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ONCOLOGY
2014
Advocate
Good
Shepherd
Hospital
ANNUAL
REPORT
Michael B Soble, MD Introduction
Commission on Cancer Guidelines
Survivorship
Spiritual and Social Services
Clinical Trials
Message from the Cancer Committee Chair
Michael B Soble, MD, Chair, Cancer Committee
Advocate Good Shepherd Hospital
It is my responsibility and privilege to present this report of Advocate Good Shepherd Hospital’s
cancer program for 2014. We continue to work to deliver the excellent care that our community and
our patients deserve and demand in the form of state-of-the-art diagnostic testing and treatment.
We also strive to develop programs to help people affected by cancer cope with their diagnosis
and treatment.
In this report, you will find data and statistics compiled by our registry about our program. You will learn about our
National Accreditation Program for Breast Centers (NAPBC) certified breast program, inpatient oncology unit, and
outpatient treatment center where we care for patients. There is information on the teams of professionals who care
for people and their families including physicians, nurses, pharmacists, therapists, dietitians, genetic counselors,
hospital administrators, and cancer registrars. We could not do the nationally recognized and honored work that we
do without everybody involved.
Just in 2014, we improved our program by restructuring our Nurse Navigator Program and hired two Oncology
Nursing Society (ONS) certified nurses to help people make their way through the complex health care system and
get the care they need. We have started to develop survivorship plans to address any physical or psychosocial effects
of treatment after it is complete. We have created a program to identify psychosocial distress in patients so they can
get the support they need and have developed a yoga program to go with our continuing and new support groups.
We have also taken steps to ensure that genetic counseling services will remain available on site, at Advocate Good
Shepherd Hospital.
We have no intention of sitting still, either. We firmly believe that we must continue to improve so in 2015 we plan
to study and report on the care of our patients with prostate cancer, improve and expand the services we provide to
people with leukemia, lymphoma and myeloma, further expand our support programs by incorporating a meditation,
stretching and flexibility class, and improve our community’s overall knowledge base by offering an “Oncology
101” class with a variety of speakers. We are going to continue to evaluate and improve accessibility to the genetic
counseling services we offer, especially for people and families affected by colon cancer and other gastrointestinal
malignancies.
We remain dedicated to clinical research and you will find details of some of the ongoing study we are participating
in. We will also continue to work with our community through Relay for Life, National Cancer Survivors Day, the
American Cancer Society and a host of other programs. And we will continue to develop and mature the programs
that we started this year.
As always, I am extremely proud of the work done by all of the physicians and associates who care for people with
cancer and the many people who have helped bring you this report. They continue to make a daily impact on people’s
lives. On behalf of the Cancer Committee, please take a few moments and review the information in our report and
reflect on how much it means to our community to have these services available so close to home.
Thank you for your continued support.
Michael B Soble, MD
Chair, Cancer Committee
Advocate Good Shepherd Hospital
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Cancer Care at Advocate
Good Shepherd Hospital
A
dvocate Good Shepherd Hospital’s Center for Cancer
Care cancer program ranks among the nation’s finest
for quality cancer care close to home. It is accredited
as a Comprehensive Community Cancer Program by the
Commission on Cancer of the American College of Surgeons.
The cancer program received their 2007 Outstanding
Achievement Award as one of only 66 hospitals nationwide
to earn “Accreditation with Commendation” in all
available standards.
In 2013, Good Shepherd Hospital once again underwent
the on-site survey process which resulted in “Accreditation
with Commendation” in all available standards (Gold Status)
thus becoming eligible for the 2013 Outstanding
Achievement Award.
Commission on Cancer Guidelines
G
ood Shepherd Hospital’s cancer program is committed
to following the guidelines and standards established
by the Commission on Cancer of the American College
of Surgeons. Our goals are:
•To provide the best possible care and support to our cancer
patients and their families.
•To offer the finest diagnostic, therapeutic, and surgical
resources to our primary care physicians, oncologists
and surgeons.
•To improve our community’s health through comprehensive
cancer prevention and early detection programs.
Good Shepherd Hospital’s Center for Cancer Care treats cancer
patients of all ages, with tumors of any type, size, and location.
Its multidisciplinary team of highly skilled and caring medical
and radiation oncologists, general and specialty surgeons,
specialty nurses, nutritionists, genetic counselors, exercise
specialists, other cancer specialists, and spiritual counselors
focus on each patient’s unique physical, emotional, and spiritual
needs. They work as a team with each patient and his or her
family to formulate an individualized treatment plan. Along
with standard cancer-fighting diagnostic and therapeutic
technologies, they offer a wealth of advanced innovations
and options.
To learn more about Good Shepherd Hospital’s Cancer
Program or for more information on cancer diagnoses,
treatment, prevention, and support services, please call
1.800.3.ADVOCATE (1.800.323.8622) or visit our website at
advocatehealth.com/gshp.
Breast Center Receives
Accreditation from NAPBC
T
his year the Good Shepherd
Hospital Breast Center earned a full,
three-year accreditation from the
National Accreditation Program for Breast
Centers (NAPBC), a prestigious program
administered by the American College of
Surgeons.
The NAPBC is a non-governmental,
not-for-profit organization that identifies and
recognizes breast centers providing quality
care in the United States. It is a consortium
of national, professional organizations
dedicated to the improvement of the quality
of care and outcomes of women with breast
diseases. To receive accreditation from
the NAPBC, breast centers must undergo
a voluntary, rigorous evaluation and
on-site survey, and meet certain
performance standards. Centers are selected
based on their multidisciplinary approach to
diagnosing and treating breast disease.
Good Shepherd’s Breast Center was
accredited based on its numerous programs
focused on diseases of the breast and
women’s health using a multidisciplinary
approach to care. World-class surgeons,
oncologists, radiologists and nurse
navigators are with patients from the very
beginning to ensure the patient’s treatment
is integrated.
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Cancer Program Practice Profile Reports (CP3R)
Outcome Analysis
Thomas Weyburn, MD
Cancer Committee Member
T
he cancer program at Good
Shepherd Hospital is committed
to providing patients in the
community the best in cancer diagnosis
and treatment. As a nationally accredited program by
the Commission on Cancer, we are held to the highest
standards within the industry.
As part of our accreditation, there are required
performance levels on certain metrics reflected in data
collected by our cancer registry which would also allow
for appropriate means to address any deficiencies
perceived. This allows the program to continually strive
for continuous quality improvement and perform at or
above the national benchmark.
The quality measures for appropriate breast cancer
management in 2012 are listed in the table below. These
include a surveillance measure for breast conserving
surgery which reflects a national trend in the increased
incidence of mastectomy as opposed to lumpectomy
and radiotherapy from 2011 to 2012. Image or palpation
needle biopsy diagnosis of breast cancer prior to
lumpectomy or mastectomy is a quality improvement
measure (Standard 4.5), expected to be at or above the
80th percentile for 2012. The remaining listed measures
are accountabililty measures (Standard 4.4) and
expected to be at or above the 90th percentile for 2012.
As reflected in the chart, Good Shepherd Hospital
performs at a level exceeding expected national
standards for the reported measures of breast cancer
management. This continued evaluation is performed
on a quarterly basis by our Cancer Liaison Physician
and reported to the Cancer Committee to ensure that
we continue to provide comprehensive quality care to
patients in the Good Shepherd community.
Estimated Performance Rates
3
Select Breast and Colorectal Measures
2006
2007
2008
2009
2010
2011
2012
Case
Review
Radiation therapy is administered within
1 year (365 days) of diagnosis for women
under age 70 receiving breast conserving
surgery for breast cancer. (BCS/RT)
100%
100%
92.7%
100%
100%
100%
98%
BCS
Combination chemotherapy is considered
or administered within 4 months (120
days) of diagnosis for women under 70
with AJCC T1c NO MO, or Stage II or II
ERA and PRA negative breast cancer.
(MAC)
100%
100%
100%
100%
100%
100%
100%
MAC
Tamoxifen or third generation aromatase
inhibitor is considered or administered
within 1 year (365 days) of diagnosis for
women with AJCC T1c NO MO, or Stage
II or III ERA and/or PRA positive breast
cancer. (HT)
95%
85.7%
87.9%
95.2%
98.2%
96.6%
97%
HT
Clinical Programs and Services
Inpatient Oncology Unit
C
ancer is a life changing event and a hospitalization
compounds a cancer patient’s anxiety and distress.
The 4 Center oncology team recognizes the unique
needs and challenges faced by cancer patients and their
families. Team members strive to deliver patient centered
care and our team goal is “to provide knowledgeable,
comprehensive, and compassionate care that addresses the
physical, psychosocial, and emotional needs of our patients
and their families.”
The 4 Center team is comprised of nurses, clinical technicians,
care managers, dieticians, pharmacists, a nurse navigator,
and social service. The clinical manager in tandem with the
clinical nurse specialist guides the team in the delivery of safe,
quality, evidence based care. Staff supports patients to cope
with the challenges brought on by a cancer diagnosis and the
side effects often experienced with treatment. Team members
meet daily to coordinate care for the patient and plan for a
seamless transition to the home or rehab setting.
Cancer care changes at a rapid pace. New therapies and
technology are constantly evolving, therefore nurses and
other professionals participate in ongoing education focusing
on specific cancer sites, new cancer resources, and novel
treatment agents, such as targeted drug therapy designed to
block the growth and spread of cancer by targeting specific
molecules involved in tumor growth and progression.
To insure the delivery of safe, evidence-based cancer care,
all nurses that administer chemotherapy have successfully
completed the Oncology Nursing Society’s Chemotherapy/
Biotherapy Course. Nearly half of the 4 Center nurses have
also achieved certification in oncology nursing through the
Oncology Nursing Society. This certification is the formal
recognition of specialized knowledge, skills, and experience
in oncology nursing.
Oncology nurses educate patients on what to expect before,
during and after treatment. With this new knowledge, patients
are empowered to participate in their care. However, the
team recognizes that patients are individuals. They respect
that some patients want answers and seek information, while
others just want to be heard. Staff members are trained to
actively listen, take cues from patients, ask questions, and
provide the best support they can. As appropriate, they use
humor, share experiences, and assure patients that they are
not alone.
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Customized Treatment Teams
G
ood Shepherd Hospital creates a special team to address each cancer patient’s unique
condition and situation. By bringing together the combined skills of specialty physicians
and other professionals, we’re able to meet each individual’s personal requirements.
Depending on the patient’s needs, a team might include personally selected general and
specialty surgeons, medical and radiation oncologists, anesthesiologists, specialized nurses,
technologists, and other clinical professionals.
• Medical oncologists deliver expert and compassionate care, working closely with each patient,
his or her primary care physician, and family members.
• Skilled surgeons specialize in general surgery as well as thoracic, gynecologic, neurologic,
urologic, head and neck, and plastic/reconstructive surgery.
IORT Enhancing Recovery and Saving Lives
A
lthough standard breast radiation treatment for lumpectomy patients remains highly
effective, it is administered five times a week for up to seven weeks following surgery,
which presents a problem for some patients. Recent studies show that between a
quarter and a third of lumpectomy patients avoid standard radiation because of time, distance,
or accessibility problems, thereby risking recurrence and endangering their recovery. Good
Shepherd Hospital’s Intraoperative Radiotherapy (IORT) System has helped overcome these
problems. With IORT, patients complete their radiation therapy during their breast cancer surgery
instead of afterwards— an innovation that enhances recovery and can save countless lives.
“By using intraoperative radiation, patients can choose to have a lumpectomy
but still receive the recommended dose of radiation therapy without disrupting
their day-to-day lives.”
– James Ruffer, MD
Thanks to IORT, physicians can deliver targeted radiation therapy treatment directly to the
tumor during surgery, immediately following a lumpectomy. This radiation technology uses a
single 20-30-minute targeted dose of radiation to eliminate entirely the need for external beam
radiation therapy following surgery or to reduce significantly the time frame formerly needed.
The INTRABEAM® System provides patients with a targeted single-dose radiation treatment
delivered intraoperatively (during surgery) after removal of the tumor. Before the surgeon closes
the incision, a radiation oncologist directs the radiation to the exact area where the tumor was
removed for just 20-30 minutes, and then the surgeon closes the incision. According to surgeon
Barry Rosen MD, vice president of medical management at Good Shepherd Hospital and one
of the first doctors on staff to use IORT during breast cancer surgery, “For many women, the
challenge with breastconserving surgery is the seven weeks of radiation therapy they need
following surgery. By using intraoperative radiation, patients can choose to have a lumpectomy
but still receive the recommended dose of radiation therapy without disrupting their day-to-day
lives.” Says radiation oncologist James Ruffer MD, “Good Shepherd Hospital chose to adopt this
system because of the impact it can have on our patients’ lives. In addition to the convenience of
a one-time treatment, this new system also shows additional benefits including less irritation of
healthy breast tissue, minimized exposure to the chest cavity and underlying organs, and fewer
skin reactions such as redness, rashes, and irritation.” Not all women are candidates for this
procedure. The best candidates are those with smaller tumors that are diagnosed in the early
stages of breast cancer. Of these, about 15 percent of patients may still need standard radiation,
but for a much shorter time frame.
5
Patient Navigation
A
cancer diagnosis can be a complex and confusing
time for patients and their families. The Center for
Cancer Care at Good Shepherd Hospital provides
care and support for patients with a cancer diagnosis and
their families when they need it most. The patient navigation
program ensures the comprehensive and varied cancer care
services offered at Good Shepherd are accessible throughout
the patient’s entire treatment process. The program is
provided at no cost and consists of the following resources:
• Women’s Health Navigator
• Oncology Nurse Navigator
•Dietician
• Genetic Counselor
• Lymphedema Treatment Program
• Certified Physical Therapist
• Resource Center
•Programs/Classes
• Partners with organizations for supportive services
An oncology nurse navigator and women’s health navigator
are available to:
•Facilitate timely access to healthcare and supportive
services
•Provide personalized information and support treatment
decisions
•Provide educational materials
•Collaborate to devise a plan of action to diminish stress
•Provide transportation options to and from
appointments
•Locate facilities/services closer to the patient’s home
•Attend appointments and procedures with patients
•Community outreach and education
•Wellness programs within Good Shepherd
For more information about the navigation program,
call 847.620.4760.
Healing Yoga for the Cancer Survivor
A
s an organization committed to overall wellness, the
Oncology Department partnered with the Advocate
Good Shepherd Hospital Health & Fitness Center to
offer a program that patients could embrace after treatment,
and even during treatment if they choose. Yoga immediately
came to mind. Yoga can be the ideal balance of whole
body exercise, engaging the mind, breath and body all in
one session. With an outstanding yoga program in place,
the Fitness Center was proud to work side by side with the
Oncology Department to find the right time and place for
Breast Health Specialist
When people discover they have breast
cancer, they suddenly face a frightening and
potentially life-changing experience, filled
with questions and uncertainty. At a time
when they need a friend and counselor,
Good Shepherd Hospital’s Breast Health
Specialist/Breast Navigator steps in to fill
that need. Breast cancer patients and their
loved ones come to know her and rely on
her for information, gentle care, and support
in finding their way through the challenges
of treatment and recovery. Working in the
hospital’s Breast Care Center, she helps
patients by educating them and preparing
them for a breast biopsy, staying at their
side throughout the procedure, and serving
as a resource to them and their families
afterward. In the event of a cancer diagnosis,
she remains with them, providing education
about their disease and the potential next
steps for treatment.
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their patients to practice. Yoga stimulates muscles, enhances
blood flow, and the breathing techniques used during practice
can bring body awareness and calm. It is a wonderful, gentle
way to get stronger and restore peace of mind to those
who really need the reassurance that they can exercise in a
meaningful way while honoring their current limitations. The
classes are offered free of charge at our Fitness Center, and the
participants have shared their gratitude for this program. They
look forward to this weekly opportunity to focus on healing,
moving, and connecting mind, body and spirit. We are proud to
off this program to survivors, past, present and future.
Lymphedema Program
G
ood Shepherd Hospital Rehabilitation Services
designed and implemented an evidenced based
performance improvement project for patients post
breast cancer surgery. The purpose of the project was to detect
early functional disability using a standardized assessment tool
and provide early intervention in the form of education and or
physical therapy treatment.
From April 2013 to October 2014, the womens health navigator
provided 94 newly diagnosed patients with breast cancer
information regarding potential functional disability and
invited patients to receive follow-up screening calls made by
a certified Lymphedema physical therapist. Fifty nine patients
received three month interval follow-up screening calls using
the D.A.S.H. (Disability of the arm, shoulder, and hand) tool
to detect functional deficits caused by pain, decreased range
of motion, or Lymphedema. Twenty patients identified by the
D.A.S.H. required Physical Therapy evaluation and treatment.
The womens health navigator continues to provide education
to patients post breast cancer surgery regarding potential
functional deficits and need for appropriate referral to
outpatient physical therapy.
Survivorship and Psychosocial Care
B
eing newly diagnosed with cancer, or experiencing
a change in treatment, can be a distressing time for
patients and their families. At Good Shepherd Hospital
we recognize the importance of identifying and assisting our
patients with their identified stressors. Utilizing the NCCN
Screening Tool for Distress Management, patients complete
the tool at designated times during their care. Based on the
results, patients are referred to supportive services both within
Advocate Health Care and at resources within the community.
The Psychosocial Support Team at Good Shepherd Hospital
has been identified as: Mission and Spiritual Care, Social
Work, Rehab Services, Financial Services, Nutrition Services,
Genetics, Mental Health Providers, Oncology Advanced Nurse
Clinician, and support groups. Good Shepherd offers several
support groups for our patients:
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• Yoga for Cancer Survivors – Weekly Yoga for Survivors
• A Time to Heal – Monthly Breast Cancer Support Group
• Lymphedema Support Group – Quarterly Support Group
• Look Good Feel Better – ACS – Monthly Image Renewal Class
Good Shepherd Hospital also works in partnership with community support services like Us Too, the American
Cancer Society, Immerman Angels, and more. For more information about our psychosocial resources, call
847.620.4760.
Survivorship means different things to different people, but it often describes the process of living with, through
and beyond cancer. The transition from active treatment to post treatment care is critical to optimal long term
health. This understanding has launched new and exciting survivorship programs which support patients and
their families along the continuum of care to make them aware of follow-up care and healthy living beyond
cancer.
The purpose of the survivorship program is to provide continued support and assistance to cancer survivors and
their families. Patients that are eligible to participate and agree to the program will have a care plan initiated by
the nurse navigator at the beginning of their treatment. Upon the completion of their treatment, this information
will be reviewed at the survivorship visit with the nurse navigator. This document will include a treatment
summary and serve as a guide for monitoring and taking care of their health in the future. This discussion
will include an explanation of possible late and long term effects of the treatment received as well as health
maintenance recommended by the National Comprehensive Cancer Network (NCCN).
Patients are also provided with information such as; recommended follow up tests, nutrition tips, management
of physical changes, emotional health and much more. A copy of the Treatment Summary and Care Plan will be
provided and sent to the primary care physician and any other physicians per patient request.
No matter how it is defined, survivorship is unique for every person. Everyone has to find his or her path to
navigate changes and challenges that occur as a result of living with cancer. The team at Good Shepherd Hospital
is here to help.
For more information regarding the Survivorship Program, call 847.620.4760.
Relay for Life
E
ach year, a team from Good Shepherd Hospital participates in the Relay for Life in Barrington. This
year the Good Shepherd Team was joined by three Advocate sites for the event. The Relay for Life is an
annual event that is sponsored by the American Cancer Society. It is held to celebrate cancer survivors,
remember loved ones, and raise funds to fight the disease. For more information, visit RelayForLife.org.
National Cancer Survivors Day Celebration
G
ood Good Shepherd Hospital hosted its annual celebration of life on National Cancer Survivors Day. The
theme this year was “Survivors Rock”. Attendees enjoyed an afternoon filled with music, laugher yoga,
inspirational speakers, and fellowship. For more information about National Cancer Survivors Day, go to
http://www.ncsd.org/.
Making Strides – Good Shepherd Hospital participated in the Making Strides Against Breast Cancer walk this
year. Making Strides is the largest network of breast cancer awareness events in the nation. Every breast cancer
walk and event is an incredible and inspiring opportunity to honor those who have battled breast cancer, raise
awareness about what we can do to reduce our breast cancer risk, and raise money to help the American Cancer
Society fight the disease with research, information, services, and access to mammograms for women who need
them.
Pink Heals – In July, the Pink Heals Tour brought their pink fire trucks along with firefighters in matching pink
uniforms to Good Shepherd Hospital. The crew delivered a message of hope and healing to cancer patients
and survivors in our area. Founded in 2007, the Pink Heals organization drives pink fire trucks, police cars and
ambulances across the nation, making stops to raise awareness and money to help in the fight against cancer.
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Community members, cancer patients and cancer survivors
joined the pink trucks at Good Shepherd to thank the
firefighters for their show of support. In addition to visiting
with the traveling firefighters, guests also signed the pink
trucks which are now on their way to show support in the
next stop on their tour.
Pink Tea – Good Shepherd Hospital was a part of the first
Pink Tea, held at Deer Path of Huntley. Deer Path is the only
affordable assisted living community for adults ages 22 –
64, who are living with disabilities in the Chicago suburban
area. This event was held in October to bring awareness
to this community of the importance of breast health.
Education was provided on self-breast exams and well as
mammography. It was a time for residents to ask questions,
enjoy fellowship and fun while learning how to better care for
themselves. For more information, call 847.515.1800 or visit
deerpath-dslf.com.
Lake Barrington Shores Golf Outing – Annually, the
9-hole women’s league at Lake Barrington Shores Golf Club
hold a luncheon to honor and celebrate those touched by
breast cancer. This luncheon follows a round of golf. Women
donate money, sell raffles tickets and have contests on a
few holes with winners…closest to the hole, longest drive,
longest putt made. The money collected at this wonderful
event is donated to the Good Shepherd Hospital Breast Care
Center. Good Shepherd staff attend this event to provide
education, answer questions and provide support to all
women and to promote good health and encourage women
to care for themselves.
Care4 Breast Cancer – Every year, Good Shepherd
Hospital participates in the Family Health Partnership Care
4 Breast Cancer 5K Run/Walk held in Woodstock, Ill. The
fundraiser helps to raise money to pay for mammograms,
ultrasounds and biopsies when there is no other payer
source identified. The money also helps to support the
in-house cancer screening services (clinical breast exams)
and education, as well as, special programs like Celebremos
La Vida program, which provides a one stop shop for
clinical breast exams and mammograms and breast health
education. Each year, 300 uninsured McHenry County
women receive services from the fundraiser at no cost to
them. Not only is Good Shepherd Hospital a gold sponsor for
the event, but the hospital also provides education about the
importance of mammograms and helps answer questions
about the breast exam process. A nurse from Good Shepherd
Hospital’s Breast Health Center attends the event to help
answer any clinical questions. This year, the Care4 Breast
Cancer has raised over $145,000 and has had a recordnumber of 2,200 runners/walkers participate. To learn more,
visit http://hpclinic.org.
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Community Education,
Prevention, and Support Services
Good Shepherd Hospital Support Initiatives
T
here’s no getting away from it. A patient’s life changes after cancer treatments are completed,
and so does the patient. Good Shepherd Hospital is uniquely capable of providing the physical
and emotional tools each patient needs and, as a faith-based institution, the spiritual tools as well:
•Our staff provides information on specific cancers and related services as well as resource materials
on risk factors, risk reduction, prevention, early detection, treatment, and aftercare options.
•The hospital offers a number of groups and other activities that give people vital support,
companionship, and entertainment.
•HUGS (847.842.4760), our dedicated cancer information phone line, enables cancer patients to speak
with experts about their diseases and to get information regarding hospital cancer services, events,
and support groups.
•Good Shepherd Hospital’s teams participate in the annual Barrington Relay for Life event, sponsored
by the American Cancer Society.
•We sponsor cancer-related educational seminars and screening events for patients, families, and
the community.
•Our board-certified oncology chaplain provides long-term pastoral support to help patients and their
families deal with cancer diagnosis, treatment, and aftercare.
American Cancer Society
G
ood Shepherd Hospital has a long standing partnership with the American Cancer Society (ACS)
in helping patients and their families cope with a cancer diagnosis. The Cancer Resource Center at
Good Shepherd Hospital is filled with valuable information about the free programs and services
the ACS offers. From the time of diagnosis, through the course of treatment, and even after treatment
is completed, the ACS is there to offer information, day-to-day help, and emotional support. A cancer
diagnosis is difficult but finding help shouldn’t be.
Some of the resources and programs available to cancer patients through the ACS include:
•The Reach To Recovery® program lets you talk one-on-one with a trained volunteer about breast
cancer diagnosis and treatment. The volunteers are breast cancer survivors, so they know the fear
and worry that comes with a diagnosis.
•The Look Good Feel Better® program is a free, community-based program that helps those who are in
active cancer treatment ways to cope with the appearance-related side effects of treatment. Volunteer
beauty professionals and general program volunteers teach practical, hands-on tips at local group
workshops. Participants learn about skin care, nail care, and hair loss. Each participant gets a free
makeup kit to use during the workshop and take home.
•The Wig Boutique program offers free wigs to cancer patients. This program is open to all cancer
patients regardless of income or health insurance status.
•Transportation for patients to and from treatment. The ACS is available 24 hours a day, seven days a
week, at 1.800.227.2345 or visit them online at cancer.org
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Social and Spiritual Services
Social Services
S
ocial Services are staffed by licensed social workers and licensed clinical social workers who address a
patient’s physical, psychological, social, and financial concerns. They are available to provide consultative
services at Good Shepherd Hospital. Services are provided to cancer patients and their caregivers throughout
the continuum of care and may be requested by patients, families, and any member of the inter-disciplinary healthcare
team. The spectrum of services covers the support needs that result from a cancer diagnosis and helps ensure the
best possible outcomes for the patient and his/her support network.
Some of these needs include but are not limited to:
•Behavioral Health Issues
•New Cancer Diagnosis Counseling
•Chronic Pain Treatment Options
•Financial Issues
•Guardianship Questions
•Hospice & Palliative Care Needs
•Legal Issues
•Care Conferences
•End-of-Life Concerns
•Psychosocial Assessments and Counseling
•Supportive Counseling and Resources
Contact phone number: 847.842.4108
Treating the Mind, Body and Spirit
C
haplains from Good Shepherd Hospital’s Office for Mission and Spiritual Care offer spiritual and emotional
support, prayer, arrangements for sacramental ministry, and contact with local faith communities. The
oncology chaplains offer spiritual support for both inpatient and outpatient cancer patients of all religious
traditions. Chaplains also assist patients in the preparation of advance medical directives, including the Illinois
Durable Power of Attorney for Health Care, and provide consultation for ethical decision-making.
Clinical Trials
I
n the United States, one in about eight women (12%) will develop invasive breast cancer. Breast cancer is the
second leading cause of death in women. Death rates from breast cancer have been declining since 1989 and
there are more than 2.8 million breast cancer survivors in the United States. The medical team at Good Shepherd
Hospital has been assisting with the fight to prevent and treat breast cancer through research.
Currently patients at Good Shepherd Hospital are participating a research study to determine if vitamin D deficiency
may be a contributory factor to breast cancer. The aim of the study is to determine if lower levels of vitamin D are
associated with more aggressive tumor type. To date, 32 patients have volunteered to be a part of the study. The
study consists of a simple blood test to determine Vitamin D levels at the time women are undergoing diagnostic
testing for breast cancer. Many women who have volunteered state they have agreed to participate since they have
an interest in preventing breast cancer for the next generation.
At Good Shepherd Hospital, 110 women have also participated in a research study to identify blood based
biomarkers when undergoing a breast biopsy. Biomarkers can be utilized for enhancing the diagnosis, prognosis,
and for predicting drug responses. While multiple biomarkers exist, biomarkers for early detection and increased
risk remain a challenge. The goal of the study was to identify a biomarker that would reflect a functional change
indicating early disease. Improved understanding of biomarkers should allow better stratification of patients to
drive treatment decisions, and increase patient survival while reducing morbidity.
In conjunction with the Cleveland Clinic, the Radiation Department participated in a retrospective review of patients
who underwent intraoperative radiation therapy (IORT) for breast cancer. The goal was to establish a centralized
North American database to allow for the examination of collected information through statistical analysis. This
collective information allows for investigation, evaluation and reporting of clinical outcomes of patients who have
received IORT treatment.
Cancer Risk Assessment and Genetic Counseling
C
ancer genetic services at Good Shepherd Hospital provides consultations for individuals who may be at
increased risk of developing cancer due to his or her personal or family history of cancer. Genetic counseling
is provided by an American Board of Genetic Counseling (ABGC) board-certified genetic counselor, licensed by
the state of Illinois. This is in accordance with the Commission on Cancer’s 2012 Cancer Program Standards for risk
assessment and genetic counseling.
Patients are provided with cancer genetic risk assessment and empathetic pre-test counseling, according to the
evidence-based cancer guidelines published by the National Comprehensive Cancer Network (NCCN). This involves
the use of pedigree analysis with available risk assessment models to determine whether a family history is suggestive
of sporadic, familial or hereditary cancer. Pre-test counseling includes a conversation of why testing is being
discussed, how results may impact medical management, cancer risks associated with the genetic condition(s) in
question, the likelihood of a positive result, the technical aspects and accuracy of the test, economic considerations,
risks of genetic discrimination and an explanation of the federal Genetic Information Nondiscrimination Act (GINA),
psychosocial aspects, and confidentiality. Specifically, potential test results are discussed: true-positive, true-negative,
indeterminate (or uninformative), and inconclusive (variant of unknown significance).
Post-test counseling incorporates disclosure of results, a discussion of the significance of the results, an assessment
of the impact of the results on the emotional state of the individual, and a discussion of medical management options.
This information is communicated to the referring physician in a summary letter. In addition, identification of a gene
mutation associated with a hereditary predisposition to cancer in an individual necessitates a discussion of possible
risk to relatives and the importance of informing relatives.
Testing options continue to expand as molecular panels using next-generation sequencing become available for
hereditary cancer conditions. The specialized training in cancer genetics is ongoing, and our providers are up-to-date
with this information that can greatly impact the patient and family members.
For more information, contact the Division of Genetics of Advocate Medical Group at 847.723.7705.
Annual Cancer Data
2013 Analytic Cancer Cases by Gender
2013 Analytic Cancer Cases by Age
Male
Female
4%
10%
12%
57%
21%
43%
40-49
50-59
60-69
70-79
80-89
Other
24%
29%
Top 5 Analytic Cancer Sites for 2012
Good Shepherd Hospital vs the State of Illinois and the United States
Cancer Site
Female Breast
GSH Count
GSH Percent
Illinois Count
Illinois Percent
U.S. Count
U.S. Percent
196
26%
9,230
13.8%
232,670
13.9%
Prostate
79
11%
8,820
13.2%
233,000
27.2%
Lung
93
12%
9,100
13.6%
224,210
13.4%
Colo-Rectal
65
9%
5,530
8.3%
136,830
8.2%
Bladder
84
11%
3,090
4.6%
74,690
4.5%
American Cancer Society 2012 Facts & Figures, Estimated New Cases
Excludes basal and squamous cell skin cancers and in-situ carcinomas except urinary bladder
This 2014 Annual Report is dedicated to the Cancer Committee that continues to be the backbone of the cancer program
at Good Shepherd Hospital. Many thanks for their time, effort, and contributions to the delivery of quality cancer care in
our community and this annual outcomes report.
2014 Cancer Committee
Leadership
Other Required Members
Michael Soble, MD, Chairman, Medical Oncology
Rabbi Jodie Futornick, Pastoral Care and Palliative Care
James Ruffer, MD, Cancer Liaison Physician, Radiation
Oncology
Kevin Kirshenbaum, MD, Diagnostic Radiology
Lanndon Rose, Cancer Program Administrator
Marylou Sylwestrak, RN, OCN, Oncology Nursing
Coordinators and Required Members
Oliver Kim, MD, Cancer Conference Coordinator,
Pathology
Barb Koenig, Psychosocial Services Coordinator, Social
Worker
Lisa Landvogt, CTR, Cancer Registry Quality
Coordinator, Cancer Program Coordinator
Seth Marcus, Cancer Genetics
Thomas Weyburn, MD, Medical Oncology
Daniel Wool, MD, General Surgery
Other Members
Susan Brady, BSN, ONS, Oncology Health Navigator
Julie Mayer, Community Outreach Coordinator,
Director, Community Outreach
Charlotte Dioguardi, BSN, Manager Breast Center and
NAPBC Accreditation
Mary Roesch, Quality Improvement Coordinator,
Director, Quality Management
Robert Flanigan, MD, Honorary Physician and
Community Representative
Bonnie Schleder, RN, Clinical Research Coordinator,
Research
Trent Gordon, Business Development
Jody Hagestedt, Rehabilitation Services
Jason Jahnke, Regulatory
Patty Jasonowicz, Rehabilitation
Kary Muller, American Cancer Society
Herbert Reisel, MD, Medical Oncology
Diana Rizzo, Cancer Registrar (CTR)
Barry Rosen, MD Hospital Administration and General
Surgery
Katie Sobeski, Cancer Registry Assistant
Gretchen Vanderbosch, Dietician
Heidi Wiltse, BSN, ONS, Women’s Health Navigator
450 West Highway 22, Barrington, IL 60010
advocatehealth.com/gshp
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