CANCER CARE of Monmouth and Ocean Counties

A member of the Memorial Sloan Kettering – Hackensack Meridian Health Partnership 2 Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES

Hackensack Meridian Health Cancer Care of Monmouth and Ocean Counties

Dear Friends, When someone is diagnosed with cancer, nothing is more important than knowing they have access to the best physicians, the most compassionate care, and the latest technology and therapies. Hackensack Meridian Health Cancer Care of Monmouth and Ocean counties has made an unyielding commitment to provide the highest level of care and the most advanced treatment options close to home. Our team continues to grow and lead the charge in cancer and innovation through our $128M investment in five brand new state-of-the-art cancer centers throughout Monmouth and Ocean counties. We operate at the highest levels recognized by the American College of Surgeons Commission on Cancer (CoC) as the only network accredited program in New Jersey. Our clinical experts and support teams are in constant communication to make sure each patient’s treatment, progress, and plans for life beyond discharge are seamless. Thomas L. Bauer II, M.D. Through our integrated network comprised of 13 hospitals, including John Theurer Clinical Medical Director of Oncology, Cancer Center at Hackensack University Medical Center, patients have more access Hackensack Meridian Health to clinical trials, support services and resources throughout Hackensack Meridian Health. Looking back on 2017, we have a lot to be proud of and we look forward to Medical Director of Thoracic Oncology, Hackensack Meridian Health even more advancements to take on cancer in 2018. Cancer Care of Monmouth and Ocean counties Chief of Thoracic Surgery, Jersey Shore University Medical Center

Cancer Care Program Accreditations and Certifications

■■ American College of Surgeons (ACoS) ■■ The Collaborative Endocrine Surgery Program ■■ American College of Surgeons National (CESQIP) Surgical Quality Improvement Program (NSQIP) ■■ American College of Surgeons Quality ■■ National Accreditation Program for Improvement Program (CQIP) Breast Centers (NAPBC) ■■ The American Society of Breast Surgeons (ASBrS) ■■ American College of Radiation Oncology (ACRO) ■■ Society of Surgical Oncology (SSO) ■■ Society of Thoracic Surgeons (STS) Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES 3

Surgical Oncology

Our team of surgical oncologists treat both benign tumors and a wide array of cancers, including highly complex and multiple/recurrent cases. All of our surgeons are board certified and fellowship-trained experts in their fields, who perform highly advanced minimally invasive and open surgical procedures. They practice as a multidisciplinary team utilizing evidence-based guidelines to provide patients with the most appropriate treatment and the best possible outcomes. Our team has gained national recognition for their expertise and innovation in the diagnosis and treatment of cancers such as brain, breast, colon and rectal, endocrine, genitourinary, gynecological, head and neck, hematological, hepatobiliary and pancreatic, melanoma, thoracic and esophageal. 4 Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES

——— Meet the Experts ——— Thoracic and Esophageal Led by Thomas L. Bauer II, M.D., our Thoracic Surgery Program offers a team based approach to diagnosing and treating thoracic cancers, including lung cancer, esophageal cancer, mesothelioma, thymoma and metastatic cancers to the chest region. Our thoracic surgeons and their team of dedicated multidisciplinary specialists are regional leaders who play an integral part in developing less invasive surgical techniques that quicken recovery and provide advanced options at a local level. Collectively, our thoracic team has authored more than 150 publications and abstracts, and remains committed to identifying cutting-edge clinical trials for patients. Our thoracic team is skilled in performing the following procedures: Thomas L. Bauer II, M.D. Clinical Medical Lung Director of Oncology, ■■ CyberKnife® Hackensack Meridian Health ■■ Endobronchial Ultrasound EBUS Medical Director of Thoracic Oncology, ■■ Superdimension bronchscopy Hackensack Meridian Health Cancer Care of Monmouth ■■ Radiofrequency ablation and Ocean counties ■■ Video-Assisted Thoracoscopic Surgery (VATS) Lobectomy Chief of Thoracic Surgery, ■■ Robotic lobectomy Jersey Shore University Medical Center ■■ Endobronchial resection ■■ Pleur x catheters and stenting

Esophageal ■■ Esophageal dilation and stenting ■■ BARRX RFA for Barretts Esophagus - Radiofrequency Ablation System ■■ Minimally invasive esophagectomy ■■ Laparoscopic repair of paraesophageal hernia ■■ Zenkers diverticulectomy ■■ VATS and laparoscopic heller myotomy

Diaphragm ■■ VATS placation, phrenic nerve pacing for the diaphragm Ziad G. Hanhan, M.D., FACS Medical Director, Thoracic Surgery Riverview Medical Center Accreditations and Bayshore Medical Center

The Society of The Joint Thoracic Surgeons Commission for Lung and Esophageal Cancer Programs

Jennifer L. Sullivan, M.D., FACS Thoracic Surgeon Ocean Medical Center and Southern Ocean Medical Center Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES 5

Hackensack Meridian Health Cancer Care of Monmouth and Ocean Counties Our thoracic surgeons use both open and minimally invasive techniques. The use of video-assisted thoracoscopic surgery (VATS) or robotic techniques are associated with less postoperative pain, a shorter length of stay, and faster return to normal activities.

Total Thoracic and Esophageal Procedures Average Length of Stay (Days) vs. Society of Thoracic Surgeons (STS) Average

STS July 2014-June 2017

Hackensack Meridian Health 2017

Hackensack Meridian Health Bayshore Jersey Shore Ocean Riverview TOTAL 2016 Medical Center University Medical Center Medical Center Medical Center *Esophagectomy data only representative of Jersey Shore University Medical Center 2017 patient length of stay for any thoracic or esophageal procedure is on average 2.1 days shorter than the National STS average.

Total Robotic Cases Monmouth and Ocean counties Length of Stay (Days) Therapeutic Lung Resections VATS vs. Robotic

1,967% increase in robotics cases since 2014

6% OPEN

Video-Assisted Lung Resections

94% of lung resections are performed leveraging video-assisted techniques, while only 6% are open. 6 Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES

——— Meet the Experts ———

William W. Maggio, M.D., FACS Surgical Director, Neuro-oncology Jersey Shore University Medical Center

Brain Our Brain Tumor Program is committed to leading the diagnosis, treatment, Joseph C. Landolfi, D.O. and rehabilitation of patients with neurological cancers. Our multidisciplinary Medical Director, Neuro-oncology team provides comprehensive, personalized care for individuals suffering from Jersey Shore University Medical Center brain tumors and the neurological complications of cancer. Our team treats a range of central nervous system tumors, including:

■■ Acoustic Neuromas ■■ Subependymomas ■■ Glioblastoma (GBM) ■■ Gliomas ■■ Vestibular Schwannomas ■■ Hemangioblastomas ■■ Skull Based Tumors ■■ Lymphomas ■■ Anaplastic Astrocytomas ■■ Medulloblastomas ■■ Oligodendrogliomas ■■ Meninglomas ■■ Low Grade Astrocytomas ■■ Metastatic Brain Tumors ■■ Carcinomatous Meningitis ■■ Neuroblastomas ■■ Cavernous Angiomas ■■ Oligodendrogliomas ■■ Cerebellar Astrocytomas ■■ Pineal Region Tumors ■■ Chordomas ■■ Pituitary Tumors ■■ CNS Lymphoma ■■ Spinal Cord Tumors ■■ Colloid Cysts ■■ Tumors of Neurofibromatosis ■■ Craniopharyngiomas ■■ Venticular Tumors ■■ Dermoids ■■ Epidermoids ■■ Ependymomas ■■ Gangliogliomas Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES 7

Breast ——— Meet the Experts ——— Our Breast Surgery Program has several fully accredited breast centers that are a part of the American College of Surgeons National Accreditation Program for Breast Centers (NAPBC). The NAPBC accreditation is the seal of approval from the American College of Surgeons and formally acknowledges the commitment to providing the highest quality evaluation and management of all patients with breast disease. Staffed with nationally recognized experts, patients receive the best care in a comfortable setting, close to home. Our team includes surgical oncologists, reconstructive surgeons, medical oncologists, radiation oncologists, radiologists and pathologists, as well as supportive care services from nurse navigators, Denise L. Johnson Miller, M.D., FACS geneticists, social workers, nutritionists, and other related specialists. We also Medical Director, Breast Surgery offer patients palliative care, integrative medicine, and end of life care services Hackensack Meridian Health Cancer Care and support. Being highly focused in breast cancer allows us to tackle complex of Monmouth and Ocean counties cases and optimize the outcome for every patient.

Program Accreditations

National Accreditation Program for Breast Centers The American Society of Breast Surgeons

Physician Awards, Publications and Peer Reviewed Journals Our breast surgeons consistently receive awards from their peers and Debra E. Camal, M.D., FACS patients, and have contributed to over 100 publications and abstracts. Medical Director, Breast Surgery Riverview Medical Center

Advances in Technology and Treatment PEAK PlasmaBlade® ■■ Low Operating Temp (40 to 170 degrees C vs 300 plus on traditional electro surgery) ■■ Acts like a power 15 blade on Cut Mode, able to cut skin ■■ Extendable tip for NSM and Skin Sparing Procedures ■■ Built in smoke evacuation for improved visibility in the pocket Catherine R. Campo, D.O., FACOS SAVI SCOUT® Surgical Guidance System Medical Director, Breast Surgery Bayshore Medical Center ■■ Wire free reflector with radar localization for non palpable breast lesions ■■ Placement at any time period prior to surgery ■■ Avoids delays in surgery scheduling

Surgical Techniques in Reconstruction ■■ Direct to implant reconstruction using acellular dermal matrix covering instead of sub pectoral implant placement ■■ Reduces surgical pain ■■ Allows for more patient application

Deep Inferior Epigastric Artery Perforator (DIEP) Flap Microsurgical Breast Reconstruction Yolanda R.Tammaro, M.D. ■■ Use skin and fatty tissue from the lower abdomen to reconstruct a Medical Director, Breast Surgery breast, leaving the abdominal muscle intact Ocean Medical Center and Southern Ocean Medical Center 8 Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES

——— Meet the Expert ——— Cardio-Oncology

Jersey Shore University Medical Center is one of the few hospital systems in the region with a dedicated Cardio-Oncologist working to minimize and prevent heart damage patients may experience caused by chemotherapy and radiation. Our Cardio-Oncology expert provides cancer patients currently undergoing treatment with regular heart function assessments. In addition, both recent cancer survivors and those who received cancer treatment as children are monitored for heart disease or risk and if needed, receive continued medical care to maintain heart functionality. The dedicated Cardio-Oncology team will work closely with primary care Steven Zukerman, M.D., FACC physicians to reevaluate cancer survivors during key events, which can Medical Director, Cardio-Oncology have significant effects on the heart, including major illness, surgery, injury, Jersey Shore University Medical Center pregnancy and child birth.

New in 2018 New dedicated Cardio-Oncology services treating patients in HOPE Tower at Jersey Shore University Medical Center Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES 9

——— Meet the Experts ———

Glenn S. Parker, M.D. Medical Director, Colorectal Oncology Jersey Shore University Medical Center

Colorectal Thomas R. Lake, III, M.D. FACS, FASCRS Our Colorectal Program provides access to a multidisciplinary team of experts Medical Director, Colorectal Oncology and the most advanced treatment options for colon and rectal cancers. Ocean Medical Center Our team of fellowship trained, board-certified colon and rectal surgeons have extensive experience in minimally invasive approaches to complex procedures. Our surgeons utilize state-of-the-art surgical systems which allows them to employ small incisions associated with traditional laparoscopic surgery, but with improved visualization and range of motion. With state-of- the-art technology and an expert team by their side, our patients enjoy the benefit of treatment options that offer less pain and a faster recovery.

Coming in 2018 ■■ Developing Enhanced Recovery After Colorectal Surgery (ERAS) Program for extended recovery after surgery for colorectal cancer patients

■■ Implementing OSTRiCh Consortium (Optimizing the Surgical Treatment of Robert E. Khoo, M.D. Rectal Cancer) which is a group of health care institutions that have come Medical Director, Colorectal Oncology together with the purpose of improving the quality of rectal cancer care in Southern Ocean Medical Center the U.S. through advocacy, education, and research 10 Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES

——— Meet the Experts ——— Endocrine Hackensack Meridian Health Cancer Care’s Endocrine Surgery Program at Jersey Shore University Medical Center provides high quality care across the range of diseases of the thyroid gland, parathyroid glands and adrenal glands. Our program is one of the few in the state, who offer expertise in minimally invasive surgical techniques in addition to medical management and advanced surgical procedures. Thyroid conditions remain under-diagnosed in the community and we believe it is critical for our team to work together with all referring physicians and community specialists to provide the very best care to patients. Along with the endocrine surgeons and endocrinologists, our team consists of radiologists, pathologists, oncologists, and genetic counselors who offer comprehensive Alexander L. Shifrin, M.D., FACS, FACE, ECNU, FEBS medical and surgical treatment options for patients. Medical Director, Quality Endocrine Oncology Program The Collaborative Endocrine Surgery Quality Improvement Program (CESQIP) is a national program managed by the American Association of Endocrine Surgeons. CESQIP focuses on endocrine surgery quality improvement, with an emphasis on thyroid, parathyroid, adrenal, pancreatic, and gastrointestinal neuroendocrine procedures. As a member of the CESQIP Committee and a participating CESQIP surgeon, Alexander Shifrin, M.D. and his team are able to compare patient outcomes among national peer organizations - including organizations across the U.S. and Canada - to focus on delivering quality improvements. Dr. Shifrin’s patient outcomes surpass the national standard for volume and the lowest complication rates. Dr. Shifrin recently received the European Board of Surgery Qualification in Endocrine Surgery, and is the first U.S. surgeon who Michael C. Sullivan, M.D., MHS was admitted and passed the European Endocrine Surgery board exam. Endocrine Surgeon Jersey Shore University Medical Center

Highest patient volume compared to 185 national surgeons,  356 including all thyroid, parathyroid and adrenal surgeries

 Highest thyroidectomy volume compared to 44 national institutions  237 Lowest complication rate at less than 1% – Including all thyroid, <1% parathyroid, and adrenal surgeries (based on 356 total surgeries)

Michael Sullivan, M.D. recently joined the team, and will be participating in the CESQIP database in 2018.

Danielle E. Lann, M.D. Endocrine Team Volume (FY2017) Endocrinologist ■■ Total Office Visits: 3,210 Jersey Shore University Medical Center ■■ OR Procedures: 509 ■■ Total In-Office Biopsies: Over 570 ■■ Total Scopes: Over 850

Publications & Peer Reviewed Journals ■■ Over 100 publications and abstracts Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES 11

——— Meet the Experts ———

Verda J. Hicks, M.D., FACS, FACOG Medical Director, Gynecologic Oncology Hackensack Meridian Health Cancer Care of Monmouth and Ocean counties Chief, Gynecologic Oncology, Jersey Shore Gynecologic Oncology University Medical Center Our Gynecologic Oncology Program is one of the most experienced in New Jersey, with more than 70 years of combined experience. Our program offers women a wide range of approaches to the prevention, diagnosis, and complete management of cancer and pre-cancerous conditions of the female reproductive organs. The Perricone Center for Gynecologic Oncology evaluates abnormal pap smears and pelvic masses and treats cancers of the ovary, uterus, cervix, endometrium, fallopian tubes, vulva, and vagina. We offer the most comprehensive gynecologic oncology service in the region, with access to open surgery, laparoscopic surgery, laser therapy, chemotherapy, intra-peritoneal chemotherapy, radiation, pain management, and terminal care. National clinical trials are available, including trials from the Gynecologic Oncology Group (GOGZ), a national group studying cancer and its impact in women. Together, our experts have been published in dozens of peer reviewed articles Karim ElSahwi, M.D., FACOG, FACS and journals and remain committed to participating actively in resident education. Gynecologic Oncology Jersey Shore University Medical Center Memberships and Accreditations

Society of The American College American Association Gynecologic Oncology of Gynecologists of Gynecologic and Obstetricians Laparoscopists

2017 Highlights

■■ 550 new patients served with over 2780 clinic visits James R. Bosscher, M.D. ■■ 543 surgical procedures Gynecologic Oncology ■■ Length of Stay Average is < 24 hours for minimally invasive procedures Riverview Medical Center (158 robotic cases) ■■ In 2017 there were no reported surgical site infections, Venous Thromboembolism (VTE) complications, infection complications ■■ Our post operative 30 day readmission rate was 3.4% 12 Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES

——— Meet the Experts ——— Genitourinary Oncology Our Genitourinary Oncology team uses the latest techniques and the most advanced technology — along with a personalized approach — to diagnose and treat all types of urologic cancers. Our team is acutely aware that urologic cancer treatment can affect patients’ sexual health and/or fertility and we maintain a focus on preserving these functions as much as possible, tailoring therapies to maximize effectiveness while minimizing side effects. Our specialists are pioneers in the field of minimally invasive robotic surgery, used to treat many types of urological cancer including kidney, ureter, prostate, testis and bladder cancers.

Mark A. Perlmutter, M.D. Advanced Technology Medical Director, Robotic Surgery for Genitourinary Oncology GenitoUrinary Malignancies Jersey Shore University Medical Center Mark Perlmutter, M.D. pioneered robotics development at Jersey Shore University Medical Center. The newest Da Vinci® Xi robot was installed at Jersey Shore University Medical Center in 2017. In addition to shorter recovery times and decreased length of stay for patients, the Xi model is optimized for highly complex, multi-quadrant surgery.

2017 Highlights Pierre J. Mendoza, M.D. Medical Director, Robotic Surgery GenitoUrinary Quality Measure Study Ocean Medical Center ■■ In 2017, a two-year study was completed, which evaluated rates of kidney sparing surgery with partial nephrectomy for small renal masses at all Hackensack Meridian Health Cancer Care hospitals ■■ Year 1: 65% treated with Partial Nephrectomy vs. 45% National Surveillance, Epidemiology, and End Results (SEER Data) ■■ Year 2: 73% treated with Partial Nephrectomy vs. 45% National Surveillance, Epidemiology, and End Results (SEER Data) *Of those undergoing Radical Nephrectomy, almost all considered or attempted partial nephrectomy, but tumor location made it technically not feasible.

Research Radium-223alpha Emitter Agent in Safety Study in mCRPC population for long-term Evaluation. (REASSURE Trial) ■■ Due to our substantial participation, we have been included as co-authors for the abstract presentation at ASCO-GU Conference in 2018.

Bristol Meyers-Squibb 914 ■■ Evaluates adjuvant Chemotherapy vs Placebo for High Risk, non-metastatic Renal Cell Cancer

Biorepository Study ■■ Specimens from kidney tumors being regularly added to the tissue Biorepository at Hackensack Meridian Health Cancer Care Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES 13

Head and Neck ——— Meet the Expert ——— Our Head and Neck team specializes in the evaluation, diagnosis and management of cancers of the head and neck region. Our head and neck cancer team treats the following tumors: oral cavity (mouth, lips, cheeks, palate, mouth floor, tongue), larynx, throat, thyroid and parathyroid, salivary glands, skull base, nasal cavity and paranasal sinuses, ears, and skin of the head and neck. Our head and neck cancer treatment team includes surgical oncologists, reconstructive surgeons, medical oncologists, radiation oncologists, radiologists, pathologists, and supportive care teams from nurse navigators, geneticists, social workers, nutritionists, speech and swallowing therapists, and other related specialists, who understand the impact that head and neck cancers have on your well-being and quality of life. Kenneth Newkirk, M.D., FACS Our speech and swallowing therapists help patients recover from head and neck Medical Director, Head and Neck Surgery cancer and the side effects of treatment, while our registered dietitians work Jersey Shore University Medical Center with patients to ensure they are obtaining enough nutrients to support their health during and after cancer therapy.

Melanoma and Sarcoma ——— Meet the Expert ——— Our Melanoma Program is committed to the prevention, early diagnosis and treatment of melanoma, skin cancer and cutaneous malignancies. The program offers a multidisciplinary approach to care, providing customized treatment plans that may include a combination of one or more therapies. Our Sarcoma Program is devoted to bone and soft-tissue sarcomas. We use the most advanced technology and treatments to pinpoint the type of cancer and spare limbs. Our team includes specialists in dermatology, medical oncology, surgical oncology, radiation oncology, plastic surgery, head and neck surgery, psychosocial oncology, pathology, dermatopathology and epidemiology.

John F. Gibbs, M.D., FACS Chairman of Surgery and Chief of Surgical Oncology Jersey Shore University Medical Center 14 Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES

——— Meet the Expert ——— Hepatobiliary and Pancreatic

Our Hepatobiliary and Pancreatic Surgery Program provides state-of-the-art surgical treatment for diseases involving the liver, pancreas, bile ducts and gallbladder for patients throughout Monmouth and Ocean counties. Our specialty-trained hepatobiliary and pancreatic surgeon carefully reviews the aspects of each particular case, and makes recommendations for treatment. Our minimally invasive approach to liver and pancreatic diseases provides our patients with many surgical options. We offer laparoscopic and robotic approaches where appropriate, which provides many benefits including less postoperative discomfort and pain, shorter hospital stays, earlier return to full activities, smaller scars, quicker recovery, and ability to start further treatment as soon as possible. Ronald Matteotti, M.D., FACS, FMH, ABIHM Medical Director, Hepatobiliary Surgery, Hackensack Meridian Health Oncology Physician Awards Chief, Hepatobiliary & Pancreatic Surgery, Jersey Shore University Medical Center

Quality (FY 2017) Ronald Matteotti, M.D., FACS, FMH, ABIHM

■■ FY2017: 200 pancreas, liver and complex GI cases, more than 30% done robotically ■■ FY2017: 62 high end surgical oncology cases performed robotically ■■ Most patients are evaluated/treated by using the latest minimal invasive technologies ■■ Patient satisfaction score 4.9/5

Coming in 2018:

■■ Anticipate accreditation from the Join Commission for pancreatic cancer and pancreatic surgery ■■ Surveillance program for Hepatocellular Carcinoma (HCC) patients ■■ Treatment protocol for surveillance of postoperative pancreatic cancer patients using liquid genomics ■■ Establishment of a OncoNutrition program ■■ Image guide surgery and 3D preoperative planning

Publications & Peer Reviewed Journals

■■ More than 300 combined publications and abstracts ■■ Dr. Matteotti authored a landmark book in his field of expertise titled, “Minimally Invasive Surgical Oncology – State of the Art Cancer Management” Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES 15

————————— M e e t t h e E x p e r t s ————————— Medical Oncology/Hematology Our expert team of over 30 medical staff oncologists are board-certified specialists known for their clinical care, research and education. Our team provides patients with the most advanced treatments for cancers and blood-related disorders. The physicians have years of experience and expertise diagnosing and managing solid tumors, cancers of the blood and blood- forming tissues, as well as non-cancerous Kenneth D. Nahum, D.O. David B. Greenberg, M.D. hematologic conditions, such as various types Co-Medical Director, Medical Director, Medical Oncology Hematology and Oncology Residency Jersey Shore University Medical Center of anemia, and other clotting disorders. and Fellowship Program Medical Director, Palliative Care Our medical oncology team studies the Jersey Shore University Medical Center Ocean Medical Center cancer of each individual patient to create a personalized plan aimed to stop their disease from growing or returning. We use state- of-the-art technology to better define how and when to use chemotherapy, biological therapies, and other anticancer medicines. This precision approach ensures patients get the safest therapy that’s best suited for the biology of their disease. Many forms of cancer respond well to cancer medicines used alone or in combination Denis B. Fitzgerald, M.D. Jatin K. Desani, M.D. Medical Director, Medical Oncology Medical Director, Medical Oncology with other cancer treatments. Our medical Riverview Medical Center Southern Ocean Medical Center oncologists work closely with radiation and surgical oncologists to tailor your care, which may include chemotherapy, hormone therapy, immunotherapy and/or targeted therapy. In addition, our board-certified, fellowship trained physicians have years of experience and expertise diagnosing and managing cancers of the blood and blood-forming tissues, as well as non-cancerous hematologic conditions, such as various types of anemia, and other clotting disorders. William A. Lerner, M.D., FACP Michael J. Levitt, M.D., FACP, HMDC Medical Director, Medical Oncology Co-Medical Director, State-of-the-art treatments at Ocean Medical Center Hematology and Oncology comfortable facilities Medical Director, Palliative Care Residency and Fellowship Program Jersey Shore University Medical Center Jersey Shore University Medical Center If you need infusion therapies, like Medical Director, Hospice Medical Director, Medical Oncology chemotherapy given intravenously (IV), we offer Hackensack Meridian Health Hackensack Meridian Health of Monmouth and Ocean counties them at conveniently located infusion centers at Village at Jackson Hackensack Meridian Health hospitals and offices throughout Monmouth and Ocean counties. We strive to make the process as comfortable as possible.

Types of Anticancer Medicines Our medical oncology experts utilize the most effective drugs, drug combinations and doses.

Aileen L. Chen, M.D. Medical Director, Medical Oncology Bayshore Medical Center 16 Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES

Radiation Oncology

Our Radiation Oncology Program is led by a team of radiation oncologists who have trained at the most highly respected and well-known cancer centers in the nation. Our radiation oncology group employs a collaborative care model – an approach to treatment that helps patients deal with the range of emotions and increased stress that often comes along with a cancer diagnosis. An expert clinical team, advanced treatment options and a comfortable environment are what set our programs apart from the rest. Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES 17

————————— M e e t t h e E x p e r t s ————————— 2017 Radition Oncology Highlights ■■ 200% increase in volume of HDR Brachytherapy procedures for Breast and Gynecologic Cancers ■■ High-dose rate (HDR) brachytherapy is a type of internal radiation therapy. HDR Skin Brachytherapy treatment of non-melanomatous skin cancers in as few as six treatments, without pain, scar, or further incisions ■■ 7 New TrueBeam™ linear accelerators delivering Image-Guided Radiation Therapy (IGRT) with utilization of Adaptive Radiation Therapy for Real- time Modification of Radiation Treatment plans and gauging radiation treatment response for Adnan F. Danish, M.D. Priti S. Patel, M.D. Lung, Head and Neck, and Pelvic Cancers Medical Director, Radiation Oncology Medical Director, Radiation Oncology ■■ Edge Radiosurgery Program at the HOPE Tower Hackensack Meridian Health Riverview Medical Center Cancer Care of Monmouth ■■ Expand the current Cyberknife Radiosurgery and Ocean counties Program with a second location in southern Monmouth County site offering painless, curative cancer treatment in five visits or less ■■ Bio-degradable gel used to deliver reduced radiation therapy doses to rectsal tissue for patients receiving prostate radiation therapy ■■ Radium 223 Program - Investigating its role in the treatment of patients with metastatic disease to the bones

Advanced Technology ■■ Four-Dimensional Computed Tomography (4DCT) ■■ 7 Varian TrueBeam™ units (1 Varian Edge) ■■ 1 Cyberknife Douglas A. Miller, M.D. Nathan Kaufman, M.D., FACRO ■■ 2 High Dose Radiation Therapy (HDR) Medical Director, Radiation Oncology Medical Director, Radiation Oncology Brachytheraphy Units Jersey Shore University Medical Center Ocean Medical Center

Comprehensive Approach ■■ State-of-the-art Linear Accelerators with Intensity Modulated Radiation Therapy (IMRT) ■■ Image Guided Radiation Therapy (IGRT) ■■ Frameless SRS ■■ High Dose Radiation Therapy (HDR) including Skin Brachytheraphy

Experience ■■ American College of Radiation Oncology accredited ■■ One of the highest volume CyberKnife units in the country Joseph P. Lattanzi, M.D. ■■ Oncology Certified Nurses Medical Director, Radiation Oncology ■■ Social Workers Southern Ocean Medical Center ■■ Nutritionists ■■ Exclusive group of board certified radiation oncologists ■■ Magnet® award recognized nurses ■■ Five convenient locations (see pages 20-21) 18 Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES

Clinical Research As we continue to advance our understanding of cancer through scientific discovery, the clinical research team at Hackensack Meridian Health has played a critical role in the advancement of cancer treatment and therapies. In 2017, our physicians and nurses screened every patient for clinical trial eligibility and enrolled more than 520 patients in these pivotal research studies. Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES 19

Clinical Trials Through our unique collaborations with industry sponsors – including large pharmaceutical companies headquartered in New Jersey – we offer studies of novel agents that are not available elsewhere, from promising targeted therapies to immunotherapies. Patients can receive the latest evidence-based treatments closer to where they live and work, across the entire Hackensack Meridian Health network – including John Theurer Cancer Center at Hackensack University Medical Center. In addition, the Biorepository (Bio-R) at Hackensack Meridian Health Cancer Care provides investigators with access to meticulously collected and annotated human specimens and tissue. This process allows for further research studies to be conducted that will help assist with the diagnosis, prevention, and treatment of cancer in the future. The Bio-R is available at Jersey Shore University Medical Center, Ocean Medical Center and Riverview Medical Center.

At A Glance

Hackensack Meridian Health Cancer Care of Monmouth and Ocean counties 2017 CLINICAL RESEARCH

524 74 In 2017, our Patients were enrolled in therapeutic Physicians enrolled more than and non-therapeutic clinical trials 240 patients into the Biorepository program surpassed the American 5X 34 College of Surgeons Exceeded national enrollment New physicians have joined criteria 5X by enrolling 524 the effort to enroll enrollment patients into clinical trials patients in clinical trials criteria by Phase II, Phase III 30% 15% Increase in clinical trial And investigator initiated enrollment from 2016 trials are offered to patients 20 Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES

Expanding Cancer Care Our community has come to know and trust the level of clinical excellence and compassion available through Hackensack Meridian Health Cancer Care in Monmouth and Ocean counties. Through our commitment to provide patients with better access to care, we have completed and continue to expand cancer services within our region through five expansion projects that will blend clinical expertise with an optimal patient and family experience.

HOPE Tower at Jersey Shore University Medical Center 19 DAVIS AVE., NEPTUNE, NJ 07753

■■ New academic building for faculty practices with state-of-the-art cancer center

■■ TrueBeamTM linear accelerator

■■ HDR skin brachytherapy program

■■ Increased nurse navigator resources

■■ 33 new infusion stations

■■ Surgical specialist and medical oncologist consultation offices

■■ Multidisciplinary oncology suite for evaluation

■■ Conference and family support space

Ocean Medical Center 425 JACK MARTIN BLVD., BRICK, NJ 08724

■■ 25 brand new infusion stations

■■ Surgical specialist and medical oncologist consultation offices

■■ TrueBeamTM linear accelerator

■■ Increased nurse navigator resources

■■ Multidisciplinary oncology suite for evaluation

■■ Conference and family support space Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES 21

Hackensack Meridian Health Village 27 S COOKS BRIDGE RD., JACKSON, NJ 08527

■■ 12 brand new infusion stations

■■ Convenient on-site pharmacy

■■ TrueBeamTM linear accelerator, most advanced technology available

■■ Multidisciplinary oncology suite for evaluation

■■ Surgical and medical oncology physician consultation office

■■ Supportive care services

Riverview Medical Center 1 RIVERVIEW PLAZA, RED BANK, NJ 07701

■■ Two TrueBeam™ linear accelerators

■■ CyberKnife®, SuperD, Y-90 Radioembolization, SpaceOar, TargetScan and Xofigo technology and therapies

■■ 30 infusion stations

■■ Surgical and medical oncologist consultation offices

■■ Multidisciplinary oncology suite for evaluation

■■ Nurse navigator resources

■■ Conference and family support space

Southern Ocean Medical Center 1140 ROUTE 72 W, MANAHAWKIN, NJ 08050

■■ 20 brand new infusion stations

■■ Surgical specialist and medical oncologist consultation offices

■■ TrueBeam™ linear accelerator

■■ Increased nurse navigator resources

■■ Multidisciplinary oncology suite for evaluation

■■ Conference and family support space 22 Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES

Supportive Programs and Resources All patients have access to the many comprehensive services we have available from diagnosis through treatment and after care. Our extended programs and resources give patients the tools and resources to make their journey less stressful.

Nurse Navigators Our patient navigators have years of experience treating cancer patients and are closely connected to physicians. Their knowledge, connections and extraordinary care make patient care less stressful. Navigators explain and answer questions about a patient’s diagnosis, coordinate testing, treatment, and follow-up care, assist with scheduling appointments, provide referrals to support groups and additional resources, help with financial concerns and medical insurance, and present a care plan at completion of treatment for ongoing support.

Palliative Care Palliative care is focused on providing support for patients with serious illnesses such as cancer. The care can include anything from relief from symptoms, pain and stress, to assistance with insurance, support groups and advanced care planning.

Integrative Medicine Integrative medicine goes beyond treating patients’ immediate symptoms to address the complete range of physical, emotional, mental, social, spiritual, and environmental influences that impact day-to-day health. Our Integrative Health & Medicine program focuses on the whole person – body, mind and spirit – to provide optimum health through prevention, addressing health concerns, and improving quality of life.

Outpatient Rehabilitation Services Our rehabilitation services include physical therapy, occupational therapy, speech pathology, and audiological services. These programs are available to individuals of all ages who have experienced an illness, occupational injury, surgical procedure, or injury that limits normal daily activities or physical/cognitive development. Patients can participate in a single therapy or in a coordinated plan of several therapies.

Occupational Therapy Following illness or injury, people often experience difficulty in performing daily living activities. Our outpatient occupational therapy programs can help maximize independence at home, work, or school. Our occupational therapists work with the patient, family, and physicians to establish a plan of care tailored to the specific needs of each individual. Physical Therapy Our team of physical therapists provides quality rehabilitative care for patients of all ages pre-operatively, post- operatively, and/or for conservative management of musculoskeletal injuries and conditions. Our skilled staff establishes personal goals for each patient, with a carefully planned and medically approved treatment program, and maintains an ongoing dialogue with the patient’s physician. We believe our one-on-one patient-therapist relationships are a major reason for our outstanding success.

Speech Therapy Our licensed, certified speech pathologists provide services for a variety of disorders including articulation and phonological disorders, language disorders, developmental delay, fluency problems, and organic disorders.

Pulmonary Rehabilitation The Pulmonary Rehabilitation Program is designed for patients with chronic pulmonary conditions such as emphysema, bronchitis, pulmonary fibrosis, asthma, pulmonary hypertension or people who experience frequent shortness of breath. Program participants are evaluated by a respiratory therapist to discover baseline limitations and areas of focus for improvement to lead a more active lifestyle and increase comfort with breathing. Hackensack Meridian Health CANCER CARE OF MONMOUTH AND OCEAN COUNTIES 23

Social Work A social worker engages patients and families by anticipating concerns regarding illness, hospitalization, finances, insurances, and provides education concerning home/community services upon discharge. A social worker coordinates all aspects of patients’ continuum of care by working in close consultation and collaboration with the physician, family, patient, interdisciplinary team, and the community.

Genetic Counseling Our genetic counselors give patients information about current genetic testing options, as well as education on how genetics can contribute to cancer. Our comprehensive program focuses on family history, personal medical history, environmental factors, and genetics.

Nutrition Registered dietitians are available to help patients decide what kind of diet is best. This is based on the type of cancer and the patient’s current relationship with food (if they can eat or swallow, if they are losing weight, if they are having trouble digesting food, or other food-related challenges). Our dietitians will create a diet specific for patients so that they can stay healthy before, during, and after treatment.

Pain Management Our pain management program offers a wide variety of treatment options and minimally invasive approaches to help patients with chronic or acute pain. This includes conservative drug therapies, epidural anesthesia, and nerve stimulation techniques performed in our radiology and vascular labs.

Outreach, Education and Prevention In 2017, Hackensack Meridian Health Cancer Care screened over 4,000 community members throughout Monmouth and Ocean counties for several types of cancer including: Breast cancer ■■ Breast imaging using 3D mammography Lung cancer ■■ Low-dose CT lung cancer screening Colorectal cancer ■■ Colonoscopy Head and neck cancers ■■ Examination of the mouth, throat, and neck Cervical cancer ■■ Pap smear Skin cancer ■■ Annual skin examinations

Contact Us: Please call 732-776-4240 or visit HackensackMeridianHealth.org/Cancer A member of the Memorial Sloan Kettering – Hackensack Meridian Health Partnership

HackensackMeridianHealth.org/Cancer