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D A N A - F A R B E R C A N C E R I N S T I T U T E MISSION POSSIBLE: INTRODUCING THE YAWKEY CENTER FOR CANCER CARE REALIZING OUR VISION OF PERSONALIZED CANCER CARE Sidney Farber, MD, had a vision in 1947 of what ideal cancer care could and should be. He knew the kind of commitment it would take to reach it. It meant giving care that would be focused on both patients and their families. It required finding treatments guided by laboratory research, enhanced by sophisticated technologies, and, always, provided with equal concern for emotional well-being. At Dana-Farber Cancer Institute, we are reaffirming this commitment with our Yawkey Center for Cancer Care. With this state-of-the-art clinical care and clinical research facility, we will enter a new era of personalized cancer medicine—one that fulfills and surpasses Farber’s hopes. The treatment course for each Dana-Farber patient will span the bridges between medicine and science, human insight, technology, and compassion. Institute founder Sidney Farber, MD, dreamed of the kind of compassionate, personalized care for patients that the Yawkey Center will make possible. 2 Dana-Farber nurses (left to right) Susan Torres-Glasper, RN, BSN; Jennifer Lowell, RN, BSN, OCN; and Laurie Appleby, NP, RNC, were part of the first oncology nursing unit in New England to receive Magnet designation—the American Nurses Credentialing Center’s “gold standard” award for nursing excellence. A New Model for Cancer Care © 2008 Dana-Farber Cancer Institute. All rights reserved. Photography: Len Rubenstein, Joshi Radin (page 4) We invite you to build the future with us in the Yawkey Center for Cancer Care, and help us realize our vision for a paradigm of care that further unites our patients, care teams, and scientists. Together we will create a clinical environment of healing calm fortified by sophisticated technology. We will ensure the melding of clinic and laboratory that produces novel cancer therapies and will offer patients more opportunities to participate in the most advanced treatment trials. And we will see to it that the Yawkey Center maintains the strong spirit of teamwork that sets DanaFarber apart: warmth, compassion, and the extraordinary innovations that spark when minds meet and new pathways of treatment open. A bold undertaking such as this requires a tremendous amount of support, and Mission Possible: The Dana-Farber Campaign to Conquer Cancer will help make this vision a reality. A major funding priority of this landmark, $1 billion campaign, we intend to raise at least $150 million to construct the Yawkey Center for Cancer Care. Please read on to learn more about this new clinical care and clinical research facility and how you can help make our lifesaving mission possible. Committed to the whole person: Our total patient care approach From our founding, we have always treated a patient’s medical, emotional, financial, and spiritual needs. We were among the first to create care teams, including oncologists, surgeons, nutritionists, and other caregivers in each patient’s care. Many clinical “firsts”—chemotherapy treatments, remissions in childhood leukemia, and most recently, targeted therapies for many forms of cancer—originated in partnerships among Dana-Farber clinicians, researchers, and patients. And now, with the Yawkey Center, we will immeasurably strengthen the links between the laboratory and the clinic. The building’s design, with bridges to laboratories at levels 6–10 placing researchers and physicians in much greater proximity, will inspire even deeper levels of collaboration. Investigators will have offices just down the hall from clinicians, with informatics experts, again, only a few doors away. The advances in clinical care made possible by the Yawkey Center will have a positive effect on all Dana-Farber patients, such as Jordan Babbit (left), a Jimmy Fund Clinic patient, with music therapist Brian Jantz, MT-BC. 4 Accelerating drug discovery Many of the most innovative and complex clinical trials requiring special monitoring and frequent evaluation will now take place inside the Yawkey Center, where one entire floor will be dedicated to our Center for Clinical Research (CCR). The CCR is committed to the newest and most sophisticated clinical trials—those that test scientific hypotheses for the first time in patients. This well-lit, spacious facility will be fully integrated into the Yawkey Center and staffed specifically for clinical trials work. In order to deliver treatments yielded from these trials, investigators must be able to quickly determine if and how new drugs are hitting their targets. The Early Drug Development Center (EDDC), which will also be located in the Yawkey Center, complements the CCR’s efforts by focusing on phase I trials which evaluate the safety and efficacy of each drug before it reaches the patient. The expanded CCR and EDDC will bring us steps closer to developing “smart” clinical trials based on the genetics of a patient’s tumor and will ensure that the latest experimental treatments are rapidly and readily available to our patients. A SECOND HOME Anne Hristov (above, left, with Linda Bova, of DFCI’s Facilities Management and Real Estate) knows first hand the Dana-Farber difference. “When you walk in, Dana-Farber doesn’t feel overwhelming, it has an almost homey feel—it’s hard to explain, but DanaFarber has become like a second home to me. I worry less about my cancer when I am here.” Anne was diagnosed with chronic myelogenous leukemia in 2003 and found a nationally recognized expert in Robert Soiffer, MD. “My blood pressure goes down, not up, with Dr. Soiffer. I feel like a VIP.” Anne joined Dana-Farber’s volunteer Patient and Family Advisory Council and worked with Zimmer Gunsul Frasca, the architects who designed the Yawkey Center, to add patient and family perspectives, such as a focus on access for the disabled, extra space in phlebotomy and infusion rooms. It was advice she was glad to give. “I have a chronic leukemia, so I will be a part of this new building. And volunteering at Dana-Farber can be a huge part of the experience here. You get such great care at such a difficult time in your life, you end up thinking ‘What else can I do to give back?’” 5 IN THE BALANCE The Yawkey Center for Cancer Care has been designed to complement Dana-Farber’s balanced, 50-50 emphasis on research and care, so that patients receive only the most optimal care for their cancer. Dana-Farber’s commitment to an equally balanced portfolio of research and care is unique among cancer centers and attracts physicians and scientists who seek opportunities for close collaboration. This is what differentiates Dana-Farber from all other cancer centers and creates a treatment environment like no other. The Yawkey Center will help us to integrate our research and treatment teams in new ways. Novel therapies will emerge from our strong emphasis The Yawkey Center will strengthen the ties between research and clinical care, benefiting Dana-Farber’s researchers and physicians, such as Leena Gandhi, MD, PhD (left), and Kwok-Kin Wong, MD, PhD. on clinical research in the Yawkey Center, as the expanded facilities and special design of the building allow our treatment teams to interact much more frequently and easily with laboratory researchers. Our scientists will in turn use powerful new technology platforms, such as genomics, proteomics, chemical biology, computational biology, informatics, and imaging to unravel the complexities of cancer, and help create the treatments we will rely on tomorrow. 6 New Choices for Patients The Yawkey Center will offer Dana-Farber’s patients and families the highest level of technology and customized services available. Patients will be able to access Internet-based tools to complete registration and phlebotomy scheduling from home. Alternatively, they will be able to register privately at a patient kiosk in the lobby. More preregistrations and prescheduled phlebotomy appointments mean that waiting times will be minimized. After visits, physicians will send prescriptions electronically to our new, centralized pharmacy on the second floor for immediate pickup. This in-house facility will be a key patient benefit, providing specially trained staff who will mix complex cancer medications and respond to patient questions—services not always available at retail pharmacies. Once home, patients can review lab results using password-protected Internet access. The building’s new technologies will offer speed, privacy, and independence to patients. Phlebotomist and Clinical Assistant Jean Epps (right) meets with Amy Grabel, a brain tumor patient. During each visit, Grabel requests to be seen by Epps, an example of the customized care that will be enhanced by the Yawkey Center. Green Building at a Glance A “green” building is one that is designed, built, and operated in an environmentally and socially responsible way. Our architects have incorporated these principles into the Yawkey Center’s design, ensuring that Dana-Farber can put patients first while also being a good environmental citizen. Here are some of the ways the Yawkey Center will be green: Silver LEED Certification We are pursuing a prestigious Silver Rating under the United States Green Building Council’s Leadership in Energy and Environmental Design (LEED® ) rating system. Green Roofs There will be eight green roof decks, containing a variety of native plants, which will help decrease building cooling costs, provide an urban habitat for birds and butterflies, and improve air quality. Energy Efficiency The waiting areas, consultation rooms, and westfacing patient spaces will contain automated shades to maximize natural light, thus increasing efficiency in lighting, heating, and cooling. Selection of Materials Recycled materials will be used wherever possible, including steel, ceiling tiles, and carpets. Indoor Environmental Quality The clinical areas will have 100 percent fresh, outdoor air, which will reduce airborne contaminants. By going “green” the Yawkey Center will enhance patients’ and staff well-being, as well as help preserve the environment. 8 A CLOSER LOOK The Yawkey Center for Cancer Care, located at the corner of Brookline Avenue and Jimmy Fund Way, will serve as the welcoming new entrance to the Dana-Farber campus in Boston’s Longwood Medical Area. When completed in 2011, the Yawkey Center—named to honor the late Tom and Jean Yawkey thanks to their foundation’s leadership support—will rise 14 stories above Brookline Avenue, adding 275,000 square feet of clinical space to our campus, as well as seven underground levels for patient parking. In addition to 100 exam rooms, 150 infusion spaces, and 15 patient and family consultation rooms, the Yawkey Center will streamline patient services and provide flexible space that can easily be adapted to next-generation technologies, as they emerge. The building also will connect Dana-Farber to its other campus buildings and to its clinical partners in the Longwood Medical Area, Brigham and Women’s Hospital and Children’s Hospital Boston, providing patients with more seamless care coordination. Dana-Farber patients and families can name a gene on the Gene Display in the Yawkey Center. This dynamic and visual display, representing the real genetic information researchers use to make groundbreaking discoveries in cancer treatment, contains thousands of 4-inch square “genes” that can be permanently inscribed with inspirational messages of hope for all the world to see. In honor of Paul who is fighting his cancer with courage. Jane and Kevin Smith and the Smith Family � THE YAWKEY CENTER FOR CANCER CARE: THE PATIENT EXPERIENCE The Yawkey Center has been designed to enhance the Dana-Farber experience for our patients and their families. It begins at home, as individuals complete registration online, schedule a phlebotomy appointment, download directions and other pertinent information, as well as explore programs and access literature about the Institute’s research and care initiatives. ENTRANCE AND PARKING Patients can choose to be dropped off on Jimmy Fund Way, self-park, or valet park. Staff will greet patients and their families and direct them to elevators, registration, patient services, and clinics. ATRIUM LOBBY As the new front entrance to Dana-Farber Cancer Institute, the airy atrium lobby will welcome thousands of patients, families, staff, and visitors. The lobby will provide access to many of Dana-Farber’s patient services and resources on the first floor. RUTH AND CARL J. SHAPIRO CENTER for Patients and Families in support of Dana-Farber/ Brigham and Women’s Cancer Center This space on the lobby level will provide patients and families with one point of entry into the many outpatient support services, educational resources, and complementary therapies available. Concierge and interpreter services will be offered. PHLEBOTOMY CENTER Nearly every adult patient will go to the Phlebotomy Center on level 2 for blood work each visit. Newly designed systems will decrease the amount of time needed and results will be forwarded directly to the doctor, ready for the patient’s appointment. PHARMACY Physicians will send prescriptions electronically to the pharmacy on level 2, and patients can pick up prescriptions immediately following appointments. Private consultation areas will allow patients to discuss their prescriptions directly with pharmacists. 10 CONFERENCE CENTER This spacious, state-of-the-art audio/visual facility on level 3 will offer convenient and attractive meeting space for faculty, staff, and visitors. HEALING GARDEN Patients, families, and staff can step into a peaceful oasis year-round in this beautifully landscaped, fully-enclosed garden on level 3. A separate conservatory overlooking the healing garden will offer a similar experience for immunocompromised patients. DINING PAVILION With seating for 250 people, the large, natural light-filled cafeteria on level 3 will provide a comfortable place for faculty, staff, patients, family members, and visitors to dine. CENTER FOR CLINICAL RESEARCH (CCR) The entire sixth floor will be dedicated to complex clinical trials requiring special monitoring and frequent evaluation. The center is designed to integrate scientific research and clinical care and bring patient outcomes of cutting-edge treatments back to the lab so new therapies can be developed. CLINICAL FLOORS Physician visits and/or infusions will take place on levels 7, 8, 9, 10, and 11. Each floor will include large exam rooms, procedure rooms, shared and private infusion areas, consultation suites, staff offices, vitals bays, and more.