DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality...

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DMH Cancer Care Institute 2013 Calendar Annual Report Pictured: Miniature Goldendoodles, three-year old Kali, left, and two-year old Oakley

Transcript of DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality...

Page 1: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

DMH Cancer Care Institute2013 Calendar Annual Report

Pictured: MiniatureGoldendoodles,

three-year old Kali, left, and two-year old Oakley

Page 2: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Thank you for choosing DMH as your health careprovider. It’s our commitment to provide cancer care excellenceand the highest standard oftreatment with personalizedcompassionate care.

The DMH Cancer CareInstitute is a ComprehensiveCancer Program located in theCancer Care Center of Decatur.Our program provides cuttingedge treatment, award-winningresearch and compassionate care. Our experienced and dedicated physicians, nurses, researchers, technologists and support staff have years of experience and work together to give our patients thebest treatment plan possible.

The DMH Cancer Care Institute has a col-laborative relationship with the Cancer CareSpecialists of Central Illinois (CCSCI). CCSCI,which comprises 17 physicians dedicated tothe diagnosis and treatment of cancer is thelargest interdisciplinary cancer focused physi-cian group in central and southern Illinois.This year CCSCI was recognized by theAmerican Society of Clinical Oncology (ASCO)for outstanding quality care. In August 2012,ASCO granted CCSCI the elite Quality CancerCare: Recognizing Excellence certification, an18-month application process. This statusassures our patients are receiving care consis-tent with the highest standards of safety,accuracy and compassion.

The DMH Cancer Program is accredited by

the American College of Surgeons (ACoS)Commission on Cancer (CoC)—a voluntaryaccreditation conducted every three years. It’sour goal to achieve the highest level of certi-fication possible to ensure cancer patientswill have access to full scope of servicesrequired to diagnose, treat, rehabilitate andprovide supportive services. Benefits of a CoCaccredited program includes— � proven quality care close to home� state-of-the-art services and equipment� multi-specialty teams coordinating the

best treatment options available� access to information and support� Access to more than 100 clinical trials

We understand patients’ fears, anxietiesand emotions and provide a variety of sup-portive services and resources. Our dedicat-ed DMH Auxilians and volunteers who sharetheir smiles and compassion to help brightenthe spirits of all they encounter.

Today’s most advanced treatments startwith clinical trials. A prominent part of ourContinuum of Care is the DMH Cancer

Research Program. Duringthe past 27 years, we haveprovided cutting edge treat-ments and access to trialsdeveloped by nationally rec-ognized researchers andfunded by the NationalCancer Institute, a nationalcollaboration that has helped save andimprove lives.

The Cancer Committee and OncologyService Line leaders help guide and direct theactivities of our cancer program. We are dedi-cated to improving survival and quality of lifefor cancer patients by the continued monitor-ing of our comprehensive services. The activi-ties and accomplishments are included on thefollowing pages.

The Cancer Registry abstracted andreported 920 cases to the Illinois Departmentof Public Health, State Cancer Registry. The most frequent sites include breast, lung, prostate, colorectal and Non-Hodgkin’slymphoma.

The Cancer Care Institute staff partici-pates and provides educational material atcommunity outreach events. Our annualscreening and prevention programs are wellattended and also provide important servicesto many in our community who otherwisecould not afford certain cancer screenings.These events allow us an opportunity to fur-ther educate our community on the impor-tance of regular screenings and to promotehealth lifestyle choices.

It is with great pleasure to present the2013 Calendar & Cancer Program AnnualReport. The beautiful pet pictures were sub-mitted by the Cancer Care Center of Decaturstaff. We hope you find the calendar benefi-cial, enjoyable and inspirational.

The DMH Cancer Care Institute

Page 3: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Cancer Conferences provide a multidiscipli-nary approach to planning and evaluatingpatient care. Physicians and other healthcareprofessionals review discuss treatment plans.

Cancer Registry collects, manages and ana-lyzes data. The data is strictly confidentialand is used for education, research and out-come measurement.

Community Outreach activities are conduct-ed throughout the year in a variety of venuesbased on community need. Prevention, earlydetection and screening programs are offeredcontinuously.

Complementary Medicine using Art asTherapy is available and supported by MillikinUniversity at the Cancer Center. Art therapyhelps patients and families manage physicaland emotional issues by accessing activitiessuch as clay, watercolor, acrylics, collage,weave and more.

Diagnostic/Interventional Radiology profes-sionals bring an unparalleled level of expert-ise by using the latest, most advanced diag-nostic technology. Interventional Radiologyspecializes in minimally invasive, targetedtreatments using imaging guidance.

Hospice provides end-of-life care. A team ofprofessionals and volunteers provide physical,emotional and spiritual support to patientsand family in the comfort of their home.

Inpatient Oncology provides care for cancerpatients by oncology certified nurses.

Medical Oncology/Hematology is providedby Cancer Care Specialists of Central Illinois,S.C. Their comprehensive care includes radia-tion oncology and urologic oncology services atthe Cancer Care Center of Decatur and severaloutreach clinics. CCSCI provides a chemothera-py infusion area complete with an array ofcomfortable seating and privacy suites.

Nutritional Services are provided by a regis-tered dietitian. Patients can choose to attenda free class or a private consultation.

The DMH Millennium Pain Center helpsmanage acute, chronic and cancer-relatedpain. Physician referral required.

Palliative Care provides pain and symptommanagement for patients receiving treatment,who have a skilled need, and find it difficultto leave their home.

Pastoral Services provides supportivelistening, assistance with spiritual issuesand encouragement.

Radiation Oncology offers the latest treat-ment technology including Image-guidedRapid Arc, Stereotactic Radiosurgery, ProstateSeed Implants and more. Radiation can beused alone or in combination with surgeryand/or chemotherapy.

Research staff coordinates enrollment andparticipation in national clinical trials givingour patients access to the most innovativetreatments available.

Support Groups for patients and familiesprovide an opportunity to share feelings,thoughts and suggestions for coping. A vari-ety of groups meet monthly. See listing in theback of this directory.

Surgical Services is often the first treatmentoption and can be performed by general sur-geons or surgeons who specialize in cancer-related surgeries or other techniques.

Women’s Health and Breast Center providescomprehensive breast care and educationresource library as well as new and/or gentlyused mastectomy bras and prosthesis. Fundsfor screening mammograms are available formedically underserved women who qualify.

When treating cancer, a comprehensive, patient-centered multidisciplinary team approach across the entire spectrum of care is very important to ensure all patients receive the highest quality of care possible.

Page 4: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Caring for patients with cancer requires amultidisciplinary approach encompassingnumerous specialties to ensure coordinationand the highest quality of care.

Accreditation by the Commission onCancer requiresthat we have acommittee thatcommunicates,evaluates and directs the continuum of carewhile focusing on quality through adherenceto the following performance metrics andimprovements activities. � Develop and evaluate annual goals and

objectives for clinical, educational andprogrammatic activities related to cancer.

� Promote a coordinated, multidisciplinaryapproach to patient management.

� Ensure educational and consultative can-cer conferences cover all major diseases,sites and related issues.

� Appoints Coordinators and monitorsreports: Cancer Conference, QualityImprovement, Cancer Registry, CommunityOutreach, Clinical Research, PsychosocialServices.

� Ensure there are supportive servicesavailable for patients, families and staff.

� Monitor quality management andimprovement through completion ofquality management studies that focus onquality, access to care and outcomes.

� Supervise the cancer registry and ensureaccurate and timely abstracting, stagingand follow-up reporting.

� Perform quality control of registry data.� Publish annual report.� Uphold ethical medical standards.

We understand the challenges and emo-tional concerns for patients with cancer andare currently reviewing and will implementnew patient care plans for the following CoC Standards in the upcoming year: � A patient navigation process to address

healthcare disparities and barriers to care� Screening patients for emotional concerns

or distress� Survivorship care plans

Cancer incidence reporting is required atboth a state and national level. NationalCancer Data Base (NCDB) data is reviewedand reported to the cancer committee. It isdesigned to provide DMH with comparativeinformation to assess standards of care forbreast and colorectal cancer care. Thesemeasures were developed through theAmerican Society for Clinical Oncology (ASCO)and the National Comprehensive CancerNetwork (NCCN). The three breast and twocolon measures were endorsed through thepublic and private partnership led by theNational Quality Forum (NQF).

DMH 2010 Estimated Performance Ratesfor the Cancer Program’s practice profilereports (CP3R) on Breast, Colon and Rectalcancers are reviewed. The data meets andexceeds the core measure specifications foreach site. For more information visithttp://www.facs.org/cancer

2012 Cancer Committee Members

Dolores Estrada-Garcia, MD, Medical Oncologist, Cancer Committee Chairman*

Howard Wiarda, MD, Interventional Radiologist, Cancer Liaison Physician*

Mary Anne dePaz, MD, Radiation Oncologist

Edward Elliott, MD, FACR, FCAP, Radiation Oncologist

Benjamin Esparaz, MD, FACP, Medical Oncologist

Perry Guaglianone, MD, FACP, Medical Oncologist

Sebastien Kairouz, MD, Medial Oncologist

Jasleen Kaur, MD, SIU Family Practice

George Liu, MD, General Surgeon*

Sandeep Pagali, MD, SIU Family Practice

Atiq Rehman, MD, Pain Management*

Maurice Schuetz, MD, Pathologist*

Thomas Tarter, MD, Urology Oncologist

James Wade, MD, Medical Oncologist*

Harold Yoon, MD, Radiation Oncologist*

Mario Velasco, MD, FACP, Medical Oncologist

Karen Cheek, RN, BS, CCRP, Clinical Research Director*

Jamie Clark, CTR, BS, Cancer Registry*

Nikki Damery, CTR, Cancer RegistryCoordinator*

Leigh Ann Hale, Patient Services

Sandra LeBeane, RN, Oncology Nursing*

Elissa McLane, OTR/L, CLT-LANARehabilitation

Pam McMillen, RN, BSN, Women’s Health and Breast Center

Brook Moberly, CTR, BS, Cancer Registry

Dan Moore, Patient Representative Advocate

Erica Nehrling, MS, RD, LDN, Clinical Dietitian

LeAnn Rhinehart, RN, MSN, FNP

John Ridley, Vice President,Administration*

Leslie Roberts, MSW, Social Services*

Heidi Sexton, APN, ACNP, Nurse Practioner, Urologic Oncology

Courtney Slack, American Cancer Society Representative

Dan Spruell, Pastoral Services

Michelle Whitehead, BA, Cancer Registry*

Kim Wolpert, RT(R)(T), CMD, BS, Radiation Oncology Director*

*required members

The Cancer Committee

Page 5: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

2012 Cancer Program Highlights� Designed and implemented a website to

allow physicians and public access toinformation about available clinical trials

� Provided free prostate cancer screeningsto 203 men and provided mens healtheducation during National Prostate CancerAwareness month

� Performed 119 mammograms to underpriv-ileged women through the MammographyInitiative program

� Developed and implemented an oncologyoutpatient nutritional education program,Eat Right to Help the Fight

� Implemented a Palliative Care Program � Hosted by DMH, CCSCI and SMH, National

Cancer Survivor’s Day celebrated life andacknowledged survivors. Inspirationalspeaker, author and survivor Matthew D.Jones spoke to a crowd of more than 1,000

� Increased social service referrals forpatients seen in the Cancer Care Centerof Decatur

� DMH sponsored and participated in theAmerican Cancer Society Macon CountyRelay for Life. Teams raised more than$164,000 to benefit area cancer patients

� DMH sponsored and participated in theCome Together Lets Walk!—a communityevent organized by DMH and SMH tosupport breast, cervical, ovarian cancer;proceeds remain in community to helpthe fight against cancer

� Implemented a follow-up process forpatients referred to the American CancerSociety for free services

� Early Detection Connection breast cancerevent distributed 1,300 free breast healthpackets, bagels and gifts in three differentDecatur locations as part of Breast CancerAwareness month

� Participated in numerous local healthfairs and provided more than 4,000cancer prevention education packets

� Participated in Pin-A-Sister and Pin-A-Brother, breast and prostate cancerawareness events. Provided more than2,000 education packets to African-American churches in the community

� Moweaqua Tuesday Morning Lady GolfersTournament presented $3,000 to DMH forbreast cancer research and educationalmaterial

� Sandy McKenzie Memorial GolfTournament proceeds to benefit breastcancer research, Mammography Initiativeand Pink Link Breast Cancer supportgroup.

� Make it Happen, a DMH employeefundraiser designated to DMH Cancer CareInstitute, raised more than $8,000 to helpcancer patients

� Par for a Cure organized by SSCC donated$5,700 to benefit breast cancer research,mammograms and support groups

� Judith Ann Mason Memorial Fund; to con-tinue the spirit of Judy’s commitment toothers. Judy’s tree placed in the CancerCare Center lobby with special orna-ments—free to all patients—savors thespirit of the season: faith, solace, hope

� One Light To Remember, a special holidayremembrance program, celebrates lifeboth past and present; proceeds benefitDMH Hospice

� Community of HOPE, a combined supportgroup gathering with a performance bySolid Ground Acapella Gospel Quartet

Page 6: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Clinical ResearchBy James Wade, MD, FACP, Principal Investigator, and Karen Cheek, RN, BS, CCRP, Clinical Research Director

DMH Clinical Research is the largest com-ponent of the Central Illinois CommunityClinical Oncology Program (CICCOP). The CICCOP is in its 27th year and is one of 63National Cancer Institute (NCI) supportedcommunity-based grant programs in thecountry. The program provides access toalmost 100 clinical trials to patients inDecatur and surrounding communities. DMHhas a dedicated staff of clinical research asso-ciates, nurses, regulatory compliance andsupport staff. Our cancer research success isdue to the collaboration between the DMHRadiation department and Cancer CareSpecialists of Central Illinois (CCSCI) physi-cians and staff who work diligently to providethe best care to each and every patient.

Our accrual remains strong as we continu-ally look for new ways to bring innovativetreatments to our patients. Our leadershipteam assesses weekly various trial opportuni-ties available for patients developed by manydifferent sources. A majority of the trialscome from NCI-supported research bases,cancer centers and pharmaceutical compa-nies. Pharmaceutical companies have come torely on DMH’s research program to enrollpatients on their trials and for the qualitydata needed to receive FDA approval. In 2011,we had 133 patients enrolled on treatmenttrials and 130 patients enrolled on symptommanagement trials.

Accrual to NCI-supported cancer clinicaltrials is an important benchmark used by theACOS COC to measure quality. The DMHCancer Committee is proud to include in itsmembership seven physicians recognized bythe National Cancer Institute this year foroutstanding accrual to clinical trials. No othercommunity cancer program in Illinois hadsuch a large number of actively participatingphysicians who were so highly acknowledgedby the NCI.

We are pleased to see a new trend inpatients who are seeking information aboutavailable clinical trials. Many patients andfamilies search the internet for details abouttheir type of cancer and/or possible treat-ments. The DMH research program received a$30,000 grant from the American Society ofClinical Oncology to build a website specifi-cally for our research program. It can be

found at http://createcancercare.com. On the new user-friendly website, patients

can search for current clinical trials. The siteprovides information that can help make deci-sions about treatment. A secure portion ofthe website allows physicians and researchstaff quick and easy access to documents,such as protocols and consent forms.

Cancer specialists nationwide continue tobetter understand how cancer starts, grows,and spreads. The DMH Cancer Care Institutein partnership with the Central Illinois CCOPand physicians of CCSCI participate in thiseffort. Central Illinois research has helped fur-ther the understanding of cancer as a diseaseof uncontrolled growth. Specifically, datafrom our studies has helped discover thatgenes with enhance myeloperoxidase (MPO)activity result in improved outcomes forwomen with breast cancer. In the future,

women with breast cancer will undergo a fullgenome analysis, which will include MPO thatwill give a clearer picture of a woman’s riskfrom the disease and a more personalizedmenu of options to achieve cure. Researchfrom Central Illinois has also contributed toan improved knowledge about lung cancer.

For the first time, adding a biologic agentto chemotherapy for small cell lung cancerhas resulted in better disease control.Aflibercept interferes with cancer cell recruit-ment of new blood vessels. A clinical trialdone in partnership with the National CancerInstitute confirmed that the addition ofaflibercept to standard chemotherapy forsmall cell lung cancer improved outcome.One final example of the breadth of researchongoing is the investigation of new drugswhich block the function of PARP (Poly-ADP-ribose polymerase). PARP inhibition is now arecognized strategy in the treatment of cer-tain lymph node cancers, ovarian cancer, andcancers that arise as the effect of a patientcarrying a BRCA mutation. The DMH CancerCare Institute is supporting multiple trialswhich investigate this important new cancertreatment modality.

Cancer care faces new challenges andopportunities in today’s rapidly changinghealth care environment. The research that isand has been done is still the foundation inour finding new treatments. At a nationallevel community-based cancer research hasbeen restructured to allow access to more tri-als which will provide results sooner to physi-cians, researchers and the public. We lookforward to many more years of success andwe strive to reduce the cancer burden for allthrough research.

Page 7: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

The Cancer Registry is part of the comprehen-sive cancer program and is located at theDMH Cancer Care Institute in the Cancer CareCenter of Decatur. The registry is an informa-tion system deigned to collect, manage andanalyze data on persons with a cancer diag-nosis. The registry utilizes METRIQ software,a full-featured oncology data managementsystem that simplifies the process of data

collection, follow-up, analysis and reporting.The required data elements are reported toIllinois State Cancer Registry, NationalCancer Data Base (NCDB). The data is usedto explore trends in cancer care, to createregional and state benchmarks for ourhospital, and to serve as the basis forquality improvement. The information isconfidential and HIPAA Compliant.

68%

5.93%

7.87%

5.42%

3.37%

2.56%

1.43%

0.72%

0.31%

0.82%

0.41%

Not pictured:

Fayette 0.20%

Not pictured:

Champaign 0.31%

Not pictured:

Montgomery 0.72%

DMH Illinois* National*

Breast (Female) 18.5% 14.5% 14.4%

Lung & Bronchus 18.2% 14.0% 13.8%

Prostate 10.3% 14.2% 15.1%

Colon & Rectum 8.8% 9.5% 8.8%

Non-Hodgkin Lymphoma 4.3% 4.0% 4.2%

Melanoma of the skin 3.8% 3.6% 4.4%

Bladder 3.2% 4.4% 4.3%

Site case population 920 65,610 1,596,670

* American Cancer Society, Facts and Figures 2011

PRIMARY SITE

# % MALE FEMALE 0 I II III IV 88* UNK**

76 8% 51 25 HEAD & NECK 2 28 9 12 19 3 3

31 25 6 Lip, Oral Cavity, Pharynx 0 5 5 4 13 3 1

17 14 3 Larynx 2 7 3 2 3 0 0

28 12 16 Thyroid 0 16 1 6 3 0 2

126 14% 73 53 DIGESTIVE SYSTEM 0 30 30 25 30 6 5

60 34 26 Colon, Rectosigmoid Junction 0 18 16 13 10 0 3

21 13 8 Rectum 0 4 8 7 2 0 0

9 8 1 Esophagus 0 2 2 2 3 0 0

4 1 3 Stomach 0 1 0 0 3 0 0

18 11 7 Pancreas 0 2 2 2 11 0 1

14 6 8 Other digestive 0 3 2 1 1 6 1

167 18% 96 71 LUNG/BRONCHUS 0 34 18 38 59 0 18

37 4% 22 15 SKIN (EXCLUDING BASAL & SQUAMOUS) 11 13 5 2 3 1 2

35 20 15 Melanoma -- Skin 11 13 5 2 3 0 1

2 2 0 Other Nonepithelial Skin 0 0 0 0 0 1 1

171 19% 1 170 BREAST 44 61 38 19 5 1 3

29 3% 0 29 FEMALE GENITAL SYSTEM 1 9 3 4 9 2 1

4 0 4 Cervix Uteri 0 1 1 0 2 0 0

12 0 12 Corpus & Uterus, NOS 0 6 1 3 1 1 0

6 0 6 Ovary 0 0 1 0 5 0 0

7 0 7 Other Female Genital Organs 1 2 0 1 1 1 1

96 10% 96 0 MALE GENITAL SYSTEM 0 26 62 5 2 0 1

95 95 0 Prostate 0 26 61 5 2 0 1

0 0 0 Testis 0 0 0 0 0 0 0

1 1 0 Penis 0 0 1 0 0 0 0

55 6% 38 17 URINARY SYSTEM 21 18 6 4 3 0 3

29 25 4 Urinary Bladder 19 6 2 1 0 0 1

24 11 13 Kidney & Renal Pelvis 0 12 4 3 3 0 2

2 2 0 Ureter 2 0 0 0 0 0 0

58 6% 25 33 BRAIN & CNS 0 0 0 0 0 58 0

16 10 6 Brain 0 0 0 0 0 16 0

42 15 27 Other Nervous System 0 0 0 0 0 42 0

45 5% 29 16 LYMPHOMAS 0 11 7 10 16 0 1

5 2 3 Hodgkin Lymphoma 0 1 2 2 0 0 0

40 27 13 Non-Hodgkin Lymphoma 0 10 5 8 16 0 1

20 2% 10 10 HEMATOPOETIC SYSTEM 0 0 0 0 0 20 0

15 8 7 Leukemia 0 0 0 0 0 15 0

5 2 3 Multiple Myeloma 0 0 0 0 0 5 0

25 3% 17 8 OTHER 0 2 2 6 0 13 2

15 2% 6 9 UNKNOWN PRIMARY 0 0 0 0 0 15 0

920 464 456 TOTALS 79 232 180 125 146 119 39

50% 50% 9% 25% 20% 14% 16% 13% 4%

*88:

**UNK:

Number of non-analytic cases in 2011 (not included above): 58

D

AJCC STAGE AT DIAGNOSIS

AJCC STAGING SCHEME IS NOT AVAILABLE FOR THIS PRIMARY SITE OR THE MORPHOLOGY OF A CASE

INFORMATION AVAILABLE IS NOT SUFFICIENT TO ASSIGN STAGE

EXCLUDES IT FROM THE AJCC STAGING FOR THAT PARTICULAT PRIMARY SITE

The Cancer Registry

2011 Cancer Patients by Geographical Location: 978 cases

2011 Major Site Comparison

2011 Primary Site Tabulation

Page 8: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Breast Cancer Screening ProgramAbout one in eight American women willdevelop invasive breast cancer duringtheir lifetime. In 2012, the American

Cancer Society estimates 226,870new cases of invasive breast can-cer will be diagnosed and 39,510women will die from the disease.

American Cancer Society Guidelines for Early Detection of Cancer� Starting at age 40, yearly screening

mammogram and continue as long asyou are in good health

� Starting at age 40, an annual breastexam by your doctor or nurse (or everythree years if you are in your 20s or 30s)

� Become breast aware so you will noticeany changes and report them withoutdelay to your doctor

A comprehensive program, theMammography Initiative provides no-costmammograms to medically underservedwomen in Macon County and surroundingcounties. Every effort is made to eliminateknown barriers and to increase awareness.The program includes a physician referralcomponent for women with symptoms andfor those who require additional viewsand/or follow-up. Screenings are held at theDMH Women’s Diagnostic Center. A mobilemammography unit provides outreach.

The Mammography Initiative provided119 screening mammograms this past fiscal

year. Since 1991,the Initiative hasprovided 12,354mammograms andhas diagnosed 82 breast cancers (see graph).

All DMH mam-mography facilitiesand equipment areaccredited by theAmerican College ofRadiology and certi-fied by the Food andDrug Administration.

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Mammography Initiative Program Breast Cancers Diagnosed

1991—2010 The Mammography Initiative Program was made possible through proceeds from the annual Susan G. KomenBreast Cancer Foundation Race for the CURE. 2011-12 Funding made possible through the Come Together Let’s Walk.

Planting the seed of prevention—to educate and reduce the incidence of cancer

Prostate Cancer Screening ProgramProstate cancer is the most common cancer in American men. In 2012, TheAmerican Cancer Society estimates

241,740 new cases and 28,170 willdie from the disease. To detect the cancer early when

it is most treatable, screeningshould start at age 50 for men with an aver-age risk and at age 45 for men at high risk.

Screening Recommendations from theAmerican Urological Association� Annual Prostate-specific antigen (PSA)

blood test� Digital rectal exam (DRE).

PSA is a substance made mostly by theprostate. The PSA level may be high in men

who have an infection or inflammation ofthe prostate or benign prostatic hyperplasia(an enlarged, but non cancerous prostate).Digital rectal exam is an exam of the rectum.Assuming no prostate cancer is found as aresult of screening, the time between futurescreenings depends on the PSA results: � A PSA of less than 2.5 ng/ml may only

require retesting every 2 years. � Yearly screening is recommended for men

with PSA 2.5 ng/ml or higher.The DMH Prostate Cancer Screening

Program is free and is coordinated by DMHCancer Care Institute and has partneredwith the Cancer Care Specialists of CentralIllinois and the Macon County HealthDepartment. The Central Illinois Chapter ofthe Us TOO Prostate Cancer Support group

volunteered toassist during theevent. For the pastsix years, we haveprovided free PSAblood draws anddigital rectalexams. Healtheducation materialwas available.2012 Screeningresults are listedhere:

203

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Prostate Cancer Screenings

Page 9: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

All Cancers LavenderAppendix Cancer AmberBladder Cancer Marigold/Blue/PurpleBrain Cancer GreyBreast Cancer PinkCarcinoid Cancer Zebra StripeCervical Cancer Teal/WhiteChildhood Cancer GoldColon Cancer Dark BlueEsophageal Cancer Periwinkle

Gallbladder/Bile Duct Cancer Kelly GreenHead & Neck Cancer Burgundy/Ivory

Kidney Cancer OrangeLeiomyosarcoma Purple

Leukemia OrangeLiver Cancer Emerald GreenLung Cancer WhiteLymphoma LimeMelanoma BlackMultiple Myeloma BurgundyOvarian Cancer TealPancreatic Cancer PurpleProstate Cancer Light BlueSarcoma/Bone Cancer Yellow

Stomach Cancer PeriwinkleTesticular Cancer OrchidThyroid Cancer Teal/Pink/BlueUterine Cancer PeachHonors Caregivers Plum

Hodgkin’s Lymphoma Violet

Page 10: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Pictured: Phoebe, a two-year-old Miniature Goldendoodle

“Enjoy the littlethings in life...

for one day you’ll look backand realize they

were the big things.”

—Robert Bault

Page 11: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

6p Look Good Feel Better

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

6p Pink Link Breast CancerSupport Group1:30p Facing Cancer Together

1p Eat Right to Help theFight nutrition class

1p Eat Right to Help theFight nutrition class

6p Renewal

4:30p Us TOO Prostate

Page 12: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Pictured: Kramer, four years old

“The single most significant

decision you can make on a

day-to-day basisis your choice

of attitude.”

—Charles Swindoll

Page 13: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

4:30p Us TOO Prostate6p Renewal

1:30p Facing Cancer Together

10a Growing Through Grief

10a Growing Through Grief

10a Growing Through Grief

10a Growing Through Grief

10a Brain Tumor Support Group6p Pink Link Breast Cancer

Support Group1p Eat Right to Help the

Fight nutrition class

1p Eat Right to Help theFight nutrition class

Page 14: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

“Animals are such agreeable friends— they ask no questions, they pass no criticisms, and they love unconditionally.”

—George Elliot

Pictured: Oakley, a two-year-old Mini Golden Doodle

Page 15: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

3:30p Helping Hands

10a Growing Through Grief 3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

1:30p Facing Cancer Together6p Look Good Feel Better

4:30p Us TOO Prostate6p Renewal

6p Pink Link Breast CancerSupport Group

1p Eat Right to Help theFight nutrition class

1p Eat Right to Help theFight nutrition class

Page 16: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

“Life is a journey, not a destination, so enjoy the ride.”

—Matt Jones

Pictured: Ami Quoi, a four-year-old Sheltie(translation: Ami means loyal and faithful; Quoi means cute)

Page 17: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

6p Renewal 4:30p Us TOO Prostate 3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

1:30p Facing Cancer Together

10a Brain Tumor Support Group

1p Eat Right to Help theFight nutrition class

1p Eat Right to Help theFight nutrition class

6p Pink Link Breast CancerSupport Group

Page 18: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

“Sometimes the curefor restlessness is rest.”

—Colleen Wainwright

Pictured: Tess, six-years old

Page 19: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

6p Renewal

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

6p Look Good Feel Better

4:30p Us TOO Prostate

1:30p Facing Cancer Together6p Pink Link Breast Cancer

Support Group

1p Eat Right to Help theFight nutrition class

Page 20: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

“Always laughwhen you can.It is cheapmedicine.”

—Lord Byron

Pictured: Diamond, a 13-year old shih tzu poo

Page 21: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

1:30p Facing Cancer Together

6p Growing Through Grief

6p Growing Through Grief

6p Growing Through Grief

6p Growing Through Grief

3:30p Helping Hands

National Cancer Survivors Day Event

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands Come Together Let’s Walk

4:30p Us TOO Prostate

10a Brain Tumor Support Group6p Pink Link Breast Cancer

Support Group1p Eat Right to Help the

Fight nutrition class

1p Eat Right to Help theFight nutrition class

6p Renewal

Page 22: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

“Laughter is aninstant vacation.”

—Milton Berle

Pictured: Gabe, a 16-year old English Springer Spaniel

Page 23: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

6p Growing Through Grief

4:30p Us TOO Prostate

American Cancer Society Macon County Relay for LifeRCC

1:30p Facing Cancer Together

6p Renewal

6p Look Good Feel Better

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

1p Eat Right to Help theFight nutrition class

1p Eat Right to Help theFight nutrition class

6p Pink Link Breast CancerSupport Group

Page 24: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

“Attitude is a littlething that makes abig difference.”

—Winston Churchill

Pictured: Emma, a six-year old Black Lab

Page 25: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

1:30p Facing Cancer Together

4:30p Us TOO Prostate

10a Brain Tumor Support Group

6p Renewal

1p Eat Right to Help theFight nutrition class

1p Eat Right to Help theFight nutrition class

6p Pink Link Breast CancerSupport Group

Page 26: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

“When you get thechoice to sit it out

or dance, I hope you dance.”

—Lee Ann WomackPictured: Charlie, 17-month old Juack Russell Terrier

Page 27: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

4:30p Us TOO Prostate

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

1:30p Facing Cancer Together6p Look Good Feel Better

6p Renewal

1p Eat Right to Help theFight nutrition class

1p Eat Right to Help theFight nutrition class

6p Pink Link Breast CancerSupport Group

Page 28: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

“The best and most beautifulthings in the world cannot be

seen or even touched. They must be felt.”

—Helen Keller

Pictured: Kali, a three-year old Miniature Goldendoodle

Page 29: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Early Detection Connectionbreast cancer awareness

4:30p Us TOO Prostate

1:30p Facing Cancer Together

6p Renewal

10a Growing Through Grief

10a Growing Through Grief

10a Growing Through Grief

10a Growing Through Grief

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

10a Brain Tumor Support Group1p Eat Right to Help the

Fight nutrition class

1p Eat Right to Help theFight nutrition class

6p Pink Link Breast CancerSupport Group

Page 30: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

“Whoever is happy willmake others happy, too.”

—Anne Frank

Pictured left: Phoebe, a two-year old Miniature GoldendoodlePictured right: Frodo, an eight-year old Labradoodle

Page 31: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

4:30p Us TOO Prostate

1:30p Facing Cancer Together

6p Renewal

6p Look Good Feel Better

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

10a Growing Through Grief

1p Eat Right to Help theFight nutrition class

1p Eat Right to Help theFight nutrition class

6p Pink Link Breast CancerSupport Group

Page 32: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Pictured: Sarg, a six-year old bulldog

“May you have the gladnessof Christmas which is hope;

the spirit of Christmaswhich is peace; and the

heart of Christmas which is love.”

—author unknown

Page 33: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Community of Hope (combined cancer support group gathering)

6p Renewal

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping HandsOne Light to Remember

1p Eat Right to Help theFight nutrition class

Page 34: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Support Group Description Meeting times, informationBrain Tumor For patients, family members diagnosed with benign ormalignant brain tumors Third Saturday, 10 am, every other month beginning in Feb

Pink Link Breast Cancer Support Group For breast cancer patients; a time to share emotions and personal experiences Second Thursday, 6—7:30 pm

Facing Cancer Together For all cancer patients and their families Second Wednesday, 1:30—2:30 pm

Renewal Monthly bereavement support group (for those who have completed Growing Through Grief) Fourth Monday, 6—7:30 pm

Us TOO Prostate Cancer For prostate cancer patients and spouses; a time to share emotions and personal experiences; Fourth Tuesday, 4:30—5:30 pma variety of topics are presented

Eat Right to Help the Fight Nutrition class to learn how to stay healthy during cancer treatment Second and Fourth Monday, 1—2 pm

Additional Support ServicesArts As Therapy For patients, families. Offers clay, paint, acrylic, water color, collage, weave and more Monday—Friday, 8 am—4 pm

Growing Through Grief Five-week bereavement education series for family members who have lost a loved one Various sessions

Helping Hands A grief support group for children, ages 5—15 Various sessions

HER (Helping Each Other Recover) Provides information and one-on-one assistance for newly diagnosed breast cancer patients As needed

HIM (Helping Inquiring Men) Provides information and one-on-one assistance for newly diagnosed prostate cancer patients As needed

Look Good...Feel Better® American Cancer Society program to help women cope with treatment side effects 6 pm; bi-monthly

Lymphedema Program Program for patients who experience a swelling in a body part due to accumulation of lymph fluid By appointment

Medical Equipment Home medical equipment and supplies As needed

Ostomy/Skin Care An enterostomal therapist for patients who need help with ostomy, decubitus and skin care By appointment

Prosthesis/Bra Bank A free limited, gently used prosthesis and bra bank at DMH Women’s Health and Breast Center By appointment

Resource Room Books, DVDs, videos, online computer access to cancer information 8 am—4:30 pm, Cancer Care Center Lobby

Smoking Cessation Classes Freedom From Smoking,“ a seven-week program; fee involved By appointment, DMH Wellness Center

DMH Wellness Center Fitness programs including yoga, water aerobics, zumba“; nutritional services; and more Monday—Friday, 8 am—4:30 pm

Wig Bank New and used wigs As needed

Free support group meetings are available to all cancer patients and their families. Support groups offer an opportunity for participants to share thoughts,

feelings and information. “Together people with cancer provide a Community of Hope, understanding and support.” Appointments are not necessary.

Meetings are held at the Cancer Care Center of Decatur, 210 W. McKinley Ave., Decatur. Parking available in the back. Enter through the Complementary Medicine/Education entrance.

For more information, call the DMH Cancer Care Institute, 217-876-4750, or visit www.dmhcares.com.

Support Groups

Page 35: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

DMH Cancer Care Institute . . . . . . . . . . . . . . .217-876-4750Art As Therapy . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4700Cancer Education/Support Groups . . . . . . . . . . .217-876-4750Cancer Registry . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4741Clinical Research . . . . . . . . . . . . . . . . . . . . . . . .217-876-4750Radiation Oncology . . . . . . . . . . . . . . . . . . . . . .217-876-4700

Cancer Care Specialists of Central Illinois . . .217-876-6600Billing Office . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-877-9442Hematology/Oncology . . . . . . . . . . . . . . . . . . . .217-876-6600Patient Services Coordinator . . . . . . . . . . . . . . .217-876-6600

Cancer Care Center of Decatur, 210 W. McKinley Ave., DecaturDecatur Memorial Hospital, 2300 N. Edward St., Decatur

Decatur Memorial Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-8121

Business Office . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-3785

Centralized Scheduling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-1111

Family Lodge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-2020

Home Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4600

Hospice/Palliative Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-6770

Inpatient Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-5100

Interventional Radiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-6730

Medical Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4040

Millennium Pain Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-6640

Nutritional Counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-5301

Outpatient Care Center (OCC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-5700

Pastoral Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4322

Physicians Plaza Pharmacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-5566

Pre-registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-2089

Radiation Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4700

Radiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-2300

Rehabilitation Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-2600

Women’s Health and Breast Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4377

Wellness Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4249

How to contact us

Page 36: DMH Cancer Care Institute · American Society of Clinical Oncology (ASCO) for outstanding quality care. In August 2012, ASCO granted CCSCI the elite Quality Cancer Care: Recognizing

Our Mission: To improve the health of the people of Central Illinois | www.dmhcares.com | 217-876-4750

DMH Cancer Care Institute Philanthropic Funds provide support for cancer and related programs and services:

� The Cancer Care Institute Fund� Cancer Research Fund� G. Richard Locke MD Fund� Judith Ann Mason Memorial Cancer Fund� DMH Hospice

To make a special contribution to the Decatur Memorial Foundation, call 217-876-2105.

AT THE CANCER CARE CENTER OF DECATUR

The photographs used throughout this calendar include images of Decatur Memorial Hospital, employees of Cancer Care Specialists of Central Illinois and their pets.

“On Judith Ann”Life has become—More whisper than shoutMore smiles than gigglesMore strolls than hikesMore biography than mysteryMore refrain then crescendoShorter yet eternalMore Blessed

—Judith Ann Mason