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In 1979, a group of local citizens saw a need for radiation therapy services in Douglas County.  With the assistance of the Douglas County community, they incorporated a non-profit organization under the name of the Community Cancer Foundation.  This group raised funds to construct a radiation therapy facility, located on Umpqua Street, in Roseburg, Oregon.    The Community Cancer Foundation operates under the Community Cancer Center (CCC), providing radiation therapy services to the community.  With over 25 years spent in the original facility on Umpqua Street, and to keep pace with other cancer centers, it was decided that we were in need of a new comprehensive cancer center.  In 2009, we opened our 44,000 square foot, state of the art, comprehensive cancer care facility at 2880 NW Stewart Parkway.  This allowed us to make other services available to patients in a single location and expand the programs of CCC.
The Community Cancer Center operates the radiation oncology department and has a medical services agreement with Roseburg Radiation Oncology.  Roseburg Radiation Oncology employs four radiation oncologists:  Michael Brown, MD, Randy Moore, DO, Sylvia Gosline, MD, and Craig Hullett, MD, PhD.  Dr. Brown also serves as the Medical Director for CCC.
We also house medical oncology services on the third floor, leasing space to Steelhead Oncology.  Drs. Stephen Williams and Joshua Weese provide hematology services for blood disorders and chemotherapy for cancer patients. In addition, the second floor houses a lab provided by Mercy Medical Center; Douglas County Cancer Services, a separate non-profit providing resources for all cancer patients; CCC’s tumor registrar and Program Manager.  Starting in March 2018 we are adding another non-profit, Camp Millennium, who provides a free summer camp for children dealing with cancer.
The Community Cancer Center’s Mission Statement states: The Foundation is organized exclusively for charitable, educational, and scientific purposes; and to assist, encourage, promote and advance the best care, treatment and rehabilitation of persons with cancer or related diseases and conditions.  Our tagline is “Advanced Oncology Compassionate Care.”   
The Community Cancer Center was one of the first cancer centers in Oregon to be accredited by the American College of Radiology (ACR), earning our first accreditation in 2002.  This is one of the highest standard accrediting agencies specific to radiation oncology.  The CCC values the importance of the highest quality of care and voluntarily goes through the accreditation process every three years.  We are happy to say we received our sixth re-accreditation in September, 2017.
In a promising development for cancer patients in Douglas County, the Community Cancer Center’s TrueBeam™ Radiotherapy System was purchased in 2015.   This technology from Varian Medical Systems, was engineered from the ground up to deliver more powerful cancer treatments with pin point accuracy and precision.  It uniquely integrates new imaging and motion management technologies within a sophisticated new architecture.  This makes it possible to deliver treatments more quickly while monitoring and compensating for tumor motion and opens the door to new possibilities for the treatment of lung, breast, prostate, head and neck, as well as other cancers that are treatable with radiotherapy.    With a broad spectrum of new capabilities, TrueBeam™ breaks the mold in just about every dimension, making it possible for us to offer faster, more targeted and complex treatments to tumors even as they move and change over time.  Treatments that took 10-30 minutes are reduced to less than three minutes.   
The Community Cancer Center has been utilizing Intensity Modulated Radiation Therapy (IMRT) treatment technique since 2004, utilizing the step-n-shoot method.  With our new TrueBeam™, we implemented IMRT with Rapid Arc, reducing treatment times to under five minutes. TrueBeam™ also allowed us to implement Stereotactic Body Radiation Therapy (SBRT) with Rapid Arc starting with lung cancer patients.  Since October 2015, the CCC has expanded to other approved sites for SBRT.  The planning process for SBRT is very complex which requires heavy clinical involvement of our medical physicist, dosimetrist, radiation therapists, and radiation oncologist.    
In the summer of 2015, the Community Cancer Center was awarded the “Center of Excellence” for our accelerated partial breast irradiation (APBI) High Dose Radiotherapy (HDR) program.   The CCC implemented APBI in 2012 through the collaboration with local surgeons.  To qualify as a “Center of Excellence,” the CCC’s radiation oncologists, medical physicist and clinical staff were required to complete a comprehensive training and education program in order to demonstrate proficiency in delivering APBI. 
These radiation therapy programs were implemented to insure that the community has state of the art treatment available to them locally.  With the implementation of the new programs, we have seen our patient numbers grow.  The following are patient consultation statistics for the past five years:
2017: 430
2016: 395
2015: 379
2014:  317
2013:  345
In 2012, the Community Cancer Center hired a community outreach program manager due to a community grant awarded by Susan G. Komen, Oregon & SW Washington.  This grant provided funding for the position to implement the Southern Oregon SCREEN Program.  SCREEN is a regional grass roots promotion of an inter-community women’s health network of dedicated volunteers to promote breast health in rural cities.   The program manager was so successful with the program, the CCC continued the outreach program and expanded it to all types of cancer.  In 2016/17, the program developed over a dozen outreach events, classes or workshops free to the community of Douglas County.  Currently, we spend 370 hour per year in the delivery of our awareness message.  These delivery hours do not include program research, development, marketing, assessment, or reporting.  We were able to engage with 24,757 individuals through our outreach education.  This does not include our paid advertising or social media reach.  The following is a breakdown of the hours spent on our outreach education:
Delivery Breakdown:
Breast Cancer Issues Conference:  8
Cancer Support Group – 12@ 2hr each:  24
Cancer Support Group – 10 @ 2hr each:  20
Fresh Start Adult Cessation 8wk@ 1.5hr each:  12
Fresh Start Adult Cessation 8wk@ 1.5hr each:  12
Cessation Support Group 36wk @1.5hr each:  54
NATE – Fremont 2 semesters @ 14hr each:  28
NATE – BGC 2 5wk sessions @ 1.5hr each:  15
NATE – YMCA 2 5wk session @1.5hr each:  15
Focus on Hope:  10
Beards, Brew & Prostates Too:  10
Survivor Day Celebration:  8
Power of Pink:  20
Extraordinary Living:  8
World Cancer Day:  30
Social Media:  96

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