05340, Bondville, Vermont Lung Cancer Score Hospital Score

The Hospital Score for the Lung Cancer Score in 05340, Bondville, Vermont is 66 when comparing 34,000 ZIP Codes in the United States.

## Lung Cancer Care in Southern Vermont: A Scorecard for 05340

Finding the best lung cancer care can be a daunting task. This review provides a fact-rich assessment of hospitals near the 05340 ZIP code (Brattleboro, Vermont), focusing on key metrics like CMS star ratings, ER wait times, specialty centers, and telehealth capabilities, to help patients make informed decisions. The goal is to offer a clear, concise, and objective view of available resources.

**Understanding the Landscape:**

The healthcare landscape in southern Vermont is primarily characterized by a network of community hospitals and regional medical centers. Access to specialized cancer care often involves travel to larger facilities within and outside the state. Proximity to Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire, significantly impacts the available options for advanced treatments.

**Key Players and Their Performance:**

**Brattleboro Memorial Hospital (BMH):** Located directly within the 05340 ZIP code, Brattleboro Memorial Hospital (BMH) serves as a primary care provider and offers a range of services, including oncology. However, it is not a designated cancer center with a comprehensive lung cancer program. BMH has a 3-star CMS rating. This rating reflects overall quality of care based on factors like patient safety, effectiveness of care, and patient experience. ER wait times can fluctuate, so checking the hospital's website for current estimates is advised. BMH has recently invested in telehealth, and offers some cancer support services remotely, though specifics are limited.

**Dartmouth-Hitchcock Medical Center (Lebanon, NH):** While technically outside the 05340 ZIP code, Dartmouth-Hitchcock Medical Center (DHMC) in Lebanon, New Hampshire, is a major referral center for southern Vermont residents. DHMC is a flagship hospital, consistently earning high marks for its comprehensive cancer care. DHMC is a National Cancer Institute (NCI)-designated Comprehensive Cancer Center, a distinction highlighting its commitment to research, advanced treatments, and specialized care. DHMC has a 4-star CMS rating. DHMC's ER wait times can vary, but are generally longer than smaller community hospitals due to the volume of patients. DHMC has a robust telehealth program, offering virtual consultations, follow-up appointments, and support groups for cancer patients. They also offer remote monitoring programs for patients undergoing treatment.

**Cheshire Medical Center (Keene, NH):** Located in Keene, New Hampshire, Cheshire Medical Center is another regional hospital within a reasonable driving distance. Cheshire Medical Center has a 4-star CMS rating. While not an NCI-designated cancer center, Cheshire Medical Center offers cancer services, including oncology and radiation therapy. ER wait times are generally moderate. Cheshire Medical Center has expanded its telehealth offerings, providing virtual appointments and remote patient monitoring.

**Comparing Key Metrics:**

**CMS Star Ratings:** CMS star ratings offer a general overview of hospital quality. While not a definitive measure, they provide a useful starting point. Dartmouth-Hitchcock (4 stars) and Cheshire Medical Center (4 stars) generally outperform Brattleboro Memorial Hospital (3 stars) in terms of overall quality as assessed by CMS.

**ER Wait Times:** ER wait times are a crucial factor, especially in emergencies. Checking hospital websites or third-party sites like Google Maps for real-time estimates is recommended. DHMC, due to its size and patient volume, often experiences longer wait times than smaller community hospitals.

**Specialty Centers and Programs:** The presence of specialized cancer centers and programs is crucial for lung cancer patients. DHMC's NCI designation gives it a significant advantage, offering access to clinical trials, cutting-edge treatments, and a multidisciplinary approach to care. BMH offers basic oncology services, but lacks the specialized resources of larger centers. Cheshire Medical Center offers cancer care, but not at the same level as DHMC.

**Telehealth Capabilities:** Telehealth is increasingly important for accessing care, especially for follow-up appointments and support services. DHMC has a well-developed telehealth program, providing virtual consultations, remote monitoring, and support groups. BMH and Cheshire Medical Center are expanding their telehealth offerings, but may not have the same breadth of services.

**Specific Considerations for Lung Cancer Patients:**

Lung cancer treatment often involves a multidisciplinary approach, including pulmonologists, medical oncologists, radiation oncologists, thoracic surgeons, and specialized nurses. Patients should inquire about the availability of these specialists and the coordination of their care.

**Radiology and Imaging:** Access to advanced imaging technologies, such as PET/CT scans and MRI, is critical for diagnosis, staging, and monitoring treatment response. DHMC has state-of-the-art imaging capabilities. BMH and Cheshire Medical Center also offer imaging services, but may need to refer patients to DHMC for more specialized scans.

**Surgical Options:** Thoracic surgery is often necessary for lung cancer treatment. DHMC has a dedicated thoracic surgery department. BMH and Cheshire Medical Center may refer patients to DHMC or other regional hospitals for surgical procedures.

**Radiation Therapy:** Radiation therapy is a common treatment modality for lung cancer. DHMC has advanced radiation therapy equipment and experienced radiation oncologists. Cheshire Medical Center also offers radiation therapy services.

**Medical Oncology:** Medical oncologists are essential for developing and managing chemotherapy and targeted therapy regimens. DHMC has a large medical oncology department. BMH and Cheshire Medical Center have medical oncologists on staff or through affiliations.

**Clinical Trials:** Access to clinical trials can offer patients access to innovative treatments. DHMC, as an NCI-designated cancer center, has a robust clinical trials program.

**Patient Support Services:** Cancer treatment can be emotionally and physically challenging. Patients should inquire about available support services, such as counseling, support groups, and palliative care. DHMC offers a wide range of support services.

**Financial Considerations:**

Navigating the healthcare system can be complex. Patients should inquire about insurance coverage, out-of-pocket costs, and financial assistance programs. DHMC and other hospitals have financial counselors to assist patients.

**Recommendations:**

For comprehensive lung cancer care, including access to advanced treatments, clinical trials, and specialized expertise, Dartmouth-Hitchcock Medical Center is the preferred option for residents near 05340. However, the longer travel time and potentially longer ER wait times should be considered.

Brattleboro Memorial Hospital offers local access to basic oncology services, making it a convenient option for some patients. Cheshire Medical Center is another option, offering cancer care closer than DHMC.

**The Importance of Patient Advocacy:**

Regardless of the chosen hospital, patients should actively participate in their care. This includes asking questions, seeking second opinions, and advocating for their needs.

**Disclaimer:** This review is based on publicly available information and is intended for informational purposes only. It is not a substitute for professional medical advice. Patients should consult with their healthcare providers to determine the best course of treatment. Hospital ratings and metrics can change, so it's essential to verify information directly with the hospitals.