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Adventist cAncer institute 2012 annual report

adventist Cancer institute 2012 annual report | 2 |

2012Adventist cAncer institute AnnuAl report3 Our MissiOn

4 ChairMan’s update

5 OnCOlOgy patient Care COMMittee

6 prOgraM aCtivities 6 activities & accomplishments 8 looking ahead

9 advanCed treatMents & teChnOlOgies 9 lung Cancer — Video-assisted thoraroscopic surgery (Vats) 9 liver Cancer — selective internal radiation therapy (sirt) 10 da Vinci® robotics

11 COMprehensive Breast Centers 11 accreditation 11 outcomes

12 patient navigatiOn

13 COMMunity OutreaCh & eduCatiOn 13 screening programs 13 education & prevention programs 14 open arms 14 partnerships

15 patient stOries 15 robert’s story 16 kathy’s story 17 Joyce’s story

18 vOlunteerisM & philanthrOpy 18 our Volunteer team 19 betsy’s story 20 philanthropy

21 CanCer researCh 21 our Care for you 21 our program 22 Clinical trials

23 Quality OutCOMes & CanCer statistiCs 24 breast Cancer 26 Colon & rectal Cancers 28 Cancer data & Quality Management services

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Our MissiOn

extending the heAling Ministry of christAt Adventist Cancer Institute, we strive to live Adventist Health System’s mission every day. Caring for our patients and their families is more than a job; it’s a calling. We carefully select team members, for both competency and compassion.

Each member of our team seeks to treat the whole person; mind, body and spirit. We recognize healing requires more than medicine, testing and treatments. It’s a kind word, a gentle touch, a shared smile, a wiped tear. It’s being there for you, through your whole journey; recognizing you are not a cancer to be treated, but a person with a life to be lived and dreams to be realized.

Whatever yOu need, Wherever

yOu gO, We’ll Be there fOr yOu.

that’s Our prOMise, and this is

Our MissiOn.

tO taBle Of COntents


ChairMan’s update

i AM pleAsed to present the 2012 Adventist Cancer Institute’s Annual Report. This year’s report emphasizes the breadth of our services, expertise of our staff, significant accomplishments, commitment to our patients and our exciting future.

The faculty of the Adventist Cancer Institute focuses on whole-person care. We pride ourselves on giving each patient the individualized care and attention they deserve. Our multi-disciplinary team of oncologists, surgeons, radiologists, pathologists and other professionals ensures fully coordinated treatment for each patient. The combined oncology teams at Adventist Hinsdale Hospital and Adventist La Grange Memorial Hospital have worked tirelessly to strengthen personalized care delivery. To punctuate this focus, the Patient Navigation program has expanded to serve all cancer patients from time of abnormal findings through diagnosis to treatment and beyond.

Our quality outcomes in early detection and survival rates for breast, colon and rectal cancers are superior to those of similar programs in Illinois as well as national averages, as demonstrated through data from the National Cancer Database of the Commission on Cancer. Our patients can receive treatment close to home with confidence that they are getting the very best in care.

We have had a robust year in community outreach and events. From an inspirational Cancer Survivors Day with 850 attendees, to Painting the Town of Hinsdale Pink for Breast Cancer Awareness Month, our mission to connect with the community has been a driving force for the Institute. In addition, 40 uninsured women were provided no-cost mammography through our Open Arms Breast Cancer Outreach Fund, which initiated its inaugural “40 for 40” program in October. One woman was diagnosed with breast cancer through this program, and received life-saving treatment at ACI.

I thank our cancer and breast leadership committees for their significant contributions to these important programs, particularly this year with our successful accreditation evaluations for our comprehensive cancer program and breast centers. I am grateful to members of our entire staff, who are dedicated to providing quality, compassionate, whole-person care as outlined in our mission. We know that each individual makes a difference to our patients.

For a review of expanded information, please see:keepingyouwell.com/careandservices/cancer/annualreport

donald sweet, Md Chair, oncology patient Care Committee



OnCOlOgy patient Care COMMittee

donald sweet, Md, FaCpChair, Hematology/OncologyMedical Director, Cancer Services — AHH

Jeffrey Feinstein, Md, FaCroRadiation Oncology

Colleen Hagen, Md, MbaGeneral Surgery; Cancer Liaison Physician

James Hannigan, MdMedical OncologyMedical Director, Cancer Program — ALMH

patricia lee, MdRadiology

patricia Madej, MdHematology/Oncology; Medical Director — Comprehensive Breast Centers

rita noronha, MdPathology

Jeannine arias, rn, Mba, aoCns, CbCn Associate Clinical Director, Oncology Services

suzanne Cascino, rn, Msn Regional Director, Quality ManagementRegulatory and Patient Safety.

Christine Coil, rHia, CtrCoordinator, Quality & Reporting ServicesCancer Data & Quality Management Services

Jack durley, rphDirector, Pharmacy Services

nathan gordon, lCsWSocial Services

lori innocenti, rHit, CtrCoordinator, Daily OperationsCancer Data & Quality Management Services

Clarissa Moholick, MHsa, CCrp, CtrAssociate Director, Oncology Administrative Services

sandra Mueller, ba, rt (r) (M), rdMsAssociate Director, Oncology OutreachManager — Adventist Outpatient Imaging Centers

lisa pittman, rn, oCn, MsnNurse Manager; Medical Oncology

Jan simon, rn, MpaDirector, Case Management

Christine Van de Wege, Ma, FaCHeVice President, Integrated Services

Candice Washilewski, rn, bsn Director, Medical /Surgical

2012 MeM

bership



prOgraM aCtivities

2012 Activities & AccoMplishMentsadventist Cancer institute: $46.5 million building approved, opening 2015.

Comprehensive Community Cancer programs re-accreditation granted through the american College of surgeons Commission on Cancer• The Cancer Programs at both Adventist Hinsdale Hospital and Adventist La Grange Memorial Hospital

received full 3-year accreditation with commendations.

national accreditation program of breast Centers (nabpC) re-accreditation granted• The Comprehensive Breast Centers of Adventist Hinsdale Hospital and Adventist La Grange Memorial

Hospital received full 3-year accreditation by the NAPBC with special recognition for our Oncology Nurse Navigation program.



prOgraM aCtivities

2012 Activities & AccoMplishMentsCenters of excellence in breast imaging by the american College of radiology (aCr)• The breast imaging departments of both Adventist Hinsdale Hospital and Adventist La Grange Memorial

Hospital have been recognized with this designation through the ACR.

Quality improvement activities• Six studies were completed regarding treatment evaluation and management for breast, colon and lung

cancers.• Ten quality indicators regarding breast cancer management were reviewed.• Annual review of survival outcomes for breast, colon and lung cancers was performed.• Comprehensive summary of breast cancer was completed during 2012.

Mammography screening outreach program• Outreach calls placed to women age 40+ overdue for screening mammograms, resulted in 438 scheduled

mammogram appointments in 2012.

expansion of patient navigation team• Our patient navigation team supports patients (and families) from the time of an abnormal imaging study

through diagnosis, to treatment and beyond. In 2012, our team doubled in size, increasing from three oncology nurse navigators to six. In addition, a volunteer navigation program was established and grew to a team of four volunteers.

program expansion• Enhancements to Lymphedema Program• Cancer Conditioning Clinic established• Regional chemotherapy nurse pool initiated• Expanded nursing certification programs• Expanded oncology rehabilitation program



prOgraM aCtivities

looking AheAd —Adventist cAncer instituteThe Adventist Cancer Institute will break ground in 2014 for our new cancer center, strategically located at the intersection of Ogden Avenue and I-294 in Hinsdale. Slated to open in 2015, this ground-breaking facility will offer more than just treatment.

The ACI will combine the latest in technology with a patient experience focused on the whole person; body, mind and spirit. In addition to the availability of comprehensive services under one roof, the center is intentionally designed to enhance caring, comfort, privacy and individualization for each patient and their family. Thanks to our Oncology Patient Advisory Board, a team of local cancer survivors who provided input into every aspect of the centers design, our patients and their families have become the focal point of every aspect of the Adventist Cancer Institute design.

Watch our progress at keepingyouwell.com/careandservices/cancer.


http://www.keepingyouwell.com/careandservices/cancer


advanCed treatMents & teChnOlOgies

The Adventist Cancer Institute offers many advanced treatments and technologies to patients. From therapy with yttrium-90 for liver cancer, and video-assisted thoracoscopic surgery (VATS) for lung cancer, to daVinci® robotic surgery for gynecologic cancer, the ACI remains at the forefront of healing medicine.

For more information about selective internal radiation therapy 630.856.7460.For more information about Video-assisted thoracoscopic surgery 630.856.6662.

lung cAncer Lung cancer claims 200,000 U.S. lives annually. We want to change that. With early diagnosis and treatment, lung cancer patients are living longer than ever before. At Adventist Midwest Health, physicians use the most advanced methods of imaging, biopsy and analysis to diagnose patients. Treatment by a multidisciplinary team allows patients to receive university equivalent care close to home.

The ACI offers advanced lung cancer treatments close to home, including: Video-assisted thoracoscopic surgery (Vats), a minimally invasive procedure during which a thoracic surgeon operates using a tiny video camera and surgical instruments inserted through small incisions between the ribs. VATS is used for many purposes, including biopsy (obtaining tissue samples for testing), removing tumors, or lobectomy (removing lobes of a lung). Compared to traditional open surgery, which requires severing bone and/or cutting through muscle, VATS reduces the risk of infection, post-surgical pain and recovery time.

liver cAncer For patients with cancer in their liver, the Adventist Cancer Institute offers a unique therapy called selective internal radiation therapy (sirt), which delivers tiny radioactive beads, or microspheres, directly to the liver tumor. The procedure, also known as yttrium-90, is performed by an interventional radiologist, who works directly with the patient’s oncologist throughout treatment. This therapy may be performed in conjunction with additional cancer therapies, and provides new hope to patients whose cancer was once thought incurable.

SIRT is tailored to the patient’s status, and treatment options are based upon the origination of the cancer.

During the procedure, the interventional radiologist guides a catheter through an artery into the liver. Once in position, millions of microscopic spheres—about a third of the width of a human hair—are delivered directly into the tumor through the catheter. The microspheres target the liver tumor(s) with a cancer-killing dose of radiation, while sparing surrounding healthy liver tissue, something not typically possible with conventional external beam radiation therapy.

The entire procedure takes about 90 minutes. Patients may receive light sedation prior to the procedure, but remain able to communicate with the doctor and the team. Most patients return home four to six hours following treatment. The procedure may reduce or eliminate liver tumors and the accompanying pain after just one treatment.


adventist Cancer institute 2012 annual report | 1 0 |

advanCed treatMents & teChnOlOgies

the da vinci® surgicAl systeM provides surgeons with an alternative to both traditional open surgery and conventional laparoscopy, by putting a surgeon’s hands at the controls of a state-of-the-art robotic platform. The da Vinci® System enables surgeons to perform even the most complex and delicate procedures through very small incisions with great precision.

For the patient, benefits may include: • Significantly less pain • Less blood loss • Less scarring • Shorter recovery time • A faster return to normal daily activities • And, in many cases, better clinical outcomes

For more information regarding our advanced treatments, please call 630.856.6662.



COMprehensive Breast Centers

AccreditAtionaccreditation by napbC earnedWe are pleased to announce the Comprehensive Breast Care Centers of Adventist Hinsdale and Adventist La Grange Memorial Hospitals were awarded accreditation by the National Accreditation Program For Breast Centers in the Fall of 2012. We are 2 of 25 facilities accredited in Illinois by the NAPBC.

Accreditation by the NAPBC is granted only to those centers that are voluntarily committed to providing the best possible care to patients with diseases of the breast. Each breast center must undergo a rigorous evaluation and review of its performance and compliance with NAPBC standards. To maintain accreditation, centers must monitor compliance with NAPBC standards to ensure quality care, and undergo an on-site review every three years.

Centers of excellence in breast imaging by the american College of radiologyWe are proud to note the imaging departments of Adventist Hinsdale Hospital and Adventist La Grange Memorial Hospital have been recognized as Centers of Excellence in Breast Imaging by the American College of Radiology. All three areas of mammography, core biopsy and breast ultrasound have met/exceeded additional accreditation standards by the American College of Radiology.

outcoMesWe are very proud of our outcomes in quality improvement indicators as outlined on page 23. The ACI numbers exceed those of similar programs in the state and nation.

We thank our Breast Leadership Committee for their significant work and continued contributions to this program, particularly this year with our successful accreditation evaluations. Additionally, we are grateful to staff members who are dedicated to providing quality, compassionate, whole-patient care to our patients.

open armsThe Hinsdale Hospital Foundation Open Arms fund was established in 2011 to support breast cancer patients and their families by funding programs that bring hope and healing as they help families navigate the difficult journey through cancer diagnosis, treatment, and recovery. Donations to the Open Arms Fund make possible the best new diagnosis, technology, and treatment programs and strengthens our personalized patient and family education and support system.

For more information, visit hinsdaleopenarms.com.


http://www.hinsdaleopenarms.com


patient navigatiOn

servicesAt the Adventist Cancer Institute, our team of certified patient navigators stands ready to help cancer patients through every step of their journey. The team is lead by Jeannine Arias, RN, MBA, MSN, AOCNS, CBPN-IC, a nationally-recognized leader in patient navigation. Jeannine’s article, “Patient Navigation: Blending Imaging and Oncology in Breast Cancer” was published in the February 2012 issue of the “Journal of Oncology Navigation & Survivorship,” the official journal of the Academy of Oncology Nurse Navigators.

Our ACI navigation team is on the cutting edge of personal patient service. In 2012 and 2011 the navigation team, presented their benchmark findings on patient navigation at the 21st Annual National Interdisciplinary Breast Cancer Conference in Las Vegas and the Third Annual Navigation and Survivorship Conference in Phoenix.

The team consists of oncology trained and certified registered nurses with a wealth of experience working with cancer patients. The goals of patient navigation are to provide patience with a personal advocate to tailor individualized care, and to provide support as well as anticipatory guidance throughout the cancer journey.



COMMunity OutreaCh & eduCatiOn

screening progrAMsskin Cancer screeningOver one hundred people were screened for skin cancer at two events in May of 2012. Two dermatologists donated twelve hours of their time to this effort.

breast Cancer screeningThe Screening Mammography Outreach Call Center was established in 2012. Our Pre-Access department staff calls women who are overdue for their annual screening mammogram, in an effort to schedule them for their exam. In 2012, 438 women were scheduled through the program, and we are hoping to double that number in 2013.

educAtion & prevention progrAMsCommunity education lectures Community education lectures were held for breast, cervical, lung, colon, skin and prostate cancers throughout 2012, involving more than forty physician volunteer hours.

ongoing Cancer Conditioning Clinic The Cancer Conditioning Clinic is held at Adventist Paulson Rehab Center, Adventist La Grange Memorial Hospital twice monthly.

smoking Cessation ClassesSmoking Cessation classes were held in 2012 at Adventist La Grange Memorial Hospital.

Cancer survivors event Cancer Survivors event in September 2012 hosted 850 cancer survivors and their family members, four physician volunteers and over forty staff volunteers.

In total, ACI hosted or supported 35 community events in 2012.

For more information on classes and events, please call 630.856.7525.



COMMunity OutreaCh & eduCatiOn

open ArMsOpen Arms is a non-profit breast cancer outreach fund established in 2011 through the Hinsdale Hospital Foundation. Conceptualized by the Comprehensive Breast Center Team and local breast cancer survivor Betsy Sweeney, Open Arms strives to provide screening, education and outreach to local women. In October 2012, the first “40 for 40” event was hosted, at which forty uninsured women were provided free screening mammograms. One woman was diagnosed with breast cancer from this event. She currently receives treatment at the ACI.

For more information, please visit hinsdaleopenarms.com.

pArtnerships The Adventist Cancer Institute proudly partners with the Wellness House and the American Cancer Society for patient support, education and outreach. We team with both of these valuable community resources to ensure all patients receive the physical, emotional, psychological and financial support needed.




patient stOries

Robert Bilek, 89, of Westmont is a two-time cancer survivor — prostate and bladder — with a goal to live until he’s 110, which would beat out his uncle, who died at 108.

That’s why Bilek is certain that he’s also beat lung cancer, thanks to a lifesaving operation performed by Dr. Michael Liptay.

One day last fall, after Bilek had attended his grandson’s 40th birthday party, Bilek had settled down to watch television when he coughed and noticed blood. When he repeated that same routine two more times, Bilek called for his daughter, who was reading in another room.

“before i knew it, i wAs on My wAy to the hospitAl,” Bilek said.

At the hospital, a CT scan showed Bilek had pneumonia, as well as a black spot and some cloudiness in one lung. A few tests later and doctors were informing Bilek he had lung cancer and were outlining treatment options. Bilek chose the surgery, which surprised the medical professionals.

In November, Liptay removed a portion of Bilek’s lung, the first time this minimally invasive lung cancer procedure had been performed at Adventist Hinsdale Hospital. The video-assisted thoracoscopic (VATS) lobectomy utilizes three tiny incisions and avoids painful rib spreading, leading to a quicker recovery with an average hospital stay of two to three days.

“It was obvious that when you say someone is 89 years old, people automatically think of a frail old man,” said Pam Jahoda, Bilek’s daughter. “They asked me if he had a walker or a wheelchair and I told him that he still drives and does his own grocery shopping and housecleaning.”

Bilek did well following surgery, except the pain medicine did not agree with him, so that was eliminated after the first day of recovery. He went home on day three with a list of instructions, which included no lifting of objects over 10 pounds.

“I wasn’t supposed to shovel snow either,” Bilek said with a chuckle.

Except for losing a little weight, Bilek said he has felt strong and healthy. He experienced no post-operative infection. At no point, either before or after the surgery, has he felt any shortness of breath. Given the choice again, Bilek would definitely choose the surgery.

“Dr. Liptay was very courteous and explained everything and it turned out to be exactly as he explained it,” Bilek said.

robert’s sto

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patient stOries

“The staff and physicians really cared about me as a person — not just my body but my mind and spirit also”

Kathy Fancher was very familiar with Adventist Midwest Health’s Hinsdale Imaging Center in Hinsdale. Not only did she get her annual mammograms there for the past 10 years, but it’s also where her husband, Gary, worked as a technician overseeing CT scanning.

“i knew the people there were very nice,” the 44-year-old Downers Grove resident said. But it wasn’t until Fancher found out she had a lump in her breast and begun cancer treatment that she more fully experienced the staff’s care and concern.

The lump was discovered during a routine visit to her gynecologist. An ultrasound revealed a suspicious mass which was quickly diagnosed as breast cancer.

“That same day, they did a biopsy and also referred me to a surgeon,” Fancher recalled. “I got the results of the biopsy just a few days later. The Hinsdale Imaging Center staff helped me navigate from one step to the next so there was no confusion about what I needed to do. Their help was such a blessing.”

Less than two weeks after Fancher was diagnosed with breast cancer, surgeon Dr. Daniel Douglas and plastic surgeon Dr. Sandeep Jejurikar performed a mastectomy with reconstructive plastic surgery at Adventist Hinsdale Hospital. Fancher’s oncologist is Dr. Patricia Madej, medical director of the accredited Comprehensive Breast Center at Adventist Hinsdale and Adventist La Grange Memorial Hospitals.

“At Hinsdale Imaging Center and Adventist Hinsdale Hospital, I felt that the staff and physicians really cared about me as a person – not just my body but my mind and spirit also,” Fancher said. “Being in a Christian atmosphere was very comforting.”

After her treatment, Fancher attended a tree lighting ceremony to raise awareness of breast cancer at Adventist Hinsdale Hospital, where she met another woman facing the same surgery.

“The woman had a lot of concerns, but I told her about my positive experience and tried to reassure her,” Fancher said. “She made the decision to have the surgery and now she’s doing well also.”

Fancher would recommend her care at Hinsdale Imaging Center and her surgical treatment to other breast cancer patients. It also gave her a new appreciation for the work done by her husband, now employed by Adventist Bolingbrook Hospital.

“Going through this experience at such a familiar place gave me a new perspective on Gary’s role at Adventist Midwest Health,” she said. “It reminded me that the work he does every day makes a difference in people’s lives.”

kAthy’s sto

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patient stOries

As the holidays approached in 2009, Joyce Bryant, regional director of Pre-Access for Adventist Midwest Health, attended a meeting for work at Westmont Imaging Center. When she mentioned she was overdue for a mammogram, employees at the center immediately brought her to be tested. “As soon as I mentioned that it had been a while since my last mammogram, I was ushered into the room right then and there,” said the 54-year-old Naperville resident. “The staff at the imaging center demonstrated that they are focused on early breast cancer detection.

“though i never hAd breAst cAncer syMptoMs, eArly detection Most certAinly sAved My life.”After reviewing the results of her scans, Bryant went to Hinsdale Imaging Center for a diagnostic mammogram. The nurse navigator told her she needed to have a biopsy immediately. By early January, she learned she had breast cancer at the cellular level. Bryant saw Dr. Jason Goliath, a general surgeon who treats patients at Adventist Bolingbrook Hospital, for a consultation.“Normally Dr. Goliath orders patients with a similar diagnosis to get a regular chest CT scan,” Bryant said. “However, I told him that my family has a history of colon cancer, and he wanted to have a CT scan of my entire abdomen.”

“It’s important for doctors to completely listen to their patients and all of their questions,” said Goliath. “I wanted to do everything I could to address Joyce’s concerns.” When Bryant’s test results came back, Goliath told her she also had a two-inch tumor in her kidneys, indicating an extremely early form of renal cancer. Because most early kidney cancers do not cause any signs or symptoms, they can go without detection. Many people are not diagnosed until they have extreme discomfort due to the cancer’s size, but Bryant’s was caught early. “I really credit him for discovering the renal cancer when he did,” Bryant said. “Dr. Goliath was able to detect my cancer extremely early because he listens to his patients and he really listened to me.” Bryant was referred to Dr. Michael Milani, a urologist who treats patients at Adventist Hinsdale Hospital, to have the tumor surgically removed. On Jan. 20, Milani performed a partial nephrectomy – a surgical procedure in which a kidney is partially removed. The surgery was completed with the hospital’s da Vinci robot, a minimally invasive surgical tool that can result in faster recovery with less pain and scarring.

“I had the surgery on Wednesday and was discharged Saturday,” Bryant said. “My recovery time was much shorter than a regular nephrectomy.” Less than 10 days after her surgery, Bryant went to Adventist La Grange Memorial Hospital for a lumpectomy, a surgical procedure that removes a malignant tumor or lump and a small portion of the surrounding breast tissue. She missed just six days of work through all of her treatment, surgeries and seven weeks of radiation.“While I could have just stayed home and felt miserable, I knew it was important for me to remain active and positive if I wanted to get through everything the best way possible,” Bryant said.

Though the cancer was removed from Bryant’s breast and kidney, she still must receive frequent check-ups to make sure the cancer has not returned. She said working in the Pre-Access department of Adventist Midwest Health not only gave her something to focus on while enduring the treatment, but it also allowed her to empathize with the patients she speaks to on the phone every day. “I’m lucky to work with an incredibly supportive and understanding team,” she said.

Joyc

e’s story



vOlunteerisM & philanthrOpy

our volunteer teAMThe ACI is blessed with a robust team of volunteers, from both the community and staff. In 2012, over a hundred volunteers logged more than 1000 hours in service to our patients and community, related to cancer services.

Volunteers range in age from children to senior citizens, and support various activities from runs and walks to health fairs, educational events, parades, free clinics and much more.

If you or your group want to volunteer with the ACI, please call 630.856.6384.




When Betsy Sweeney of Hinsdale was diagnosed with invasive lobular cancer of her right breast in August of 2000, she was initially shaken. Then she raised her chin, straightened her spine, and handled it. The journey wasn’t easy, but the wife and mother of two young girls had weathered storms before, and she was determined not to let cancer win. So when she was diagnosed with a second breast cancer in 2004, this time of her left breast, she already knew what a bumpy road felt like. With the support of family and friends, Sweeney toughed out another round of surgery and treatments. In 2007, when doctors discovered her breast cancer had metastasized to other areas of her body, she realized her calling. One thing Betsy had noticed through her cancer experience was a feeling of loneliness. “I saw the need for someone to be there during times of high-stress like pre- and post-surgery, when your family can’t be with you.”

“i hAd to chAnge thAt for other woMen.”When asked to join Adventist Hinsdale Hospital’s Comprehensive Breast Center Leadership Committee, she jumped at the chance. Once on the committee, Betsy says, “I discovered how phenomenal the team was. I wanted to spread that word, and wanted others to know they don’t need to go downtown for the best; it’s right here.”

Since that time, Sweeney has been a tireless volunteer and patient advocate for Adventist Cancer Institute. She attended classes, studied and passed a nationally-recognized breast cancer navigation course, and spent countless hours consulting with physicians and staff. Strictly on a volunteer basis, Betsy spends many hours talking to breast cancer patients, going with them to doctor visits and treatments and waiting with families during surgeries. She visits homes, invites others to hers and campaigns for awareness and screening at community events. Working hand-in-hand with Adventist Cancer Institute’s nurse navigators, Betsy provides psychosocial support for patients, and often is “just there to listen.”

In 2011, Betsy was instrumental in helping Hinsdale Hospital Foundation create open arms, a breast cancer outreach fund, which in 2012 provided 40 free mammograms to uninsured local women, under the “40 for 40” program. One of those women was diagnosed with breast cancer, and is currently receiving treatments at Adventist Hinsdale Hospital.

In October of 2012, Betsy’s doctors told her the cancer was back in a new area. She is currently in treatment for the fourth time. But this story is not about Betsy, the four-time cancer victim. It’s about Betsy, the woman who checks on patients between her own treatments. Betsy, who still works with the team every day. Betsy, who sat with me to tell this story and only wanted to know how I’m doing.

“If you can’t change where you’re at, you can do something for someone else, and that’s what I want to do,” says Sweeney. No one does it better.

For more information about our patient navigation services, contact [email protected].

betsy’s story

by Sandy Mueller





philAnthropySearching for a way to help when someone you care about faces cancer...survivors looking for a way to make it easier for the next family...thoughtful community members showing their commitment to ensuring the best cancer care is close at hand...a patient grateful for the outstanding care they received.

For all these reasons and more, generous friends and neighbors make gifts to the Hinsdale Hospital Foundation and the La Grange Memorial Hospital Foundation to support the organization’s cancer endeavors. Their contributions help bring the best new technology and medicine, the most compassionate and knowledgeable care, and meaningful support services to our cancer patients and their families.

Deepest gratitude goes out to all those who have supported our cancer programs over the years. You’ve made a difference in the lives of so many. We are especially grateful to all of you who are now helping us realize our $12 million commitment to the new cancer center. Your generosity is bringing a lasting gift to our community.

Please take to heart our message of gratitude: Your generosity heals.

For more information about the Hinsdale Hospital Foundation please call 630.856.2000.For more information about the la grange Memorial Hospital Foundation please call 708.245.2902.



CanCer researCh

The Adventist Cancer Institute is committed to providing the most current cancer treatment options for our patients. One way we do this is by encouraging participation in clinical trials.

Since 1985, the Adventist Cancer Institute has been part of the National Cancer Institute’s Cooperative Oncology Group program. This is a network for conducting research on cancer prevention and treatment through the National Cancer Institute. This program connects community hospitals, physicians and academic centers to provide patients with the latest medications, procedures and therapies, if they are appropriate candidates.

our progrAMIn conjunction with our cancer physician specialists, we provide patients with access to over 50 nationally-recognized studies from the National Cancer Institute for 17 different types of cancer. The Adventist Cancer Institute Physicians are supported by a professional team of research nurses, clinical technicians, data specialists and Nurse Navigators who provide personalized guidance through your journey. While we offer access to a wide range of nationally-recognized treatment trials, , we also believe in prevention trials. The ACI was one of three enrollment sites in the Chicago-area for the American Cancer Society’s Cancer Prevention Study-3. This national study is being conducted to gain a better understanding of the genetic, environmental and lifestyle factors that cause or prevent cancer. The ACI has played an important role in assisting the ACS in reaching its goal of enrolling 3000,000 people throughout the United States by contributing nearly 600 participants to the study.

our cAre for youInvolvement in providing access to nationally-recognized clinical research supports our commitment to practice a higher level of medicine and partner with those who share our commitment. These studies are regulated at a national level and are monitored by multiple national organizations. Participation in a clinical trial can be an excellent option for oncology patients, as it often allows access to treatments that are not available outside the clinical trial setting. Participation in research provides key information needed to those who are developing new standards of care. Our patients have access to many of the same cutting-edge cancer therapies being offered at university hospitals, without having to travel far from home.



CanCer researCh

Adventist cAncer institute offers three different types of clinicAl triAls:prevention trialsMuch of the promise for cancer prevention comes from observational studies conducted on large groups of people that show links between lifestyle factors or environmental exposures and specific cancers. These trials are designed to evaluate the effectiveness of ways to reduce the risk of cancer or reduce the risk of cancer returning. These studies may involve medications, vitamins or other supplements.

treatment trialsTreatment trials are conducted with people who have already been diagnosed with cancer. These trials are designed to compare a new treatment with a standard treatment, which is the best treatment currently known for a cancer, based on the results of past research. In treatment trials, patients will receive (at the minimum) a standard treatment that is widely used and best known for patients who have that particular cancer.

Cancer Control trialsCancer control trials, or supportive care trials, explore ways to improve the comfort and quality of life of cancer patients and survivors. These trials study drugs helped reduce the side effects of chemotherapy and other primary treatments. In addition, they study beneficial effects of nutrition, group therapy or other alternative approaches.

For More information on Clinical trials:• adventist Midwest Health Clinical research Coordinator | 708.245.8161• clinicaltrials.gov | 1.800.411.1222• The National Cancer Institute (NCI) | cancer.gov | 1.800.4.CANCER• American Cancer society (ACS) | cancer.org | 1.800.227.2345• CISCRP — a non-profit group dedicated to educating and informing the public about clinical trials

ciscrp.org | 1.877.MED.HERO

You can request a free search for clinical trials in your area searchclinicaltrials.org.


http://www.clinicaltrials.gov

http://www.cancer.gov

http://www.cancer.org

http://www.ciscrp.org

http://www.searchclinicaltrials.org.


explOre the infOrMatiOn On

the fOllOWing pages fOr a

ClOser lOOk at hOW We COMpare

With natiOnal averages.

Quality OutCOMes & CanCer statistiCs

Adventist cAncer institute is dedicAted to providing you the highest quAlity cAre. The Adventist Cancer Institute boasts quality outcomes that surpass national averages, Illinois averages and those of similar cancer programs in our area. Our patients are able to receive world-class diagnosis and treatment, delivered with caring, personalized service, all within minutes of home.

In addition, we have a quality outcome committee comprised of physicians, nurses, quality management and data services which compiles and reviews our results in accordance with stringent quality control standards. This team completed six quality improvement studies in 2012 involving the type and timing of treatment provided for patients diagnosed with breast, colon and lung cancers.



86889092949698

100

% o

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gnos

ed p

atie

nts

adventist Hinsdale

97.4

adventist la grange

94.1

illinois

88.3

similar Cancer program types

88.2

all CoC approved programs

87.7

86889092949698

100

% o

f dia

gnos

ed p

atie

nts

adventist Hinsdale

100

adventist la grange

100

illinois

92.5


92.7


91.7

86889092949698

100

% o

f dia

gnos

ed p

atie

nts

adventist Hinsdale

97

adventist la grange

97.6

illinois

92.2


91.5


90.8

Completed by: Clarissa Moholick, MHSA, CTR | March 6, 2013



breAst cAncer The following three quality-focused measures have been endorsed by the National Quality Forum (NQF). We submit specific data from Adventist Hinsdale Hospital and Adventist La Grange Memorial Hospital to the National Cancer Data Base (NCDB) in order to compare our compliance rate against these state and national rates of accountability or quality improvement measures. These measures not only emphasize the quality of patient care, but also the importance of accurate and complete documentation.

indicator: Radiation Therapy is administered within 1 year of diagnosis for women under age 70 receiving breast conserving surgery for breast cancer.

radiation therapy is administered Within 1 year: breast Cancer

indicator: Combination chemotherapy is considered or administered within 4 months of diagnosis for women under 70 with AJCC T1cN0M0; Stage II or Stage III ERA and PRA negative breast cancer.

Chemotherapy administered Within 4 Months: breast Cancer

indicator: Hormone therapy is considered or administered within 1 year of diagnosis for women with AJCC T1cN0M0 or Stage II or Stage III ER and/or PR positive breast cancer.

Hormone therapy administered Within 1 year: breast Cancer


848586878889

% o

f pat

ient

sur

viva

l

adventist Hinsdale

88.4

adventist la grange

87.3

national Cancer data base

85.4

60616263646566

% o

f dia

gnos

ed p

atie

nts

adventist Hinsdale

65.18

adventist la grange

62.57

illinois

61.32


62.12


61.15


breAst cAncerstage at diagnosis (Very early stages 0–1)

When patients are diagnosed with very- early stage breast cancer, this cancer is confined to the breast. This translates to more treatment options, less invasive treatments as well as better long-term outcomes.

overall 5-year survival outcomes

This graph represents an overall 5-year survival of breast cancer. At Adventist Hinsdale Hospital and Adventist La Grange Memorial Hospital, our data shows that a larger percentage of our patients are living longer as compared to the national average.



illinois similar Cancer program types


86889092949698

100

% o

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gnos

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adventist Hinsdale

100

adventist la grange

10095.4

92.6 92.5

86889092949698

100

% o

f dia

gnos

ed p

atie

nts

adventist Hinsdale

100

adventist la grange

100

illinois

92.4


92.4


92.4


colon & rectAl cAncersThe following three quality-focused measures have been endorsed by the National Quality Forum (NQF). With submission of specific data from Adventist Hinsdale Hospital and Adventist La Grange Memorial Hospital to the National Cancer Data Base (NCDB), we are able to compare our compliance rate of these accountability or quality improvement measures against state and national rates. These measures not only emphasize the quality of patient care, but also the importance of accurate and complete documentation.

indicator: Adjuvant chemotherapy is considered or administered within 4 months of diagnosis for patients under the age of 80 with AJCC Stage 3 colon cancer.

Chemotherapy administered Within 4 Months: Colon Cancer

indicator: Radiation Therapy is considered or administered within 6 months of diagnosis for patients under age 80 with Stage 3 rectal cancer receiving surgical resection.

radiation therapy administered Within 6 Months: rectal Cancer



5254565860626466

% o

f pat

ient

sur

viva

l

adventist Hinsdale

66.7

adventist la grange

58.4

national Cancer data base

55.1

68

46485052545658

% o

f dia

gnos

ed p

atie

nts

adventist Hinsdale

54.5

adventist la grange

56.37

illinois

52.45


50.52


49.97


colon & rectAl cAncersstage at diagnosis (early stages 0–2)

When patients are diagnosed with early stage colon cancer, this cancer is confined to the colon. This translates to less invasive treatments as well as better long-term outcomes.

overall 5-year survival outcomes

This graph represents an overall 5-year survival of colon cancer. At Adventist Hinsdale Hospital and Adventist La Grange Memorial Hospital, our data show that a larger percentage of our patients are living longer compared to the national average.

tO taBle Of COntents tO taBle Of COntents



cAncer dAtA & quAlity MAnAgeMent services This department is responsible for ensuring timely, accurate and complete data is incorporated and maintained on all types of cancers diagnosed and/or treated within the defined population of cancer and related conditions. Cancer Data specialists bridge this information gap by capturing all cancer-related treatment information from diagnosis throughout the patients’ lifetime from anywhere in the United States. From this a valuable and complete summary of the patient’s disease and treatment is created. The data bases include all patients diagnosed and treated for cancer at Adventist Hinsdale Hospital since 1985, Adventist La Grange Memorial Hospital since 1983, and Adventist GlenOaks and Bolingbrook Hospitals since 2008.

The database includes over 40,0000 cancer cases. We accession more than 1,700 cases per year. Staff monitor compliance with the ACOS cancer program standards, coordinate cancer conferences throughout the region.

Cancer incidence Comparison Facts & Figures 2011This table represents cancer incidence at each of our facilities compared to national incidence published by the American Cancer Society. Males: We have a much lower incidence of prostate cancer than the rest of the nation due to the way cases are reported. There is a much higher incidence of colon cancer at the ALMH campus. Females: Breast cancer incidence at AHH and ALMH is significantly higher than rates noted by ACS. Incidence of lung cancer is lower. At AHH campus, the incidence of uterine cancer is 3 times more than national average due to strong Gyne Onc program and Dr. Sharma’s commitment to our programs.

aHH — Adventist Hinsdale Hospital | alMH — Adventist La Grange Memorial Hospital | aCs — American Cancer Society

MalesaHH alMH type of Cancer aCsn=249 n=217 n=710,040

22% 12% Prostate 29%12% 16% Lung & Bronchus 14%10% 19% Colon & Rectum 9%9% 10% Urinary Bladder 6%1% 6% Melanoma 5%5% 4% NH Lymphoma 4%5% 4% Kidney 5%4% 1% Oral Cavity 3%3% 1% Leukemia 3%4% 2% Pancreas 3%

FemalesaHH alMH type of Cancer aCsn=488 n=322 n=662,870

37% 49% Breast 30%5% 9% Lung & Bronchus 14%6% 8% Colon & Rectum 9%17% 3% Uterine Corpus 6%6% 1% NH Lymphoma 5%<1 5% Melanoma 4%3% 3% Ovary 4%4% 2% Thyroid 3%2% 4% Pancreas 3%1% 2% Urinary Bladder 3%




top 20 Cancer sites for 2011

adventist Hinsdale Hospital primary site analytic* non-analytic** Male Female total percent

Breast 179 13 1 191 192 23.36%Uterus 85 1 0 86 86 10.46%Prostate 56 9 64 0 64 7.79%Lung 55 4 31 28 59 7.18%Colon 39 7 17 29 46 5.60%Lymphoma 27 7 17 17 34 4.14%Thyroid 33 0 6 27 33 4.01%Bladder 28 5 26 7 33 4.01%CNS-Benign 28 2 13 17 30 3.65%Ovary 21 6 0 27 27 3.28%Kidney/Renal Pelvis 23 0 12 11 23 2.80%Pancreas 15 8 17 6 23 2.80%Rectum 14 4 10 8 18 2.19%Leukemia 15 0 7 8 15 1.82%Oral Cavity/Pharynx 13 1 11 3 14 1.70%Vulva 12 2 0 14 14 1.70%Blood Disorders 12 1 5 8 13 1.58%Cervix 12 1 0 13 13 1.58%Unknown 8 3 5 6 11 1.34%CNS-Malignant 10 0 4 6 10 1.22%ALL OTHER 52 11 42 22 64 7.79%

total all sites 737 85 288 534 822 100.00%

adventist la grange Memorial Hospital primary site analytic* non-analytic** Male Female total percent

Breast 158 9 1 166 167 28.55%Lung 72 2 39 35 74 12.65%Colon 46 2 21 27 48 8.21%Bladder 32 3 25 10 35 5.98%Prostate 27 7 34 0 34 5.81%Lymphoma 23 1 14 10 24 4.10%Rectum 18 1 9 10 19 3.25%Kidney/Renal Pelvis 18 0 12 6 18 3.08%Pancreas 13 1 7 7 14 2.39%Melanoma 10 1 7 4 14 2.39%Other Hematic 7 5 5 7 12 2.05%Leukemia 10 2 5 7 12 2.05%Uterus 11 0 0 11 11 1.88%CNS- Benign 7 4 1 10 11 1.88%Unknown 10 0 6 4 10 1.71%Stomach 9 0 6 3 9 1.54%Esophagus 9 0 9 0 9 1.54%Ovary 7 0 0 7 7 1.20%Myeloma 6 1 4 3 7 1.20%Vulva 4 3 0 7 7 1.20%ALL OTHER 40 6 28 8 43 7.35%

total all sites 537 48 233 342 585 100.00%

* Analytic: Represents patients diagnosed and treated by our facilities for initial cancer treatment.

** Non-analytic: Represents patients diagnosed and treated elsewhere for original cancer treatment; received treatment for recurrent/progression of cancer.



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breast prostatelung thyroidColon

2007 2008 2009 2010 2011

uterine

5647

54

86

4050

5946

6264

354955

66

85

454756

69

95

33395655

179

210

187

18119

0

85

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100

150

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breast lung Colon prostate bladder

2007 2008 2009 2010 2011

89

55

33 31

55

3723 26

69

39 38 38

6953

27 31

72

46

27 32

158

17618

618

516

9


Cancer incidence top sites

adventist Hinsdale Hospital

adventist la grange Memorial Hospital


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