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Page 1: MERCY HEALTH SYSTEM 2014 ANNUAL REPORT Cancer Program · Cancer.MercyHealthSystem.org 3 As all too many of us know, cancer is a formidable opponent. At the Mercy Regional Cancer Center,

Program

M E R C Y H E A L T H S Y S T E M 2 0 1 4 A N N U A L R E P O R T

Cancer

Page 2: MERCY HEALTH SYSTEM 2014 ANNUAL REPORT Cancer Program · Cancer.MercyHealthSystem.org 3 As all too many of us know, cancer is a formidable opponent. At the Mercy Regional Cancer Center,

2 Mercy Regional Cancer Center 2014 Annual Report

Table of contents

Message from the president...............................................................................................3

Mercy Cancer Committee: chariman’s report..................................................................4

Mercy Regional Cancer Center phone numbers .............................................................5

2014 Cancer Committee.......................................................................................................5

Mercy Cancer Registry report: 2014..................................................................................6

Hospitalists ensure exceptional inpatient cancer care.................................................7

Cancer prevention and screening focus.......................................................................8-9

Mercy’s clinical trials program...........................................................................................10

Mercy Regional Cancer Center: hematology/medical oncology...................................11

Mercy Regional Cancer Center: radiation oncology ......................................................12

Genetic testing for hereditary cancer syndromes ........................................................13

From our patients: Paula Crompton............................................................................14–15

Mercy MyChart .....................................................................................................................15

Mercy Regional Cancer Center: surgical oncology ........................................................16

From our partners: Qing Liang...........................................................................................17

From our partners: Cindy Gunn.........................................................................................18

Cancer support groups .......................................................................................................19

Susan G. Komen....................................................................................................................19

Mercy Palliative Care Program .........................................................................................20

Mercy Hospice Care .............................................................................................................21

Mercy Home Health Care ..................................................................................................22

American Cancer Society ..................................................................................................23

Mercy Foundation...............................................................................................................24

Raising cancer awareness in our community................................................................25

Support services...........................................................................................................26-27

We’re dedicated to offering the best cancer care in the area. In fact, our oncology program has been recognized with commendation by the Commission on Cancer of the American College of Surgeons as offering the very best in cancer care. Itis a recognition of the quality of our comprehensive, multidisciplinary patientcare. We’re proud to have brought the very best in today’s cancer treatmentcloser to home.

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Cancer.MercyHealthSystem.org 3

As all too many of us know, cancer is a formidable opponent. At the MercyRegional Cancer Center, our patientscount on us to never rest in our fightagainst it—and we will never let themdown.

This year brought more excitingchanges designed to offer a better experience for all of our patients andtheir families. In October 2014, wewere honored to receive Magnet®

Recognition by the American NursesCredentialing Center. The designationis considered the highest honor in thecountry given to a health care organi-zation for nursing and patient care excellence. In fact, Mercy Health System is one of only a few organiza-tions in the country to achieve Magnetfor an entire health care system, including all components of the organization across the two states of Wisconsin and Illinois.

Our nurse navigator program continued to grow in 2014, becoming available for all Mercy cancer patients.Nurse navigators are specially trainednursing professionals who work with a patient from diagnosis throughtreatment and beyond, helping guideand reassure as patients navigate the sometimes confusing and difficultprocess of fighting this insidious disease and striving to heal. Oncologynurse navigator Cindy Gunn, RN, BSN,OCN, shares her story (see p. 18).

A critical part of defeating cancer begins with education. Under theguidance of the Mercy Cancer Committee Chairperson, Emily Robinson, MD, the Mercy RegionalCancer Center offers ongoing educa-tion to physicians, residents andnurses to ensure everyone is wellversed on the leading-edge treat-ments and strategies available in the fight against cancer.

Clinical trials remain a potent way to aggressively treat challenging cancers with emerging protocols.Since 1997, our clinical trial programhas offered a variety of options in collaboration with national organiza-tions. In 2014, we collaborated withthe National Cancer Institute’s (NCI’s)National Clinical Trials Network, theClinical Trials Support Unit, and NCI’sIndependent Centralized Review Boardto provide access to more cooperativegroup trials than ever before in ourhistory (see p. 10).

Genetic testing for hereditary cancersyndromes is something you mostlikely have heard or read about in thepopular media. Though less than 10%tested are found to have a hereditarygene mutation, for individuals withgene mutations early identificationopens the door to treatment optionsthat can significantly decrease the risk of developing cancer. If you oryour family has any of the red flag risk factors for having hereditary colon cancer syndrome or hereditarybreast/ovarian cancer syndrome, I encourage you to talk to your doctorabout your concern. You can readmore about our genetic testing program (see p. 13).

Our support services continue toevolve to help patients more comfort-ably navigate the treatment process.Many patients report that supportgroups help alleviate feelings of isolation and provide a safe place toshare experiences. Others benefitfrom non-traditional, complementarytherapies like acupuncture and massage therapy for pain relief. Still others appreciate free dietitian

consultations, which can help patientschoose healthy and soothing menus toease treatment side effects and speedrecovery. Learn more about the widerange of support services available on p. 26.

We all know that in so many instances,prevention is truly the best medicine.For years, Mercy has championed anextensive screening and health educa-tion program. In 2014, we expandedour cancer screening programs intoWalworth County for the first time,with great success. From oral, skin,breast and prostate screenings to offering smoking cessation classesand discounted mammograms, wereached more individuals than everbefore across southern Wisconsin and northern Illinois (see p. 8).

This year’s report continues to stressthe importance of exercising, not onlyto prevent cancer, but also to battleits effects. According to the AmericanCancer Society (see p. 23), many cancers are linked to obesity. Mercy’sfitness and diet experts are availableto help patients discover a healthierquality of life through lifestylechanges.

Working as a team focused solely on providing the best care for our patients, the Mercy Regional CancerCenter is dedicated to supporting youin your fight against cancer. Please letus know how we can assist you andyour family—we remain at the ready to do whatever it takes to care for you during your journey.

Warm regards,

Javon R. BeaPresident/CEOMercy Health System

Message from the president

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4 Mercy Regional Cancer Center 2014 Annual Report

Mercy Cancer Committee: chairman’s report

Emily Robinson, MDCancer Committee Chairman

Comprehensive cancer care requires a compassionate, multi-faceted and coordinated approach. As our programcontinues to grow, we are working toexpand and enhance our cancer services. One important component of cancer care is prevention. We arepleased to highlight our smoking cessation program, discounted mammogram screenings, and the Mercy Healthy Image Weight Manage-ment Program in this report.

We have a dedicated team of profes-sionals working together to providequality cancer care to our patients. Our Cancer Committee is comprised of members from every discipline involved in treating cancer patients. The committee meets regularlythroughout the year to ensure the best outcomes for our patients by setting goals to continuously improvecare. We strive to meet and exceedstandards put in place by the AmericanCollege of Surgeons Commission onCancer (CoC). We have adopted CoCtools that provide feedback on qualityof care indicators and use these to continuously benchmark and improvethe quality of patient care.

The past year brought many changes to our cancer program. We wish Dr. BudWasiljew well in his retirement and aredeeply thankful for his many years ofdedicated service. I am grateful for his leadership over the years. Going forward, we are excited to have the expertise of our newest physician members who joined us in 2013: Dr. Kevin Kozak in radiation oncologyand Dr. Mohammad Khan in medical oncology. As we expand our services,we are also happy to have AmandaJohnson, PA-C, to help us bridge thegap between outpatient and inpatientoncology services. Also in 2013, CindyGunn, RN, one of our experienced oncology nurses, started in her newrole as nurse navigator. She has helped

countless patients navigate their cancer diagnosis. Lastly, we greatly appreciate our newest patient financialcounselors, Caron Eaton and LindsayZacharias, who have helped find thou-sands of dollars in assistance for ourpatients as they undergo their cancertreatment.

As part of our multidisciplinary approach to care, regular cancer careconferences are an integral componentof our program and provide opportuni-ties for collaboration among specialties.The new Morbidity and Mortality conference led by Dr. Kozak provides an educational opportunity to improvepatient care. In the future, we are expanding our clinical trial program byoffering more types of cancer clinicaltrials. Additionally, we have developed ascreening tool for psychosocial distressthat we are using with patients as partof a comprehensive approach to theircare.

I am grateful for all of the physicians,nurses, and support staff who continu-ally go above and beyond to care for our patients. I would also like to expressmy deepest gratitude to the many volunteers in medical oncology whoprovide comfort to our patients under-going active treatment. In all of our activities and through a multidiscipli-nary approach, we strive to give our patients the best possible care, fromprevention to the diagnosis and treat-ment of cancer.

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Your Mercy Regional Cancer Center team

American Cancer Society..............................................................................(800) 227-2345American Cancer Society Navigator...........................................................(608) 266-6025Mercy Cancer Registry ..................................................................................(608) 756-6139Mercy Hospice Care .......................................................................................(800) 369-2201Mercy Hospital and Trauma Center.............................(608) 756-6000/(800) 756-4147Administrative director, oncology .............................................................(608) 756-6871Breast health navigator ..............................................................................(608) 756-6011Clinical trials data manager........................................................................(608) 756-6871Dietitian/nutritionist ...................................................................................(608) 756-6151Financial counselor ......................................................................................(608) 756-6500Genetic counseling.......................................................................................(608) 756-6871Hematology/medical oncology ....................................(608) 756-6871/(800) 928-1103Inpatient special care unit (SCU)...............................................................(608) 756-6897Manager, oncology .......................................................................................(608) 756-6770Oncology social worker ...............................................................................(608) 756-6824Outpatient transfusion/infusion (Treatment Coordination Center)...(608) 756-6601Pastoral care..................................................................................................(608) 756-6000Radiation oncology.......................................................(608) 756-6500/(800) 261-6565Surgical oncology .........................................................................................(608) 756-7277Urology ...........................................................................................................(608) 741-6990

Mercy Pain Center ..........................................................................................(608) 756-6049Susan G. Komen for the Cure®.....................................................................(608) 836-1083

Physician membersGregory Denison, MD RadiologyThomas Haas, DO PathologyFrancis Kaveggia, MD UrologyMohammed Khan, MD Medical Oncology/HematologyKevin Kozak, MD Radiation OncologyEmily Robinson, MD Medical Oncology/

Hematology/Committee ChairShahid Shekhani, MD Medical Oncology/Hematology

Non-physician membersLinda Brethauer, APNP, AOCN Medical Oncology/

HematologyJan Botts, RN Director, Quality ManagementAmy Carey MarketingRhonda Graf Clinical ResearchCindy Gunn, RN, BSN, OCN NavigatorTani Hein MarketingDon Janczak, Pharm D PharmacyAmanda Johnson, PA-C Medical OncologyJanice Johnson, RN Clinical ResearchAmy Lambert Oncology Case ManagerNancy Leafblad Pastoral CareSandra Mascari-Devitt, CSW, CBPN-IC Breast NavigatorTricia Obrecht, CTR Cancer RegistrySue Ripsch Vice PresidentMartha Roberts Cancer RegistryMaggie Schultz, RN Director, Oncology ServicesBohdan Wasiljew, MD General Surgery (Retired)

2014 Cancer Committee Members

Cancer.MercyHealthSystem.org 5

Since 1990, the Center has helped thousands of cancer patients and their families meet the challenges of cancer head on.Our comprehensive cancer care program offers the full range of resources necessary to detect and treat cancer, and helpour patients not only recover, but thrive. Our entire staff—with our combined knowledge and expertise—understands whateach patient is experiencing. We know that our patients require not only state-of-the-art technology to heal, but also thehuman touch. It is this spirit of compassion and kindness that makes our Center stand out. How do we know? Our patientstell us, every day.

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6 Mercy Regional Cancer Center 2014 Annual Report

The Cancer Registry of the Mercy Cancer Program providesdata management services to comply with mandatory statecancer reporting regulations, as well as the data needs of clinicians, administrators and other qualified users. In addition, the registry also provides data to national-levelcancer surveillance organizations for incidence measurement and epidemiological studies.

Since its inception in 1994, the registry has collected data on more than 11,750 cancer patients, with more than 530 new cases entered for the calendar year 2013, the last complete year of data collection.

What is a cancer registry?This computerized system is designed for the collection,management and analysis of cancer data. Interpretation ofcancer data is essential for optimal patient care, evaluation,cancer program planning and management, administrativeplanning and education.

Lifetime patient follow-upOne of the cancer registry’s primary responsibilities is to provide lifetime follow-up on all patients diagnosed ortreated at Mercy Health System. Our patients or their primary physicians are contacted at least annually and asked for follow-up information regarding their health status. This helps us assess the patient’s treatment and assess the need for future cancer programs.

ResearchData collected and maintained in our cancer registry servesas a valuable resource for physicians interested in the cause,diagnosis and treatment of cancer. The patient’s identity iskept strictly confidential.

EducationCancer registry data (including patterns of care and length of survival) is used to further the education of physicians,nurses and other health care providers.

National databaseOur connection to a large national database enables us tocompare Mercy’s cancer registry statistics with national statistics.

How this benefits patientsOur cancer registry helps your doctor and health care teamprovide the most comprehensive, up-to-date treatmentsavailable. The registry extracts information regarding your diagnosis and treatment from your medical record and enters it into a computerized data bank. Your doctor canthen request data to assess the benefits of your treatmentprogram and to assimilate data from other medical facilities.

Please stay in touchIt is important that we are able to maintain contact with ourpast cancer patients. Patients who move or change phonenumbers are asked to call the Mercy Cancer Registry at (608) 756-6500.

Mercy Cancer Registry report: 2014

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Cancer.MercyHealthSystem.org 7

Hospitalists ensure exceptional inpatient cancer care

Doctors who devote most of their practice to providing care to hospitalizedpatients are called hospitalists. Theyare experts in treating very sick patients requiring comprehensive inpatient care and are available to patients around the clock each andevery day.

Mercy’s cancer team works closely and collaboratively with hospitalists at Mercy Hospital and Trauma Center, offering the best possible care for ourpatients. In many cases, Mercy hospi-talists take responsibility for the care of our cancer patients during their hospital stay.

When a patient requires hospitaliza-tion, the oncologist contacts the hospitalist team to make arrange-ments. After discussing the patient’shistory and treatment details, theywork together to formulate the patient’s inpatient treatment plan.

During the patient’s hospitalization,Mercy hospitalists offer evaluation andtreatment, and frequently consult withthe patient’s oncologist. While the patient’s oncologist stays involved during the entire hospital stay, most of the patient’s ‘round-the-clock care is provided by hospitalists.

The patient’s complete electronic medical record is accessible to all collaborating doctors at all times; this ensures timely and accurate communication between doctors and nurses, and the best possibletreatment for the patient.

Once the patient is discharged from the hospital, he is scheduled for follow-up care with his primary care doctor and oncologist.

Keith A. Konkol, MDDirector, Mercy Palliative Care ProgramMercy Health System

With the rising rates of many differenttypes of cancers being diagnosed eachyear, early detection has become a primary tool for the diagnosis, treat-ment and management of cancer. Atthe forefront of early detection are the pathologist and the laboratory.

Imagine you are getting your annualcheckup, and your doctor finds a smallmass. You’re referred to a specialist for a biopsy. The biopsy sample is delivered to the laboratory, where it isprepared and analyzed to determinethe presence or absence of disease.

Information from the laboratory isused to make approximately 70% of the choices in patient care. Pathologists are physicians who are specifically trained in the use

and interpretation of laboratory tests,as well as in tissue examination, bothunder the microscope and by othermethods. They deal with the nature,causes, and classification of cancersand other diseases, and provide theinformation necessary for effectivecancer treatment. A cancer diagnosis ismade and confirmed by the pathologist,using a number of testing methods.

Mercy’s pathology and laboratory department consists of a group of experienced, well-trained and highlyqualified pathologists and laboratori-ans, who work to ensure that all patients are cared for correctly, basedon accurate laboratory testing results.

Thomas Haas, DODepartment of PathologyMercy Health System

Pathology’s important role in cancer care

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8 Mercy Regional Cancer Center 2014 Annual Report

In 2013, a variety of concerned RockCounty community partners conducteda community health needs assessmentto collect and analyze data regardingthe health care priorities of county residents.

Members of the planning committee included individuals from:• Mercy Health System• Beloit Memorial Hospital • Beloit Area Community Health Center• St. Mary’s Janesville Hospital• Edgerton Hospital and Health Services• Rock County Health Department• University of Wisconsin Extension,

Rock County• HealthNet of Rock County• Rock County Human Services

The completed Rock County Com-munity Health Needs Assessmentreport showed these key findings:

• Cancer was residents’ most concerning health problem

• Cancer was the leading cause of death in Rock County

• Cancer incidence (per 100,000) wasstatistically higher per incidence innewly diagnosed lung cancers in RockCounty versus Wisconsin, and statis-tically lower per incidence in newly diagnosed female breast cancers and prostate cancers

• Wisconsin ranks in the top quartile for deaths due to prostate cancer.

• Death rate for colorectal cancer in theMidwest exceeds the national rate andis the highest in the U.S. compared toother geographic regions

• Alcohol use• Wisconsin has the highest rates

of alcohol consumption, bingedrinking, heavy drinking, and alcohol abuse/dependence in the nation

• Rock County residents engage ingreater levels of alcohol consump-tion relative to state averages

• 26% of residents report bingedrinking within the past 30 days(state average is 23%)

Mercy Health System: cancer prevention and screening focus

• Tobacco use• Wisconsin ranks 18th in the nation

for the percentage of adults whosmoke

• 17% of deaths in Rock County in2009 were directly related tosmoking

• Total smokers: 22.5% in RockCounty versus 16.3% in Wisconsin

• Breast, cervix and colorectal cancerscreenings are underutilized in RockCounty

• Obesity• 23% of Rock County adults age

20 and over are physically inactive(state average is 23%)

• 34.5% of Rock County residentsversus 27.0% of Wisconsin residents are obese

Rock County Community Health Needs Assessment: 2013 action plan

The Community Outreach Subcommit-tee, under the direction of the MercyHospital and Trauma Center cancercommittee, developed the following action plan to address the report’sidentified priorities.

PreventionPrimary focus: Tobacco – 28% of RockCounty adults use tobacco

ScreeningsPrimary focus: Skin• Increase number of skin cancer

screenings• Volume of newly diagnosed

melanomas at Mercy Health Systemcontinues to increase annually

• Continue with annual System-widecancer screenings for both breast andprostate cancers

Smoking cessation In 2013, Mercy worked with the MercyFoundation to grant scholarships forsmoking cessation classes to cancerpatients. We awarded 10 scholarshipsto patients who were referred to theclasses by their oncologist.

Classes are about 30 to 60 minutes,and continue for 4 weeks. They are taught on an individual basis or as a group depending on the need.

Discounted mammogramIn 2013, the cancer community outreachcommittee met to discuss discountedmammograms and the barriers our patients faced. There were 2 barriers:cost and physician referral.

We decided to help with both of theseby offering 11 discounted mammogramscholarships to patients in need. Wealso met with Dr. Jane Anderson, familymedicine physician at Mercy ClinicSouth, to see if she would be our physician champion. She over saw theresults of mammograms for women whodid not have a primary care physician.

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Exercise and its impact on cancer prognosis• Growing evidence suggests physical activity can reduce cancer mortality. • Research shows that those with breast and prostate cancer can reduce their

mortality risk by 30-40% by engaging in recommended amounts of exercise. • Emerging evidence suggests exercise can reduce risk of reoccurrence in

breast and bowel cancer.

Exercise should be part of cancer treatment• The American College of Sports Medicine recommends exercise is safe

during and after most types of cancer treatment and says survivors should avoid inactivity.

• The Department of Health’s guideline of 150 minutes of moderate-intensity physical activity per week is appropriate for otherwise-healthy cancer survivors, built up gradually.

Exercise helps cancer survivors:• Reduce feelings of fatigue• Manage stress, anxiety, depression• Improve bone health• Improve heart health• Improve muscular strength and endurance• Help manage body weight• Improve sleep• Better control appetite• Prevent or control constipation• Relieve pain and improve range of motion

Mercy offers two programs that can help cancer survivors get on the right track with exercise:• Journey to Health (J2H)• Healthy Image Weight Management Program (HIP)

Both of these programs customize exercise plans to the specific needs and goals of the patient. The Healthy Image Weight Management program ties in dietary and behavior change tools in addition to the exercise guidance to help patients lose weight and successfully keep it off.

Cancer.MercyHealthSystem.org 9

New participants during 2014:

HIPJanuary, 4February, 4March, 5April, 10May, 7June, 22July, 15August, 18September, 12October, 17November, 9December, 13

J2HJanuary, 12February, 10March, 14April, 3May, 13June, 0 July, 1August, 2September, 2October, 1November, 0December, 2

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10 Mercy Regional Cancer Center 2014 Annual Report

At the Mercy Regional Cancer Center,we continually strive to offer thenewest treatments in a coordinatedcare approach. This ensures the bestpossible patient experience and pro-vides access to the latest advances in cancer care close to home.

When patients with newly diagnosedcancer are seen in Mercy’s medical or radiation oncology clinic, they are evaluated for participation in clinical trials. Mercy’s medical oncology physicians are members of the EasternCooperative Oncology Group and theWisconsin Oncology Network. Our radiation oncologist is a member of the Radiation Therapy Oncology Group.Through these organizations, our physicians offer patients treatmentthrough phase II and phase III trials.

Mercy’s clinical trial program started in1997, and there are trials open for pa-tient with a variety of cancer diagnoses. Available trials changemonthly depending on accrual. We continuously evaluate our patients’needs. With the collaboration of theNational Cancer Institute’s (NCI’s) National Clinical Trials Network, theClinical Trials Support Unit, and NCI’s Independent Centralized Review Boardin 2014, we are able to have access tomore cooperative group trials and open them more efficiently to betterserve our patients.

Most of the trials are large, phase IIIclinical trials that compare promisingnew treatments with standard treat-ments. The phase II trials test newtreatments to determine effectivenessin smaller groups of patients. Our patients have participated in trials that led to the FDA approval of severalnew cancer therapies.

Our clinical trial program closely workswith Mercy Health System’s InstitutionalReview Board (IRB) to make sure our patients’ needs are met. The IRB in-cludes doctors, community representa-tives and clergy. The IRB’s oversightprotects the rights and ensures thesafety of trial participants.

Our clinical research team includes thepatient’s oncologist, plus a researchnurse, data manager, research assistant, principal investigator,chemotherapy nurse, oncology casemanager and an oncology mid-levelpractitioner. Each team member has aspecific role in making sure patientsparticipating in research studies aresafely treated according to protocol.

One advantage of clinical trials is theextra attention patients receive before,during and after their treatments. Clinical trials are an opportunity for patients to benefit from advances incancer care. Through our community-based program, patients at the MercyRegional Cancer Center are able to receive the newest treatments close to home, without having to travel to alarger city.

Patients participating in a clinical trialreceive extra attention before, during, and after their treatments. We also help interested patients navigate their way to the most appropriate care available.

If you’d like more information about clinical trials, please call the Mercy Regional Cancer Center at (608) 756-6871 or toll-free (800) 928-1103.

Mercy’s clinical trials program

Emily Robinson, MDClinical trials principal investigator,Department of Medical OncologyMercy Health System

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Cancer.MercyHealthSystem.org 11

Mercy Health System’s hematology/medical oncology clinic specializes inproviding care to our patients withhematology (blood-related) and cancerdiagnoses. Our experienced care teamincludes medical oncologists, a nursepractitioner, a physician’s assistant,registered nurses (RNs), medical assistants, case managers, a dedicatedoncology dietitian, patient financialcounselors and numerous support staffincluding a medical records clerk andseveral receptionists.

This extensive team works togetherwith the guiding principal of providing seamless, compassionate care to thepatients needing our services. Conve-niently located on the second floor ofthe Sister Michael Berry Building on theMercy Campus in Janesville, the clinicalso offers satellite services at MercyWalworth Hospital and Medical Centerin Lake Geneva, Wisconsin.

Individualized chemotherapy treat-ments are provided by specially trainedRNs under the supervision of our medical oncologists. Many of our RNshave advanced certifications throughthe Oncology Nursing Certification Corporation (ONCC). This certificationrecognizes their experience and expertise in providing care for patientswho experience the complex problemsassociated with a cancer diagnosis.

Treatment plans are individually structured based on factors such as the patient’s type and stage of cancer,the patient’s response to treatment,and National Comprehensive CancerNetwork (NCCN) guidelines that arebased on nationally recognized proto-cols. Of course, new and cutting-edge treatments are always considered forpatients meeting the strict criteria ofresearch studies and national clinicaltrials. These treatments are set upthrough the Eastern Cooperative Oncology Group of the National CancerInstitute, as well as the Wisconsin Oncology Network. Clinical trial

treatments are monitored on-site byour research nursing staff under the direct supervision of our medical oncol-ogists. More information about clinicaltrials can be found on page 10.

Additional supportive care provided by our nursing staff includes lab draws,injections, dressing changes, mediportflushes and immunizations. These services are all given through our newFast Track program. This program wasdesigned with an eye on improving patient flow and access to care. It ultimately reduces wait times for our patients and has led to improvedpatient satisfaction.

Recently, the clinic added a dedicatedoncology dietitian who specializes ineducating and counseling our patientson the importance of nutrition. Our dietitian directs general informationalmeetings for all patients and also conducts one-on-one counseling withpatients seeking further guidance.

Additionally, Mercy Options BehavioralHealth Services counselors are availableto help patients and their family members with their mental health and emotional needs. This importantservice can be arranged through ourdepartment.

Finally, in 2014, we introduced our newoncology nurse navigator program. Our nurse navigator acts as a singlepoint of contact for our patients. Thenurse navigator acts as a liaison between the patient and all members of the multidisciplinary care team, including the patient’s primary carephysician, radiation oncologists and/orsurgical oncologists, and any supportservices that may be required or requested. The navigator functions, as all of our team members do, to ensure continuity of care and a collaborative approach to care for our patients.

608.756.6871 800.928.1103

Mercy Regional Cancer Center: hematology/medical oncology

Emily Robinson, MDMedical oncology

Shahid Shekhani, MDMedical oncology

Mohammad Khan, MD, FACPMedical oncology

Amanda Johnson, MSM, PA-CMedical oncology

Linda Brethauer, APNP, AOCNMedical oncology

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12 Mercy Regional Cancer Center 2014 Annual Report

We are excited to offer the highest possible quality radiation therapy toresidents of Janesville and surroundingcommunities. Treatment options avail-able at the Mercy Regional Cancer Center include external beam radiationtherapy, intensity-modulated radiationtherapy (IMRT), image-guided radiationtherapy (IGRT), and high-dose ratebrachytherapy (HDR).

We are committed to always raising the bar. In fact, Mercy Regional CancerCenter’s radiation oncology departmenthad some exciting changes in 2014.

Several new developments focus on elegant patient immobilization. We are championing the use of a pronebreast-positioning device that permitsconsiderable sparing of the heart fromradiation in patients with left-sidedbreast cancers. Moreover, we have acquired the Elekta BodyFIX® system.This device represents state-of-the-artpatient positioning and maximizes precision during radiation therapy. Coupled with the exceptional imagingcapabilities of our Siemens® linear accelerators, these devices ensure the

highest possible accuracy in radiationdelivery. These developments form the foundation of our efforts to bringstereotactic radiation therapy to theMercy Regional Cancer Center—a development expected in 2015.

One of the most significant assets ofthe radiation oncology department isthe staff. Our team members comefrom a wide variety of health care settings and bring diverse experiencesand expertise to the department. Ourteam consists of a radiation oncologist,a medical physicist, dosimetrists, radiation therapists, plus a registerednurse, case manager and patient financial counselor. Support services areprovided by our friendly receptionistand cancer registry staff.

Our radiation oncologist, Dr. KevinKozak, joined the department in 2013.Dr. Kozak completed medical trainingand a PhD in biochemistry at VanderbiltUniversity, where he finished first in hisclass. He then went on to receive his radiation oncology training at the Harvard Radiation Oncology Program.Dr. Kozak served as a cancer researcherand academic clinician prior to joiningMercy and has more than 70 peer-reviewed articles, book chapters andpatents to his credit. He has been recognized as a “Face of Komen” by the Susan G. Komen Race for the Cure Foundation and as a “Top Doctor”by Madison Magazine.

The radiation oncology staff is deeplycommitted to both community outreachand continuous quality improvement.Along those lines, the department hasinitiated a monthly Morbidity and Mortality conference to review side effects of cancer treatment and develop system-wide strategies to minimize these effects. More ambi-tiously, the department has embarkedon the process to receive the AmericanCollege of Radiology Radiation Oncology

Practice accreditation. Finally, the department offers a Cancer Facts community discussion group wherecancer topics of interest to communitymembers are reviewed in an informalsetting (see p. 19 for more information).

During the course of radiation treat-ment, our patients visit every day, Monday through Friday, for five to sevenweeks. Our staff takes pride in puttingpatients first and providing the highestquality care available. Our patients havevery positive statements about the carethey receive and the relationships theyform:

“From the very first set-up session, Ifelt the team was dedicated to doingtheir part in making me cancer-free.I looked forward to each radiationsession as one more day of assur-ance that the cancer wouldn’t comeback.”

“I will always be thankful for yourdedication and compassion, and willmiss seeing all of you.”

“I will never forget your kindness andcaring ways.”

The Mercy Regional Cancer Center hasalways been dedicated to providing the finest quality care and the bestequipment and services to the patients, families and communities it serves. This is evident in the Center’s continuedupdates in equipment and the staff’scontinued education.

Mercy Regional Cancer Center’s radia-tion oncology department is located in the Regional Cancer Building on theMercy Janesville Campus, adjacent toMercy Hospital and Trauma Center and the Sister Michael Berry Building.

608.756.6500 800.261.6565

Mercy Regional Cancer Center: radiation oncology

Kevin R. Kozak, MD, PhDDirector, Department of Radiation OncologyMercy Health System

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Cancer.MercyHealthSystem.org 13

Genetic information and testing is apart of cancer care. Individuals who arediagnosed with breast, ovarian, colonand/or other specific cancers at ayoung age, or have a strong family history of those cancers, are recom-mended to receive personalized information and counseling for hereditary cancer syndromes.

Some families have a gene mutationthat can be passed from parent to child,causing an increased risk for particularcancers. Mercy Health System providescounseling and assistance with testingfor hereditary breast/ovarian cancersyndrome and hereditary colorectalcancer.

Most individuals tested will not havethe gene mutation. In fact, less than10% of those tested are found to havethe gene mutation that increases theirrisk of cancer. Patients who have thegene mutation are offered treatmentoptions that significantly decrease their risk of developing cancer.

Family members may also be tested. Ifthere is a gene mutation in the family,each person has a 50% chance of inheriting it. Genetic testing is recom-mended when certain risk factors or“red flags” are present. These include:

• Being diagnosed with breast, colon,intestinal or uterine cancer beforethe age of 50, or ovarian cancer at any age

• Strong family history of a combination of certain cancers

Genetic testing can be a valuable toolfor decreasing the risk of cancer in families with these gene mutations, and for decreasing anxiety in individualswithout the gene mutation.

If you or your family has any of the redflag risk factors for having hereditarycolon cancer syndrome, or hereditarybreast/ovarian cancer syndrome, talk to your doctor about your concern.

Genetic testing for hereditary cancer syndromes

Linda Brethauer, APNP, AOCNDepartment of Medical OncologyMercy Health System

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14 Mercy Regional Cancer Center 2014 Annual Report

From our patients …

Paula Crompton was a working, singlemother of four with limited health insurance. She had never had a mammogram. In the spring of 2014, her right arm began to ache. After the pain worsened and moved to herarmpit, she scheduled an appointmentat Mercy Clinic South to investigate. Herphysician there ordered a mammogram.Before long, she received news shefeared most: cancer was the culprit.

Crompton was diagnosed on April 14,2014. “Everyone at Mercy kicked thingsin to high gear. It was scary, but thephysicians and staff kept me informedand that made me feel infinitely better.”

Crompton had an ultrasound andbiopsy, meeting with surgeon, Dr. Patri-cia Garner, and breast health patient

navigator, Sandy Mascari-Devitt, to help interpret the results and plan next steps. “I feel like Sandy has been permanently attached to me, and Iwouldn’t have it any other way! She has been by my side since day one.”

Crompton wasn’t just worried for her-self. “I have four children, and I didn’twant to tell them right away. I neededtime to process and understand whatwas happening first. I wanted to tell allof the kids at one time. On Easter, Ishared the news.”

Soon after, in May, Crompton beganchemotherapy. “The girls in the chemoroom were great—I love them! I waslucky. After finishing chemo in August, a PET scan showed I was in remission.”

The remission was great news, but tocover all bases radiation oncologist, Dr. Kevin Kozak, ordered a baseline MRI of her head before moving forwardwith Crompton’s next phase: radiationtherapy. The scan revealed a brain lesion. “I was scheduled for my mastec-tomy in September. We would take careof the brain lesion after this surgery. It was scary, but the communication between the specialists was amazing. I was working with three to five physi-cians at any given time, and they wereall on the same page. At each appoint-ment, Dr. Kozak, Dr. Mohammad Khan,Dr. Garner, Dr. Christopher Sturm andother staff all knew what the otherdoctor had recommended. The grouptook my case to the Tumor Board to discuss as a group. They had a plan for me.”

Paula Crompton Inflammatory breast cancer survivor

I can’t thankeveryone enough.I couldn’t havedone it withoutthe support

system at MercyHealth System.

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After Crompton’s mastectomy in Sep-tember, a clean PET scan confirmed thatshe had responded well to treatment.“Now we were in high gear to take careof the brain lesion. As soon as I wasready and healed from my mastectomy,it was time to move forward. Along theway, Sandy and the nurses took care ofall of my appointments. Without them, I wouldn’t have known what to do. I prepared for the best and the worst between appointments. It was nice tobe busy so I couldn’t really think aboutwhat was going on. It was scary.”

Crompton’s daughter, an x-ray techni-cian who did her clinicals at Mercy, reassured her mom that she had seenneurosurgeon, Dr. Sturm, perform surgeries and he was the best of thebest. “Everybody told me I was in wonderful hands with Dr. Sturm. Thishelped ease some of the scariness.”

After brain surgery, Crompton wenthome to heal. Today, she continues to work with Dr. Kozak and medical oncologist, Dr. Khan to complete addi-tional radiation and medical targetedtherapy. She was also approved to befitted with a prosthetic at the Women’sBoutique at the Mercy Health Mall. “It’snice to have the option for a prosthetic.There are times and situations when itmakes me feel better.”

For Crompton, finding the resources she needed and having a support teamguide her meant the world. “The staffand physicians at Mercy were amazing.With so many barriers, it’s hard to knowwhat resources exist. Sandy has helpedme in her role as breast health patientnavigator with so many things. As a single parent, it was very difficult tomanage treatment and work. Sandyhelped me find resources like the RockCounty Cancer Coalition and Susan G.Komen fund to help with the bills andmortgage through the end of this year. Ican’t thank everyone enough. I couldn’thave done this without the supportsystem at Mercy Health System.”

Cancer.MercyHealthSystem.org 15

Mercy MyChart helps you manage your life

Request online access to your health record at the next visitwith your provider or online at MyChart.MercyHealthSystem.org

With Mercy MyChart, you can review your:• Medical history• Medications• Allergies• Immunization history• Test results• Recommendations for preventive care

You can also:• Schedule appointments with your

pediatrician, internal medicine doctor and family medicine doctor

• Request appointments with specialists you have seen in the past

• Request prescription renewals • Email your provider directly and securely • Access your family’s health record

(authorization required)

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16 Mercy Regional Cancer Center 2014 Annual Report

Mercy Regional Cancer Center: surgical oncology

Patients whose cancer treatment regimen requiressurgery look to the Mercy Regional Cancer Center’ssurgical oncology department, staffed by board certified surgeons and support professionals withyears of experience. Our surgeons’ offices are locatedat the Terrace Building, just across the parking lot from Mercy Hospital and Trauma Center, where thesurgical procedures are performed. The surgical oncology department employs:

Technologically advanced procedures, including minimally invasive techniques that use a small scope.The small incision needed for the scope to enter thebody offers the advantages of faster in-hospital recovery, faster healing, less pain and minimum risks as compared to traditional surgical techniques.Screening, surveillance and diagnostic upper and lower gastrointestinal fiber optic endoscopy is also provided by the department.

A wide variety of cancer-related surgeries for allstages of cancer treatment. These include removingcancers completely in the majority of patients to permanently cure them; removing cancer that hasspread (metastasized) beyond the original tumor; removing the majority of malignant tissue (called debulking) in preparation for chemotherapy; and reconstructive surgeries that help patients look and feel their best, leading to emotional healing.

Continuous multidisciplinary review of individualcases, through pathways such as the Tumor Board and the Mercy Cancer Registry. In this way, Mercy’ssurgical oncologists review and implement quality controls, provide and receive ongoing physician education, and evaluate existing technology to guarantee our patients receive quality care that’s held to the highest standards.

608.756.6869

Patricia Garner, MDda Vinci robotic surgery, general surgery

Robb Whinney, DO, FACOSTrauma surgery, da Vinci robotic surgery, acute caresurgery, general surgery

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Cancer.MercyHealthSystem.org 17

From our partners …

Delivering world-class cancer care involves many behind-the-scenes experts who address little-publicized,but extremely critical, details. One ofthose roles is that of the medical physi-cist, like Dr. Qing Liang. “For radiationtherapy cancer treatment, physicsplays an essential part in guaranteeingthe radiation is delivered to the patientwith extreme accuracy, as precisely asthe physician prescribes. As a medicalphysicist, my daily job responsibilitiesinclude quality assurance and qualitycontrol of all the treatment equipmentin Mercy’s radiation oncology depart-ment, establishing procedures and workflow, verifying patients’ treatment plansand charts, and providing specialphysics consultations.”

Dr. Liang works closely with MercyHealth System’s team of radiation oncologists, medical dosimetrists andradiation therapists to ensure thesafety and highest quality care of everysingle patient being treated at theMercy Regional Cancer Center. “My favorite part of my job at Mercy is that I am part of a team in which everybodyis extremely caring about our patients.We continuously improve our workevery day. I am excited about every single step we make toward improvingpatient safety and patient care quality.”

Dr. Liang, who earned her PhD in medical physics from the University of Wisconsin-Madison, became interestedin the field after some very personal experiences. “With several close familymembers who suffered from cancer,

I always wished to work in the healthcare field. Medical physics is a perfectcombination of my career goals and mypersonal enthusiasm for physics.”

Though she often works behind thescenes, for Dr. Liang, the patient experi-ence remains paramount. “Even thoughI work directly with the machines mostof the time, I am actually familiar withevery single patient. I recognize theirfaces, know their diagnosis and treatment plans, and understand thetreatment process, through variouschart check and patient-specific qualityassurance activities. I treat every patient as if they are my family member.I believe this is my unique way to helpcancer patients with my physics knowl-edge and expertise.”

Qing Liang, PhDMedical physicist

I treat every patient as if theyare my family

member. I believethis is my uniqueway to help cancerpatients with myphysics knowledge

and expertise.

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18 Mercy Regional Cancer Center 2014 Annual Report

Cancer can be a devastating diagnosisthat turns your world upside downwithin a matter of minutes. Patientnurse navigator, Cindy Gunn, a 35-yearMercy veteran, is extremely sensitive tothe challenges that lie ahead. “I feelvery fortunate to have the opportunityto care for those who are diagnosed,living with and surviving cancer.”

During her long career at Mercy, Gunnhas worked in many different areas—spending eight years as an inpatientstaff nurse, 15 years in the emergencydepartment and, most recently, 13 yearsin the medical oncology clinic.

“I always found myself drawn to the patient with cancer and feel very passionate about caring for them. Forthe past 13 years, I have administered

chemotherapy and have come to know and love many patients and their families.”

Gunn recently became a nurse naviga-tor in the medical oncology clinic. Anurse navigator helps patients navigatethe intricate network of cancer care options, simplifying the process to alleviate anxiety. “This role has givenme the opportunity to meet with pa-tients and families at initial diagnosis.From then on, I am their point of con-tact within the health system. I listen to patient and family needs, identifytheir concerns, assist them in problemsolving or symptom management, connect them to needed resources,provide education on treatment or procedures, visit patients if they require inpatient hospitalization, offer

emotional support and advocate forthem throughout this challenging time.”

Patient navigators are experts on all aspects of the cancer care continuum,with knowledge of everything from current clinical trials to support services that may help patients morecomfortably complete treatment.

“My constant mission is to be there for patients and their families, helpingto alleviate any concerns and meettheir needs. Patients don’t always realize how truly courageous, strongand amazing they are. It is a privilegeand blessing for me to be there forthem and their loved ones. I am sothankful to all the patients—past andpresent—who have allowed me to be apart of their care. It is a true honor.”

From our partners …

Cindy Gunn, RN, BSN, OCNPatient nurse navigator

Patients don’t always realize howtruly courageous,strong and amazingthey are. It is a privi-lege and blessing for

me to be there for them.

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Mercy cancer groupsDo you or someone you know have cancer? These groups are offered for you,and your friend or family member.

In 2014, the Mercy Regional Breast Center received a grant from the South Central Wisconsin Affiliate ofSusan G. Komen for the Cure®. The goal of the Susan G. Komen grant is to support the Mercy Breast Health Patient Navigation Program in expandingaccess to preventive, diagnostic, andtherapeutic breast health resources tolow-income residents of Rock County,provide patient and caregiver educationaccording to the patient’s specificneeds in a culturally appropriate manner by providing accurate, consistent, and culturally appropriateinformation that will allow individualsto make well-informed decisionsthroughout the continuum of care, and enhance the Mercy Breast Health Support Group, facilitate localsurvivorship training workshops, andwork with a survivor’s physician to secure lab, imaging, and other necessary needs.

Mercy’s 2014 efforts to encouragebreast health include:• Distribution of over 5,000 breast

health education materials • Mammography scholarships offered

to underserviced/uninsured women• Three community breast health

educational events held during Breast Cancer Awareness Month

• A breast cancer support group that serves woman diagnosed with breastcancer and their families from all reaches of Rock County

• The services of a certified post-mastectomy fitter who enhanced thequality of life for two underservedwoman by assisting them with theright breast products

Mercy partners with many communityand state organizations—includingHealthNet of Rock County, WisconsinWell Woman Program of Rock County,Center for Patient Partnership, and theRock County Job Center—to promotebreast health care and awareness.

Our breast health navigators The Mercy Regional Breast Center usedits Susan G. Komen grant to establishits breast health navigator positions to help breast patients navigate theirhealth care experience.

Of the 50 nationally certified breastpatient navigators in Wisconsin, twoare employed at the Mercy RegionalBreast Center in Janesville.

Shannon Petter, RT(R)(M), BHPN-I, isa nationally Certified Breast PatientNavigator in Imaging (CBPN-I). SandraMascari-Devitt, CSW, CBPN-IC, is anationally Certified Breast PatientNavigator in Imaging and Cancer (CBPNIC).

Sandra is one of two CBPN socialworkers in Wisconsin and is a memberof the Wisconsin Breast Cancer Task Force.

Mercy Health System and Susan G. Komen

Cancer.MercyHealthSystem.org 19

Mercy Cancer Support Group • Meets every Wednesday, 10-11 am, at

Michael Berry Building, Janesville.Information: (608) 756-6824

Mercy Breast Cancer Support Group• For women diagnosed with

any type of breast cancer. Meets the second Thursday of the month, 6:30-8:30 pm, at Mercy Clinic North, Janesville.Information: (608) 756-6011

Cancer Facts Discussion Group• Cancer is a common disease but

remains a mystery to many of us.Learn the facts at this free group.Held the second Wednesday ofevery other month, 6 pm, at Mercy Clinic North, Janesville.Information: (608) 756-6100

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20 Mercy Regional Cancer Center 2014 Annual Report

Mercy Palliative Care Program

Since January 5, 2009, Mercy Hospitaland Trauma Center has had an activein-hospital palliative care consultativeservice.

The World Health Organization has succinctly stated that, “Palliative careaffirms life and regards dying as a normal process, neither hastens norpostpones death, provides relief frompain and other distressing symptoms,integrates the psychological and thespiritual aspects of care, offers a support system to help patients live as actively as possible until death, offers a support system to help thefamily cope during the patient’s illnessand in their own bereavement.”

In light of that definition, the Mercy Palliative Care Program strives to offera high-quality service for patients, and their families, with serious or life-limiting illness who are seeking life-prolonging or curative care, or are nearing the last stages of life.

The Mercy Palliative Care Program accomplishes these goals by using aninterdisciplinary team approach. Thisteam includes the patient’s primarycare physicians, medical and nursingspecialists in palliative care, plus directcare nurses, clergy and discharge planners.

Mercy’s hospital-based palliative careteam includes geriatrician Kelly Fehren-bacher, MD; and medical oncologist, Shahid Shekhani, MD. Dr. Fehrenbacher and Dr. Shekhani are both certified in hospice and palliative medicine by the AmericanBoard of Internal Medicine. In addition,Dr. Fehrenbacher established the MercyOutpatient Palliative Care Clinic at theMercy Mall Clinic in Janesville.

By using Mercy’s interdisciplinary team,our patients and their families have theopportunity to discuss and plan thecomplicated goals of care, code status,transition to hospice, symptom man-agement and their care at the end oflife.

Many studies have shown that effectivepalliative care can manage fatigue, anxiety, breathlessness, nausea, depression, constipation and other distressful symptoms. A recent studydemonstrated patients with advancedlung cancer actually lived longer whenthey were involved with early palliativecare intervention in their diagnosiswhen compared to those patients whowere not offered palliative care untillater.

Palliative care can benefit patients withcancer, congestive heart failure, emphy-sema, AIDS and other serious illnesses.

The Mercy Palliative Care Programstrives to coordinate complicated medical decisions through communica-tion and excellent medical care to provide the highest quality of life possible for our patients with seriousand life-limiting illnesses.

And after leaving the hospital, our patients can continue palliative care by using the at-home palliative careservices offered by Mercy Home HealthCare’s Journey Program. See p. 9 formore information.

Keith A. Konkol, MDDirector, Mercy Palliative Care ProgramMercy Health System

Shahid Shekhani, MDMedical oncology, hospiceand palliative medicine

Kelly Fehrenbacher, MDInternal medicine, geriatric medicine, hospice and palliative medicine

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Cancer.MercyHealthSystem.org 21

Mercy Hospice Care

We’re here when you need us most

Comfort, compassion and support.That is the essence of hospice care. Our staff at Mercy Hospice Care alsoadds generous amounts of hugs, smilesand calming touches when patients andtheir families need them most. Whenyou or a loved one faces a terminal illness, we are here to help.

Since 1994, we have offered our pa-tients physical, emotional and spiritualcare during the most trying of times.The goal of hospice is to improve thepatient’s quality of life by managingpain and symptoms. We also teach family members how to comfort andcare for their loved one and each other.

A team of specially trained, compas-sionate professionals including doctors,nurses, social workers, chaplains, therapists, dietitians, bereavementcounselors and volunteers assess theunique needs of each patient and family. The patient, the patient’s familyand loved ones, and the patient’s primary care physician direct his or her own plan of care. The patient’sneeds, desires and comfort are central to all aspects of care.

Mercy Hospice Care is unique in that it is the only hospice in south-centralWisconsin directly linked to a healthsystem. This connection gives us the resources and knowledge to beable to provide our patients and theirfamilies with expert care. It also allowspatients who have used Mercy HealthSystem as their health care provider to continue to use the same trustedcontinuum of care.

Mercy Hospice Care offers these specialservices to benefit its patients:

Pet Peace of Mind® — Volunteer petcare services, foster care and poten-tial adoption opportunities for MercyHospice Care patients who are unableto care for their pets while on hospice.

Music for the Heart — A unique way to reduce stress, pain and othersymptoms by offering CDs, audiorecordings and singers or musicians to visit with patients at their home.

We Honor Vets — Mercy Hospice Careholds a special pinning ceremony tohonor the military service of each admitted hospice patient that is a veteran. Veteran patients are alsohonored at the end of their life bydraping our coutry’s flag as they aretransported from their home one last time. The flag is then presented to their family in tribute for their services to our country.

Making Memories — This program provides an opportunity for individuals,businesses, staff and volunteers towork together to grant end-of-lifewishes for patients. Wishes may include getting an item a patienthas always dreamed of obtaining, experiencing something that fulfills a lifelong dream, meeting someonespecial or a variety of other specialwishes.

Massage reflexology — This gentletherapy helps with stress and circulation. Our certified massagetherapist/reflexologist uses pressurepoints in the hands and feet to relievepain and symptoms.

Mercy Hospice Care offers its servicesto patients wherever they call home—intheir own home, a hospital, an assistedliving facility or a nursing home. Inpa-tient care and respite care are providedas needed at Mercy Hospital andTrauma Center or Mercy Walworth Hospital and Medical Center where the patient is surrounded by speciallytrained nurses and physicians. Weserve most of south-central and eastern Wisconsin.

GriefCare Support GroupMercy Hospice Care invites you to share and receive the support of others facing the challenges of grieving the loss of a loved one.Family, friends and children are welcome to this free support group.

Second Tuesday of every month, 6 pm Mercy Clinic Northcommunity room3400 Deerfield Dr., Janesville

Third Tuesday of every month, 6 pmMercy Walworth Hospital and Medical CenterLower-level conference room AHwys. 50 and 67, Lake Geneva

To register, call (608) 756-6100.

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22 Mercy Regional Cancer Center 2014 Annual Report

When you’re confronted with the difficultissues of an illness, injury or aging,Mercy Home Health Care is here to help you maintain the best health possible in the comfort of your ownhome. We offer several levels of service:

Skilled medical assistance — If you arerecovering at home from major surgeryor illness, Mercy Home Health Carestaff will visit and help with medica-tions, wound care, physical and occupa-tional therapy, and other skilledservices.

Personal care assistance — Our per-sonal care aides are here to help youwith important everyday tasks likebathing, washing your hair and gettingdressed.

Homemaker Companions — Need helpwith errands, cooking, small chores,

cleaning or other household tasks?Consider our Homemaker CompanionService.

Telemonitoring service — Manage yourvital health statistics seven days a weekin the comfort of your home. Telemoni-toring is cost effective, provides earlydetection of health problems, and offersa sense of security.

Anodyne therapy — A non-invasive wayto treat pain, poor circulation and mus-cle spasm caused by a range of factorsincluding acute injuries, chemotherapy,diabetes, vascular disease and more.Anodyne therapy also helps improvebalance, function, strength and safety.

Private home care — When you needspecial care to live safely and comfort-ably at home regardless of your age ordisability, consider this self-pay service.

Journey Program — Sometimes, despiteeveryone’s best efforts, a person’schronic illness will progress and causesevere symptoms. When this happens,our Journey Program staff can helpmanage symptoms and even offer at-home chemotherapy and pain management treatments. Our nursesare cross-trained in hospice care, so if the person’s condition worsens, theycan gently guide the person towardhospice services when appropriate.

Vitalstim® — Used to treat swallowingproblems such as coughing, choking,and difficulty with chewing. NMES (neuromuscular electrical stimulation)re-educates the throat muscles. Thisspecialized procedure offered by ourspeech pathologist can be used to treatmany medical conditions that lead toswallowing difficulty.

Mercy Home Health CareThe finest home health care services under one roof … yours

To learn more about Mercy Home HealthCare services, call (608) 754-2201 or

toll-free (800) 369-2201. You may also visit MercyHomeHealthCare.org.

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Mercy Foundation

The purpose of Mercy Foundation is to make a difference by creatively connecting your philanthropic goalswith opportunities to support healing inthe broadest sense in every communityMercy serves. Mercy Foundation’s mission is to inspire positive change andhealing through philanthropic giving.Your gifts support community outreachservices, certain capital improvements,technological advancements and otherprograms that are integral to the mission of Mercy Health System.

Through Mercy Foundation, cancer-specific funds honor a Mercy patient and a Mercy partner.

The Chrissy Fund was started by BillTischer whose wife Chrissy passed away in April 2011 at Mercy Hospital and Trauma Center due to a rare formof uterine cancer. Bill wanted to find away to carry on his “wife’s glory” bysuggesting a fund in memory of his wife to help other families who gothrough similar medical experiences. Todate, the Chrissy Fund has purchasedthree sofa sleepers for families to usewhile their loved ones are in the MercyHospital and Trauma Center intensivecare unit.

The Holly J. Barten Fund was startedby the family of Holly, a longtime Mercypartner who passed away due to cancer. In Holly’s memory, the fundserves as a resource for people livingwith the effects of cancer. Beneficiariesof the fund can include a Mercy patient,volunteer, partner or family member ofa Mercy partner.

In addition, our Grateful Patient donorprogram offers you a way to show yourappreciation for a Mercy caregiver—adoctor, nurse, technician or other Mercypartner—who touched your life. Yourgift of gratitude becomes an instrument of healing for others and can be used inany number of ways at your request.

Mercy Foundation has additional fundsyou may make a gift to including:

• General fund• Mercy Regional Cancer Center• Mercy Hospice Care• House of Mercy Homeless Center• Autism Support Fund

In the past year, Mercy Foundationfunds paid for scholarships for 10 breast cancer survivors to attendMercy’s Journey to Health exercise program, 12 mammogram appointmentsand the purchase of iPads for oncology patients to use during chemo treat-ments.

For information about the Mercy Foundation, or how to donate, pleasecall Jennifer Johns at (608) 755-8821.

Inspire. Heal. Give.

Cancer.MercyHealthSystem.org 23

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24 Mercy Regional Cancer Center 2014 Annual Report

Mercy Health System and the American Cancer Society

This past year, Mercy Health Systemand the American Cancer Society continued to build on their successfulpartnership through sponsorships andsupport services for cancer patientsand their caregivers.

The American Cancer Society saveslives and creates more birthdays byhelping you stay well, helping you getwell, by finding cures, and by fightingback.

The Society proudly offers a range of services to cancer patients and caregivers:

Information options• A toll-free line, available day or

night: (800) 227-2345• A trusted, reliable internet site atcancer.org

• Advice on clinical trials• Tools to help with treatment

Day-to-day help• Transportation and lodging• Prescription medicine questions• Financial and insurance questions

Emotional support offerings:• Help finding local support groups• Cancer education classes• An online community for cancer

survivors and caregivers

New access to information for Rock County patientsThe American Cancer Society, MercyHealth System, the Rock County CancerCoalition and the Wisconsin WellWoman program of Rock County joinedtogether in a new undertaking.

Mercy volunteers received trainingabout American Cancer Society programs and services. These volun-teers help patients find programs andservices and make it easier for them to find information about cancer.

Rock County support helps us fight backIn 2014, volunteers in the communityraised more than $77,343 through theAmerican Cancer Society Relay for Lifeof Janesville, with considerable helpfrom Mercy Health System participants.Through these valued partnerships, the American Cancer Society is able to reach even more patients, survivorsand caregivers, and help them fightback against cancer.

The American Cancer Society lineup of events for 2015 includes:• Walk/run• American Cancer Society

Relay for Life of Janesville• Making Strides Against

Breast Cancer

For more information on these events,please contact Liana Woodley of the American Cancer Society at (262) 523-5504 or email [email protected].

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Raising cancer awarenessin our community

Brad Bastian, a medical oncology volunteer, stands in frontof ribbon mosaics with pictures of staff and patients.

Breast health navigator, Sandra Mascari-Devitt,had a booth at the Beloit Taste of Home CookingShow. She talked to ladies about breast cancerscreening and prevention.

Radiation oncology partners celebrated the Halloweenspirit by dressing up in Star Trek outfits.

Amy Lambert, Dr. Kevin Kozak (middle) and Dr. Shahid Shekhani (second from right) volunteered at the Paint the Rink Pink event at a Janesville Jets game in October.

Cancer.MercyHealthSystem.org 25

Mercy partners volunteered at the JanesvilleJets Skaters at Waiters event at the TexasRoadhouse restaurant in Janesville.

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26 Mercy Regional Cancer Center 2014 Annual Report

AcupunctureMercy Complementary Medicine Center, Janesville(608) 741-6799

American Cancer Society(800) 227-2345

Breast care:

Breast cancer support group (608) 756-6011

Breast health navigatorFor help guiding you through thestages related to breast health andbreast cancer, from assistance witheducation, diagnostic testing andtreatment, to finding resources and support.(608) 756-6011

Mercy Regional Breast Center,Janesville

Digital mammography, biopsy, ultrasound, MRI and more(608) 741-6999

Mercy Women’s Boutique, JanesvillePost-mastectomy items: prostheses, undergarments, swimwear and more(608) 755-7989 • (800) 279-5810

Cancer rehabilitation therapyPhysical therapists help you beat the effects of cancer.Mercy Sports Medicine and Rehabilitation Center, Janesville(608) 755-7880

Cancer Resource CenterLocated in the Mercy Michael BerryClinic, it offers a wealth of resourcesfor patients and families.

Cancer registryLifetime follow-up for all patientstreated at Mercy and Dean RiverviewClinic. Please let us know when youmove or change phone numbers.Mercy Cancer Registry(608) 756-6139

Cancer-related genetic testing,Janesville

Testing for hereditary cancer syndromes.Mercy Regional Cancer Center(608) 756-6588 • (888) 816-3729

Case managersMercy Regional Cancer Center,Janesville(608) 756-6824

Chemotherapy (medical oncology)Mercy Regional Cancer Center,Janesville(608) 756-6588 • (888) 816-3729Mercy Walworth Hospital and Medical Center, Lake Geneva(262) 245-0535 • (877) 893-5503

Clinical health and rehabilitation psychology

Empowering cancer patients toachieve optimum quality of life.Mercy Clinic South, Janesville(608) 755-7960Mercy Sports Medicine and Rehabilitation Center, Janesville(608) 755-7880Mercy Walworth Hospital and Medical Center, Lake Geneva(262) 245-0535 • (877) 893-5503

Clinical trialsOffering Phase II and Phase III trials for a variety of diagnoses.Mercy Regional Cancer Center,Janesville(608) 756-6871 • (800) 928-1103

Esthetician servicesLearn ways to improve your skin texture and tone, and minimize thevisible side effects of treatmentthrough expert makeup application.Mercy Regional Plastic Surgery, Skin and Laser Center, Janesville(800) 236-6868 • (608) 756-6300

Exercise programsMercy Cardiac Fitness Center’s Journey to Health program, JanesvilleScholarships available(608) 755-7996

Financial counseling and assistanceFor help with unexpected costs andlack of insurance, and referrals tocommunity resources.(608) 756-6500

HematologyMercy Regional Cancer Center,Janesville(608) 756-6588 • (888) 816-3729Mercy Walworth Hospital and Medical Center, Lake Geneva(262) 245-0535 • (877) 893-5503

Home health careMercy Home Health Care(608) 754-2201 • (800) 369-2201

Home medical equipmentMercy Home Medical Equipment and Supplies, Janesville and Harvard(800) 279-5810 • (608) 755-7989

Hospice careMercy Hospice Care(608) 754-2201 • (800) 369-2201

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Information and health librariesTwo ways to learn more about your condition:MercyHealthSystem.orgCancer Resource Center inside theMercy Michael Berry Clinic, Janesville

Lifeline® home emergency response system

Helps you feel safer when you’re home alone.In Janesville and Harvard(608) 756-6784

Lymphedema treatmentMercy Sports Medicine and Rehabilitation Center, Janesville(608) 755-7880

Massage therapyMercy Complementary Medicine Center, Janesville(608) 741-6799

Meals On WheelsDelivered fresh dailyIn Janesville and Harvard(608) 756-6784

Mental health and addictions treatment

For help with healing from depression, anxiety and other emotional concerns.Mercy Options Behavioral Health Services(800) 341-1450

Mohs surgery for skin cancerMercy Walworth Hospital and Medical Center, Lake Geneva(262) 245-0535 • (877) 893-5503

Nutrition services/dietitian(608) 756-6588 • (888) 816-3729

Pain managementMercy Pain Center – Harvard (815) 943-8090Mercy Pain Center – Janesville (608) 756-6049Mercy Pain Center – Lake Geneva (262) 245-0535

Palliative careMercy Hospital and Trauma Center (inpatient), Janesville(608) 756-6000Mercy Outpatient Palliative Care Clinic, Janesville(608) 741-2430

Pastoral careMercy Hospital and Trauma Center,Janesville(608) 756-6000

Plastic/reconstructive surgeryOffering scar revisions, breast reconstruction and other advancedmedical procedures.Mercy Regional Plastic Surgery, Skin and Laser Centers(800) 236-6868 • (608) 756-6300

ProstheticsOur certified prosthetists are experts at fabricating and fitting a variety of prosthetic devices.Mercy Orthotics and Prosthetics Centers(888) 39-MERCY

Radiation oncologyMercy Regional Cancer Center,Janesville(608) 756-6500 • (800) 261-6565

Radiology Mercy Regional Imaging Center at Mercy Hospital and Trauma Center(608) 756-6400

Rehabilitation (inpatient)Mercy Comprehensive Inpatient Rehabilitation at Mercy Hospital and Trauma Center, Janesville(608) 756-6822Mercy Harvard Care Center(608) 755-7880Mercy Manor Transition Center atMercy Hospital and Trauma Center,Janesville(608) 756-6050

ScreeningsCall to learn about Mercy’s latesthealth screenings.(608) 756-6100 • (888) 39-MERCY

Smoking cessationFour-week Fresh Start program forthe quitter and a support person. (608) 741-2411

Support groupsFree groups offered to cancer patients and their friends and family.(608) 756-6824

SurgeryMercy Terrace, Janesville(608) 756-6869

Susan G. Komen for the Cure®

(608) 836-1083

UrologyMercy Regional Urology Center,Janesville(608) 741-6990

Wigs for PatientsQuality wigs for individuals sufferinghair loss due to a medical condition.Features Hair & Nail Company,Janesville(608) 756-0307Coulterz Cutz, Janesville(608) 752-2490

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With all our heart. With all our mind.®

Mercy Regional Cancer Center 1000 Mineral Point Ave., JanesvilleCancer.MercyHealthSystem.org