05868, Troy, Vermont Breast Cancer Score Hospital Score

The Hospital Score for the Breast Cancer Score in 05868, Troy, Vermont is 54 when comparing 34,000 ZIP Codes in the United States.

## Breast Cancer Care in the Northeast Kingdom: A Scorecard for 05868

Finding the right care for breast cancer is a complex journey, and proximity to quality medical facilities is a crucial factor. This review focuses on hospitals near the ZIP code 05868 (Lyndonville, Vermont) to provide a fact-rich overview of available resources for diagnosis, treatment, and support. We'll examine key indicators, including CMS star ratings, ER wait times, specialized centers, and telehealth capabilities, to help patients make informed decisions.

**Regional Overview: Limited Options, Focused Expertise**

The Northeast Kingdom of Vermont, while offering stunning natural beauty, presents a unique healthcare landscape. Residents of 05868 have geographically limited options for comprehensive cancer care. This review will highlight the closest hospitals and their strengths, acknowledging the potential need for travel to access specialized services.

**Key Hospitals and Their Performance:**

**1. Northeastern Vermont Regional Hospital (NVRH), St. Johnsbury (Approximately 20 minutes from 05868)**

NVRH is the closest hospital to Lyndonville and is a critical access hospital. As a smaller facility, it does not receive a CMS star rating, which is typically reserved for larger hospitals. However, NVRH plays a vital role in providing initial screenings, diagnostic imaging, and some outpatient services.

* **Breast Cancer Services:** NVRH offers mammography services, including 3D mammography (tomosynthesis), for screening and diagnostic purposes. They also provide biopsy services.
* **Oncology Partnerships:** NVRH collaborates with Dartmouth-Hitchcock Norris Cotton Cancer Center, a major cancer center, for oncology consultations and treatment protocols. This partnership allows patients to access specialized expertise and treatment plans while remaining close to home for some aspects of their care.
* **ER Wait Times:** According to recent data, NVRH's ER wait times are generally within the national average, but can fluctuate depending on the time of day and patient volume. Patients should expect to spend approximately 30-60 minutes in the waiting room before being seen by a medical professional.
* **Telehealth:** NVRH has expanded its telehealth offerings, particularly in oncology. Patients can participate in virtual consultations with specialists from Dartmouth-Hitchcock, reducing the need for travel.

**2. Dartmouth-Hitchcock Medical Center, Lebanon, NH (Approximately 1 hour 30 minutes from 05868)**

Dartmouth-Hitchcock Medical Center (DHMC), located in Lebanon, New Hampshire, is a major academic medical center and the flagship hospital for the Dartmouth Health system. DHMC is the primary referral center for complex cancer cases in the region.

* **CMS Star Rating:** DHMC consistently receives high ratings from the Centers for Medicare & Medicaid Services (CMS), reflecting its commitment to quality and patient safety. Its current rating is 4 stars.
* **Norris Cotton Cancer Center:** DHMC is home to the Norris Cotton Cancer Center, a National Cancer Institute-designated comprehensive cancer center. This designation signifies a commitment to cutting-edge research, advanced treatment options, and multidisciplinary care.
* **Breast Cancer Specialty:** The Norris Cotton Cancer Center boasts a dedicated breast cancer program with a team of specialized surgeons, medical oncologists, radiation oncologists, and support staff. They offer comprehensive services, including:
* **Surgical Options:** Mastectomy, lumpectomy, sentinel lymph node biopsy, and reconstructive surgery.
* **Medical Oncology:** Chemotherapy, targeted therapies, and immunotherapy.
* **Radiation Oncology:** External beam radiation therapy, including advanced techniques like intensity-modulated radiation therapy (IMRT) and stereotactic body radiation therapy (SBRT).
* **Clinical Trials:** Access to a wide range of clinical trials for novel treatments.
* **Support Services:** Genetic counseling, psychosocial support, nutrition counseling, and survivorship programs.
* **ER Wait Times:** DHMC's ER wait times can vary depending on the time of day and patient volume, but are generally longer than those at NVRH. Patients should anticipate waiting times of up to 2 hours, and sometimes longer, especially during peak hours.
* **Telehealth:** DHMC has a robust telehealth program, particularly in oncology. Patients can participate in virtual consultations, follow-up appointments, and support group meetings. They also offer remote monitoring programs to track patient symptoms and side effects.

**3. University of Vermont Medical Center, Burlington, VT (Approximately 2 hours from 05868)**

The University of Vermont Medical Center (UVMMC) is another major academic medical center serving the region. It offers a comprehensive cancer program and is a potential option for residents of 05868.

* **CMS Star Rating:** UVMMC also receives a high CMS star rating, reflecting its commitment to quality and patient safety. Its current rating is 4 stars.
* **Cancer Center:** UVMMC's cancer center provides a broad range of services, including:
* **Surgical Oncology:** Breast surgery, including mastectomy and lumpectomy, with options for reconstruction.
* **Medical Oncology:** Chemotherapy, targeted therapies, and immunotherapy.
* **Radiation Oncology:** External beam radiation therapy, including advanced techniques.
* **Clinical Trials:** Access to clinical trials for various cancer types.
* **Support Services:** A wide array of support services, including genetic counseling, psychosocial support, and survivorship programs.
* **ER Wait Times:** UVMMC's ER wait times are comparable to those at DHMC, with potential wait times of up to 2 hours or more, especially during peak hours.
* **Telehealth:** UVMMC has expanded its telehealth offerings, including virtual consultations and follow-up appointments for oncology patients.

**4. Central Vermont Medical Center (CVMC), Berlin, VT (Approximately 1 hour 45 minutes from 05868)**

CVMC is a smaller hospital that offers some cancer care services. While it is not a major cancer center, it can be an option for certain aspects of treatment.

* **Breast Cancer Services:** CVMC offers mammography services, and may have some limited chemotherapy and radiation oncology services.
* **Partnerships:** CVMC partners with larger cancer centers for more specialized care.
* **ER Wait Times:** ER wait times are typically shorter than those at DHMC and UVMMC, but may still vary.
* **Telehealth:** CVMC offers telehealth services, but the scope of oncology-related services may be more limited than at the larger hospitals.

**Key Considerations for Patients:**

* **Proximity vs. Specialization:** Residents of 05868 face a trade-off between proximity and access to specialized care. NVRH offers convenience, but may require referral to a larger center for complex cases. DHMC and UVMMC provide comprehensive cancer programs but require longer travel times.
* **Insurance Coverage:** Verify that your insurance plan covers services at the chosen hospital and any associated specialists.
* **Patient Reviews and Ratings:** Research patient reviews and ratings for individual physicians and hospitals to gain insights into patient experiences.
* **Second Opinions:** Don't hesitate to seek a second opinion from another specialist, especially if you have any doubts about your diagnosis or treatment plan.
* **Support Services:** Consider the availability of support services, such as counseling, support groups, and financial assistance, which can be crucial during cancer treatment.

**Specifics on Breast Cancer Treatment:**

The treatment of breast cancer is highly individualized, depending on the stage, type, and other factors. However, some general trends are evident.

* **Surgery:** Lumpectomy (removal of the tumor and surrounding tissue) and mastectomy (removal of the entire breast) are common surgical options. The choice depends on the tumor's size, location, and other factors.
* **Radiation Therapy:** Radiation therapy uses high-energy rays to kill cancer cells. It is often used after lumpectomy to reduce the risk of recurrence.
* **Chemotherapy:** Chemotherapy uses drugs to kill cancer cells throughout the body. It may be used before surgery to shrink the tumor or after surgery to prevent recurrence.
* **Hormone Therapy:** Hormone therapy blocks the effects of hormones on cancer cells. It is used for hormone receptor-positive breast cancers.
* **Targeted Therapy:** Targeted therapies are drugs that target specific molecules involved in cancer growth. They are often used for specific types of breast cancer.
* **Immunotherapy:** Immunotherapy uses the body's immune system to fight cancer. It is a newer treatment option that is showing promise in some types of breast cancer.

**Telehealth's Role in the Northeast Kingdom:**

Telehealth is playing an increasingly important role in cancer care in the Northeast Kingdom. It can reduce the need for travel, provide access to specialists, and improve patient convenience. Patients can use telehealth for:

* **Consultations:** Virtual consultations with oncologists, surgeons, and other specialists.
* **Follow-up Appointments:** Regular check-ups and monitoring of treatment progress.
* **Support Groups:** Participation in online support groups.
* **Symptom Management:** Remote monitoring of symptoms and side effects.

**Conclusion: Navigating the Landscape**

For residents of 05868, the choice of breast cancer care involves careful consideration of proximity, specialization, and personal preferences. NVRH provides local access to screening and initial care, while DHMC and UVMMC offer comprehensive cancer programs with advanced treatment options. Telehealth provides an increasingly important bridge, connecting patients with specialists and support services regardless of location. By understanding the available resources and their strengths, patients can make informed decisions and receive the best possible care for their individual needs. This scorecard offers a starting point for that critical journey.