

Cancer Cases Age at Diagnosis Cancer was most frequently diagnosed in patients age 70 to 79, followed by those who are 60 to 69 years old. Total Cases = 659 to lower right interior corner>

Age at Diagnosis.xlsx

45%

55%

Female Male

Page 21: 2018 AdventHealth Cancer Institute Waterman …...2019/01/08  · cancer therapies. We are by your side every step of the way to help beat cancer. Sincerely,

For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 21

Source: AdventHealth Cancer Institute Waterman Cancer Registry

<Next Page>

QUALITY PERFORMANCE IMPROVEMENT

Breast Cancer Statistics

In 2016, the American Cancer Society reported about 249,260 breast cancer cases diagnosed in the United States. Of those, 246,660 were women and 2,600 were men. Thanks to increasing early detection and cutting-edge treatments, mortality from breast cancer has decreased 39 percent over the past decade, leading to approximately 320,000 fewer deaths and an estimated 3.5 million breast cancer survivors. At AdventHealth Waterman, formerly Florida Hospital Waterman, breast cancer in women continues to be the primary cancer site. Of 166 patients diagnosed with and/or treated for breast cancer in 2016, 98 percent – or 163 – were women and 2 percent – or three patients – were men. Age Group at Diagnosis Of patients diagnosed with breast cancer at AdventHealth Waterman, more than 50 percent were 40 to 69 years old. When narrowed to 60 to 69 year-old patients, that group represented more than 25 percent of the total, which is similar to the national average.

1

5

27

94

183

220

116

13

0 50 100 150 200 250

20 - 29

30 - 39

40 - 49

50 - 59

60 - 69

70 - 79

80 - 89

90 - 99

Age

Ran

ge

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Stage at Diagnosis Overall at AdventHealth Waterman, over three quarters of the breast cancer patients were diagnosed with Stage 0-2 disease, compared to almost 90 percent nationally.

AdventHealth Waterman Breast Cancer Program The Team Our breast cancer program is led by Dr. Borys Mascarenhas, clinical quality director of AdventHealth Waterman’s Cancer Program and Lake County’s only fellowship-trained surgical oncologist. Dr. Mascarenhas, along with his multi-disciplinary team, provides state-of-the-art care in a private-practice setting, ensuring each patient receives individualized care tailored to his or her needs. The breast cancer care team includes a diverse group of professionals specially trained to deliver quality treatment and related support:

• Surgeon

• Radiation Oncologist

• Medical Oncologist

• Radiologist

• Pathologist

• Plastic Surgeon

• Nurses

• Social workers

• Nutritionists

• Genetic counselors

Each patient’s case is discussed during a weekly conference in which the team reviews the biology of each patient’s tumor, the stage on presentation, and health of the patient. The patient’s lifestyle and personal choices are also considered. In 2019, the AdventHealth Waterman breast cancer program will apply for accreditation by the National Accreditation Program for Breast Centers. Treatments For patients with stages I, II or III breast cancer, treatment focuses on curative intent – with survival of five years or more. These treatment therapies often consist of surgery, radiation therapy to the breast, chest wall and lymph nodes, chemotherapy, and/or hormonal therapy.

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In some cases, cancer treatment can be long term (5 years). Based on size of the tumor at diagnosis or the involvement of lymph nodes, patients are initially treated with chemotherapy and/or hormone therapy prior to surgery. The most common first course of treatment for breast cancer patients at AdventHealth Waterman in 2016 was surgery combined with hormone therapy at 28 percent. Breast Cancer Cases Diagnosis by Gender

Source: AdventHealth Waterman Breast Cancer Department Database

2%

98%

Male Female

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Breast Cancer Cases Stage at Diagnosis

Source: AdventHealth Waterman Breast Cancer Department Database

<Next page>

PATIENT SUPPORT STATISTICS

Social Services

While the challenges of a cancer diagnosis can seem overwhelming, the oncology social worker

at AdventHealth Cancer Institute Waterman, formerly known as Florida Hospital Waterman

Cancer Institute, is specially trained to help patients obtain the physical and emotional support

they need. A comprehensive network of social services includes counseling, support groups,

financial and transportation assistance, home care and hospice referrals, and connections to

community resources.

< > CALL-OUT BOX WITH LIST OF SUPPORT GROUPS BELOW:

Monthly Support Groups

• All Cancers Group

• Breast Cancer

• Gynecological Cancer

• Look Good Feel Better

• Men’s Team Huddle

21

62

46

5 6

25

1

Breast

Stage 0 Stage I Stage II Stage III Stage IV Unknown N/A

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For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 25

Meeting the Needs of Our Community

Staying up to date on the community’s health care needs allows us to promptly evaluate

concerns and make ongoing improvements. That’s why we conducted a Community Health

Needs Assessment in 2016. Driven by the findings from that report, we developed strategies to

address the health care gaps and barriers to cancer care in Lake County. OTE> CALL-OUT

BOX WITH LIST BELOW:

Uninsured Lake County Residents

Age % Uninsured

18-44 33.0 %

45-64 11.2%*

*Exceeds statewide percentage

Source: Community Health Needs Assessment Report

Improving Access to Cancer Care for All Lake County Residents

The most common barriers to cancer care identified by a recent Lake County health assessment

are health insurance and financial issues, lack of knowledge of available local resources,

challenges with palliative and advanced care planning, and obstacles to off-site outpatient

treatment and transportation. AdventHealth Cancer Institute Waterman strives to break down

the barriers by:

• Offering online and phone support by a cancer care navigator who can assist with

setting up appointments and consultation, securing imaging and test results, addressing

financial support needs, and designing long-term survivorship care plans

• Increasing community outreach by cancer care navigators and oncology social worker

through hospital programs and local charitable organizations

• Providing patient education through local physician offices

• Implementing Palliative Care Distress Screenings and telephone follow-up to identify

and support patients facing emotional and social distress during treatment

• Providing inpatient Palliative Care and advanced care planning services

• Increasing awareness and availability of cancer screenings for early detection

• Offering access to an oncology Financial Counselor

• Providing transportation assistance

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Cancer Prevention Awareness Campaign More than 250,000 Lake County residents, or 75 percent of the community, were reached by our Cancer Prevention Awareness Campaign, which provided education about the benefits of early cancer detection through screenings.

Supporting Survivors

AdventHealth Cancer Institute Waterman is dedicated to improving the quality of care for survivors as they move beyond their cancer treatment. In 2017, 60 patients received survivorship care plans within six months of treatment completion. Individualized care plans are shared during one-on-one meetings between patients and their cancer care navigator, nurse and/or physician. <Next Page>

COMMUNITY OUTREACH AdventHealth Cancer Institute Waterman’s, formerly known as Florida Hospital Waterman Cancer Institute, annual community outreach activities exemplify our Whole Person Care philosophy and demonstrate our commitment to fostering a healthy community. In 2017, we reached more than 5,000 area residents through a series of 42 community screening and prevention programs, including lectures and personalized educational sessions, wellness expos and health fairs, and sponsored programs and events.

Outreach Events

• 3 educational sessions - Gynecological Cancer

• 2 educational sessions - Prostate Cancer

• 9 Lake County Living Well Expos

• 10 Community Health Assessment/Screening Events

• 6 Community Health Fairs

• 8 Community Lectures and Presentations

• Annual Pinking Ceremony – Kick-off for Breast Cancer Awareness Month

• Annual 5K Run/Walk

• Annual Open House - AdventHealth Waterman

• Annual Sponsored Dinner - Celebrating Survivors and Honoring Lives Lost

<Next Page>

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For more information or to refer a patient, call (352) 253-3333 or visit our website at https://www.adventhealth.com/hospital/adventhealth-waterman 27

PROGRAM LEADERSHIP TEAMS

Radiation Oncology

Anudh Jain, MD

• Fellowship trained in Brachytherapy Member of Radiation Oncology Specialists – 20-member physician group with 12 sites in Florida

• Comprehensive Cancer Committee Chair

• Joined AdventHealth Cancer Institute Waterman, formerly known as Florida Hospital Waterman Cancer Institute, in 2015

Medical Oncology • Ahmed Al-Hazzouri, MD - Cancer Liaison Physician; Clinical Research Coordinator

• Roy Ambinder, MD

• Ralph Gousse, MD

• Maen Hussein, MD

• Rambabu Tummala, MD

• Christopher Soprenuk, MD

< include headshots with titles>

Leadership

<insert photo> Leslie Maxwell, Director

• Leslie Maxwell joined the AdventHealth Cancer Institute Waterman in 2017. She was

formerly administrator for the AdventHealth Cancer Institute Central Region. Leslie is

responsible for the cancer institute’s program development, strategic planning and

marketing, and oversees physician relations.

• Adrienne Davis, Chief Physicist

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• Keith Lunn, Chief Therapist

• Tony Kinsey, Radiation RN

• Susie Trott, Clinic Support Manager

• Mike Brantley

• Jennifer Sanky, Certified Tumor Registrar, Tumor Registry Coordinator

CANCER COMMITTEE MEMBERS <photos for first two doctors>

Anudh Jain, MD Committee Chair, Radiation Oncology Borys Mascarenhas, MD Medical Director of Clinical Quality Oncology Surgeon Gary Allen, MD Thoracic Surgeon Ahmed Al-Hazzouri, MD Hematology/Medical Oncology & Clinical Liaison Physician Deborah Zeagler, MD Cancer Conference Coordinator; Pathology

Seble Gabre-Madhin, MD Gastroenterological Surgery Jason Gerboc, MD Urology Ajit Hansalia, MD Palliative Care Kevan Stewart, MD Radiology <Next Page>

FOUNDATION

Thanks to the generosity of our donor partners, the AdventHealth Waterman Foundation,

formerly known as Florida Hospital Waterman Foundation, raises thousands of dollars annually

that help fund valuable services to improve the health of our community.

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In 2017, the Foundation raised more than $30,000 to support Cancer Care Services, with an

additional $23,000 raised through events and promotion and nearly $13,000 contributed by

other local organizations.

Each October, the hospital kicks off its annual “Pinking Out” celebration with a number of

activities and educational events created to encourage breast cancer awareness, including the

Pink Out 5K Run/Walk, the Ladies Legacy Luncheon and a direct mail campaign.

Proceeds from these events are used to promote breast cancer awareness, and provide

financial and educational support for early detection and screening. Contributions to the

AdventHealth Waterman Foundation in 2017 made it possible for us to conduct 122 screening

mammograms for women who might not have otherwise been able to receive the early

screening procedure.

2017 Contributions and Distributions

Contributions

• Raised by hospital for cancer care $53,696

• Raised by partner organizations o Designated for cancer care $ 6,584

o Designated for screening mammograms $ 6,248

Distributions

• Cancer care services $15,216

• Donated by hospital for screening mammograms for uninsured and underserved patients $17,117

<Next Page>

CLINICAL TRIALS

Clinical trials are research studies aimed at evaluating if a new treatment, like a new cancer

drug, is safe and effective. Often a clinical trial is used to explore whether a new treatment is

more effective and/or has less harmful side effects than the standard treatment. AdventHealth

Cancer Institute Waterman, formerly known as Florida Hospital Waterman Cancer Institute,

gives patients the opportunity to participate in the newest therapies to fight cancer through a

variety of clinical trials.

Research Study Patients Enrolled into Clinical Trials

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Clinical Trials (Treatment) 42

Percent Enrolled 8%

Analytic* 521

* Analytic: Patients diagnosed and/or received their first course of treatment at AdventHealth Cancer Institute Waterman.

For More Information

AdventHealth Waterman 1000 Waterman Way Tavares, Florida 32778 352-253-3600 https://www.adventhealth.com/hospital/adventhealth-waterman