32 Regional Presence Expansion PAYSON CENTER FOR CANCER CARE In little more than a decade, Concord Hospital Payson Center for Cancer Care has grown into a nationally recognized cancer center. Payson Center does more than treat cancer. Its expert, compassionate providers care for patients and their families using the latest technology, combined with an extensive array of proven support programs to help ease the burden of cancer for patients and their families. CancerSurvivorshipProgram The National Cancer Institute (NCI) estimates there are more than 14.5 million cancer survivors in the United States. Thankfully, as cancer treatments improve, the number of cancer survivors will continue to grow around the nation, and in our own community. Concord Hospital diagnoses and treats approximately 1,000 new cancer patients annually. Concord Hospital has been an American College of Surgeons (ACoS) Commission on Cancer (CoC) accredited center since 1983. One aspect of this accreditation is to ensure cancer patients receive a survivorship care plan. To address the needs of cancer survivors, Payson Center began developing a survivorship clinic and hopes to have it operational early 2018. Led by a nurse practitioner (NP), the clinic will provide a personalized survivorship care plan for every survivor to: § Document the original diagnosis and all treatments; § Provide education materials about anticipated side and late effects resulting from treatments; § Provide a detailed plan for follow-up care and surveillance, including target appointment dates and specific goals for those appointments. The program also will monitor survivors’ compliance to their care and follow-up plans to ensure that all surveillance, tests and consultations actually occur. The NP also will conduct a consultation appointment providing structured assessments and education and discussing social service offerings at Concord Hospital and in the community. StereotacticRadiosurgeryProgram Two major advances in technology at Concord Hospital Payson Center for Cancer Care mean some brain cancer patients who previously would have been referred elsewhere or undergone weeks of radiation treatment now can be treated close to home, possibly in a single session. One advance is theTrueBeam™ Linear Accelerator, acquired in 2016, as the result of a special fundraising campaign by Concord HospitalTrust. It provides highly penetrating X-ray beams, which are shaped to conform to a patient’s tumor. It also includes a special couch or table that enables very precise positioning of the patient.The second advance is stereotactic radiosurgery (SRS), a highly precise form of radiation therapy available now at Payson Center because ofTrueBeam’s intricate positioning and imaging. Because the precisely targeted radiation beams do not damage surrounding healthy brain tissue, the SRS procedure can deliver much higher doses of radiation to a tumor, even more than patients might have received in three weeks of radiation therapy. That means patients experience fewer treatments – perhaps only a single treatment. SRS is used to treat brain metastases, cancer cells that have spread to the brain from other organs in the body.The main benefit of the SRS technology is that it allows doctors to aim as many as 20 or 30 beams of low radiation from all angles at a tumor that might be deep in the brain.