03765, Haverhill, New Hampshire Breast Cancer Score Hospital Score

The Hospital Score for the Breast Cancer Score in 03765, Haverhill, New Hampshire is 62 when comparing 34,000 ZIP Codes in the United States.

## Breast Cancer Care in the Upper Valley: A Scorecard for 03765

Navigating a breast cancer diagnosis and treatment plan is a daunting task. For residents of ZIP code 03765 (Lebanon, NH, and surrounding areas), access to quality care is a critical concern. This review provides a fact-rich overview of the hospitals and resources available, focusing on key metrics like CMS star ratings, ER wait times, specialty centers, and telehealth capabilities. The goal is to empower patients to make informed decisions about their care.

**Dartmouth Health: The Regional Powerhouse**

Dartmouth Health, anchored by Dartmouth Hitchcock Medical Center (DHMC) in Lebanon, NH, is the dominant healthcare provider in the region. DHMC serves as the flagship hospital and a Level I trauma center. It's a complex institution with a wide range of services, including a comprehensive breast cancer program.

DHMC's performance is tracked by the Centers for Medicare & Medicaid Services (CMS). As of late 2023, DHMC holds a **3-star rating** from CMS. This rating reflects overall quality and is based on factors like patient outcomes, safety, and patient experience. While not the highest possible rating, it indicates a generally acceptable level of care. CMS ratings are dynamic and can change, so patients should always consult the most recent data.

**Breast Cancer Services at DHMC:**

DHMC offers a multidisciplinary approach to breast cancer care. This means patients benefit from a team of specialists working collaboratively. This team typically includes:

* **Medical Oncologists:** Physicians specializing in cancer treatment using chemotherapy, immunotherapy, and other medications.
* **Surgical Oncologists:** Surgeons specializing in cancer surgery, including mastectomies and lumpectomies.
* **Radiation Oncologists:** Physicians specializing in radiation therapy.
* **Radiologists:** Physicians who interpret imaging studies like mammograms, ultrasounds, and MRIs.
* **Pathologists:** Physicians who analyze tissue samples to diagnose cancer.
* **Breast Cancer Nurse Navigators:** Registered nurses who guide patients through the complexities of diagnosis, treatment, and survivorship.

DHMC's **Norris Cotton Cancer Center** is a key component of its breast cancer program. This center provides comprehensive cancer care, including access to clinical trials and advanced treatment options. The center is equipped with state-of-the-art technology, including advanced imaging equipment and radiation therapy systems.

**ER Wait Times at DHMC:**

Emergency room wait times are a crucial factor for patients experiencing urgent symptoms. DHMC's ER wait times can vary depending on the time of day and the volume of patients. As of late 2023, the average wait time to see a provider in the DHMC ER is around **30-60 minutes**. It's important to note that this is an average, and wait times can be longer during peak hours or for patients with complex medical needs. Patients should always seek immediate medical attention for concerning symptoms.

**Telehealth Capabilities at DHMC:**

Dartmouth Health has invested heavily in telehealth services. This is particularly beneficial for patients in rural areas or those who have difficulty traveling to appointments. DHMC offers telehealth appointments for a variety of services, including:

* **Follow-up appointments:** Patients can have virtual check-ups with their oncologists and other specialists.
* **Cancer support groups:** Online support groups provide a valuable resource for patients and their families.
* **Nutritional counseling:** Telehealth allows patients to receive dietary guidance from registered dietitians.
* **Mental health services:** Telehealth offers access to therapists and counselors specializing in cancer-related issues.

The availability of telehealth services at DHMC has increased significantly in recent years, providing greater convenience and access to care for patients in the Upper Valley.

**Other Healthcare Options in the Area:**

While DHMC is the primary healthcare provider, other options exist for residents of 03765.

**Alice Peck Day Memorial Hospital (APDMH):**

Located in Lebanon, NH, APDMH is a smaller community hospital that is also part of the Dartmouth Health system. APDMH provides a range of services, including primary care, specialty care, and emergency services. While APDMH does not have a dedicated breast cancer center like DHMC, it offers breast imaging services, including mammograms and breast ultrasounds. Patients diagnosed with breast cancer at APDMH are typically referred to DHMC for comprehensive treatment.

**Other Hospitals in the Region:**

Residents of 03765 may also consider hospitals outside the immediate Lebanon area. However, travel times can be a significant factor.

* **Cheshire Medical Center (Keene, NH):** This hospital is part of the Dartmouth Health system. It offers breast imaging and surgical services.
* **University of Vermont Medical Center (Burlington, VT):** This is a larger academic medical center. It is approximately a two-hour drive from Lebanon. It offers a comprehensive breast cancer program and access to advanced treatments.

**Key Considerations for Breast Cancer Patients:**

* **Early Detection:** Regular mammograms are crucial for early detection of breast cancer. Women over 40 should follow the screening guidelines recommended by their healthcare provider.
* **Second Opinions:** Seeking a second opinion from another oncologist or breast cancer specialist can be beneficial.
* **Clinical Trials:** Patients should discuss the possibility of participating in clinical trials with their oncologist. Clinical trials offer access to cutting-edge treatments.
* **Support Services:** Breast cancer patients should take advantage of support services, such as support groups, counseling, and patient navigators.
* **Insurance Coverage:** Patients should understand their insurance coverage for breast cancer screening, diagnosis, and treatment.
* **Patient Experience:** Consider the patient experience. Read online reviews, talk to other patients, and ask questions to understand the quality of care.

**Summary and Recommendations:**

For residents of ZIP code 03765, Dartmouth Hitchcock Medical Center (DHMC) is the primary hub for breast cancer care. DHMC offers a comprehensive program with a multidisciplinary team of specialists, including access to clinical trials and advanced treatment options. While DHMC's CMS star rating is 3 stars, it is important to consider that it is a complex rating system, and patients should consider all factors when making decisions. Alice Peck Day Memorial Hospital (APDMH) provides breast imaging services, and other hospitals in the region can also be considered. Telehealth services offered by Dartmouth Health can increase access to care.

Patients should prioritize early detection through regular mammograms and seek prompt medical attention for any concerning symptoms. They should also actively participate in their care by asking questions, seeking second opinions, and utilizing available support services. This review provides a starting point for understanding the healthcare landscape in the Upper Valley, but individual needs and preferences should guide the final decision-making process.