1. Gibbs Regional Medical Center Spartanburg Regional Healthcare System, Spartanburg, SC

3. Why GRCC Is Interested In Being Part Of The Pilot Program ? To build on our 24 years of experience as a CCOP to increase accrual to Phase I/II trials To build on our 24 years of experience as a CCOP to increase accrual to Phase I/II trials To expand access to Minorities in our community To expand access to Minorities in our community To use our status as “TOP WIRED” hospital to expand into the National Cancer Databases including CaBIG™ To use our status as “TOP WIRED” hospital to expand into the National Cancer Databases including CaBIG™ To enhance linkages to NCI designated Cancer Centers (such as our current Network Affiliation with MDACC) To enhance linkages to NCI designated Cancer Centers (such as our current Network Affiliation with MDACC)

4. Why interested cont, II? To be a part of Tissue Banking that would lead to Translational Research Opportunities To be a part of Tissue Banking that would lead to Translational Research Opportunities To be a part of a new NCI initiative to further advance patient care by research To be a part of a new NCI initiative to further advance patient care by research To provide Optimal Care for our Cancer patients, including Benchmarking & Concordance Studies To provide Optimal Care for our Cancer patients, including Benchmarking & Concordance Studies To Network with other Similar Community Hospitals to Develop Cancer Care for the Future To Network with other Similar Community Hospitals to Develop Cancer Care for the Future To Share with NCI on a face to face basis the Real Needs of the Community To Share with NCI on a face to face basis the Real Needs of the Community

5. Why interested? cont, III To Interact with NCI Designated Cancer Centers & to Provide Input into Policy Making Decisions To Interact with NCI Designated Cancer Centers & to Provide Input into Policy Making Decisions To Bring Increased Knowledge to the Teaching Programs of Our Surgical, Family Practice, Transitional Residencies, Radiation Therapy Technical School & Nursing Schools To Bring Increased Knowledge to the Teaching Programs of Our Surgical, Family Practice, Transitional Residencies, Radiation Therapy Technical School & Nursing Schools To Proactively expand and integrate multi- disciplinary care through our Breast Health program as evidence by our new BREAST CENTER that is to be opened Oct 08 To Proactively expand and integrate multi- disciplinary care through our Breast Health program as evidence by our new BREAST CENTER that is to be opened Oct 08

6. Breast Center Oct, 2008

7. What Factors Influenced Our Decision To Join In This Partnership With NCI? Part of Appalachian Community Part of Appalachian Community 20% AA Population 20% AA Population 45 % Minority Population with one of fastest growing Hispanic population 45 % Minority Population with one of fastest growing Hispanic population <1 % Hispanic Population enrolled on Clinical Trials <1 % Hispanic Population enrolled on Clinical Trials 15 % AA Population enrolled on treatment trials 15 % AA Population enrolled on treatment trials 25 % AA Population enrolled on Chemoprev. trials 25 % AA Population enrolled on Chemoprev. trials Can share our Success in Minority Recruitment with others Can share our Success in Minority Recruitment with others

8. What Are The Major Challenges And Opportunities We Envision In Participating In The Pilot? Funding for Cancer Care in the presence of CMS changes to clinical research Funding for Cancer Care in the presence of CMS changes to clinical research Decreasing Pool of Medical Oncologists Decreasing Pool of Medical Oncologists Appropriate Funding for this Pilot and resources required by the supporting hospitals Appropriate Funding for this Pilot and resources required by the supporting hospitals Opportunity to place NCI Trials in Additional areas of SC/rural NC Opportunity to place NCI Trials in Additional areas of SC/rural NC

9. What “Local” Factors Do We Anticipate As Influencing These Challenges And Opportunities To Our Local Organization & Community)? # of Medical Oncologists Currently Available # of Medical Oncologists Currently Available # of Uninsured & Underinsured Pts # of Uninsured & Underinsured Pts Rate of unemployment Rate of unemployment Local CMS rules Local CMS rules Recently Published-SC finished 50 th in SAT scores—EDUCATION level Recently Published-SC finished 50 th in SAT scores—EDUCATION level

10. What "extra-local" factors will have an important influence? Good relationship with Susan Komen Foundation, ACS, Local Minority Groups Good relationship with Susan Komen Foundation, ACS, Local Minority Groups Several Health Disparity Organizations already started for Breast Cancer Several Health Disparity Organizations already started for Breast Cancer Health Science South Carolina Health Science South Carolina South Carolina Cancer Alliance South Carolina Cancer Alliance

11. Our Experience With Community (Patients) And Experience With Community Providers (Physicians)? 33 % pts on Clinical trials in 2006 33 % pts on Clinical trials in 2006 CCOP includes Upstate SC, NC, GA CCOP includes Upstate SC, NC, GA SELECT included 1338 men SELECT included 1338 men Community Physicians who volunteer services include: Community Physicians who volunteer services include: –Med. Onc., Rad. Onc., Urology, FP, Derm., Surgeons, OB/GYN

12. Community Involvement with Physicians Prostate Screening Prostate Screening Relay for Life Relay for Life SELECT SELECT Skin Cancer Screening Skin Cancer Screening Cancer Survivor’s Day Cancer Survivor’s Day SCCA SCCA Pt Advocates Pt Advocates Support Groups Support Groups Bi-Monthly Educational Meetings for MDs/Staff Bi-Monthly Educational Meetings for MDs/Staff

13. Survivor’s Day

15. Prostate Screening

16. SELECT TEAM

17. SELECT BBQ

18. Hospice Golf Tournament

19. Relay for Life

22. Gardening Therapy From One of Our Patients

23. Donation of The “BELL” From a Patient