Cone Health Cancer Report 2014

Healing Arts 2014 Annual Cancer Report

Healing Arts: As Ob s e rv e d by A n A rtis t

Letter to our Stakeholders Our footprint is expanding, making the Cone Health Cancer Center an even greater resource for handling the growing need for cancer care in our communities.

The expansion can be attributed, in large measure, to the opening of the new Cancer Center at Alamance Regional Medical Center. The $21 million, two-story, 44,000-square-foot facility opened in January 2014.

The renovated and expanded facility houses 24 exam rooms, two treatment rooms and 30 chemotherapy treatment areas – three times the space that was previously available. The chemo areas range from private rooms to communal areas where patients can establish bonds with others during time-consuming treatments. All of the spaces have views of a 2.5-acre healing garden.

I noticed two women taking photographs of the revolving butterfly sculpture on the second floor of the Cancer Center and asked if they liked it. One of them replied,“Oh, yes. My brother is being treated here for neck cancer. I come here with him, but it is so hard and so painful. The only thing that makes it possible for me to come into this building is the art.”

The Cone Health Cancer Center at Alamance Regional Medical Center houses two radiation vaults, one of which contains a new TrueBeam® linear accelerator. The TrueBeam uses powerful bursts of highly-focused radiation to accurately target and kill cancer cells, resulting in fewer side-effects and shorter treatment times. The other vault contains equipment to plan radiation treatments and equipment used in brachytherapy, an advanced seed implantation technique used to treat prostate cancer.

Growth of the Cone Health Cancer Center can also be attributed to a partnership between Cone Health and Randolph Hospital to bring state-of-the-art cancer care to Randolph County and surrounding areas.

Novel Use of Technology to Improve Patient Safety Thanks to the innovative and creative thinking of Cone Health Physicists David Wiant, PhD, and B. J. Sintay, PhD, cameras and computers ordinarily used to monitor patients are being used in a novel way to make treatments safer and more effective.

The AlignRT® system uses computers and six cameras to collect 3,000 data points that create detailed 3-D images of patients. Wiant and Sintay are using these images to position a patient on a radiation treatment table to within 1mm accuracy.

The system’s accuracy means that the cancer gets as much radiation as possible while sparing the surrounding healthy cells and structures. This method also reduces the amount of radiation the patient gets from X-rays that were previously used to align the patient and the lasers.

This novel use is the first time doctors can correct for any small patient movement, which allows Cone Health doctors to better use “breathe and hold” techniques for breast cancer patients. Taking a deep breath fills the lungs with air moving the breast tissue away from the heart, reducing radiation to the heart and avoiding subsequent heart problems in 15 to 20 years. Seeing a detailed image allows the radiation to be turned off when the patient begins exhaling. Cone Health Cancer Center will begin exploring the use of AlignRT-assisted breathe and hold techniques for other cancer patients such as those with liver cancer and lung cancer.

These are the types of best practices we will share with the Levine Cancer Institute of Carolinas HealthCare System as we move forward with building a mutually beneficial, collaborative relationship. A hallmark of the Cone Health Cancer Center is sharing what we’ve learned through our own innovation as well as learning from others as they work to discover and create best-in-class cancer care.

2

Breaking Ground with Oral Chemotherapy Another such innovation involves making the growing practice of prescribing oral chemotherapy as safe as possible.

Chemotherapy, while effective in treating cancer, is also highly toxic. Chemotherapy works by killing cancer cells within the body, which also causes harm to healthy, normal cells. However, while healthy cells regenerate, cancer cells do not. In a clinical setting, we can very closely monitor dosage and the effect on patients. But what happens when a patient is taking oral chemotherapy at home? That question is currently being studied by Cone Health researchers.

We are one of several cancer centers around the nation looking into and establishing best practices for communicating with patients.

Those practices include how and when to take these drugs, safe storage, drug handling and disposal procedures, and when it is important to check in with a professional healthcare provider.

This groundbreaking work will help define the next generation of cancer care.

In This Report The theme of this year’s report is Healing Arts. When you arrive at the Cone Health Cancer Center, one of the first things you experience is the power of art to stimulate, to inspire and to heal. This power can be felt throughout the Cone Health Cancer Center as you enjoy the more than 70 pieces of art that were underwritten by community contributions. The healing arts collection celebrates all forms of visual arts, including paintings, photography, fused and stained glass, ceramics and metal sculpture. In 2014, we invited local artists to set up a table and art supplies to create a dedicated space where patients can engage in spur-of-the-moment, interactive art activities. Throughout this report, you will find photos of the artwork as well as the stories told to and by the artists as they’ve witnessed the profound impact art has had on our patients.

Also in the following pages, we summarize some of our most important advances for 2014 as well as 2013 data from our Cancer Registry.

If you or a loved one has cancer, we’d like to help. Please go to conehealth.com for additional information about our program.

Sincerely, Skip Hislop Brendan Fitzpatrick Vice President for Oncology Services Executive Director, Cone Health Cancer Center at Cone Health Cancer Center at Wesley Long Hospital Alamance Regional Medical Center

Firas Shadad, MD Chairman, Cancer Committee Cone Health Cancer Center at Wesley Long Hospital

Timothy Finnegan, MD Chairman, Cancer Committee Cone Health Cancer Center at Alamance Regional Medical Center

Faera Byerly, MD Cancer Liaison Physician Cone Health Cancer Center at Wesley Long Hospital

Timothy Oaks, MD Cancer Liaison Physician Cone Health Cancer Center at Alamance Regional Medical Center

Cone Health Cancer Center at Wesley Long Hospital is accredited by the American College of Surgeons Commission on Cancer and the National Accreditation Program for Breast Centers. The Cone Health Cancer Center at Alamance Regional has earned a three-year accreditation with commendation from the American College of Surgeons. The Cone Health Cancer Center at Alamance Regional is also certified under the Quality Oncology Practice Initiative Program of The American Society of Clinical Oncology.

The data in this report includes Alamance Regional Medical Center and represents calendar year 2013 unless otherwise noted.

3

Cone Health Surpasses Others in Quality Patient Care Each year, we submit specific data to the National Cancer Data Base, which allows us to compare the effectiveness of our quality improvement measures against those of other cancer centers across the nation, including other programs that are accredited by the American College of Surgeons Commission on Cancer. The measures against which we benchmark ourselves are endorsed by the National Quality Forum. These measures emphasize the quality of patient care as well as the importance of accurate and complete documentation of care. Breast, colon and rectum cancers are the only ones identified by the Commission on Cancer for inclusion in this benchmarking.

The following charts, based on 2012 data, demonstrate how Cone Health Cancer Center compares and the percentage of patients who were affected.

100

92.9 86.4

85.7

Cone Health Cancer Center

Similar Programs

All Commission on Cancer Approved Programs

88.9

88.4

87

Cone Health Cancer Center

Similar Programs

All Commission on Cancer Approved Programs

90

Percentage Diagnosed Breast Cancer Patients

Radiation Therapy Administered Within One Year for Patients Receiving Breast Conservation Surgery

80 70 60 50 40 30 20 10 0

100 90

Percentage Diagnosed Breast Cancer Patients

Chemotherapy Administered Within Four Months

80 70 60 50 40 30 20 10 0

4

Hormone Therapy Administered Within One Year

As O bserved by An Art i st

100

Percentage Diagnosed Breast Cancer Patients

90

82.4

80

79.6

78.8

70 60 50 40 30 20 10 0 Cone Health Cancer Center

Similar Programs

All Commission on Cancer Approved Programs

Chemotherapy Administered Within Four Months 100

Percentage Diagnosed Colon Cancer Patients

90

Healing Arts:

83.3

81.8

80.5

Cone Health Cancer Center

Similar Programs

All Commission on Cancer Approved Programs

80

Two different patients approached me in the lobby to comment on the Gardens of Joy displayed throughout the lobby. These small sculpture gardens were created by patients in the Healing Art Days program. One individual said she was very much touched by the wishes for joy that patient participants had expressed to those who would see the gardens.

The other said that the gardens were so colorful and joyful that she had to wander around the lobby to find each of the five pots of clay flowers and examine each one.

70 60 50 40 30 20 10 0

Radiation Therapy Administered Within Six Months 100

Percentage Diagnosed Colon Cancer Patients

90

85.8

85.7

85.8

Cone Health Cancer Center

Similar Programs

All Commission on Cancer Approved Programs

80 70 60 50 40 30 20 10 0

5

2013 Cone Health Analytic Cases The following table shows the occurrence of cancer by gender and stage of disease. It includes all new patients seen in 2013 within the Cone Health network.

Total Male Female Primary Analytic Site Cases

ď‚€ ď‚

Blood & Bone Marrow

138

STAGE 0

I

II

III

IV

Unknown N/A

80 58 0 4 1 2 3 31 97

Bone 3 0 3 0 1 1 0 1 0 0 Brain

78

30 48 0 0 0 0 0 8 70

Breast 814 5 809 180 318 201 64 24 27

0

Digestive System

4

510

275 235

13 103 116 89 140 45

Endocrine 90 20 70 0 33 9 9 8 11 20 Female Genital

159

0 159 13 72 14 24 19 14 3

Lymphatic System 113 54 59 0 20 18 30 36 6 3

Male Genital 273 273 0 1 77 149 14 18 14 0

Oral Cavity 66 52 14 0 13 10 9 29 3 2

Respiratory System 598 299 299 8 167 49 117 237 19 1 Skin 50 29 21 8 13 10 11 4 2 2

Soft Tissue 10 6 4 0 5 2 0 0 3 0 Urinary System 250 172 78 108 71 28 15 17 10 1

Unknown Primary 49 22 27 0 0 0 0 0 6 43

Other/Ill-Defined 14 5 9 0 0 2 3 2 2 5 All Sites

6

3215

1322 1893 331 897 610 387 538 201 251

Healing Arts:

Top Four Sites at Cone Health, 2009-2013 During the time period 2009 to 2013, the top four sites diagnosed and/or treated at Cone Health have consistently been breast, lung, prostate and colorectal.

Breast Lung Prostate Colorectal

900 800

Number of Cases

700 600 500 400 300 200 100 0

2009

2010

2012

2011

2013

Year of Diagnosis

Age at Diagnosis by Gender, 2013 Analytic Cases The prevalence of cancer increases sharply at age 40 for women and age 50 for men.

500 450

Number of Patients

As O bserve d by An Art i st

Male Female

400 350 300 250

A gentleman sat at the nearby computer for a long time watching what we were doing.

He said he wasn’t interested in painting. After three hours, I finally decided to take painting supplies to him! He had a walker with a seat, and I placed a board and the paints and paper on top of that. As it turns out, he really enjoyed painting an iris and excitedly showed it to his wife when she finished her appointment.

Shortly afterwards, another woman ventured over and saw the painting of the iris.

She recognized the type of iris, because she has them in her garden. It was the painting that opened up our conversation.

The woman was at the Cancer Center with her sons, both of whom have serious cancers.

200 150 100 50 0 20-29

30-39

40-49

50-59

60-69

70-79

80-89

90-99

100-109

Age at Diagnosis

Class of Case, 2013 Analytic Cases A total of 3,215 analytic cases were diagnosed at Cone Health in 2013. Of these, 2,466 (76 percent) were patients who were initially diagnosed and received all or part of their first course of treatment at Cone Health.

Eighteen percent or 607 patients were diagnosed elsewhere but came to Cone Health for part or all of their first course of treatment. Only 142 patients (4 percent) were diagnosed at Cone Health and went elsewhere for their first course of treatment.

76%

Diagnosed and Treated at Cone Health

4% Diagnosed at Cone Health, Treated Elsewhere

18% Diagnosed Elsewhere, Treated at Cone Health

(Less than 100% due to rounding.)

7

Healing Arts: As Ob s e rv e d by A n A rt is t

2013 Analysis: Colorectal Cancer Colorectal cancer is defined as cancer that starts in the colon or the rectum. These gastrointestinal (GI) cancers can also be referred to separately as colon cancer or rectal cancer, depending on where they start. Colon cancer and rectal cancer have many features in common, although there are differences in treatment. Colon and rectal cancer statistics generally are reported as one under the umbrella of colorectal cancer.

Colorectal cancer is the third most common cancer diagnosed in both men and women in the United States. The American Cancer Society’s estimates on the number of colorectal cancer cases in the United States for 2014 are 96,830 new cases of colon cancer and 40,000 new cases of rectal cancer.

Colorectal cancer is the third leading cause of cancer-related deaths in the United States when men and women are considered separately, and the second leading cause of death when both genders are combined.

According to the American Cancer Society, colorectal cancer is expected to cause approximately 50,000 deaths during 2014.

The art creates connection and community in the Cancer Center lobby. A young woman with whom I spoke about doing art immediately put down her reading and stood up to go to the art table. The elderly gentleman sitting beside her was reluctant to try his hand at the art. The two patients didn’t know each other, but the young woman encouraged the man and after struggling to get out of his chair, he came over and painted with her. The art inspires people to help and support each other, and to encourage each other to try something new.

The care for GI cancer patients from initial diagnosis to treatment and follow-up is complex. Care providers include various medical specialists such as primary care, gastroenterologists, surgeons, radiologists, pathologists, medical oncologists, radiation oncologists, genetic counselors, nurse navigators, dietitians and social workers.

The Cone Health Cancer Center is familiar with the challenges and complexity of GI cancer care. In October 2012, a nurse navigator was hired to work with the GI cancer population, assist in eliminating barriers to care, and to help coordinate the GI oncology program. In December 2012, a key group of specialized physicians formed the GI Group, otherwise known as the GIG. The GIG meets monthly to solve issues related to quality patient care.

Over the past year, the GIG created a rectal cancer pathway, in accordance with National Comprehensive Cancer NetworkÂŽ guidelines as well as standard regulatory requirements. The pathway is an algorithm that helps expedite the accuracy with which rectal cancer is diagnosed and staged. The staging workup of rectal cancer is often complicated and unfamiliar to providers who do not come in contact with this disease on a regular basis. The algorithm is a great tool to assist providers in the decision-making process for the best course of treatment.

Along with the development of a rectal cancer algorithm, having regularly scheduled meetings with the GIG has enhanced physician communication. This approach to rectal cancer care is streamlining earlier treatment, improving coordination of care, and increasing patient and physician satisfaction.

8

In addition to the monthly GIG meetings, the GI Tumor Board meets weekly. This GI tumor board has been the main center of multidisciplinary care for the GI cancer population. The tumor board consists of gastroenterologists, surgeons, pathologists, radiologists, medical and radiation oncologists, genetics counselor, a nurse navigator and interventional radiologists. This is what true multidisciplinary care means. Cancer cases are presented and reviewed to determine the best course of treatment for each patient. Colorectal cancer is complex, and its treatment requires specialized coordination of the flow and sequencing of required tests, scans and procedures.

The GI Tumor Board discussion provides the ideal structure to review potential new colorectal cancer protocols since clinical trials involve multidisciplinary participation. A clinical trial program is required for cancer centers to receive accreditation by the American College of Surgeons. The Cone Health Cancer Center has had a clinical trial program since 1987. Patients are able to take part in national clinical trials and yet stay close to home.

Cone Health Cancer Center is an accredited cancer program with many strengths. Patients receive personalized care. They have one physician who is in charge of directing cancer care depending on their disease and treatment. Like other cancers, this is necessary in the treatment of colorectal cancer. The patient generally sees the same physician and care team every visit, giving that personal touch one might not receive at a larger facility.

In early 2013, Brad Sherrill, MD, and Faera Byerly, MD, began to study the rectal cancer population, comparing treatment prior to the Cone Health Cancer Center developing a formal GI program (GI navigator and GIG) to treatment after the Cone Health Cancer Center created a GI program. The study asked the following two questions:

1. Are all newly diagnosed Stage II and III rectal cancers staged and considered for neoadjuvant treatment (chemotherapy and/or radiation prior to surgery)?

2. Was a carcinoembryonic antigen (CEA) lab test collected prior to treatment (surgery or other treatment)?

The CEA test measures the amount of protein that appears in the blood of those with colorectal cancer and is used to find how widespread the cancer has become or check the success of treatment.

Drs. Sherrill and Byerly developed these questions based on standard of care parameters from national guidelines.

At publication time, this research continues. Once completed, the study will compare the 2011-2012 (pre-GI program) time period to the 2013-2014 (post-GI program) period. The physicians hope to prove the GI program has enhanced the quality of care for colorectal patients.

Results for 2013 and 2014 are currently being gathered and are not yet available. However, the results for the preGI program are available at right.

An analysis of 2011 and 2012, the time period during which the Cone Health Cancer Center GI program was beginning, shows increased percentages for both study questions.

2011 2012

Total # of Patients in Stage Group II or III

33

29

Total # of Patients Receiving Surgery

26

25

Total # of Patients Considered for Neoadjuvant Treatment Prior to Surgery

21

22

% of Patients Considered for Neoadjuvant Treatment Prior to Surgery

80%

88%

Total # of Patients with CEA Done Prior to Surgery

20

27

% of Patients with CEA Done Prior to Surgery

60%

93%

9

Healing Arts: As Obs e rv e d by A n A rt is t

2013 Colorectal Cases by Stage and Age Group Diagnosed and/or Treated at Cone Health

So many people waiting in the lobby look nervous and anxious. When they came to the table to paint, I would watch the tension disappear. One young patient said she didn’t feel well enough to paint, but she eventually did paint. She said she had been watching what was going on in the art corner and thought she should try it. I watched the transformation as her fear and tension washed away to a feeling of calm and peace. It amazes me how visible the change is. I love to watch the patients arrive at a place of peace then go on to their appointments with confidence and hope. It isn’t so much about the art. Art is the means by which people can release their tension, expressing their feelings with the tools of paint brushes and beautiful colors.

10

Age at Diagnosis

STAGE 0

18-29

0 1 1 1 0 0

30-39

0 0 0 1 0 1

40-49

1 3 2 4 6 2

50-59

0 14 14 7 6 8

60-69

4 13 11 11 10 7

70-79

4 13 12 8 10 9

80-89

1 13 6 4 5 5

90-99

0 1 2 1 1 3

100-109

0 1 0 0 0 0

I

II

III

IV

Unknown

Healing Arts: As O bserved by An Art i st

2013 Colorectal Cases by Age Group Diagnosed and/or Treated at Cone Health 60

56

55

58

52

50

Number of Patients

45 40

37

35 30 25 20

17

15

9

10 5

3

0 20-29

2 30-39

1 40-49

50-59

60-69

70-79

80-89

90-99

100-109

Age at Diagnosis

2013 Colorectal Cases by Race and Age Group Diagnosed and/or Treated at Cone Health 60

57 44

55

59 39

58

White Black Other/Unknown

44

50

Number of Patients

45 40

34

35

30

30 25

20

20

10

15 10

12

13

8

9

5 0

19

1 20-29

2 30-39

At one point during the afternoon, there were patients at the art table who spoke Spanish and another family who spoke Cambodian. With bright colors and brushstrokes, they became immersed in painting and seemingly forgot about the worry and fear associated with their diseases. Very different people who wouldn’t have ordinarily come together, surrounding a table filled with painting supplies, demonstrating creativity, concentration, connection.

7 1

1 40-49

50-59

60-69

2 70-79

1

4 80-89

90-99

100-109

Age at Diagnosis

11

Healing Arts: As Obs e rv e d by A n A rt is t

I was showing a visitor the art on the walls. A patient, who was waiting in the Breast Center lobby, interjected into the conversation that there was much more art down the hallway.

She went on to say that upon her cancer diagnosis, her family wanted her to go elsewhere, because they felt it would be better than the local cancer center. The patient said that she came to Cone Health Cancer Center just to see what it was like.

That’s when she saw all the original art on the walls. She went on to say that she decided any place that took such care to create a healing environment would take good care of her. ‘Why would I want to go anywhere else,’ she asked.

2013 Colon Cases by Gender and Age Group Diagnosed and/or Treated at Cone Health Male

STAGE Age

Female

 

18-29

1 1

30-39

1 0

40-49

9 2

50-59

31 16

60-69

29 23

70-79

21 30

80-89

10 21

90+

2 6

Total

104

99

2013 Colon Cases by Race and Age Group Diagnosed and/or Treated at Cone Health

55

52

50

47

39

36

45

Number of Patients

36

White Black Other/Unknown

51

40 35

31

30

27

25 20 15

5 0

15

11

10

5

12

11

6

2

1

18-29

30-39

6 40-49

1 50-59

60-69

4 70-79

Age at Diagnosis

12

8

80-89

2 90+

Healing Arts: As O bserved by An Art i st

2013 Rectal Cases by Gender and Age Group Diagnosed and/or Treated at Cone Health Male

STAGE Age

Female

 

20-29

0 1

30-39

1 0

40-49

6 3

50-59

4 6

60-69

6 1

70-79

6 1

80-89

1 2

90+

1 0

Total

25

14

2013 Rectal Cases by Race and Age Group Diagnosed and/or Treated at Cone Health

10

10

9

Number of Patients

9

White Black Other/Unknown

8

5

8 7 6

7

7

3

5

An older woman and her granddaughter painted for a while, had to go to an appointment, and later returned to finish painting. The older woman was joyful. She told me how much she enjoyed painting. She said that her life had become better because, since her diagnosis, she has taken the time to do the things that make her happy. She now ‘stops to smell the roses.’

5 4

4

3

3

3 2 1

1

2

1

2

1

1

0 20-29

30-39

40-49

50-59

60-69

70-79

80-89

90+

Age at Diagnosis

13

1

2

3

4

5

About Us Cone Health is a not-for-profit network of health care providers serving people in Guilford, Forsyth, Rockingham, Alamance, Randolph, Caswell and surrounding counties. Our tagline – “The Network for Exceptional Care” – highlights our commitment to excellence, which is shared by our more than 11,000 employees, 1,300 physicians and 1,200 volunteers.

As one of the region’s largest and most comprehensive health networks, Cone Health has more than 100 locations, including six hospitals, three ambulatory care centers, three outpatient surgical centers, four urgent care centers, a retirement community, more than 75 physician practice sites and multiple centers of excellence.

1 Alamance Regional Medical Center, a 238-bed medical and surgical hospital in Alamance County, joined Cone Health in May 2013. Specialized services include heart and vascular, cancer and women’s care as well as advanced imaging services and surgical services, among others. Our modern facility utilizes cutting-edge equipment such as the da Vinci® surgical robot system.

2 Annie Penn Hospital has 110 acute care beds. This facility includes inpatient and short stay surgery centers, cancer care, heart care and specialty clinics such as a Sleep Disorders Center and an Endoscopy Center of Excellence.

3 Behavioral Health Hospital offers pediatric and adult inpatient crisis stabilization at an 80-bed facility. Outpatient care includes numerous group therapy programs as well as individual counseling and day programs. The hospital also offers the community a 24-hour Helpline that provides access to a trained professional. Three additional outpatient Behavioral Health Centers also are located in Greensboro, Kernersville and Reidsville.

6

7

4 Cone Health Medical Group is a physician-lead network of specialty and primary care medical practices of more than 400 doctors and health care professionals at nearly 100 locations across the Triad. Cone Health Medical Group providers offer primary care medical services, including family medicine, internal medicine, obstetrics and gynecology, pediatrics and urgent care. Specialty care – such as cardiology, gastroenterology, pulmonology, rheumatology, oncology, endocrinology, urology and general surgery – is also available at many locations.

5 MedCenter High Point is a 75,000-square-foot facility that features a 24hour emergency department; comprehensive lab and imaging services; an outpatient pharmacy; Women’s Health Network; specialized health services such as outpatient rehabilitation, cancer care, heart care and sports medicine; and other walk-in services.

6 MedCenter Kernersville offers a full range of services, including family medicine, women’s health care, orthopedics, heart care, outpatient rehabilitation, behavioral health, and occupational health complete with an onsite lab and imaging services. For those seeking immediate care, we offer an urgent care facility that is open seven days a week with minimal wait times.

7 MedCenter Mebane offers numerous services in a single location, including an outpatient surgery center; urgent, primary and cancer care; and services in the areas of ear, nose and throat, gastroenterology, imaging, radiology, lab, physical therapy, diabetes management, nutrition therapy, occupational health, ophthalmology/optometry, dermatology and plastic surgery.

8

8 The Moses H. Cone Memorial Hospital is our flagship. Moses Cone Hospital is a 536bed teaching hospital and referral center. It includes a Children’s Emergency Department, Level II Trauma Center and centers of excellence in orthopedics, neurosciences, stroke, and heart and vascular care. North Tower opened in 2013 with 16 new operating rooms and all private patient rooms.

9 Triad HealthCare Network is one of the nation’s most successful accountable care organizations. Cone Health partnered with local physicians to create this consortium of more than 700 physicians in Guilford, Rockingham, Randolph and Alamance counties. Those physicians have come together to demonstrate how collaboration will allow them to markedly improve the quality and value of the care provided to patients.

10 Wesley Long Hospital offers 175 private beds for oncology, bariatric, urology and orthopedics medical and surgical patients.

Our modern facility utilizes state-of-the-art equipment such as the da Vinci® surgical robot system and the SpyGlass® visualization system in the Endoscopy Center. The campus also provides cancer, sickle cell, sleep disorders, and wound and hyperbaric care.

11 Women’s Hospital, a 134-bed facility, is home to one of the area’s most experienced neonatal intensive care teams. The hospital’s Level II and Level III unit has been providing care to critically ill newborns since 1990. The hospital also houses the nationally accredited Breast and Ultrasound Imaging Center. The hospital’s da Vinci® robot provides minimally invasive surgical care for gynecology patients.

9

10

11

Exceptional Cancer Care

Healing Arts: As O bserved by An Art i st

Oncology Treatment, Research and Administrative Headquarters Cone Health Cancer Center at Wesley Long Hospital

Oncology Treatment & Research Centers Cone Health Cancer Center at Alamance Regional Cone Health Cancer Center at Randolph Hospital

Medical Oncology and Support Centers Cone Health Cancer Center at Annie Penn Hospital Cone Health Cancer Center at MedCenter High Point Cone Health Cancer Center at MedCenter Mebane

ROCKINGHAM

Annie Penn

159

29

BUS

40

MedCenter Mebane

Wesley Long

A MedCenter High Point

Late in the afternoon after almost everyone else had left the Cancer Center, a father and a young child sat at the art table coloring mandalas. They are quiet and focused and involved in what they are doing. The art invites everyone to participate, especially a child.

40

Alamance Regional

85

GUILFORD BUS

RANDOLPH

85

ALAMANCE

Randolph Hospital 64

15

Mailing Address: 1200 N. Elm St. | Greensboro, NC 27401 Street Address: 501 N. Elam Ave. | Greensboro, NC 27403 conehealth.com