Cancer Care 2020 Report to the Community - Vidant Health

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Cancer Care 2020 Report to the Community - Vidant Health
Cancer Care
2020 Report to the Community
Cancer Care 2020 Report to the Community - Vidant Health
A message from our chair
                             David M. Lingle, MD, FACS
                             Chair, Cancer Committee Vidant Roanoke-Chowan Hospital

Greetings to our community
2020 proved to be an extraordinary year for cancer care in     Vidant Roanoke-Chowan, Vidant Bertie, and Vidant
the Roanoke-Chowan area when we achieved accreditation         Chowan Hospitals.
of our program through the Commission on Cancer, a
                                                               Experts on cancer care discussed how to live a healthy
quality program of the American College of Surgeons.
                                                               life, and provided ideas and tips on how to decrease
Cancer care services continued to operate despite the          cancer diagnoses. The live event was saved on each of
COVID-19 pandemic. Healthcare, not unlike many other           the three hospital’s Facebook pages and continues to
public services, was often delivered unconventionally,         be viewed by the public.
especially when compared to before the COVID-19
                                                               Many patients continue to benefit from surgery locally
pandemic. A telehealth approach was used to ensure
                                                               for diagnosis and treatment of their cancer. More than
patient care continued and to support quality outcomes.
                                                               800 colonoscopies were performed for colon cancer
Throughout the year our quality goal focused on decreasing     screening in Edenton and Ahoskie during the 2020
the diagnosis of stage 3 and 4 lung cancer. Strategies         calendar year. Screenings continued to help provide
implemented included utilization of our Low Dose CT            early diagnosis of colon cancers and monitor or
(LDCT) services to detect first or second-stage lung cancer.   remove lesions before cancer occurs. Cancer surgeries
Dr. Madhu Parmar, OB-Gyn, Cancer Liaison Physician,            continued after a short pause at the beginning of
visited local provider’s offices to discuss the importance     the Covid-19 pandemic. This pause was experienced
and availability of the screening as well as sharing the       throughout the nation and regionally as we worked
information with their patients. The screening provides        through the initial fog of the pandemic.
support to decrease the number of patients who would
                                                               2020 welcomed the opening of a new Palliative Care
eventually develop advanced-stage lung cancer. Each
                                                               unit, known as the “Butterfly Suite.” This spacious area
patient had to meet the established criteria, as determined
                                                               consists of a patient room and an adjacent room that
by their primary care provider, to receive a referral to
                                                               has a few amenities to enhance comfort. The services
be screened.
                                                               are provided on a referral basis by an onsite hospitalist
This initiative exceeded expectations. We saw an               and a consult with the Palliative Care Team at Vidant
11.1% increase in Low Dose CT lung screenings which            Medical Center. Services include: case management,
increased low-stage diagnosis of lung cancer and               hospice referrals, pain management, chaplain services,
decreased advanced-stage lung cancer. What an amazing          and implementation of advance directives.
accomplishment! Due to these outcomes, this initiative
                                                               Our Cancer Committee was formed in 2017 and we are
will continue into 2021 so we can further reduce advanced
                                                               excited about the tremendous progress that has been
stage lung cancer. This is a great example of the impact our
                                                               made over the past 3 years. This progress represents the
cancer committee has on our community’s health.
                                                               work of many dedicated members of our committee
To address the ongoing need for community education, the       and providers of cancer care in our region. It is a
first-ever Virtual Cancer Care Event was produced and made     privilege to be involved with this team as we celebrate
available in October by the marketing teams at                 past and look forward to future accomplishments.

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Cancer Care 2020 Report to the Community - Vidant Health
2020 Cancer Committee members
  Current Member – Area/Role               Name                                     Alternate
  ACS                                      Rachel Urban                             Robbie Tilley
  Cancer Committee Chair                   David Lingle, MD                         Madhu Parmar, MD
  Cancer Conference Coordinator            William Ballance, MD
  Cancer Liaison Physician                 Madhu Parmar, MD
  Cancer Program Administrator             Kasey Pearce, BSN, RN, OCN               Jennifer Riley, BSN, RN
  Cancer Registry/CTR                      Jaimie Morales, CTR                      Merrill Bright, CTR, RHIA
  Clinical Research Coordinator            Jennifer Stallings, RN
  Diagnostic Radiology                     William Hope, MD                         Brian Kuszyk, MD
                                           Lisa Newsome (Jan-May)
  Marketing/Events                                                                  Robin Bland, VROA Marketing Spec.
                                           Brian White (eff. June)
  Medical Oncology                         Chang Son, MD                            Darla Liles, MD
  Oncology Nurse                           Ann Munford, RN                          Tiffany Johnson, RN
  Palliative Care                          Ellie Ward, BSN, RN                      Melanie Davis, RN
  Pathology                                William Ballance, MD
  Quality Coordinator                      Susan Brinkley, MSN, RN                  Stacy Simmons, MSN, RN
  Radiation Oncology                       Melva Pinn-Bingham, MD                   Andrej Hnatov, MD
  Rehabilitation                           Jonathan Unger, BS                       Chris Burby, MPT
  Social Worker/Psychosocial Services
                                           Patricia Owens, MS, LCMHC, LCAS          Shirley Clark, LCSW
  Coordinator
  Surgeon                                  David Lingle, MD                         David Friedman, MD
  Survivorship Program Coordinator         Rhonda Overton, RN                       Nita Doughtie, RN

Cancer Committee participating in the virtual American College of Surgeons- Commission on Cancer survey on December 21, 2020.

                                                                                                                            3
Cancer Care 2020 Report to the Community - Vidant Health
Special Highlight of 2020

Vidant Roanoke-Chowan Hospital
Cancer Committee Goals & Quality Initiatives
The Vidant Roanoke-Chowan Hospital Cancer Committee’s
Program Goal was to decrease the number of chemo-
therapies taking longer than 60 minutes to receive to the
floor. Understanding that longer mix times mean that our
patients are waiting longer, we felt that this was an incred-
ibly important initiative. Through strategies implemented by
both pharmacy and oncology staff and with the help of our             The Vidant Roanoke-Chowan Hospital Radiology Low-Dose
Process Improvement team, we were able to decrease these              CT Team: Robbie Etters, MHA, Manager, Radiology Division;
                                                                      Marietta Chavis, Radiology Tech Assistant; Stephanie
infusions taking longer than 60 minutes to mix by a total of          Jernigan, RT(R) (CT), CT Supervisor and Katilyn Marie
54.2% for the 2020 calendar year. We are thankful for any ini-        Hoggard, RT (R), CT Technologist.
tiatives that give our patients more time with their families.
We understand the importance of LOW Dose CT and the impact that screening has on early detection. At VROA, we have noticed that
despite the availability of LDCT, our numbers performed have not been stellar. During 2020, our cancer committee, chose to focus on
decreasing the diagnosis of later stage lung cancer by community and provider education, screening clinics, and use of screening test
readily available at VROA.

This initiative, led by our quality coordinator and Dr. Parmar, Physician Liaison, Cancer Committee, resulted in a significant decrease in
the diagnosis of stage 3-4 cancer and an increase in the diagnosis of more treatable stage 1 and 2 lung cancer.

David Broome, PharmD and Melissa Barnes, Pharmacy                     David Broome, PharmD and Melissa Barnes, Pharmacy
Tech II, work together to verify, mix, and check the chemo            Tech II, (above) work together to verify, mix (right), and
drugs when the patients come for their treatments.                    check the chemo drugs when the patients come for their
                                                                      treatments. In the photo on the right, Melissa prepares to
                                                                      mix the chemo.

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Cancer Care 2020 Report to the Community - Vidant Health
VROA receives Commission on Cancer Accreditation

                           Dr. Parmar
                           Cancer Liaison Physician, Cancer Committee
                           Vidant Roanoke-Chowan Hospital

Institutional commitment is essential for the development           • Participate in the national data base
and success of an accredited Commission on Cancer (CoC)               It will allow us to compare how we are doing with the
program. Beginning in 2016, with Dr. Lingle’s vision and the          rest of the country and improve our own quality and
support of Vidant Roanoke-Chowan Hospital (VROA) and                  standards of cancer care.
Vidant Health leadership, we began pursuing accreditation         Over the last four years, quality initiatives were developed and
by the CoC, a Quality Program of the American College of          implemented and educational outreach community events
Surgeons. On January 31, 2017, VROA held our first Cancer         were held to help improve awareness.
Committee meeting and over the past 4 years have been
                                                                  One of the improvement initiatives was to decrease stage 3-4
meeting quarterly to fulfill our commitment to achieve better
                                                                  lung cancer diagnosis using low-dose lung CT scans. Despite
outcomes and improve the quality of life for the patients we
                                                                  the availability of the low-dose CT at VROA, we were not
serve. On December 21, 2020, VROA had a virtual CoC survey
                                                                  performing as many screening exams as we hoped. The team
and the surveyor was very complimentary on the work
                                                                  chose to focus on decreasing advanced-stage lung cancer by
around our focused clinical goals, our commitment to patient
                                                                  educating the community, providers and holding free screen-
safety, and the focus on continuous quality improvement.
                                                                  ing clinics. This initiative resulted in diagnosing more treatable
It is with great honor that we announce that Vidant Roanoke       stage 1-2 lung cancers and a decrease in advanced difficult to
Chowan hospital has received Commission on Cancer                 treat stage 3-4 cancers.
Accreditation. With the accreditation, the CoC validates that
                                                                  Diagnosing cancer at an earlier stage means a patient has a
VROA met or exceeded a set of high quality and care stan-
                                                                  better chance of recovery. Outreach and prevention events
dards that would not only help current patients, but also to
                                                                  like Dinner with a Doc, Pink Power and breast, colon, and
reduce the number of patients who may develop cancer.
                                                                  prostate cancer screenings, Senior Health and Fitness Day,
 Some of the significant benefits of being accredited include:    and others, are important to our mission of serving our
                                                                  patients and improving the quality of life in our communi-
  • The delivery of comprehensive care
                                                                  ties. Any initiative that gives our patients more time with their
    We provide care needs in all aspects of the cancer jour-
                                                                  families is truly a worthy cause.
    ney from diagnosis, treatment, recovery, survivorship,
    palliative, and hospice care.
  • The use of a multidisciplinary team approach.                          Lung Cancer by Stage % of Population
    All different specialists from Vidant Roanoke Chowan                          2018 to 2020 Compare
    Hospital, Vidant Medical Center, and throughout the             50%                                                      48%   47%
                                                                    45%
    Region collaborate on each case to develop the best                                                       41%
                                                                    40%
    treatment plan.
                                                                    35%
  • Patient centered care                                           30%
    We are committed to working with patients and families          25%
                                                                                  24%

    to come up with the best-individualized care plans.             20%
                                                                                               16%
  • Quality care close to home                                      15%                                                12%

    We understand the comfort of home is very important             10%                  7%
                                                                           4%
    to those affected by cancer. Our newly accredited               5%
                                                                    0%
    program will allow patients to receive cancer care locally,             Stage 1       Stage 2                 Stage 3
    while also having access and support of latest technolo-                                        2018   2020

    gies and clinical expertise of Vidant Medical Center.

                                                                                                                                         5
Cancer Care 2020 Report to the Community - Vidant Health
The Vidant Radiation Oncology
Integration
On October 5, 2020, Ahoskie Radiation Oncology officially
joins Vidant Radiation Oncology, LLC (VRO), a joint venture
between Vidant Medical Center and GenesisCare. Founded
in 2016, VRO brings forward leading technology, research
and expertise from both GenesisCare, Vidant and ECU Brody
School of Medicine. The collaborative partnership remains
one of the largest providers of radiation therapy in the US for
GenesisCare.
VRO has a team that includes radiation oncologists,
nurse practitioners, physicists, dosimetrists, radiation
                                                                  (l-r) Debbie Tucker, patient access representative at the Vidant
therapists, certified nursing assistances, nurses, financial
                                                                  Radiation Oncology Clinic, discusses a patient’s treatment
counselors, social workers, nurse navigators, nutritionists,      schedule options with Dr. Melva Pinn-Bingham, Radiation
and patient access staff. Our physicians have over 120 years
of combined experience in the radiation oncology. VRO
utilizes a multidisciplinary approach through tumor boards
and peer review to provide individualized, specialized
care to oncology patients. Tumor boards are held with
expert physicians in Vidant including (medical oncologist,
surgical oncologist, surgical subspecialists, radiologist,
and pathologist) to discuss the best treatment options for
patients diagnosed with cancer.
VRO treats all types of cancers and some non-cancerous
disease processes with the most current technology.               Vidant Radiation Oncology Clinic team members, work as a
VRO clinics use state-of-the-art equipment and multiple           team to ensure the highest quality of care and treatment for
radiotherapy modalities to provide effective radiation            the patients. (l-r, below) Brandi Roberson, Radiation Therapist
                                                                  and Rae White, Radiologic Technician.
therapy. These modalities include Varian
TrueBeam linear accelerators, Cyberknife and Gamma
Knife radiosurgery, high dose brachytherapy, Y-90                 Cancer Conference Team Members
radioembloization, Gammatile and CivaSheet introperative
brachytherapy, and radiopharmaceutical including radium
223. Vidant Radiation Oncology holds accreditations with
both the American College of Radiology as well as the
American College of Radiation Oncology.
VRO clinics in combination treat an average 140 patients
daily. During 2020 VRO provided over 20,000 radiation
treatments to patients within Eastern North Carolina.
During the ongoing COVID-19 pandemic VRO continued to
                                                                  William Ballance, MD; Keith Begelman, MD; Crystal Brabble, FNP;
provide safe, effective care to our patients, with adequate
                                                                  David Broome, PharmD; Nita Doughtie, RN; Timothy Frei, MD; David
PPE, and COVID-testing protocols. VRO has increased the           Friedman, MD; William Hope, MD; James Johnson, MD; George
utilization of telehealth visits to expand access to healthcare   Jordan, DO; Jessica Kim, DO; Brian Kuszyk, MD; David Lingle, MD;
and decrease the risk of exposure to patients, family             Shamusideen Ogbulu, MD; Rhonda Overton, RN; Madhu Parmar, MD;
members, and team members.                                        Kasey Pearce, RN, ONC; Melva Pinn-Bingham, MD; Joel Reynolds, MD;
                                                                  Pierre Selwane, MD; Charles Shelton, MD; Rebecca Snyder, MD; Chang
6                                                                 Son, MD; Linda Vaders, NP-C; Dwan Varner, MD; and Jan Wong, MD
Cancer Care 2020 Report to the Community - Vidant Health
Our Donors
Survivorship programs                                              The opportunity to donate to Cancer Care Services is
                                                                   available year-round and the names of individuals and
Vidant Roanoke-Chowan Cancer Care provides patient                 organizations are being added to the donor wall with
navigation and resources for each patient and family               eligible donations. Some of our most recent donors
based on their needs. Many opportunities for support and           include:
education are usually offered throughout the year, however
                                                                      • Edith Freeman Sunday School Class with First Baptist
with COVID, the Cancer Support Group and IN-Power                       Church of Ahoskie
Exercise Class were paused for the safety of the survivors.           • Woodmen Life
Although this year looked very different for patients,                • Alpha-Kappa-Alpha Sorority (pictured)
support and navigation services were still provided at             Donations provided include gas cards, and gift cards
appointments and over the phone.                                   from Walmart, Walgreens, and Food Lion. The monetary
One resource that continued to assist patient in 2020 is the       donations help us to grow the services we provide,
                                                                   enhance the patient’s experience when they are in our
rural patient transportation program called Transporting
                                                                   care, and to assist with financial burdens that survivors
Resident using Innovative Practices (TRIP), a grant-funded
                                                                   face.
rural patient transportation program provided by Roanoke
Chowan Community Health Center. Ten patients from                  We would like to honor our donors to show how much
Vidant Cancer Care received transportation services to             we appreciate the ongoing support from the community.
oncology, radiation, and other medical appointments at no
cost to the patient. Over 330 trips were scheduled for these
patients last year. A big thank you to HETS Transportation
for going above and beyond in getting these patients
transported to important appointments safely.
It is the goal of Vidant Cancer Care to continue to grow
survivorship programs to offer to the community.
Hopefully, these services will open back up in-person next
year with keeping safety as the main objective.

                                                                   (l-r) Members of the Xi Rho Omega Chapter of Alpha Kappa Sorority,
                                                                   Inc. are one of the local groups that supports Vidant Roanoke-
                                                                   Chowan Hospital Cancer Care Services through their donations.

                                                                 Community outreach, education and
                                                                 early intervention
                                                                 2020 Virtual Cancer Event
                                                                 Vidant Bertie, Vidant Chowan and Vidant Roanoke-Chowan hospitals
                                                                 teamed up to provide speakers from each hospital to develop the
                                                                 hospital’s first ever virtual community education event in October
                                                                 2020. Facebook Analytics reports that the 45-minute Cancer Care
                                                                 event reached 232 visitors with over 430 views at the time this report
                                                                 was printed and will remain available for viewing and as source of
                                                                 reference on each of the three regional hospital Facebook pages.
Jerry Futrell, Cancer Care patient, talks with Rhonda Overton,
RN, Cancer Care Navigator, about his plan of care.

                                                                                                                                   7
Cancer Care 2020 Report to the Community - Vidant Health
When I had Covid, Dr Liles
Rebecca Farmer                                                       called me about getting an
                                                                     infusion to help me feel better.
. . . A patient’s story                                              When I got there that day,
                                                                     I was very happy to see MY
My journey began back in 2019 when I was referred to the             nurses. Tiffany Johnson was
gastroenterologist. To my surprise, they found protein in my         the nurse that took care of
blood work, which was not normal. From there I was sent to           me. She started my IV, got me
Dr. Abdallah who did a bone marrow biopsy. Dr. Abdallah              straight, and explained every-
diagnosed me with myeloma in July of 2019. He said I could           thing about the medicine.
get all my treatments in Ahoskie so I would not have to
                                                                     Before I left I was feeling a little
travel back and forth to Greenville. I will admit that I was very
                                                                     better and was even able to
nervous, I had not even thought about being diagnosed with
                                                                     get up by myself, even though
cancer much less receiving treatments in Ahoskie. I have had
                                                                     Tiffany told me to call her.
several visits and procedures at Vidant Roanoke Chowan, I
                                                                     In a couple of days I felt a lot better thanks to the infusion
had my last baby there, a cyst removed from my breast, my
                                                                     [Bamlanivimab]. When I went in for the next round of chemo,
gallbladder removed, and I was even born there. I asked Dr.
                                                                     I told Linda (Vaders) “that girl needs a gold star”.
Abdallah if I wanted to could I return to him. He said that if I
felt as though I needed or wanted to come back to Greenville         I’ve never had a bad experience while I was at that hospital. I
after meeting the Ahoskie team, he would make me an                  know they have other patients but they treat me like a queen.
appointment. When I found out that my appointment was                They are mighty special and I think the world of all of them.
with Dr. Son, the Lord verified that he was sending me to the        They are angels, every single one of them. Everyone has taken
best. I felt a peace come over me and I knew I was going to          such good care of me; they are a true blessing.
be just fine.
                                                                     I am a red bird person… I just love cardinals. The last time I
On my first visit with Dr. Son I could tell that he was knowl-       went to my chair to get my infusion, there was a cardinal right
edgeable, intelligent, and very up to date. He was all business      there waiting for me in the garden. I sat back in my chair and
ensuring that everything that needed to be done was taken            listened to him sing through the window. He touched me; I
care of. My next visit I met Linda Vaders, Nurse Practitioner.       felt like the Lord put the red bird there for me to see.
She was so down to earth, it made me feel as though I can
                                                                     It has been a tough experience but a wonderful one at the
ask her anything. I’m comfortable opening up to her and
                                                                     same time. I love everything about Vidant Roanoke Chowan
telling her anything that I am going through. I think of her like
                                                                     Hospital. They are super nice, understanding, and helpful. On
a member of my family. I can call her at any time and tell her
                                                                     a scale of 1-10, they are beyond the number 10 in my book. I
how I feel and she will listen. If she isn’t available right then,
                                                                     am thankful that Dr. Abdallah sent me to have my treatment
she quickly calls me back and helps me. She is a very easy
                                                                     in Ahoskie, otherwise I would have never known the care that
person to talk with.
                                                                     is provided right here.
During my work up by Dr. Son and Linda, I developed pain
                                                                     Beyond what I have already said, the center is local and I can
in my leg, and was found to have a blood clot. After this was
                                                                     be there within 15-20 minutes. I don’t have to travel. I know I
treated, I was told I would need radiation for my cancer. I was
                                                                     will be well taken care of and loved while I am there. They are
sent to the radiation center across the street. Those girls were
                                                                     always glad to see you, glad to help you. They are warm, lov-
wonderful. They are the best group of young ladies that work
                                                                     ing people. They all want you to get well, and live life the best
there. I go back and visit them even now just to see how they
                                                                     you can while you are here.
are doing. The Lord really put me in the right places to get the
best care.                                                           I am proud to say that I have not had any protein in my blood
                                                                     in over a year, therefore no sign of cancer. This gives me more
I have been in the hospital at Vidant Roanoke-Chowan
                                                                     time to enjoy my family because family is so important. I am
Hospital on several occasions since I was diagnosed. I was
                                                                     looking forward now to a trip to Florida to see my sister.
in the hospital on my birthday last year in 2020. I have been
a patient on the ED, second floor and third floor and have           Every day we have choices; I choose to remember all the
never had a bad experience. There were times while I was             good things in life. If you just listen to that small voice, He will
in the hospital that I was so sick, I honestly didn’t think I was    guide you.
going to make it. If you don’t think the Lord doesn’t provide
for you - He provides everything!

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Cancer Care 2020 Report to the Community - Vidant Health
year. Over 100 data requests were provided for research and
Monitoring and reporting outcomes                                  outcome studies. Data for these studies include: county-based
                                                                   data, follow up, and annual case load statistics. Hospital specific
Cancer Registry                                                    case totals and other information were reported for Vidant
A cancer registry is a data system for the collection, manage-     Medical Center, Vidant Edgecombe, The Outer Banks Hospital,
ment, and analysis of data on persons with a cancer diagno-        and Vidant Beaufort hospitals.
sis. Vidant Roanoke-Chowan Hospital’s (VROA) cancer registry
accesses over 130 cases annually. The Vidant Health nine           Cancer registry data is utilized to report standard compliance to
hospitals combined accession over 4,000 cases annually. The        the American College of Surgeons Commission on Cancer for
top five sites diagnosed and treated at VROA are breast, lung,     accreditation purposes. The cancer registry reports annually the
prostate, colorectal, and uterine/cervical cancer.                 National Cancer Data Base (NCDB) and monthly to the North
                                                                   Carolina Central Cancer Registry. Data reported to the NCDB
The Cancer Registry Team                                           is used in the Cancer Programs Cancer Profile Practice Profile
The registry team consists of a Supervisor, Assistant              Reporting tool in order to monitor the facilities compliance
Supervisor, four oncology data abstractors, three of which         with national standard treatment guidelines of care.
are Certified Tumor Registrars (CTR’s), and one follow up
analyst. A Certified Tumor Registrar is a nationally certified     Rapid Quality Reporting System (RQRS)
data collection and management expert with the training            Vidant Roanoke-Chowan Hospital was accredited by the
and specialized skills to provide the high quality data required   Commission on Cancer as an Accredited Cancer Program in
in all avenues of cancer statistics and research. They review,     December, 2020. VROA participates in the American College
interpret and capture a complete summary of patient history,       of Surgeons Commission on Cancer Rapid Quality Reporting
demographic, diagnosis, staging, treatment modality and            System (RQRS) which has recently transformed to the Rapid
follow-up information. They also provide a valuable service to     Cancer Reporting System (RCRS). The objective of the RQRS
the hospital and public health professionals in determining        and RCRS is to promote and facilitate evidence-based cancer
needs in the community for resources for cancer prevention,        care at Commission on Cancer accredited cancer programs.
diagnosis and treatment services in order address the cancer       The RCRS serves to assess compliance with six National
burden in Eastern North Carolina. Cancer registrars provide        Quality Forum-endorsed quality performance measures for
a valuable service leading to better monitoring of trends,         breast and colon cancers. Participation in RCRS provides the
designing and evaluating programs and providing data for           VROA cancer program with real-time clinical alerts for indi-
cutting-edge research.                                             vidual cases in which pending adjuvant treatment has not yet
                                                                   been reported to the system. These alerts were developed
Data usage                                                         to provide a warning system for cancer programs to prevent
Cancer registry data is used continuously throughout the           patients from “slipping through the cracks.”

2019 selected cancer sites                   (most current available data)

                           Vidant Roanoke Chowan Hospital               North Carolina                           National
Primary site                  Cases               Percent           Cases            Percent            Cases               Percent
Breast                             31               22.5%            8,870          15.1%              268,600              15.2%
Lung                               27               19.6%            8,010          13.6%              228,150              12.9%
Prostate                           13                9.4%            7,490          12.8%              174,650               9.9%
Colorectal                         10                7.2%            4,310           7.3%              145,600               8.3%
Bladder                             2                1.4%            2,490           4.2%               80,470               4.6%
NH Lymphoma                         4                2.9%            2,220           3.8%               74,200               4.2%
Corpus uteri                        4                2.9%            1,960           3.3%               61,880               3.5%
Melanoma                            0                0.0%            3,550           6.0%               96,480               5.5%
Leukemia                            3                2.2%            1,960           3.3%               61,780               3.5%
Cervix                              5                3.6%             410            0.7%               13,170               0.7%
All others                        39                28.3%          17,420           29.7%              557,470              31.6%
Total cases                      137                100.0          55,130            100.0           1,762,450              100.0

                                                                                                                                      9
Cancer Care 2020 Report to the Community - Vidant Health
Scope of services
Vidant Roanoke-Chowan Hospital
Cancer Care
 • Hematology and Oncology
 • Vidant Radiation Oncology - Ahoskie
Programs and services
 • Animal Therapy
 • Behavioral Health
 • Cancer Conference
 • InPower cancer survivorship and exercise programs
 • Infusion suite/chemotherapy bay
 • Nutrition counseling
 • Pharmacy
Radiology services
 • 3D Mammography
 • Bone density
 • CT
 • Diagnostic radiography with fluoroscopy
                                                       Vicki Dale, Cancer Care patient, listens as Jennifer Stallings
 • MRI                                                 RN, Cancer Care Services, explains in detail what she can
 • Nuclear Medicine                                    expect during her treatment process.

 • PET/CT
 • Ultrasound
Rehabilitation therapy
 • Physical therapy
 • Speech therapy
Referral services
 • Clinical trials
 • Genetic Counseling

10
Vidant Roanoke-Chowan Hospital is fully-accredited by The American
College of Surgeons Commission on Cancer!
Dear Cancer Program:
“The Commission on Cancer (CoC) would like to extend its congratulations to the cancer program at Vidant
Roanoke Chowan Hospital for submitting deficiency resolution(s) and achieving full accreditation status after
its most recent CoC site visit.”
As you may recall, VROA had our site visit December 21, 2020, and as with most things in life, no one is
perfect. This was our first CoC survey at VROA. A small deficiency was identified and we worked through
said deficiency.
Here are a few words, from Kasey Pearce, RN Nurse Manager:
     “I am so excited to share that VROA has received full accreditation through the Commission on Cancer. I
     am thankful for our team and their hard work and dedication throughout this process. To me, achieving
     this accreditation has never been about the accreditation itself, its’ beyond any one thing, it truly speaks
     to the amazing team that we have here at VROA and the work they do every day for our patients and our
     community with every interaction. Thriving in our Vidant Mission, Vision and Values every day. I am beyond
     proud that I am part of such an amazing group of individuals. I am thankful for Dr. David Lingle’s vision for
     our cancer center. I never thought that our “rural little hospital” could not only pursue, but could achieve
     accreditation.”

Thank you, for those words Kasey. I could not agree more!
I applaud you, Dr. Lingle, the entire VROA Cancer Committee, as well as the host of team members and
physicians, who have contributed to this achievement!
As you’ve reflected, becoming accredited is a wonderful achievement. It also means, our patients are
receiving improved care coordination, which can have a positive impact on their cancer journey.
Again, I am SO VERY PROUD of all of you! You guys are AWESOME!!!
With heartfelt gratitude,

Judy Bruno, MBA, BSN, RN, NE-BC, FACHE
President, Vidant Roanoke-Chowan Hospital

                                                                                                                 11
Your Vidant Roanoke-Chowan Hospital Cancer Care team members

Front Cover:
(top) Dr. Chang (Chase) Son, Medical Oncologist
(bottom) Linda Vaders, Nurse Practitioner and Ann Marie Munford, RN.

                                                                                  500 S Academy Street
                                                                                  Ahoskie, NC 27910
21-RCH-500 06/21                                                                  VidantHealth.com
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