spotlight Mount Carmel Cancer Services Columbus, Ohio

ount Carmel Health System’s attempt to schedule those patients either hypo-fractionation can be performed at any comprehensive cancer program is at the Zangmeister Center or at the St. Mount Carmel location, but HDR therapy is Maccredited as a Network Cancer Ann’s facility; St Ann’s radiation therapy only offered at Mount Carmel St. Ann’s and Program by the American College of and outpatient infusion department are in Mount Carmel West. All GYN malignancies Surgeons’ Commission on Cancer. Mount one suite. are seen at Mount Carmel West. CyberKnife Carmel is also a member of CHE-Trinity services are also site-specific and are Health, the second largest Catholic A Virtual Care Delivery Model delivered at Mount Carmel St Ann’s. healthcare system in the U.S. Serving the According to Dodie Johnson, VP, “While patient convenience is very greater Columbus, Ohio, area, Mount and Surgery Service Line, Mount Carmel important, we also make certain that we’ve Carmel delivers cancer care at three acute functions as a virtual cancer center. got the best expertise available,” said care facilities: Mount Carmel East, Mount “Because it is a virtual program we do have Johnson. “For example, we don’t see many Carmel West, and Mount Carmel St. Ann’s. a one-call access number. A patient prostate cancer patients. Our urologists The medical oncologists work out of an navigation coordinator answers that phone have their own center and are able to treat independent treatment center (the and works with the patients to connect prostate cancer at one location. We Zangmeister Center) located about six miles them with community services or refer them consolidate our prostate cancer patients for from the Mount Carmel East campus. The to the navigator, dietitian, or the social treatment. We use the same model for Zangmeister Center also houses the worker, depending on what they need,” pancreatic surgery; all of our pancreatic radiation therapy department for Mount said Johnson. hepatobiliary surgeries are performed at our Carmel East. Patient navigators are available to all Mount Carmel West campus because that is Infusion services, outpatient treatment, cancer patients diagnosed within the where the expertise is. We try to co-locate and survivorship services are available at all system. Mount Carmel has dedicated services that are low volume, high-risk.” three acute care locations and at the navigators for breast imaging, lung, and Currently Mount Carmel works through Zangmeister Center. pancreatic cancers, as well as general the local Columbus CCOP (Community When patients undergo concurrent navigators. Clinical Oncology Program) to offer clinical therapy, Mount Carmel staff makes every In addition, Mount Carmel has location- trial options to patients. Additionally, the based patient navigators in each of the medical oncologists have a research acute care settings. All patient navigators department within their practice at the Select Support Services are oncology-certified nurses. Zangmeister Center. Patients that do not • Resource library Multidisciplinary general, breast, colorectal, qualify for available CCOP or Zangmeister • Palliative care and GYN/oncology tumor boards meet weekly. Center trials can be referred to the NCI- • Oncology rehabilitation Breast cancer services at Mount Carmel designated James Cancer Hospital of the • Social work are accredited by the NAPBC (National Ohio State University Medical Center. • Navigation Accreditation Program for Breast Centers). • Support groups The imaging centers and radiation therapy Cancer Risk Program • Genetic counseling centers are American College of The Mount Carmel Cancer Risk Program (ACR)-accredited. Mount Carmel uses Rapid helps patients determine and reduce their Number of analytic cases seen Arc® technology and offers stereotactic risk of developing cancer. Physicians and in 2013: 2,876 radiosurgery at all three acute care locations. patient navigators can refer patients to the High dose rate (HDR) brachytherapy and program, or patients may self-refer. The

16 www.accc-cancer.org | July–August 2014 | OI risk-assessment team includes physicians, certified genetic counselors, and an intake coordinator. Together, this multidisciplinary team performs a comprehensive assessment of a patient’s personal and family medical history and offers genetic testing when appropriate. Mount Carmel has worked hard to establish processes to develop a robust risk-assessment program that is free to patients. Patient navigators provide education on genetic testing throughout the treatment journey, and radiologists are taught to pay close attention to a patient’s family history.

Survivorship Services While survivorship services are offered at all the acute care facilities, the new Cancer Survivorship Center is located at Mount Carmel East. The center is a 3,000-square- foot dedicated space that acts as the hub for all Mount Carmel survivorship care. Opened Top: The Cancer Survivorship Center provides patients and family members a one-point access to in November 2013, the center is dedicated a variety of services, programs, and staff. Above: Available in the Center, Images for Women cancer to Dr. Chung Yin, the “original” radiation boutique offers a wide assortment of breast prostheses, bras, swimwear, and other items. oncologist at the Mount Carmel East campus who died from cancer prior to the depart- ment relocating to the Zangmeister Center. Renovation challenges included gutting navigator, get fitted for a surgical bra, and “It is a fitting tribute to him,” said Kathy exam rooms to make room for staff offices, meet with the genetics counselor all in one Grassman, system director for Radiation and transforming radiation vaults into a visit,” said Uscio. An Images for Women Therapy. “He always addressed the psychoso- patient exercise room and a conference boutique sells surgical bras and prostheses cial needs of the patients, families, and room. To preserve some of the history of the onsite. staff.” Readying the space to offer survivor- space, the one-ton door remains on one of Patients have access to lung and colorectal ship services was not without its challenges. the former radiation vaults. screening through the one call-access “It is not a typical office space or even a Survivorship services are free to all patients, number at the survivorship center. These typical survivorship center. It is quite a with funding for the center and renovations programs screened 308 patients and 91 unique space and has a lot of room for provided by the Mount Carmel Foundation. patients in 2013, respectively. patient activity, but it can be challenging Mount Carmel envisions the center as from an office perspective,” said Michael a one-stop-shop for cancer survivors. “A Uscio, manager of Survivorship Services. patient could come in, meet with their

OI | July–August 2014 | www.accc-cancer.org 17