Clinician Experience with TomoMobileTM #1

Doug Kelly, MDArtesian Cancer Center @ Muskogee

Norman Kahler MS, Van Woo MD, Matt West PhD, Samuel Rhoades PhD, Darren Crabtree RT

Going Mobile

HistoryPhysician owned Muskogee Community Hospital. MCH ribbon cutting Feb. 25, 2009.Wanted to rapidly and economically start a cancer programPartnership with ArtesianMoved trailer onto pad on Sept. 28Treated first patient Oct. 29Permanent facility is planned

“We saw an immediate need for high quality radiation therapy services in Muskogee, but knew we would have to delay offering TomoTherapy for almost a year until our new cancer center was built,” said Derek Prentice, president and CEO of DMP Imaging, developer of Artesian Cancer Center of Muskogee. “TomoMobile allows us to accelerate the process significantly. In addition, it will allow us to confirm viability of these services in the market and speed our ability to generate revenue, perhaps to the point where we can utilize cash flow from the mobile unit to fund the purchase of our permanent TomoTherapy system.” Derek Prentice

Uses for a Mobile Linear Accelerator

A bridge during the development of a permanent facility

Serve patient population earlierBuild market share

Test a market before committing resources? An indefinite alternative to building a permanent facility. Expansion of an existing centerUse while upgrading / replacing a permanent unit.

The FacilityLocated behind hospitalTomotherapy trailerPortable clinicStairs, ramp, walkways, roofExternal shielding and fencing

Inside the TomoTherapy Trailer

Inside the Clinic Module

Challenges with a Mobile Unit

Technical capability is not a challenge

Same machineSame planning softwareSame reliability

Weather

Neither snow nor rain nor sleet nor hail…

Space1 exam room1 office1 reception/nursing areaLimited changing area

Shielding and Distance

Uptime = 98%

0102030405060708090

100

Nov Dec Jan Feb March

Uptime

Down 0.6 days in Jan, and 1.6 days in March.

# Patients under Treatment

0

5

10

15

20

25

Oct

Nov

Nov

Nov

Nov

Dec

Dec

Dec

Dec

Dec

Jan

Jan

Jan

Jan

Feb

Feb

Feb

Feb

Mar

Mar

Mar

Mar

Mar

# pts

Tumor Sites of Treated Patients

over first 3 months

0%

5%

10%

15%

20%

25%

30%

Prostate Breast Lung H & N Bone Skin Brain Other

Sites

N= 40pts first 3 months

Patient Opinion SurveyAppreciate having a second radiation oncology center in Muskogee?

100% Yes

Appreciate having TomoTherapy technology available in Muskogee?

100% Yes

Does “mobile” concern you? 90% No

Attractiveness of interior 9.4 / 10

Attractiveness of exterior 7.2 / 10

Anonymous questionnaire given to 10 patients undergoing therapy

Location is extremely accessible

Great place

It’s the best center that Muskogee could ever have

Thank God for it!

Thank you for bringing first quality treatment

ConclusionsWell accepted by patients, community, and referring doctorsQuickly and economically provide state-of-the-art therapyTomoMobile has the same quality, capabilities, and uptime as with a permanent structure