Standard 1.1Institutional and Programmatic Resources

ClaxtonHepburnMedicalCenter is an accredited facility with JCAHO (Joint Commission Accreditation of Healthcare Organizations) and the ACR (AmericanCollege of Radiology).

Standard 2.1Cancer Program Leadership

Cancer Committee is recognized in the CHMC Medical Bylaws

Standard 2.2Cancer Committee Membership

Required Physician Members

The following members of Cancer Committee are designated as:Christopher Brandy, M.D. – Physician Liason; Alka Srivastava, M.D. – Chairperson; Ali Gharagozloo, M.D. – Radiologist; Lulcille Alston, M.D. – Medical Oncologist, John Gebert, M.D. – Radiation Oncologist; Karen Kantor, D.O. – Pathologist

Required Non-Physician Members

Jerry Sheppard – Director of Cancer Center; Carol Lytle, RN, CTR – Certified Tumor Registrar; Jeanne Raven, RN, OCN – Oncology Nurse; Leah Neely, BSN - Performance Improvement; Kay Zimmer, LMSW – Oncology Social Worker

Additional Members

Adam Jarrett, M.D. – Chief Medical Officer; Juan Diego-Harris, M.D. – Pain Management; Michele Pelusi – Community Outreach; JJ Mahany, RPA-C – Physician’s Assistant; Gregory Guimond, R.Ph – Pharmacy; Kathy Beauchamp, RN – Med Surg Director; Vicki Perrine, BSN, MHA, FACHE – Administration; Kim Salton, RN, OCN – Nurse Navigator; Laura Gregory – American Cancer Society

Standard 2.3Cancer Committee Coordinators

Alka Srivastava, M.D. – Cancer Conference - Appoint

Carol Lytle, RN, CTR – Data Qualtiy Control - Reappoint

Michele Pelusi – Community Outreach - Reappoint

Leah Neely, BSN – Quality Improvement - Reappoint

Standard 2.4Meeting Schedule

Cancer Committee will return to meeting once quarterly on Wednesdays. Cancer

Conference (Tumor Board) will continue to meet on the 1st and 3rd Wednesdays of

each month. The required attendees will be present at 65% of all Cancer Conferences.

Standard 2.5Annual Goals

Standard 4.0Diagnostic and Treatment Services Available

On Site:

 Angiography

 Computerized Axial Tomography Scan (CT)

 Digital radiography for Mammography

 Mammography

 Magnetic Resonance Imaging (MRI)

 Nuclear Medicine

 Positron Emission Tomography Scan (PET)

 Ultrasound

 Hormone Therapy

 InfusionCenter With Chemotherapy

 Ultrasonic Surgical Aspiration

 Minimally Invasive Surgery

 Sentinel Lymph Node Biopsy

 Stereotactic Guided Biopsy (Not ACR accredited)

By Referral:

 Fluorescence Bronchoscopy

 Bone Marrow Transplant

 Chemoembolization

 Photodynamic Therapy

 Plasmapheresis

 Stem Cell Transplant

 Cryosurgery

 Radiofrequency Ablation

Standard 4.1Radiation Oncology Services Available

On Site:

 3D Conformal radiation Therapy

 Brachytherapy

 Computerized Treatment Planning

 External Beam Radiation Therapy

 Image Guided Radiation Therapy

 Intensity Modulated Ratdiation Therapy

 Kilovoltage and Electron Beam

 Linear Accelerator

 Systemic Radioisotopes

By Referral:

 Gamma Knife/Cyberknife

 High Dose Rate (HDR) MammoSite Radiation Therapy System

 Hyperthermia

 Proton Beam

 Stereotactic Radiosurgery

 Therasphere

Standard 4.2Funcional Equivalent of In-Patient Medical

Oncology Unit

Standard 4.4Number of Nurses with ONS Certification

 6 CancerCenter Nurses

 18 Med/Surg Nurses

 6 ICU Nurses

 3 Nursing Supervisors

Standard 4.5Management of In-Patient Oncology Unit

 Managed by ONS certified Nursing Supervisors and Nurse Manager

Standard 4.7Rehabilitation Services Available On-Site

 Enterostomal Services/Wound Care

 Lymphedema Services

 Physical Therapy

 Speech Therapy

 Occupational Therapy

Standard 5.1Clinical Trial Information Provided in the

following ways:

 Brochures/Pamphlets

 Patient Information Packets

 Patient Library

Standard 6.1Support Services

On Site:

I Can Cope

Inpatient Psychiatric Care

Look Good Feel Better

Nutritional Services

Oncology Social Worker

Outpatient Pain Clinic

Pain Management

Patient Navigator Program

PatientResourceCenter

By Referral:Art Therapy

Breast Cancer Support Group

Caregiver Support Group

Career Counseling

Child Life Program

Colorectal Cancer Support Group

Family/Children Support Group

Family Housing

Fertility and Sexuality Counseling

General Support Group

Genetic Counseling

Grief Counseling

Home Care Program

Hope Lodge

Hospice

Lodging Services

Long Term Follow Up

Loss/Bereavement Support Group

Lung Cancer Support Group

Man to Man

Nutritional Services

Oncology Dietician

Outpatient Psychiatric Care

Partner/Caregiver Support Group

Pastoral Care

Pediatric Oncology Social Services

Prostate Cancer Support Group

Psychological/Mental Health Services

Reach to Recovery

Road to Recovery

Survivorship Program

Transplant Support Group

Transportation Program

Wellness Program

Young Adult Support Group