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About Wellstar

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Wellstar Kennestone Regional Medical Center

As one of the Top 100 hospitals, Wellstar Kennestone offers the most advanced care available for all your surgical, medical, rehabilitative and emergency care needs. In addition to a highly qualified team of physicians, nurses and clinical staff, we offer the very latest in technology and diagnostic imaging capabilities.

MAP UPDATE — In preparation of a new patient bed tower opening in 2026, Wellstar Kennestone has revised its campus map (posted November 2022) so that patients and visitors may avoid construction areas. To view, select "Campus Map" under Information or click to download and save the printable PDF here. Please review the new walkways and access points in order to help expedite your way around campus upon your next visit.

Attention CobbLinc passengers: Note that there is no direct access to 699 Church Street during construction. Please use the main entrance on Tower Road. If you have questions, please call our help line at (770) 956-7827.

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Address

677 Church Street NE
Marietta, GA 30060

Phone Number

(770) 793-5000
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(770) 793-5169
Monday:
9:00 AM-5:00 PM
Tuesday:
9:00 AM-5:00 PM
Wednesday:
9:00 AM-5:00 PM
Thursday:
9:00 AM-5:00 PM
Friday:
9:00 AM-5:00 PM
(770) 793-5328
Monday:
8:00 AM-4:30 PM
Tuesday:
8:00 AM-4:30 PM
Wednesday:
8:00 AM-4:30 PM
Thursday:
8:00 AM-4:30 PM
Friday:
8:00 AM-4:30 PM
(770) 793-5082
Monday:
8:00 AM-5:00 PM
Tuesday:
8:00 AM-5:00 PM
Wednesday:
8:00 AM-5:00 PM
Thursday:
8:00 AM-5:00 PM
Friday:
8:00 AM-5:00 PM
(770) 793-5171
Monday:
8:00 AM-5:00 PM
Tuesday:
8:00 AM-5:00 PM
Wednesday:
8:00 AM-5:00 PM
Thursday:
8:00 AM-5:00 PM
Friday:
8:00 AM-5:00 PM
(770) 793-9300
Monday:
7:00 AM-8:00 PM
Tuesday:
7:00 AM-8:00 PM
Wednesday:
7:00 AM-8:00 PM
Thursday:
7:00 AM-8:00 PM
Friday:
7:00 AM-8:00 PM
Saturday:
10:00 AM-6:00 PM
Sunday:
11:00 AM-5:00 PM
(770) 793-5005
Monday:
8:00 AM-5:00 PM
Tuesday:
8:00 AM-5:00 PM
Wednesday:
8:00 AM-5:00 PM
Thursday:
8:00 AM-5:00 PM
Friday:
8:00 AM-5:00 PM

Gift Shop
Blue Tower, visitor lobby

(770) 793-5169 Closed ▼
Monday:
9:00 AM-5:00 PM
Tuesday:
9:00 AM-5:00 PM
Wednesday:
9:00 AM-5:00 PM
Thursday:
9:00 AM-5:00 PM
Friday:
9:00 AM-5:00 PM

Medical Records

(770) 793-5328 Closed ▼
Monday:
8:00 AM-4:30 PM
Tuesday:
8:00 AM-4:30 PM
Wednesday:
8:00 AM-4:30 PM
Thursday:
8:00 AM-4:30 PM
Friday:
8:00 AM-4:30 PM

Patient Billing

(770) 793-5082 Closed ▼
Monday:
8:00 AM-5:00 PM
Tuesday:
8:00 AM-5:00 PM
Wednesday:
8:00 AM-5:00 PM
Thursday:
8:00 AM-5:00 PM
Friday:
8:00 AM-5:00 PM

Patient Experience
Purple Tower, Main Level

(770) 793-5171 Closed ▼
Monday:
8:00 AM-5:00 PM
Tuesday:
8:00 AM-5:00 PM
Wednesday:
8:00 AM-5:00 PM
Thursday:
8:00 AM-5:00 PM
Friday:
8:00 AM-5:00 PM

Pharmacy
Blue Tower #8

(770) 793-9300 Closed ▼
Monday:
7:00 AM-8:00 PM
Tuesday:
7:00 AM-8:00 PM
Wednesday:
7:00 AM-8:00 PM
Thursday:
7:00 AM-8:00 PM
Friday:
7:00 AM-8:00 PM
Saturday:
10:00 AM-6:00 PM
Sunday:
11:00 AM-5:00 PM

Spiritual Health

(770) 793-5005 Closed ▼
Monday:
8:00 AM-5:00 PM
Tuesday:
8:00 AM-5:00 PM
Wednesday:
8:00 AM-5:00 PM
Thursday:
8:00 AM-5:00 PM
Friday:
8:00 AM-5:00 PM

Parking Information

PARKING UPDATE — We are pleased to share that the Blue Parking Deck has reopened as our primary patient/visitor paid parking deck. The Cancer Center Parking Deck is also open as a paid patient/visitor parking deck. Golf carts with drivers remain available at the entrance of both decks to shuttle visitors and patients to the hospital entrance from 6:00am to 9:00pm daily, and personnel are present to help further direct you. Thank you for your patience as we worked through deck repairs together!

Kennestone Parking Map

Click here to download the full campus map.

Blue Parking Deck

The Blue Parking Deck is our primary patient/visitor parking deck and allows direct access to the main hospital entrance and all services. Located off Tower Road and accessible by turning onto Kennestone Hospital Boulevard.

Direct access to:

  • All inpatient units
  • All critical care units
  • Inpatient admissions
  • Outpatient registration
  • Labor & Delivery
  • Women’s Services/Imaging
  • Outpatient imaging and lab services
  • Outpatient Surgery Center
  • Cardiac services
  • GI Lab
  • Pulmonary services
  • Wound Center
  • Medical Records
  • Care Coordination & Social Services

Valet Parking

Valet parking is available at the main entrance to the hospital on Kennestone Hospital Boulevard for $6. The service is available Monday - Friday 9am - 6pm, excluding holidays. Parking passes are not accepted. Valet Parking service is also available at Whitcher Street Monday - Friday from 8am - 5pm.


Green Parking Deck

Located off of Church Street by turning onto Whitcher Street. Whitcher Street Physician Center access; also allows access to Whitcher Street bridge to Main Street in the Green Tower.


Cancer Center Parking Deck

Located off of Tower Road by turning onto Kennestone Hospital Boulevard.

Cancer Center visitors—park in Blue Parking Deck and shuttle is provided to Cancer Center. (Monday - Friday: 6:30 AM - 7:00 PM, Saturday and Sunday: 8:00 AM - 1:00 PM)
Health Place members—park in Employee Parking Deck, located off of North Avenue. Shuttle is provided to Health Place. (Monday - Friday 7:00 AM - 8:00 PM, Saturday and Sunday: 8:00 AM - 8:00 PM)


Emergency Services Parking Lot

15-minute parking available for patient drop-off in front of Emergency Department door. For longer than 15-minutes, parking is located under Emergency Department building. Parking for patients being seen in the Emergency Department. Patient’s vehicle must be moved once the patient is released from the Emergency Department or admitted to the hospital.


Surgery Center Parking Lot

Located off of Church Street. Parking is only for patients scheduled for pre-op testing, general surgery and Vascular Institute procedures. Only one vehicle permitted per patient. Patient’s vehicle must be moved by midnight on the day of surgery.

699 Building Reroute

699 Building Reroute

Please note that the former entrance to the 699 Building is closed during construction on the campus. Please follow this map for walking and driving directions to enter the 699 Building via the entrance off Tower Road. Click to download and save printable PDF file.

Wellstar Kennestone 699 Building Reroute Map

Attention CobbLinc passengers:

Note that there is no direct access to 699 Church Street during construction. Please use the entrance off Tower Road. If you have questions, please call our help line at (770) 956-7827.

Wellstar Kennestone Regional Medical Center Campus Map (Revised November 2022)

Kennestone Campus Map

Wellstar Kennestone directory and lower level map

 

Click to download and save printable PDF file.

Visitor Information

Wellstar Kennestone understands that having loved ones by your side can help with your healing and care. You have the right to choose and prioritize visitors from among family, friends, partners, personal care aides or other individuals (regardless of the person’s gender or your relationship to the person). To provide a restful and safe environment, we ask that visitors follow these guidelines:

Visitor Guidelines

  • Smoking is prohibited on the campus.
  • Please refrain from visiting if you have a cold, sore throat, fever or other illness.
  • Avoid noisy, disruptive behavior to help respect the healing of all patients.
  • Ask before bringing foods, drinks or other items that might trigger allergies like balloons, flowers or perfume into patient rooms.
  • Wash your hands before entering patient rooms.
  • Make sure children have a supervising adult with them at all times.
  • Some areas may restrict children or limit the age of children allowed to visit. Please check with the nursing staff.
  • Dress appropriately and wear shirts and shoes.
  • If a family member stays overnight, he or she must be of the same sex in semi-private rooms.

After-Hours Visiting

All visitors entering Wellstar Kennestone between 9:00 PM and 5:30 AM, or planning to stay past 9:00 PM, must check in at one of the visitor management kiosks. Please bring a form of government ID. A Security Services team member will print you a FastPass® photo ID badge. A new pass is required daily for each after-hours visit.

Waiting Areas

Waiting areas for visitors are on each patient floor and on the main floor of each tower. Specific waiting areas have been designated for families of patients in the Critical Care Unit, the Emergency Department and Surgery.

Quiet Time

To provide healing and rest, Wellstar observes quiet times from 2:00 PM to 4:00 PM and 10:00 PM to 6:00 AM each day. Visitors are encouraged to turn off televisions and cellphones.

Tower Construction Information and Frequently Asked Questions

Rendering of the new Wellstar Kennestone tower

Celebrating 72 Years of Meeting your Changing Healthcare Needs

Wellstar Kennestone Regional Medical Center is pleased to celebrate 72 years of providing world-class healthcare to you and your families. We are very grateful for the community’s partnership and wish to thank you for your ongoing support as we grow to meet your changing needs. Below are some frequently asked questions about this exciting, state-of-the-art new tower. We look forward to keeping this page updated throughout the project, which is scheduled to be completed in 2026.

What is being built on the Kennestone campus?

A new bed tower on the Kennestone campus:

Wellstar Kennestone has begun construction on a new bed tower. The tower will be built on the current Baird Building site in the center of the Kennestone campus. It was approved by the state in December 2021, and the first phase of pre-construction work is well underway. The building is expected to be complete in 2026.

Why is this tower being built?

Kennestone is committed to offering world-class healthcare to its community and all of Georgia:

Kennestone continues to not only provide quality care to its in-network community, but also to patients throughout the state of Georgia. The new tower will allow us to meet the evolving healthcare needs of our community by continuing to improve the patient experience, expand our service lines, respond to any emerging disease crisis and future-proof healthcare.

The area around Kennestone is growing and requires increasingly complex care:

Kennestone serves 2.5 million residents and this number is projected to grow by more than five percent over the next five years. The senior population is expected to grow by a disproportionately larger 25%. An aging population will demand more specialized care, thus more space.

Kennestone’s expanded Emergency Department (ED) meets not just local needs, but cares for all ages and higher acuity patients across Georgia:

Since 1950 Kennestone has been serving the local community with regular additions and renovations to keep pace with area growth and changing healthcare needs. In 2020 Kennestone expanded the adult and pediatric Emergency Department, and it will eventually accommodate more than 220,000 patients of all acuity levels each year – nearly doubling the hospital’s capacity and further extending its ability to serve the entire state. Once a patient transitions from this level of care, they often need further hospital care and rehabilitation, thus more beds are needed. One of only four in Georgia, this Level 2 Trauma Center is often a destination for patients requiring complex care not just within the Wellstar system but throughout the entire state of Georgia.

What will be housed in the new tower?

The new tower will house next-generation NICU and neonatal services and will become home to our cutting-edge cardiovascular and neurology service lines, all enabled by technology to ensure the expertise housed within the tower reaches patients throughout the state.  The tower also provides the privacy and modern comfort people expect today including additional private rooms, a new dietary service, in-room dining options and much more.

What changes should I expect on or near the campus during construction?

Kennestone’s main lobby entrance will remain open during the current phase of construction.

We are pleased to share that the Blue Parking Deck has reopened as our primary patient/visitor paid parking deck. The Cancer Center Parking Deck is also open as a paid patient/visitor parking deck. Golf carts with drivers remain available at the entrance of both decks to shuttle visitors and patients to the hospital entrance from 6:00am to 9:00pm daily, and personnel are present to help further direct you.

Where do I go if I am delivering a baby?

Labor & Delivery patients ONLY may be dropped-off at the Outpatient Pavilion entrance just inside the Blue Parking Deck

The Labor & Delivery Drop-off/Entrance has shifted to the Outpatient Pavilion entrance, just inside the Blue Parking Deck. To access this Labor & Delivery entrance, visitors use Kennestone Hospital Boulevard, off Tower Road, then follow the Labor & Delivery signs into the Blue Parking Deck, which is our primary parking area.

This entrance is covered, there is plenty of space for drop-off, and the reception desk is staffed 24-hours a day.

Will construction impact the Emergency Department?

Construction will not impact patient access to the Emergency Department:

Emergency Department access for patients will not be impacted by this construction. Emergency vehicles may be impacted by lane closures but already have been notified of efficient route alternatives.

The entire Wellstar Kennestone team thanks you for your patience and support as we continue to grow to serve your healthcare needs!

Proposed Project Schedule

  • May 2022 - Enabling Project, Phase I, Underway
  • December 2022 - Baird Building Demolition Start
  • April 2023 - Groundbreaking and Bed Tower Construction Begins
  • December 2025 - Bed Tower Construction Complete
  • 2026 - Bed Tower Occupancy

Contact Us

Contact us with questions or concerns:
[email protected]
470-956-7241

Café & Bistro Options

Kennestone Café

If you're a visitor who would like to eat in a patient's room, please purchase a guest tray from the cafeteria cashier.

Location

Lower level near Green Tower elevators.

Hours

Monday through Friday: 6:00 AM-8:00 PM and 11:30 PM-3:00 AM
Saturday and Sunday: 7:00 AM-7:00 PM and 11:30 PM-3:00 AM


Tower and Church Bistro

Location

Main level, Purple Tower

Hours

Open Monday-Friday 6:00 AM-5:00 PM
Open Saturday-Sunday 7:00 AM-3:00 PM with limited menu
Closed on holidays


Calm Water Café

Location

Wellstar Cancer Center

Hours

Monday through Friday: 8:00 AM-3:00 PM

Become a Wellstar Volunteer

Working diligently in virtually every area of our hospital, volunteers are our extra hands and hearts! They play the harp and the piano, provide pet therapy, sing, knit, wash hair, do hand massage, encourage, care, help, smile, serve tea, hold hands, garden and push wheelchairs.

  • Wellstar's 1,100 volunteers work more than 200,000 hours a year, representing $3.6 million in donated time.
  • Wellstar volunteers also raise money—more than $773,000 each year, helping us buy needed equipment, renovate facilities and educate our patients.

Currently suspended due to COVID-19. Check back for updates.

Learn more about volunteer opportunities at Wellstar Kennestone Regional Medical Center

PeopleCare Advisory Program (PCAP)

Join our PeopleCare Advisory Program (PCAP) at Wellstar Kennestone Regional Medical Center. Our PCAP is a group of patients, family members of patients and hospital leaders who are committed to finding opportunities to improve the patient and family experience here at Wellstar Kennestone.

Learn more about our PeopleCare Advisory Program at Wellstar Kennestone

Accreditations & Recognition

Rehabilitation Care
  • U.S. News & World Report, Nationally Ranked in Adult Specialty, Rehabilitation 2022
Quality & Safety
  • U.S. News & World Report, Best Hospitals in Georgia 2020
Heart Care
  • Comprehensive Cardiac Center Certification by The Joint Commission 
  • The Joint Commission's Gold Seal Certification for coronary artery bypass, heart valve repair and replacement and heart failure
  • Joint Commission certification for CAB and Valve Replacement and Repairs programs
  • Level I ECCC Emergency Cardiac Care Center Designation by Georgia Department of Public Health 
  • Get With The Guidelines® - Heart Failure GOLD PLUS with Target: Heart Failure Honor Roll and Target: Type 2 Diabetes Honor Roll
  • Mission: Lifeline® - STEMI Receiving Center - GOLD by the American Heart Association
  • Mission: Lifeline® - NSTEMI - GOLD by the American Heart Association
  • Get With The Guidelines - Heart Failure GOLD PLUS with Target: Heart Failure Honor Roll and Target: Type 2 Diabetes Honor Roll by the American Heart Association
  • #6 Ranking for Best Hospitals for Cardiology & Heart Surgery in Georgia by by U.S. News and World Report 
  • Walter F. Johnson IV Chest Pain Observation Unit, low-risk chest pain patients receive rapid triage and treatment
     
Stroke Care
  • Designated as a Comprehensive Stroke Center by The Joint Commission and the Georgia Department of Public Health
  • Target: Stroke Honor Roll - Elite Plus
  • Target: Stroke Honor Roll Advanced Therapy
  • Get With The Guidelines: Gold Plus Achievement
  • AMSN PRISM Award®
Cancer Care
  • GO2 Foundation for Lung Cancer
  • Care Continuum Center of Excellence
Spine Care
  • Certification in Spine Surgery from The Joint Commission
Critical Care
  • Healthgrades, America’s 100 Best Hospitals for Critical Care
Pulmonary Care
  • Healthgrades, America’s 100 Best Hospitals for Pulmonary Care
GI Care
  • Healthgrades, America’s 100 Best Hospitals for GI Care
Surgical Care
  • Healthgrades, General Surgery Excellence Award
  • Joint Replacement Excellence Award
  • Vascular Surgery Excellence Award

Nursing at Wellstar Kennestone Regional Medical Center

At Wellstar Kennestone, it takes a village to deliver personalized care to the community. Our healthcare heroes are more than just nurses, doctors and staff helping people overcome illnesses. We are truly friends caring for friends, family caring for family and neighbors caring for neighbors.

Learn more about the nursing culture at Wellstar Kennestone Regional Medical Center
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Services


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Cancer Care

Comprehensive cancer care for the whole person.
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Heart Care

Comprehensive, cardiac care you can count on.
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Neuro Care

Expert care for brain and spine disease and injury, including stroke care.
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Department

Emergency Care

State-of-the-art facility delivering quality and compassionate care.
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Service

Labor & Delivery

Ensuring your birth experience is as comfortable and joyous as possible.
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Child & Adolescent Care

Personalized, world-class care for children and young adults.
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Pharmacy

Have your prescription filled and ready before you leave.
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Service

Bariatric Surgery

Personalized weight loss plan and support to improve your overall health.
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Ongoing Care

Cardiac Rehabilitation

A medically supervised program designed to improve quality of life.
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Ear, Nose and Throat

Medical and surgical solutions for hearing, balance, snoring and sinus issues. 
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General Surgery

From elective to trauma, specializing in procedures with quicker recovery. 
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Orthopedics

No matter the injury, we’ve got everything you need to get moving again.
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Robotic Surgery

Advanced technology with smaller incisions, less pain and quicker recovery.
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Vascular Surgery

Providing a comprehensive plan of surgery, recovery and rehabilitation.
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Women's Health

Specialty care for every stage of life.
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Service

Wound Care

Customized care for non-healing or chronic wounds.
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Awards and Accreditations


Wellstar is frequently recognized for its commitment to providing world-class healthcare and excellent patient service

Best Hospitals In Georgia

Recognized by US News & World Report for excellence in treating complex, high-risk patients with life-threatening or rare conditions.

100 Best Hospitals - Critical Care

Healthgrades 100 Best Critical Care 2020

Healthgrades recognizes hospitals that deliver superior patient outcomes in Critical Care.

The AMSN PRISM Award

Logo reads AMSN PRISM Award Premier Recognition in the Specialty of Med-Surg



Recognized by the Academy of Medical-Surgical Nurses and the Medical-Surgical Nursing Certification Board for exemplary practice of the medical-surgical unit.

View of Front Desk at the Wellstar Kennestone Emergency Department
Personalized Treatment, Exceptional Care
New, state-of-the-art emergency department delivers quality and compassionate care to every patient, every time
Image of Wellstar executive leadership team speaking in the hallway at Kennestone Emergency Department
Fostering a Culture to Honor Every Voice
We strive to meet the unique health needs and preferences of our diverse patient population
View of Wellstar Kennestone Emergency Department Lobby
Designed with Care in Mind
From top to bottom, the new Kennestone Emergency Department offers acute care for patients and families, at every age and stage of life
Exterior View of the connecting bridge at Wellstar Emergency Department
Impacting the Lives of Real People Every Day
Providing world-class care for the people and the communities we serve
An inside look of a trauma operating room at Wellstar Kennestone Emergency Department
Direct, Emergency CT Access
Our emergency department features a separate high acuity ambulance entrance with direct access to CT imaging

Upcoming Events

View All Events

For the health and safety of our communities during the COVID-19 pandemic, all events and classes are limited. For a complete list, see our event calendar.

News


Headshot photo of Mary Chatman, Wellstar and Georgia Hospital Association logos

Mary Chatman, Executive Vice President of Acute Care Operations for Wellstar Health System, Elected Chair of the Georgia Hospital Association Board of Trustees

ATLANTA – Mary Chatman, PhD, RN, executive vice president (EVP) of Acute Care Operations for Wellstar Health System, was elected chair of the Board of Trustees of the Georgia Hospital Association (GHA) earlier this month. Chatman, who has served on the GHA Board since February 2020, will lead the Board in developing strategies for GHA hospital members, advocating for the highest quality care for patients, and supporting adequate reimbursement for hospitals.

“Mary Chatman’s extensive leadership experience and skills make her well-equipped to lead our Board,” said GHA President and CEO Caylee Noggle. “She is a strong patient advocate, and her experience will serve our members well.”

Serving as a Wellstar EVP, Chatman oversees the operations of Wellstar’s 11 hospitals, post-acute services, and emergency departments. In 2020, she led the opening of Wellstar Kennestone Regional Medical Center’s new emergency department, the largest in the Southeast.

Prior to serving in her current role, Chatman was the chief operating officer and chief nursing officer at Memorial Health University Medical Center in Savannah, where she was responsible for managing the 654-bed hospital and its nursing operations. She also served as interim chief information officer for Memorial and completed the electronic health record conversion to EPIC.

In 2021, Gov. Brian Kemp appointed Chatman to the state’s Healthcare Workforce Commission, where she has helped address challenges in the hiring and retention of health care workers.

Chatman has been recognized locally and nationally as a prominent leader and strong patient advocate in health care. Atlanta Daily World recognized her among the 2018 Women of Excellence. Diversity MBA Magazine named her among the 2018 Top 100 Under 50 Executive & Emerging Leaders and 2020 Top 100 Women of Influence. Profiles in Diversity Journal named her a 2020 Women Worth Watching® in STEM award winner. Chatman was recognized by Atlanta Magazine among the 2021 Women Making A Mark honorees and by Becker’s as one of the 75 Black Healthcare Leaders to Know 2022. She was also named the 2020 West Cobb Citizen of the Year for serving on the frontlines for Cobb County, fighting COVID-19, and collaborating with local leaders.

Chatman is deeply involved in the community, serving as board member for United Community Bank and active in the fight to find a cure for type 1 diabetes. She is a member of the American Nurses Association and the American College of Healthcare Executives. She earned her Bachelor of Science, Master of Science, and Doctor of Philosophy degrees from East Carolina University in Greenville, North Carolina.

About GHA Founded in 1929, GHA serves nearly 150 hospitals in Georgia and promotes the health and welfare of the public through the development of better hospital care for all Georgia’s citizens. The mission of GHA is to advance the health of individuals and communities by serving as the leading advocate for all Georgia hospitals and health care systems. GHA represents its members before the General Assembly and Congress, as well as state and federal regulatory agencies, and is an allied member of the American Hospital Association. For more information, please call 770-249-4500 or visit gha.org.

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Illustration of physicians reviewing lung cancer image on a screen

How research and faster time to treatment are progressing cancer care

Republished Content: Atlanta Business Chronicle

This article was originally published on Atlanta Business Chronicle on November 3, 2023.

As cancer research advances, doctors know more about the keys to reducing cancer cases and driving better outcomes, like long-term survival. Prevention, early detection and treatment—an area that has drastically improved through scientific discovery—are the big three keys today. While preventative measures reduce the risk, screening for cancer before someone has symptoms can be a lifesaver when it is identified earlier and in more treatable stages. Newer, more advanced treatments and starting treatment faster are also making a sizeable impact on survival. For a closer look at how healthcare experts apply these keys in the fight against cancer, Atlanta Business Chronicle’s Market President and Publisher David Rubinger sat down with Wellstar leaders and patients for a sponsored panel discussion on the state of cancer care.

Panelists & moderator


Images and titles of lung cancer panelists and moderator

  • Dr. Bill Mayfield, MD, medical director, lung screening program, medical director, incidental pulmonary nodule program, medical director, STAT Clinics, Wellstar
  • Dr. John French, MD, medical oncologist, Wellstar and Northwest Georgia Oncology Centers*
  • Kathy DeJoseph, lung cancer survivor
  • David Rubinger, market president and publisher, Atlanta Business Chronicle

*Wellstar partners with Northwest Georgia Oncology Centers to provide world class cancer care close to home.

Keys to better outcomes

David Rubinger: Cancer is one of the top causes of death in the U.S., second only to heart disease, with 1.9 million new cancer diagnoses expected this year. The whole idea of trying to beat cancer is the common language of treatment now. We’ve really changed the conversation in many ways. Dr. Mayfield, what have been the keys to getting these better survival rates across all types of cancers?

Dr. Bill Mayfield: There are three basic components to improving outcomes and reducing cancer. Number one is prevention. How can you prevent cancer? Smoking cessation is a major way to reduce the risk for cancer, especially lung cancer. The second key is early detection screening for cancer such as colonoscopies, skin exams and low dose lung cancer CT scans.

Finally, we have treatment as the third key. We have dramatically improved treatments, especially in the last 10 years, with targeted therapies, immune therapies and precisely targeted radiation therapy. For some cancers, reducing the time it takes to start treatment can be as impactful as some of the newer cancer therapies. At Wellstar, we speed up time to treatment through our STAT Clinics.

Rubinger: Dr. French, from the medical oncology standpoint, what has specifically gone on in your world since you started practicing medicine that you think has improved these outcomes?

Dr. John French: There’s no bigger story than immunotherapy in the last 10 years. It was 2017 when Jim Allison out of the University of Texas MD Anderson Cancer Center and Tasuku Honjo in Japan won the Nobel Prize for cancer immunotherapy—the first time the Nobel in Medicine recognized a cancer therapy in decades. Wellstar and our patients participated in clinical trial development of immunotherapy for various cancers.

In medical oncology, there are also targeted therapies. In improving the survival and outcomes of patients, we do a lot of what we call next generation sequencing—tumor genomics and tumor DNA. The way I explain this is, “We’re not testing Kathy’s DNA. We’re testing the tumor itself. We are trying to find a lock and key mechanism, where if we can find what’s driving the cancer, maybe there’s a pill or a target that we can go after to take it out.”

Rubinger: Let’s move on to lung cancer in particular. Lung cancer has traditionally been known as a smoker’s disease—at least that’s how many people view it. It appears as though in the United States we’ve seen an improvement in terms of the number of lung cancer cases. Dr. Mayfield, where is the lung cancer discussion right now? I feel it was maybe one of these small victories that are going on in the cancer movement.

Dr. Mayfield: We do actually have some large victories. The surgeon general came out with a report in the 1960s that said smoking caused premature death and lung cancer. Men in Georgia started reducing their smoking about 35 years ago. As a result, we have 50% fewer male smokers and 35 years later, we’re now seeing a 50% reduction in primary lung cancers from tobacco.

Rubinger: As far as I understand it, early lung cancer is one of those cancers that has no outward physical markers that tell you you’ve got something going wrong. So as lung cancer specialists, what do you advise people to do when they’re getting their checkup? What is the process by which they should be screening for lung cancer?

Dr. French: The biggest thing you can do is if you’re smoking, stop smoking and get screened if you’re eligible. Dr. Mayfield discussed that already, but I’ll add some numbers and perspective.

Number two, if you were a smoker, understand the guidelines and recommendations to undergo screening. They updated the guidelines in 2021 that if your age is 50 to 80 and you have a 20 or more pack per year history of smoking, and currently smoke or quit within the past 15 years, then you’re eligible for screening.

By having a CT scan, you can reduce the risk of lung cancer death by up to 20% by identifying and treating cancer earlier.

Rubinger: Let’s talk to a lung cancer patient about this. Kathy, thank you for joining us. Take us briefly through your journey. What is your background with cancer?

Kathy DeJoseph: This year, I’m a 12-year survivor. Before I was diagnosed, I was a career person and I was on my computer one day and up popped information about this early lung cancer screening study that Wellstar was a part of. I had no symptoms. I had a long history of smoking, grew up with parents who smoked, grandparents who smoked, lived near a factory that was belching out junk into the air.

I was a workaholic and a mom and I saw this study and for whatever reason, I called and talked to the nurse navigator. I was like, “I don’t know whether I want to do this or not. You know, this sounds like I’m going to end up paranoid about it.” She encouraged me to participate.

Dr. Mayfield: Kathy was enrolled in the study and had three or four normal CT scans before she developed a mass. And sure enough, we jumped right on it through Lung Cancer STAT Clinic and got her treatment plan together quickly. That was the point of her being in the annual screening study.

What is a STAT Clinic?

Rubinger: Kathy, before we dive further into your treatment, will Dr. Mayfield help define the STAT Clinic? It’s not a simple thing to do. You all are very busy people and you all have individual schedules. To turn you all into this sort of troop, if you will, moving in sync, that’s a logistical nightmare for a bunch of doctors.

Dr. Mayfield: STAT stands for Specialty Teams and Treatments and it’s about bringing multiple cancer experts together to collaborate about a patient’s care and meet with them the same day so they can get treatment started quickly. We created STAT because we saw a need to do things better and to put the patient at the center of everything we do.

About 17 years ago, we opened a general Thoracic Surgery practice at Wellstar Kennestone Regional Medical Center. And we did everything like everybody else did. We had a navigator—someone who connects a person who has cancer with the help and support they need. We had tumor boards—a group of physicians and scientists who meet to discuss treatment options for individual cancer patients.

But when we looked carefully, we saw that by the time the patient’s case was presented in a tumor board, it was 58 days on average from the time the patient had their original CT scan. They had gone from a primary care doctor to a pulmonologist to an oncologist back to the pulmonologist, then had a biopsy, a PET scan and then maybe saw a radiation oncologist. It was 58 days by the time they got to the tumor board and were able to get a treatment plan started. That’s a problem. But that is the standard of care in the United States today—60 to 90 days in this workup period.

We said, “There’s got to be another way.” I knew of a clinic run by a pretty notable oncologist in another state, who brought the thoracic surgeons, pulmonologists and the oncologist to his clinic to see the patient at the same time. An oncologist and I drove up there, spent the day, asked a bunch of questions and said, “You know what, we need to do this.”

So we came back and getting those specialists—the thoracic surgeon, pulmonologist, medical oncologist, radiation oncologist and navigator—in the same place at the same time was hard.

What we decided to do is start with one hour on Wednesday afternoon. So we saw two patients one week, then 2 to 3 the next week and then 3 to 4 the next week. Then a primary care doctor heard about it and the pulmonologists heard about it and suddenly we were seeing 12, 15, 20 patients.

A few years ago we surpassed more than 10,000 patient visits in the Lung Cancer STAT Clinic. And during that time, we started the lung screening program and the incidental nodule program.

The culmination of our initiatives to identify lung cancer earlier and hasten the time to treatment has reduced our time from abnormal image to starting treatment to somewhere between 14 and 20 days, rather than 60 to 90 days. The early detection program has made it such that 40% of the cancers diagnosed at Wellstar are stage 1 and 2, when cancer is more treatable and patients have better outcomes. On a national average, just 15 to 20% of lung cancer diagnoses are stage 1 or 2. We’ve dramatically improved the ability of our lung cancer patients in our community to survive their disease.

Rubinger: It sounds like early detection and shorter time to start treatment make a real impact for patients. Kathy, let’s talk a little bit about what those things meant for you as a patient. Let’s start with when you were diagnosed. Did you have any symptoms? What happened next?

DeJoseph: I didn’t have any symptoms. Everything was fine, except for my history with smoking. The year I was diagnosed, I was going to quit the study but the nurse navigator took me out to lunch to convince me to come back—and thank goodness she did. I was diagnosed the very next day.

The biggest benefit for me with the way the STAT Clinic works is that I didn’t have to worry about whether the doctors had actually talked to each other. I didn’t have to worry about whether maybe they didn’t actually agree. All those things that I would have been worried about went away because I talked to all of them on the same day in the same place.

It gives you a lot of confidence. I thought, “Well, you know, they’d have to all be wrong on the same day at the same time to screw this up.” I ended up becoming a volunteer and would meet with newly diagnosed patients for several years. One of the biggest things that I would talk to new patients about is how STAT Clinic kept things from dragging out for months, going from doctor to doctor.

Rubinger: It sounds like STAT Clinic is meaningful to patients, not just medically, but emotionally. Is the STAT Clinic exclusively for people with lung cancer or are patients with other conditions benefitting from this model now?

Dr. Mayfield: That’s a good question. We added Lung Cancer STAT Clinics at Wellstar Cobb, Douglas and North Fulton Medical Centers. Outside of lung cancer, my neurosurgery buddy got curious. He’s saying, “Wait a minute. You know, we have this patient with brain cancer and they have to go see the radiation oncologist but your patient gets to meet the radiation oncologist at the same time as you. We want that.”

So the next STAT Clinic that cranked up was for neurological tumors. It was awesome to see that we could inspire other folks to do the same thing.

Dr. French: To add to that, we also have STAT clinics for breast cancer and head and neck cancer. All of these cancers require multidisciplinary care with doctors from different specialties who collaborate on patient care because otherwise, you have to go see different cancer subspecialists and that may take a longer period of time.

Dr. Mayfield: Here’s the dark secret about cancer care in the U.S. Dr. Alok Khorana at the Cleveland Clinic published a paper about three years ago. He studied 1.2 million cases in the national cancer database and 340,000 of those were lung cancer patients. He clearly showed that for every seven days’ delay in therapy in stage 1 or stage 2 disease, you lose 2% five-year survival. Delay in time to initial cancer treatment in the U.S. is an important risk factor for survival over time.

A first-hand account

Rubinger: Kathy, let’s come back to you for a second. So you go into this STAT Clinic. Obviously, this whole process must have been terrifying on so many different fronts.

DeJoseph: I wasn’t as terrified for as long as most people are because I had answers within a short period of time.

Rubinger: How short?

DeJoseph: I had my biopsy the next morning after the first STAT Clinic appointment. About a week and a half after that, I started chemo. That was really fast. I had surgery after chemo.

In the STAT Clinic, every doctor comes in and talks to you. You learn what their role is going to be and what the timing will be with other treatments. It all happens at the same time. I took a lot of confidence in questioning everybody on the same day and knowing they had also talked together. I knew for sure that they had, where I would have really wondered about that if had I done it the normal way—visiting multiple specialists over a several-month period.

Rubinger: I’ll be the contrarian for a second. What if I walk into the STAT Clinic and say, “Well, I’d like to choose my surgeon. I’d like to choose my oncologist. I’d like to choose the radiation oncologist I want to use for my radiation treatment.” How much flexibility do I have within the STAT Clinic to select the doctor I want to work with? Or do I have to take the ones that are assigned to me regardless?

Dr. Mayfield: That is an excellent question. You can come to us for a consolidated opinion and get your care wherever you choose. You have four experts looking at you physically and reviewing all your imaging and all your tests together, coming to a consensus. For treatment, you can use any oncologist, any thoracic surgeon, anybody you want, even if it’s within our own institution.

Dr. French: Whether we’re providing the care or simply an opinion, STAT Clinic puts the patient first. We have patients from Alabama, Tennessee, North Georgia who can’t travel here for ongoing care. I’ve even had patients who live near the Carolina border. Part of the STAT Clinic is also handling the logistics where one of these patients may need treatment closer to home. For example, someone may need chemotherapy and I say, “OK, I’ll coordinate that with the medical oncologist in your area.” When we’re done seeing STAT Clinic patients, we agree, “You call the local radiation oncologist, I’ll call the local medical oncologist and let’s get them plugged in and connected with treatment recommendations.” Again, STAT Clinic expedites and coordinates all that care. Getting the foot in the door and getting that ball rolling is half the battle.

The state of screening and future goals

Dr. French: In talking about screening earlier, we didn’t address non-smokers. If I don’t smoke, I don’t need to be screened if I’m doing my well check-up and I’m not having a cough or chest pain. There’s really no screening for lung cancer outside of those recommendations.

That being said, the other thing that you need to understand is that in the state of Georgia, we are horrible at screening people. We rank toward the bottom quartile of the entire country in screening patients when it comes to the proportion of eligible patients. The American Lung Association data ranks Georgia 35th in the nation. We screen 5% of eligible people, so we’re not capturing 95% of people who could be screened.

We know the data to support screening is there. Kathy is a living example of this. Talk to your primary care doctor about your history with smoking and the need for screening.

Dr. Mayfield has ramped up the effort to capture more at-risk people through screening, but we still need to get the message out.

Dr. Mayfield: We started our screening program 15 years ago as part of I-ELCAP—the International Early Lung Cancer Action Project—and then we broke off of the study because the results were so positive. We decided we’re just going to do this as a standalone program in our community.

As a result, over the last 15 years, we become one of the three largest lung cancer screening programs in the U.S. We have about 15,000 people in our program currently.

The problem is, we serve a community of 1.7 million in 15 counties. Knowing that 40% of those are smokers or former smokers, we should be scanning a million people a year.

Why aren’t we screening more people? We’re a part of the Georgia Lung Cancer Roundtable and the National Lung Cancer Roundtable trying to solve that problem. I think it’s going to take a national awareness campaign.

When that happens, we need to prepare our screening centers for high volumes. That will drive us from discovering more stage 3 and 4 lung cancers when people are dying, to finding more stage 1 and 2 lung cancers. Those earlier-stage cancers are much less expensive to treat from a policy and population health level and are easier to treat, giving more patients good long-term outcomes.

Rubinger: But we wouldn’t be screening non-smokers at this point.

Dr. Mayfield: There’s not enough data yet to guide us to any other risk factor than tobacco use.

What employers should know about cancer

Rubinger: Let’s talk about the business community for a second.

When it comes to the employee, when you see patients who are in full-time jobs, what role do you see the employer playing when you’re caring for cancer patients? What can employers do to help them in their battles?

Dr. Mayfield: I have a pretty strong opinion on two items. One is that employers should promote age-appropriate screenings for all cancers among their employees. Give them that half a day off if they need to go somewhere for a doctor’s appointment to get that screening exam. And as callous as it may seem, that half a day off to find cancer in earlier stages is much less expensive than treating an advanced cancer years later, from extended time off to the insurance costs associated with advanced cancer.

The CEO of the corporation, the vice president, the chief medical officer, the chief operating officer—they assume that if they or any of their employees get cancer care, they’re going to get the best care available. But unfortunately, the best care available today in most places is going to take them 60 to 90 days to get through the initial doctors’ visits and tests that at the STAT Clinic, we manage in 14 days.

My challenge to the business community is to ask their insurers and their healthcare providers a very difficult question, “How long will it take to get our employee from an abnormal finding to starting treatment?” When insurers and healthcare providers have to start answering hard questions, then we’ll move the ball.

Dr. French: I would add, when a corporation buys health insurance, it needs to make sure institutions that perform research and clinical trials are covered.

I had a patient who had stage 4 prostate cancer and there is a clinical trial using novel bispecific immunotherapeutics. The guy is young; he’s eligible for the trial. The patient signed the trial consent only to find out that his insurance doesn’t cover the medical facility that’s offering it, so therefore he’s not eligible for the clinical trial. Now he’s going to have to get the standard of care, which is good. But he could have gotten something new on a trial if it was covered by his company’s health plan.

So, companies should first make sure that employees are covered for good quality healthcare and at top facilities that perform research.

Number two is, if you’re an executive, consider supporting on-site screening. I’ve seen a lot of patients in the STAT Clinic who get executive physicals, they get a day off and they do this comprehensive testing. Lo and behold it shows something. That early detection gets them to treatment at an earlier stage when the cancer is less advanced and they have a higher chance for better outcomes.

So consider offering a half-day, a health fair or on-site health screenings as part of your company’s health offerings.

I think a healthy employee, one that feels valued and respected, will be a hard worker. If I feel that my business cares about me, my health, my life and my family, that sounds like a company I’d want to work for.

Learn more about cancer care at Wellstar. 

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Published on: November 2023
A photo of Wellstar Kennestone Regional Medical Center, the 3 Star Rating, Joint Commission C4 certification and Wellstar logo

Top Marks for Heart Care at Wellstar Kennestone Regional Medical Center

Wellstar Kennestone Regional Medical Center recently received two major commendations highlighting the high level of heart care continuously provided to patients—putting Wellstar Kennstone among the top hospitals in the nation. The Marietta-based heart care program received:

  • A distinguished three-star rating from The Society of Thoracic Surgeons (STS) for its patient care and outcomes in isolated coronary artery bypass grafting (CABG). This is the highest category of quality, placing Wellstar Kennestone among the best programs for heart bypass surgery in the U.S. and Canada. 
  • The Joint Commission’s Gold Seal of Approval and the American Heart Association’s Heart-Check mark for Comprehensive Cardiac Center Certification, which means Wellstar Kennestone is the only hospital in Georgia to raise its total cardiac program to the elite level. 

“This community is where we live, and when we care for our patients, we’re caring for our neighbors and friends—that’s why pursuing excellence is such a high priority,” said Steve Cermak, executive director of Wellstar Center for Cardiovascular Care & Hospital Operations at Wellstar Kennestone Regional Medical Center. “We feel it’s our duty to provide the highest level of care possible.”

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Published on: July 2023
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