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Author: Mirjana Phillips

OncoLens Streamlines NAPRC Accreditation through Advanced Patient Tracking and Analytics Reporting

The American College of Surgeons launched its National Accreditation Program for Rectal Cancer (NAPRC) in 2018 with the goal of improving outcomes by standardizing treatment processes and focusing on multidisciplinary teamwork. The quality initiative was driven by a recognition that treatment outcomes have been highly variable, based on specialization, training and volume, and that outcomes in the United States lagged behind those in Europe.

It is known that achieving and maintaining accreditation requires intensive tracking and reporting across multiple processes and performance measures in preparation for, and in between, site visits. Although this can be done manually, the process can be inefficient and consume time and resources better spent on providing care. Manual tracking also requires staying on top of on-going changes to the NAPRC standards.

The OncoLens Multidisciplinary Cancer Care Platform streamlines clinical services and outcomes through tracking and reporting to meet NAPRC requirements. OncoLens’ easy access, single repository, records and refers all information necessary for accreditation. It provides online case entry to help ensure comprehensive documentation of all relevant metrics, including treatment evaluations and recommendations and all pre-treatment and post-surgical discussions. Care team members can quickly update case information and add notes, as needed. Metrics are organized in two categories — General (CoC) and NAPRC, making it easier to categorize patients appropriately. In each category, dynamic checklists specific to diagnosis simplify data entry and are designed to reduce the risk that any required metrics might be overlooked. Cases can also be marked for exclusion from NAPRC reporting. For greater efficiency, OncoLens supports integration with EPIC, Cerner and nearly all other electronic medical record (EMR) systems.

NAPRC Reporting

Your greatest efficiencies will be experienced when generating reports for submission. OncoLens eliminates the time and resources needed to manually collate data from disparate sources and stay up to date on NAPRC reporting standards. OncoLens’ simple, straight forward reports are properly formatted and aligned to current standards.

The Summary Report provides metric compliance rates against expected thresholds to assess performance for a selected timeframe. It ensures that only the applicable patients and metrics are counted based on phase of care or diagnosis location.

NAPRC sample summary report

OncoLens

OncoLens helps remove difficulties and ensure NAPRC accreditation by tracking and reporting better patient outcomes through unprecedented collaboration across multidisciplinary cancer care teams. Contact OncoLens to learn more about patient tracking and analytics.

ACCC and Boston University Present the Project ECHO® Eight-Part Webinar Series, Powered by OncoLens

The Project ECHO® eight-part webinar series is powered by OncoLens, designed and managed by the Association of Community Cancer Centers (ACCC), accredited by Boston University Chobanian & Avedisian School of Medicine Barry M. Manuel Continuing Medical Education Office (BU_CME), and made possible by a grant from Bristol Myers Squibb (BMS).

Atlanta, GA: OncoLens–an innovator in multidisciplinary cancer care, and provider of a comprehensive, integrated treatment planning platform, was engaged by ACCC to power and disseminate via the OncoLens network, the Project ECHO® eight-part webinar series. The series kicked off with a Cardiology session on September 20, 2022, that exceeded attendance goals by 58%. A Gastroenterology session followed on October 18, 2022, with over 50% of the participants from the first session returning. Health care providers can register, at no charge, for the five remaining sessions—Rheumatology, Neurology, Hepatology, Dermatology, and Pulmonology.

Each session is designed to cover a different topic with Key Opinion Leaders discussing irAE monitoring and management strategies for approved cancer immunotherapies as well as for immunotherapies that have newly expanded indications for cancer treatment. During the session, health care participants,
from multiple disciplines, are welcome to submit unidentified clinical cases and will receive guidance from expert faculty. At the end of each session, participants will be able to:

  • Apply evidence-based practices for the monitoring and management of irAE in patients receiving cancer immunotherapies
  • Improve coordination and communication with non-oncology specialists and with patients/caregivers to manage irAE in patients receiving cancer immunotherapies
  • Review strategies for providing equitable care for underserved patients receiving cancer immunotherapies

“We are proud to support the Project ECHO® webinar series designed by ACCC and BU_CME,” said Anju Mathew, Chief Executive Officer of OncoLens. “This is another example of how partnerships across global nonprofits, leading medical education institutions, and innovators in multidisciplinary cancer treatment address health and community issues by providing care strategy education.”

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About the Association of Community Cancer Centers (ACCC)

The Association of Community Cancer Centers (ACCC) is the leading education and advocacy organization for the cancer care community. Founded in 1974, ACCC is a powerful network of 30,000 multidisciplinary practitioners from 1,700 hospitals and practices nationwide. As advances in cancer screening and diagnosis, treatment options, and care delivery models continue to evolve – so has ACCC – adapting its resources to meet the changing needs of the entire oncology care team. For more information, visit accc-cancer.org.

Follow us on social media; read our blog, ACCCBuzz; tune in to our CANCER BUZZ podcast; and view our CANCER BUZZ TV channel.

About Boston University Chobanian & Avedisian School of Medicine, Barry M. Manuel Continuing Medical Education Office

Boston University Chobanian & Avedisian School of Medicine Continuing Medical Education designs, implements, and assesses evidence-based education for the healthcare team to advance their skills/strategies and performance, optimally leading to improved patient outcomes. We deliver activities in a wide variety of educational formats at the local, regional, and national level.

About Project ECHO®

Founded in 2003, Project ECHO® is a global nonprofit that empowers practitioners and professionals in rural and underserved areas to reduce disparities and improve the well-being of people in the communities where they live. ECHO’s free, virtual mentoring model addresses some of the world’s greatest challenges in health care, education and more, with a mission to touch 1 billion lives by 2025.

About OncoLens

OncoLens is the single platform that enables multidisciplinary cancer care across the continuum. Through a streamlined, secure HIPAA-compliant infrastructure, OncoLens drives intra-enterprise, community, network, and affiliate participation in multidisciplinary care planning, tracking, and delivery. The OncoLens platform allows providers to aggregate, create and track the comprehensive patient journey. This includes maximized clinical trial participation, an extended referral stream, and the creation of a center of excellence that can be leveraged to support patient care and provider education. More than 200 cancer centers and associations across the U.S and internationally rely on OncoLens to support their cancer programs and the care delivered.

Contact

OncoLens, info@oncolens.com

Project ECHO®: Endocrine Toxicities with Immune Checkpoint Inhibitors

Speakers

Jocelyn E. Mohs, PharmD, BCOP
Director of Pharmacy
Sanford Medical Center, Fargo
Fargo, ND

Rajeev Sharma, MD
Assistant Professor of Oncology & Medicine
Division of Endocrinology
Roswell Park Comprehensive Cancer Center
Jacobs School of Medicine & Biomedical Sciences, University at Buffalo, NY

Learning Objectives

At the end of this educational program, participants should be able to:

  • Apply evidence-based practices for the monitoring and management of immune-related adverse events (irAE) in patients receiving cancer immunotherapies
  • Improve coordination and communication with non-oncology specialists and with patients/caregivers to manage irAE in patients receiving cancer immunotherapies
  • Review strategies for providing equitable care for underserved patients receiving cancer immunotherapies

Click here to learn about remaining Project ECHO sessions or to view other available recordings.

Project ECHO®: Gastroenterology Toxicities with Immune Checkpoint Inhibitors

Speakers

Jocelyn E. Mohs, PharmD, BCOP
Director of Pharmacy
Sanford Medical Center, Fargo
Fargo, ND

Rajeev Sharma, MD
Assistant Professor of Oncology & Medicine
Division of Endocrinology
Roswell Park Comprehensive Cancer Center
Jacobs School of Medicine & Biomedical Sciences, University at Buffalo, NY

Download Presentation

Click here to view the accompanying presentation (PDF, 2.1MB, opens in new tab).

Learning Objectives

At the end of this educational program, participants should be able to:

  • Apply evidence-based practices for the monitoring and management of immune-related adverse events (irAE) in patients receiving cancer immunotherapies
  • Improve coordination and communication with non-oncology specialists and with patients/caregivers to manage irAE in patients receiving cancer immunotherapies
  • Review strategies for providing equitable care for underserved patients receiving cancer immunotherapies

Click here to learn about remaining Project ECHO sessions or to view other available recordings.

Project ECHO®: Cardiovascular Toxicities with Immune Checkpoint Inhibitors

Speakers

Avirup Guha, MD, MBBS, MPH, FACC, FICOS, RPVI
Director of Cardio-Oncology, Cardio-Oncology Program, Georgia Cancer Center
Assistant Professor of Medicine, Division of Cardiovascular Disease, Augusta University
An expert in cardiovascular epidemiology pertaining to cardio-oncology

Laura Wood, RN, MSN OCN
Oncology Nurse Specialist, Medina, Ohio

Learning Objectives

At the end of this educational program, participants should be able to:

  • Apply evidence-based practices for the monitoring and management of immune-related adverse events (irAE) in patients receiving cancer immunotherapies
  • Improve coordination and communication with non-oncology specialists and with patients/caregivers to manage irAE in patients receiving cancer immunotherapies
  • Review strategies for providing equitable care for underserved patients receiving cancer immunotherapies

Click here to learn about remaining Project ECHO sessions or to view other available recordings.

Project ECHO® Learning Series: Telementoring to Manage Immune-Related Adverse Events in Patients Receiving Cancer Immunotherapies

Course Description

Could you benefit from expert advice on the optimal management of Immune-related Adverse Events (irAE)? If so, please join the Association of Community Cancer Centers and Boston University on the third Tuesday of every month from 3:00 – 4:00 PM ET for complimentary telementoring sessions. Each month we will cover a different topic, allowing you to receive guidance on clinical cases and have your questions answered by expert faculty. Registration is free and you will automatically be signed up for all sessions.

Learning Objectives

At the end of this educational activity, participants will be able to:

  • Apply evidence-based practices for the monitoring and management of irAE in patients receiving cancer immunotherapies
  • Improve coordination and communication with non-oncology specialists and with patients/caregivers to manage irAE in patients receiving cancer immunotherapies
  • Review strategies for providing equitable care for underserved patients receiving cancer immunotherapies

We welcome you to submit unidentified clinical case scenarios for each of the tumor-board style discussions. Submission instructions will be available upon registration.

Target Audience

Oncologists, Nurses, Nurse Practitioners, Physician Assistants, Pharmacists, and other healthcare professionals involved in treating patients with cancer immunotherapies.

MIB Agents Selects OncoLens to Support and Expand its TURBO Program Globally

As we observe Sarcoma Awareness Month, MIB Agents, a global leader in osteosarcoma education and collaboration, leverages OncoLens to support all aspects of their TURBO program. The OncoLens multidisciplinary cancer care platform powers patient treatment discussions, care planning, and data collection.

Atlanta, GA (Jul 19, 2022): MIB Agents has engaged OncoLens to support the organization’s Tumor Review Board for Osteosarcoma (TURBO) program. This virtual tumor board brings together a multidisciplinary team of global osteosarcoma experts to review patient cases, share experiences, and build knowledge across the sarcoma community. OncoLens’ multidisciplinary care platform  captures, shares, and tracks cases immediately and over time, providing vital data to enhance care.

Osteosarcoma is an aggressive, malignant primary bone cancer. It is the most prevalent bone cancer in the United States, with between 800-1,000 new patients diagnosed each year. Osteosarcoma is also the most prevalent bone cancer impacting children and young adults.

TURBO brings together great minds in osteosarcoma research and care across geographies and institutions facilitating collaboration,” said Katie Janeway, MD, a pediatric oncologist at Dana-Farber Cancer Institute.

TURBO currently conducts six tumor boards annually, during which key opinion leaders, experts, and clinicians supporting osteosarcoma patients come together to discuss patient cases. In addition to supporting care planning, the program creates a network of expertise and insight that helps accelerate education, research focus areas, and grant opportunities. After a successful start in the US, MIB Agents will be expanding participation and increasing frequency to twelve times per year to include global osteosarcoma experts.

“For the TURBO program and global osteosarcoma community, OncoLens is helping streamline multidisciplinary clinical insights, education and access, more effectively and efficiently than ever before,” said Matteo Trucco, MD, a pediatric oncologist from Cleveland Clinic and TURBO moderator. “The collaboration that we can achieve on a global scale will help physicians from across all disciplines more efficiently review cases, share available clinical trials and promote collaboration.”

“We are proud to support the work of MIB Agents and the TURBO program,” said Anju Mathew, chief executive officer for OncoLens. “This work is another example of how a multidisciplinary cancer care platform can drive connection, collaboration, and knowledge sharing for some of the world’s most complex and difficult-to-treat cancers. We are thrilled to partner with MIB Agents and support their efforts in driving osteosarcoma research, treatment, and education.”

About MIB Agents

Founded in 2012, MIB Agents is a leading pediatric osteosarcoma nonprofit dedicated to making it better for our community of patients, caregivers, doctors, and researchers through programs, education, and research.

About OncoLens

OncoLens is the single platform that enables multidisciplinary cancer care across the continuum. Through a streamlined, secure HIPAA-compliant infrastructure, OncoLens drives intra-enterprise, community, network, and affiliate participation in multidisciplinary care planning, tracking, and delivery. Using OncoLens, cancer providers can capture, disseminate, and track quality, best practices, and protocols. And with direct EMR and cancer registry integration, data and abstraction are automated and accelerated. The OncoLens platform allows providers to aggregate, create and track the comprehensive patient journey across the continuum. This includes maximized clinical trial participation, an extended referral stream, and the creation of a center of excellence that can be leveraged to support patient care and provider education. With OncoLens, providers can realize and expand their reputation to increase patient-driven referrals, decrease patient leakage and enhance their brand within the oncology community. More than 200 cancer centers and associations across the U.S and internationally rely on OncoLens to support their cancer programs and the care delivered.

Optimizing Frontline Immunotherapy in Advanced Non-Small Cell Lung Cancer: Program Highlights

Optimizing Frontline Immunotherapy in Advanced Non-Small Cell Lung Cancer

Course Description

This continuing medical education (CME) activity will provide highlights from 2 Live Grand Round Sessions, offering expert insights on key concepts in immunotherapy for advanced NSCLC. Core topics include the rationale for immunotherapy, the critical importance of guideline-driven biomarker testing in patient selection, and the most current data on checkpoint inhibitor monotherapies, combinations, and emerging regimens.

Learning Objectives

Completion of the course will help you:

  • Identify patients with advanced NSCLC eligible for frontline immunotherapy using biomarker test results
  • Apply efficacy and safety data on frontline immunotherapy when treating patients with advanced NSCLC

Target Audience

This activity is intended for oncology, pathology, and pulmonology clinicians (MD/DO/NP/PA) engaged in the care of patients with non-small cell lung cancer (NSCLC).

The Desmoid Tumor Research Foundation Closes Care Gaps through Virtualized Multidisciplinary Cancer Care Platform

In honor of World Cancer Day, The Desmoid Tumor Research Foundation is celebrating the success of their virtualized tumor board program enabled through the OncoLens platform

Atlanta, GA: In honor of World Cancer Day on February 4th, The Desmoid Tumor Research Foundation (DTRF) is celebrating the success of The DTRF Virtual Tumor Board program in closing care gaps and patient access barriers for rare tumors. The DTRF Virtual Tumor Board is an international, virtual meeting where physicians discuss de-identified, challenging desmoid tumor patient cases to develop a path forward for treatment. Since the program’s launch in 2017, these meetings have helped 55 patients and engaged clinicians from around the globe. As recognition of the program’s success has grown across the community, oncologists are looking to replicate the approach with other rare cancer types.

The DTRF was founded in 2005 to fund research toward a cure for desmoid tumors and improve the lives of patients through education, awareness, and support. Desmoid tumors are rare tumors of soft tissues in the body, can be locally invasive, and often have an unpredictable clinical course. The DTRF receives inquiries from healthcare professionals, patients, and family members for advice on treatment and management strategies for desmoid tumors. As is the case with many rare tumors, medical expertise and research programs for desmoid tumors are limited and often siloed across academic research facilities. To address gaps in access and improve shared knowledge, The DTRF runs The DTRF Virtual Tumor Board program quarterly during which three to four patient cases are discussed with physicians from multidisciplinary backgrounds. Attendance is global, and the sessions provide an invaluable opportunity to disseminate evidence-based consensus guidelines and education.

“Through The DTRF Virtual Tumor Board program, we created a pathway for connecting desmoid tumor experts, specialists, and patients around the globe. We often think of care gaps at the individual patient level, and what we know through our work at The DTRF is that gaps and barriers to access are amplified when it comes to rare cancer types. Being able to centralize, standardize, and facilitate the knowledge sharing that happens during these meetings is emerging as a best practice in rare tumor treatment and oncology more generally,” said Lynne Hernandez, director of special events and operations for The DTRF.

With more than 55 patient cases discussed across providers representing countries including the U.S., Italy, Brazil, the U.K., Norway, Mexico, Germany, and Australia, The DTRF Virtual Tumor Board serves as a successful model that can be replicated for other cancer types. In addition to the live sessions, each meeting is recorded. Efforts are underway to curate this data and make it available through a knowledge base that can be accessed asynchronously. These data include treatment recommendations, outcome summaries, and follow-ups to ensure a complete view of the patient journey and outcomes.

“In general, rare tumors often face the challenge of limited clinical trial and research opportunities, which hinders the development of well-established management strategies. The DTRF Virtual Tumor Boards provide a unique and cost-effective way to reach more people and provide expert advice in a more formal scientific forum,” said Aaron Weiss, DO, director, medical advisory board for The DTRF and division chief, pediatric hematology-oncology for Maine Medical Center. “Using the multidisciplinary platform OncoLens, we connect clinicians and lower access-to-care gaps at a global scale. And the data that we are collecting will help inform future research and guidelines.”

The DTRF Virtual Tumor Board program leverages the OncoLens Multidisciplinary Cancer Care Continuum platform to facilitate the virtualized meetings. The fully HIPAA-compliant solution enables patient data sharing, treatment discussions, and documentation for each patient case. Access is web-based, no local software needs to be installed, and the workflow is purpose-built for oncology and customized to cancer type.

“It has been an honor to work with The DTRF and to serve as the multidisciplinary care continuum backbone for this program,” said Anju Mathew, chief executive officer for OncoLens. “This project demonstrates the power of collaboration at an international level to lower barriers to care and address the challenges inherent to rare tumors. We look forward to our continued work with The DTRF and support for their mission.”

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About The DTRF

The mission of The Desmoid Tumor Research Foundation (DTRF) is to aggressively fund research to accelerate the development of improved therapies, and ultimately find a cure for desmoid tumors. The Foundation collaborates with dedicated researchers and clinicians worldwide to improve the lives of patients through education, awareness and support. The DTRF was founded in 2005 by Jeanne Whiting and Marlene Portnoy, “two women working from their kitchen tables”, who over the years have transformed an entire rare disease community and research agenda.

About OncoLens

OncoLens is the single platform that enables multidisciplinary cancer care across the continuum. Through a streamlined, secure HIPAA-compliant infrastructure, OncoLens drives intra-enterprise, community, network, and affiliate participation in multidisciplinary care planning, tracking, and delivery. Using OncoLens, cancer providers can capture, disseminate, and track quality, best practices, and protocols. And with direct EMR and cancer registry integration, data and abstraction are automated and accelerated. The OncoLens platform allows providers to aggregate, create and track the comprehensive patient journey to optimize multidisciplinary care across the continuum. This includes maximized clinical trial participation, an extended referral stream, and the creation of a center of excellence that can be leveraged to support patient care and provider education. With OncoLens, providers can realize and expand their reputation to increase patient-driven referrals, decrease patient leakage and enhance their brand within the oncology community. More than 9,000 cancer providers and 36,500 cancer patients across the U.S. rely on OncoLens to support their cancer programs and the care delivered.

Contact

Allison Kavanagh 
OncoLens
404 483 3713
allisonkavanagh@oncolens.com

OncoLens Platform Critical to Meeting the CoC’s Continuous Quality Improvement Requirements

The cancer planning solution serves as an essential component to monitoring concordance with evidence-based guidelines and yearly quality improvement initiatives.

Atlanta, GA (Jan 20, 2022):

The Commission on Cancer (CoC) accredits approximately 1,500 cancer centers nationwide. Continuous quality improvement activities are critical to maintaining this accreditation and driving advancements in cancer care quality. Within this landscape, OncoLens has emerged as an essential platform for cross-discipline data sharing and analyses that lead to better care decisions, patient outcomes, and CoC quality improvement compliance.

As part of the CoC accreditation process, cancer programs must perform quality improvement initiatives aimed at “problem resolution, outcomes improvement, and assurances of patient safety (Commission on Cancer, 2020).” Cancer programs are required to foster a collaborative culture that empowers participants to analyze and implement improvements to care quality. This includes [Quality Standard 7.2] monitoring concordance with evidence-based guidelines and [Quality Standard 7.3] executing at least one yearly cancer-specific quality improvement initiative.

CoC accreditation is designed to encourage hospitals, treatment centers, and other facilities to improve the quality of care across the entire cancer continuum, including prevention, survivorship, and end-of-life care. While 2020 Standard revisions lowered the number of cases reviewed and quality studies performed to meet quality improvement requirements, ensuring compliance and maintaining collaboration remain challenging. Quality improvement demands multidisciplinary inputs and a centralized hub for data sharing, information, and analysis. With disjointed technology stacks, disparate data, and few options to streamline communications, cancer programs struggle to drive the multidisciplinary collaboration that underpins the CoC’s standards.

OncoLens, a holistic platform supporting the entire cancer patient journey, is helping cancer centers drive collaborative engagement and unlock data to support quality standards. Recent projects have improved the identification of advanced Non-Small Cell Lung Cancer (NSCLC) patients eligible for frontline-immune checkpoint inhibition therapy using biomarker test results. This included baselining current practices and identifying barriers leading to variation within a facility.

“Cancer programs are using OncoLens to perform in-depth analyses that determine if diagnosis and initial treatment are concordant with evidence-based national treatment guidelines. In addition, the collaborative capabilities native to the platform are facilitating quality improvement initiatives by aggregating data, supporting problem statement development, and driving the monitoring and measurement of quality improvement program activities,” said Anju Mathew, OncoLens chief executive officer.

Planned activities across 2022 will continue to support cancer centers already live on the OncoLens platform, deliver non-OncoLens programs the opportunity to participate in sponsored quality improvement initiatives, and provide insights to the CoC on additional measures and benchmarks indicative of multidisciplinary care quality and improved patient outcomes.

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2022 Multidisciplinary Cancer Care Top Five Trends

We hosted Chase Adams, MBA, MHA, Executive Director, Oncology & Radiation Services for Wellstar Kennestone Regional Medical Center and Timothy Mullett, MD, MBA, FACS, Medical Director for the UK Markey Cancer Center Affiliate and Research Networks and Chair, American College of Surgeons Commission on Cancer to discuss multidisciplinary cancer care, quality and business outcomes, and the future of cancer care continuum management.

In addition to sharing invaluable lessons learned from decades of cancer care delivery, they identified five major trends that will shape the cancer patient and provider journey across 2022.


Trend: The way we measure the success of multidisciplinary cancer care will expand

While survivorship remains an overarching measure of success, Adams and Dr. Mullett anticipate that oncology will expand and refine key performance indicators across quality and business outcomes.

As cancer programs improve planning and continuum management, they will gain more profound and nuanced insights into quality improvement indicators. Within the tumor board, the number of referrals, number of patients presented, and number of physicians engaged are all associated with improvements in the experience of care and outcomes. Longer-term quality measures point to increased resource utilization, increased patient retention, and a reduction in the time between patient interactions with the healthcare system.

“I think that there are other (metrics) that we could be looking at: number of referrals to rehabilitation, number of referrals to genetic counseling, number of patients that are accrued to clinical trials or even considered for clinical trials. Those are the tools that I think are going to lead to those long-term measures of success,” said Dr. Mullett.

Adams cited business outcomes that can be tied back to a multidisciplinary care approach, including expanded provider engagement, reduced readmissions, and avoidance of potential penalties:

“If we are able to expand (multidisciplinary clinics) throughout our health system, that starts to bring in more providers who might not be part of a larger system. The impact includes significant positive returns on driving downstream revenue, reduced readmissions, and better outcomes.”


Trend: Creating and operationalizing connections across the oncology landscape will become a reality

Connection in today’s cancer center looks very different. And many of the changes facilitated by COVID-19 have helped increase engagement and access for providers who can’t always join a tumor board or conference in person. But Adams and Dr. Mullett see connection expanding beyond technical modalities to bring down the data, access, time, and place challenges that perpetuate artificial barriers. They see multidisciplinary care enabled by a shared patient view discussed synchronously and asynchronously across providers and the patient and provider journey. And through this approach, cancer programs can drive the inclusion of perspectives and voices from the entire care continuum.

“It’s important as we begin more hybrid care where we’re connecting with other facilities. We also need to think about navigators and survival specialists. So, we try to get them involved in our tumor boards, but sometimes that’s not able to be done in a synchronous manner. Finding some way that we can communicate with them about the decisions or the recommendations that come from the multidisciplinary conversation is really going to be more and more important,” said Dr. Mullett.


Trend: Patient satisfaction, engagement, and resilience will be key outcomes of multidisciplinary programs

The patient is at the center of cancer care. A truly multidisciplinary approach extends beyond a single tumor board or meeting and brings the patient—her concerns, her wishes, and her anxieties—into the entire experience. The connection and care management that multidisciplinary care facilitates creates a pathway to patient engagement and satisfaction. And this helps build the trust and resiliency critical to an effective patient journey.

When I’m talking to my patients, they find it very helpful when I suggest that we’re going to present their case to a conference that has 20 physicians. I share with them that it’s not just me thinking about this. I may be the one presenting the case. I may be the one presenting my recommendation for treatment. But it’s validated by all these other folks. And they love to hear the fact that there has been a conversation about them and that they are not just part of a system,” said Dr. Mullett.

Adams and his team at Wellstar Kennestone implemented a STAT clinic as part of their overall multidisciplinary approach. They bring the patient into the clinic setting, where she can meet with the entire team working on the case. The goal is to expedite the time from diagnosis to the initiation of treatment. And by including the patient in the process, Wellstar can drive engagement, assurance and accelerate the care pathway.


Trend: Multidisciplinary care will become a foundational approach that extends beyond the tumor board

As cancer programs continuously improve multidisciplinary care, Dr. Mullett and Adams foresee the extension of the approach’s core tenants into all aspects of care delivery and optimization. The process, Dr. Mullett explained, starts with a physician champion:

“We have to get to the reason why. And I think that it requires a physician champion who’s engaged in the process who can speak to the reason why. The fact that we want to get from doing things in multiple different ways in multiple different formats to a single format. That allows us to be able to communicate so that different disease teams can communicate using the same structure.”

He went on to highlight how this approach influences key activities, including staging:

“Even to a point of defining staging and standardizing that process because that’s what drives treatment. Clinical stage drives eligibility for clinical trials and consideration of which trials might be appropriate for a patient. Increasing that level of transparency to talk about patients in a prospective fashion rather than a retrospective one—I think that that’s what encourages a number of folks.”

At Wellstar, Adams and his team use their STAT clinics to help route patients on the best care pathway and collect as much information as possible to staff appropriately. The clinic also serves to help lower the administrative and cognitive demands on providers. Patient data is collected, consolidated, and presented in a way that optimizes provider engagement through planning, communication, and virtualization.

Adams and his team apply the same multidisciplinary principles to identify and address improvement opportunities:

“It requires a multidisciplinary team from across the continuum to come together to address gaps. This is because once we have identified an issue–whether it be in a process or a lack of a resource or any other barrier within our program–more than likely it’s affecting more than one party. It requires all of us to come together to come up with the appropriate solution. None of these improvements or decisions happen in a vacuum. It does no one any good for me to sit in my office and hear about an issue and then come up with a solution myself because nine times out of ten, what’s good for me is probably not good for them.”


Trend: Incorporating and addressing social determinants will be a key outcome of a multidisciplinary cancer care program

Social Determinants of Health (SDOH) impact cancer outcomes. The tools, processes, and access enabled by a multidisciplinary care approach play a vital role in addressing SDOH and neutralizing the practical barriers that increase risk and negatively impact the cancer experience.

Dr. Mullett and his team and UKY Markey Cancer Center serve a broad and diverse population across Kentucky, including patients who may be 50 or 100 miles away from the cancer center. The ability to connect with patients through affiliated providers helps ensure care continuity, reduce the time between healthcare interactions, and supports the Center’s mission of delivering cancer care closer to home. During our session, Dr. Mullett shared the following thoughts on SDOH and the role of multidisciplinary care:

“The idea of using (multidisciplinary care) as another mechanism to get to those disparities in cancer care and the ability to think asynchronously about communicating with other team members is important. In our system, most of our patients come from more than 50 miles away, and they may be traveling roads that are not easily traversed. Having that communication that occurs in a multidisciplinary manner and that follow-on communication that occurs through an asynchronous route is a way to be able to address many (SDOH).”


Adams and Dr. Mullett shared many more insights and lessons from their journeys with multidisciplinary cancer care. You can listen to the entire session here. The recording lasts for about an hour and our speakers touch on:

  • The multidisciplinary cancer care key performance indicators that are associated with quality and outcome opportunities
  • Critical considerations for multidisciplinary team optimization including communication, documentation, and reporting
  • Lessons learned in multidisciplinary team adoption and engagement
  • The care quality and cost traps that can impact outcomes if not addressed
  • A maturity model to help baseline current operations and develop a path to optimization of a multidisciplinary approach

OncoLens Celebrates the CoC’s 100th Anniversary

This coming year, the American College of Surgeons (ACS) Commission on Cancer (CoC) will observe its 100th Anniversary. The yearlong campaign will celebrate this important milestone, honor the dedication and leadership of those who have helped to build and shape the CoC, and identify new opportunities to improve the care of the patient with cancer.

“Over the past century, the organizations and individuals represented in the CoC have consistently and tirelessly advanced the quality and standards of cancer care,” said CoC Chair Timothy Mullett, MD, FACS. “As a result, today there are more than 1,500 CoC-accredited cancer programs in the United States and Puerto Rico, treating more than 70 percent of patients with cancer in this country.”

Established by the ACS in 1922, the CoC is a consortium of professional organizations, dedicated to improving survival and quality of life for cancer patients through standard-setting, prevention, research, education, and the monitoring of comprehensive quality care. CoC membership is composed of more than 100 individuals who either are surgeons representing the ACS or representatives from the 60 national professional organizations affiliated with the CoC.

“Since 1922, the CoC has been setting standards and accrediting cancer programs to ensure the provision of high-quality cancer care,” said ACS Cancer Programs Medical Director Heidi Nelson, MD, FACS. “While we celebrate the CoC’s proud 100-year history of excellence in the coming year, we also will continue to focus on new, innovative, evidence-based approaches for developing compassionate, standardized care that is coordinated to treat the whole patient.”

Throughout the year, the CoC will feature special 100th Anniversary content in the Cancer Programs News weekly newsletter, on ACS Cancer Programs social media channels, and on the new 100th Anniversary website. Anniversary coverage will include video interviews with past and present CoC leadership, historical articles and photos, profiles of long-running accredited programs and member organizations, reviews of medical journal articles that highlight the importance of National Cancer Database data, and bylined articles on topics of interest to the cancer care community. In addition, the January 2022 issue of the Bulletin of the American College of Surgeons will be dedicated to the CoC’s 100th Anniversary.

Results of a Multi-State, Multi-Institution Implementation of a Multidisciplinary Conference Quality Measurement Tool

In 2006, the American Society of Clinical Oncology (ASCO) and European Society for Medical Oncology (ESMO) defined the delivery of multimodality treatment by a multidisciplinary team of appropriately skilled health professionals as an essential component of quality cancer care. Subsequent research shows that Multidisciplinary Conferences are associated with improved survival in breast, head and neck, ovarian and colorectal cancers. Despite these advantages, health care systems struggle to implement and sustain Multidisciplinary Conferences due to the heavy burden imposed by the required work processes.

To understand the quality impacts of a multidisciplinary cancer care approach, we collected metrics including cancer characteristics, care team utilization metrics, average attendance, quality metrics collected for accreditation, and clinical trials from 46,000 patient cases and 9,000 care providers.

Through this work, we found that:

  • An average of 18 people attended each conference, which included representation from Medical Oncology, Radiation Oncology, Surgery, Pathology, and Radiology
  • Process improvements delivered by the implementation of a multidisciplinary cancer care platform resulted in a 65 to 90 percent drop in the time spent for case preparation

Quality outcomes were measured by the number of cases discussed per session, patient access to a multidisciplinary discussion, and physician engagement. From baseline and across providers, we measured:

  • A 33 percent increase in the number of cases discussed per session
  • A 50 percent increase in patient access, and
  • A 50 percent increase in engagement per month

Looking at a single system, we measured:

  • An average of 5 referrals per 10 cases
  • An increase of approximately 3,000 additional analytic cases above baseline over the evaluation period, and
  • An increase of $1.5M in net revenue over the evaluation period

Complete our quick form to download and read the full research abstract, which was presented at the 2021 ASCO Quality Symposium.

Time-Saving Opportunities through Tumor Board and Cancer Registry Integration

The American College of Surgeons (ACS) and the Commission on Cancer (CoC) advocate for concurrent abstracting and more timely submissions, but cancer programs, specifically registry teams, struggle to find innovative ways to meet this demand.

Dauphne McGavic, RN, MSN, CTR, Director of Oncology Accreditation & Support Svcs, Ascension St. Thomas, and her team worked with OncoLens to test integration with the CRStar Cancer Registry solution. The solution leverages OncoLens tumor board data to accelerate reportability and case finding, and support the registry’s broader data and abstraction concurrency objectives.

Findings point to a reduction in case finding time by an average of 40 percent and a “Ready to Abstract” percentage of more than 80 percent.

Complete our short form to download a complete copy of “Time‑Saving Opportunities through Tumor Board and Cancer Registry Integration.”
Molecular testing in the community oncology setting

Molecular Testing in the Community Oncology Setting

Course Description

Maria E. Arcila, MD of Memorial Sloan Kettering Cancer Center, shares best practices for biomarker testing in breast, non-small cell lung, and gastric cancer. The content includes important case scenarios and expert guidance on overcoming common testing barriers in the community oncology setting.