National Comprehensive Cancer Network

Since its inception in 1973, the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins has been dedicated to better understanding human cancers and finding more effective treatments. One of only 41 cancer centers in the country designated by the National Cancer Institute (NCI) as a Comprehensive Cancer Center, the Kimmel Cancer Center has active programs in clinical research, laboratory research, education, community outreach, and prevention and control. The Sidney Kimmel Cancer Center at Johns Hopkins is the only such NCI Comprehensive Cancer Center in the state of Maryland . Patients who visit the Kimmel Cancer Center have access to some of the most innovative and advanced therapies in the world. Because Center clinicians and research scientists work closely together, new drugs and treatments developed in the laboratory are quickly transferred to the clinical setting, offering patients improved therapeutic options.

The Sidney Kimmel Cancer Center at Johns Hopkins encompasses a wide spectrum of specialty programs for both adults and children coping with cancer, including bone marrow transplantation and new drug development. Additionally, those at high risk for breast, ovarian, colon, and other cancers may seek information about early detection, prevention, and genetic counseling through a comprehensive genetics service.

The Center also offers family and patient services that include a Cancer Counseling Center, survivors and palliative care programs, patient and family education, and two residences for patients traveling from out-of-town to receive treatment.

Hopkins furthered its commitment to excellence in patient care and research by building three new facilities that enhance ongoing programs and services and promote new developments in cancer research, treatment, and prevention: the Harry and Jeanette Weinberg Building, a new clinical care cancer facility, opened in the fall of 2000; and the Bunting • Blaustein Building, a state-of-the-art cancer research and teaching building, which opened in late 1999; and, in 2006, the Kimmel Cancer Center opened the Koch Cancer Research Building.

General Information

The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins General Information	410.955.5222
Directions to the Johns Hopkins Hospital	410.955.0166
Kimmel Cancer Center New Patient Referral Office	410.955.8964
International Guest Services	410.955.8032
Patient Relations	410.955.2273
Outpatient Pharmacy	410.955.5747
Home Care	410.288.8100
Physician Referral Line	410.955.8964 For Emergency and to reach a medical oncology on-call the Hopkins Access Line (HAL) is a 24-hour, doctor-to-doctor telephone consultation and referral service provided free of charge to doctors around the world. The service is accessible via telephone number 410-955-9444 and can be used by a physician wishing to reach a Hopkins colleague quickly to discuss a case or arrange for emergency transport of a patient to Johns Hopkins from anywhere in the world. For non-emergency situations or if you require language interpretation, please contact us indicating the appropriate Regional Division. The Hopkins Access Line service is for physicians only. If you are not a physician and wish to request an appointment, please call 410-955-8964. 800.765.5447 (Continental United States) 410.955.9444 (Baltimore area and international calls)
Location	The Harry and Jeanette Weinberg Building 401 North Broadway Baltimore, MD 21231

Facility

The main clinical site for the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins is located on the campus of the Johns Hopkins Medical Institutions in East Baltimore, Maryland . Clinical services for adult patients are in the Harry and Jeanette Weinberg Building. The Kimmel Cancer Center also provides oncology services at our satellite clinic in its suburban location at Green Spring Station in Lutherville, Maryland , north of Baltimore and easily accessed by residents in Southern Pennsylvania.

Weinberg Building Details:

· 350,000 net square feet

· 9 floors

· 3 floors underground, a portion of which is designated for patient and visitor parking

· Glass-enclosed walkway connects to main hospital building

· Ambulatory Services

· Inpatient and Outpatient Surgical Center

· 16 Operating Suites

· Post-anesthesia care unit

· 62 Medical Oncology Beds (includes Hematologic Oncology and Bone Marrow Transplant, IPOP and HIPOP)

· Infusion Center

· 72 surgical beds

· 20 intensive and intermediate care beds

· Anesthesiology

· Inpatient/Outpatient Continuum of Care (IPOP and HIPOP)

· Gynecologic Oncology, Gynecology, Urogynecology, Reproductive Endocrinology

· Image Recovery

· Pathology

· Duffey Patient and Family Services

· Duffey Pain and Palliative Care Program

· Outpatient Pharmacy

· Physical Therapy

· Radiology

· Radiation Oncology

· Chapel, Auditorium, Conference Rooms, and a Juice Bar/Coffee Shop

· Staff Dining room

Travel Assistance

Johns Hopkins USA is a single point of contact to Johns Hopkins services and medical facilities. Trained professionals help plan patient visits, from appointments to travel arrangements. Hopkins USA is available any time between 8:30 AM and 4:30 PM Eastern time Monday through Friday by calling.

Lodging

The Kimmel Cancer Center's Housing Referral Service assists patients and their guests by providing information about available housing options, including nearby residential facilities, hotel accommodations and apartment leasing. The Housing Referral Service operates Monday through Friday and can be reached by dialing 410.614.6527 or visiting the Duffey Patient and Family Services Suite on the first floor of the Harry and Jeanette Weinberg Building.

Located just across the street from the Harry and Jeanette Weinberg Building is the Hackerman-Patz Patient and Family Pavilion which offers short-term or long-term housing options for adults (12 years and older) in a homelike environment. Just like home, the Pavilion has spacious central kitchens, activity rooms, as well as a library and meditation space. Designed to provide housing for cancer patients and their families, the Pavilion can accommodate other patients when space availability allows. Nightly rates are $60 for a suite and $87 for a one-bedroom apartment. Patients can call 410.614.6527 to be placed on the waiting list for accommodations at the Pavilion.

Treatment

Multidisciplinary Clinics

See list below. Contact number for all clinics is 410.955.8964.

Multidisciplinary Teams	Each of the programs listed below offers comprehensive, multidisciplinary care and offers the full spectrum of clinical and support services, from screening and diagnosis to treatment and counseling. Our multidisciplinary programs pride themselves on offering innovative, integrated, high quality, and cost-effective care. We also strive to stand at the forefront of cancer research and treatment. Our state-of-the-art technology and highly skilled medical professionals are internationally recognized. Patients who visit us have access to the most advanced tests and therapies available anywhere. Our special expertise centers around these programs: · Autoimmune Disorders, Aplastic Anemia · Breast Center · Bone Marrow Transplant Program · Brain and Spinal Tumor Program · Cancer Prevention Program · Colon Cancer Center · Head and Neck Cancer Center · HIV-Related Cancers Program · Kelly Gynecologic Oncology Service · Leukemia Service · Liver Cancer Center · Lung Cancer (Upper Aero Digestive Program) · Lymphoma Program and Clinic · Melanoma and Cutaneous Oncology Group · Myeloid Disorders Clinic · Pain and Palliative Care Program · Pancreatic Cancer Service · Pediatric Oncology Program · Prostate Cancer and Other Genitourinary Cancers Program · Sarcoma and Soft Tissue Center · Radiosurgery Program Our regular case conferences include: · Journal Club · Morbidity and Mortality Conference · Grand Rounds · Translational Research Conference · Visiting Professor Lecture Series · 4th Quarter Course-Biology of Cancer Hematopoiesis and Immunology Society Seminar Series

Stem Cell Transplant Program

Diseases Treated

· AML, ALL, CML, CLL

· Non-Hodgkin's lymphoma

· Hodgkin's disease

· Multiple Myeloma

· Myelodysplastic Syndrome

· Solid tumors: Breast cancer, Ovarian cancer, Testicular cancer, Pediatric solid tumors

· Anemias: Aplastic Anemia, Fanconi Anemia, Paroxysmal Nocturnal Hemoglobinuria

· Inherited diseases: immune deficiencies, metabolic disease, hemoglobinopathies

· Severe autoimmune diseases

Types of Transplants Offered

· Allogeneic-related and allogeneic-unrelated

· Mini transplants (includes matched and mismatched donors)

· Syngeneic

· Autologous

New Approaches Being Developed at Johns Hopkins

· Boosting the patient's immune system after BMT to fight cancer, including tumor vaccines

· Purging agents for autologous BMT, especially in leukemia

· Engineering of allogeneic transplants to reduce GVHD while maintaining GVL

· Autologous BMT for chronic myeloid leukemia

· Prevention and treatment of GVHD

· Isolation and expansion of stem cells for BMT

· Outpatient BMT (IPOP)

· Non-myeloablative or 'mini-BMT'

· High-dose therapy for severe autoimmune diseases

Cancer Risk Assessment Program (Genetic Counseling)

410.502.7082

The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins operates a Cancer Risk Assessment Program. The program is composed of three clinics: the Breast and Ovarian Surveillance Service, the Colon Cancer Risk Assessment Service, and the Familial Cancer Service. The Familial Cancer Service is available to address familial forms of cancer and concerns not related to breast, ovarian, or colon cancer. The multidisciplinary consultation service provides genetic counseling and risk assessment to cancer patients, their families, and high-risk individuals. The Cancer Risk Assessment team includes individuals trained in oncology, gastroenterology, genetics, epidemiology, genetic counseling, psychology, and nursing.

Director, Cancer Risk Assessment Program:Constance Griffin, MD
Director, Breast and Ovarian Surveillance Service: Deborah Armstrong, MD
Director, Colon Cancer Risk Assessment Clinic:Francis Giardiello, MD
Director, Familial Cancer Service:Constance Griffin, MD

Schedule Appointments:
Breast & Ovarian Surveillance
410.502.7082

Colon Cancer Center
410.502.7082

Familial Cancer Service
410.502.7082

Cancer Risk Assessment Program (Genetic Counseling)
410.502.7082

Colon Cancer Center
410.502.7082

The Hereditary Colorectal Cancer Registry - 410.955.3875 (local) 888.77.COLON / 888.772.6566 (national)

The Registry maintains a database of affected families and tracks their risk of contracting the disease.

Community Screening

The Cigarette Restitution Fund provides Hopkins with a public health grant for the development of community-based cancer prevention, education, and screening programs. Called the Baltimore City Cancer Plan, Hopkins clinicians are collaborating with colleagues at University of Maryland, Sinai Hospital, the Baltimore City Health Department, and the Department of Health and Mental Hygiene. The first project is focused on prostate education and screening. The grant provides for prostate specific antigen (PSA) testing and digital rectal exams performed at designated community sites by Hopkins physicians and nurses as well as any necessary follow-up care or treatment.

Support Services

The Harry J. Duffey Family Patient and Family Services Program at the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins assists patients and families throughout their cancer experience. Comprehensive services and resources are available to address the psychosocial needs of patients and families across the entire continuum of the disease from diagnosis to "living with cancer" to palliative care.

The Duffey Program is comprised of the following:

· Oncology Social Work

· Cancer Counseling Center

· The Residential Living Program

· Housing Referral Service

· Community Referral and Transportation Coordination

· Living with Cancer Support and Education Program

· Pastoral Care

· Pain and Palliative Care Program

Services offered include:

· Problem-solving skills tailored to cancer and cancer treatment

· Comprehensive cancer information

· Cancer counseling for individuals, couples, family members, and friends

· Support groups

· Strategies for managing emotions, pain, and fatigue

· Spiritual guidance through non-denominational chaplaincy

· Ways to overcome communication barriers with the health care team

· Keys to learning how the hospital system works

· Ways to talk to children and loved ones about cancer and cancer treatment

· Identification of community support resources, including home care

· Temporary housing resources in Baltimore

· Transportation resources

· Keys to understanding medical insurance and payment issues

The Duffey Family Pain and Palliative Care Program focuses on the whole person: body, mind and spirit. Our multidisciplinary team of experts focus on comfort and symptom management, open communication with family and the treatment team and recognizes the dignity and spirit of each person.

At the Kimmel Cancer Center, our goal is patient comfort during treatment. With the help of our Pain and Palliative Care Team, patients and their families can be assured that they will receive guidance and support with difficult decisions, emotional support for their entire family, and expert treatment of pain and other symptoms. Overall, the Pain and Palliative Care staff focuses on the importance of quality of life during and after treatment.

When it comes to chronic cancer pain, patients need additional support and education. To help patients cope with chronic pain associated with cancer, our cancer pain experts developed an interactive web-based program that provides patients with practical tools in which to manage their pain (www.cancerpain.jhmi.edu), to rate their pain experience, and to learn how to solve the most common cancer pain-related problems.

The Johns Hopkins Home Care Group - 410.288.8100

Johns Hopkins Home Care Group (JHHCG) offers a broad range of services and products with specialization in the oncology home care needs of adult and pediatric patients throughout Central Maryland. In addition to home care visits by experienced nurses, respiratory therapists, physical, occupational and speech therapists, home health aides and social workers, JHHCG provides a complete line of respiratory and durable medical equipment and supplies, Home Infusion medications and nutritional products are dispensed and managed by an expert team of clinical infusion pharmacy specialists, dieticians, and a highly experienced infusion nursing team.

The Johns Hopkins Outpatient Pharmacy at Weinberg - 410.955.5747

The Johns Hopkins Outpatient Pharmacy is a full-service pharmacy specializing in hematology /oncology outpatient prescription dispensing and patient consultation. Specialty medications used in oncology are readily available for the convenience of patients. Most major insurance plans are accepted. The outpatient pharmacy is located on the first floor of the Weinberg Building.

The Image Recovery Center - 410.502.5623, www.imagerecovery.com

Every cancer center patient can receive a complimentary consultation to discuss appearance changes that may occur during treatment. Services are provided for adults and children. In-room service is available. The Image Recovery Center is located on the first floor of the Weinberg Building.

Nutrition Services - 410.955.8152

Offers patients specialized nutrition assessments, personalized dietary plans, and nutritional counseling.

Cooperative Group Membership

Cooperative Group Membership List	· ACRIN · ACOSOG · CALGB · ECOG · COG · GOG · NSABP · RTOG · NABTT · AMC · P2C (including consortiums)
Activities in Cooperative Group	SKCCC is actively involved in cooperative groups, playing a leadership role in some.
Average Number of Adult Clinical Trials	325 total studies currently open to enrollment (2009) 120 non-therapeutic Pediatric = 9 Adult = 102 For both adult and pediatric = 9 205 therapeutic Pediatric = 37 Adult = 153 For both adult and pediatric = 15

Adult Oncology Program

No. of Inpatient Beds (Medical and Surgical)	No. of Admissions	Average Length of Stay (days)	No. of New Outpatients	No. of Oncologists (Medical and Surgical)
150	2,300	8.5	7,000 patients	53 medical oncologists 38 surgeons