All Health Literacy OI Articles

From Oncology Issues

  •  Collaborative Care: A Model for Embedding Counseling in Oncology and Palliative Care
    By Earon Lehning
    Embedding counseling services into oncology and palliative care across 6 clinic locations landed this program a 2023 ACCC Innovator Award. Learn how this model allows patients to receive psychosocial care from treatment through survivorship.
  •  A Model for Demonstrating Sustainable Outreach for Cancer Screening
    By Jamie Ries and Michael Gieske
    Discover how St. Elizabeth Cancer Center launched a comprehensive program to perform outreach to patients with outstanding orders for lung, breast, and colon cancer screenings.
  •  Views: Improving Access to Patient Navigation for Spanish-Speaking Patients
    By Julie Mcmahon
    Discover how the Susan G. Komen’s Patient Care Center has been able to improve the accessibility for Spanish-speaking patients by bolstering their team of bilingual staff and leveraging technology.
  •  Pioneering a Cancer Program for the Future
    By Monica Denault, Lili Hay, Matt Sturm, and Jessica Turgon
    Explore 4 pillars for creating a differentiated patient experience through performance and service line optimization to increase patient access, implementation of system-wide navigation services, and more.
  •  The Hospital of the Future 2.0
    By Stephanie Helbling
    This Modern Healthcare virtual briefing gathered industry leaders to discuss how digital transformation and health equity will help shape the hospital of the future.
  •  Developing and Implementing a Comprehensive Tobacco Cessation Program
    By Corinth Baxter and Brenda Biggerstaff
    Learn how Dorcy Cancer Center at St Mary-Corwin Hospital in Pueblo, Colorado, developed and implemented the model tobacco cessation program.
  •  Views: The Impact and Importance of a Care Coordinator in Community Oncology
    By Wendy Collins
    The importance of care coordination in managing the adverse effects of cancer treatment and navigating patient challenges such as emotional distress, isolation, financial toxicity, and lower quality of life.
  •  Navigation: A Critical Component in a Comprehensive Approach to Dismantling Health Inequities
    By Academy of Oncology Nurse & Patient Navigators Leadership Council
    Learn about the critical role patient navigation plays in identifying, addressing, and dismantling health inequities across the cancer care continuum.
  •  Human-Centered Design: A Possible Solution to Rural Clinical Trial Enrollment
    By Wade T Swenson, Emily Westergard, Zachary Schroeder, and Abigail Swenson
    Adopting a human-centered approach to designing clinical trials that considers the preferences and experiences of rural patients with cancer and providers could increase patient enrollment and close care gaps.
  •  The Need for an Equitable Cancer Care Delivery System
    By Olalekan Ajayi, PharmD, MBA
    Despite scientific and medical advances, the incidence and mortality rates of cancer remain disproportionately high among certain populations. Understanding this, combatting the inequities that exist will be key to delivering next generation cancer care.
  •  Collaborative Care: A Solution for Increasing Access to Psychosocial Care in Cancer Programs and Practices
    By Carrie C. Wu, MD, et al.
    The Collaborative Care Model uses the stepped care approach, enabling a flexible and personalized treatment approach that aligns with each patient’s specific needs.
  •  Supportive Oncology in Lung Cancer: Program Development for Patients and Care Partners
    By Dori Beeler, PhD, et al.
    This study at Atrium Health, Levine Cancer Institute, highlights the needs of patients with lung cancer and their care partners.
  •  A Comprehensive Cancer Risk Management Clinic for Families With Hereditary Cancer Syndromes
    By Kara Rogen, MS, CGC, et al.
    In view of the increasing demand for genetic counseling, Aurora Health Care developed this center to better understand the needs of patients with hereditary cancer syndromes.
  •  Views: Climate Change How Will it Impact Cancer Care Delivery
    By Joan H. Schiller, MD
    Climate change is typically seen through an environmental, political, or socioeconomic lens. Yet it should also be seen as a catastrophic health threat as it will have an effect on the delivery of comprehensive cancer care.
  •  Leveraging Technology to Achieve Excellence in Oral Oncolytic Management
    By Morgan Nestingen and Marguerite Rowell
    The interdisciplinary team at Baptist Health, Miami Cancer Institute evaluated existing processes and leveraged technology to improve oral oncolytic compliance through education, consent, and adherence standards.
  •  A New Front Door: The James Diagnostic Cancer Center
    By Raquel E. Reinbolt, et al.
    The Ohio State University Comprehensive Cancer Center developed the James Cancer Diagnostic Center, to deliver a comprehensive assessment of signs or symptoms of malignancy in a timely fashion.
  •  Delivery of Psychosocial Cancer Centers Care in Oncology Summit
    Backed by strategic partnerships, ACCC held a multistakeholder meeting focused on exploring the current state of psychosocial support in oncology.
  •  Addressing Social Determinants of Health through a Medical-Legal Partnership
    Allison L. Held and Molly Hunold
    Through a collaboration between legal and healthcare professionals, this Virginia based medical-legal partnership assists patients with cancer resolve social and environmental factors that contribute to health disparities.
  •  Calm Minds and Grateful Hearts
    Chidi Ike
    An interview with Kathyrn Smolinski, MSW, JD on the development and implementation of the medical-legal partnership between Wayne State University Law School and the Karmanos Cancer Institute.
  •  Bringing Health Equity to the Forefront
    Mark Liu, MHA
    Following the disparate outcomes of the COVID-19, combatting the inequities that exist within the American healthcare system remains a key objective of ACCC.
  •  Remote Patient Monitoring and Health Equity
    By David R. Penberthy, MD, MBA
    Amid the implementation of technological solutions such as remote patient monitoring in cancer care, it is important that all patients with cancer—regardless of race, ethnicity, and socio-economic status—benefit equitably.
  • Spotlight: St. Anthony Regional Cancer Center, Carroll, Iowa
  • The State of Access and the Healthcare Experience for Patients with Cancer
    Kelley Simpson, MBA
    A national survey was conducted to analyze the approach cancer programs adopt toward patient access today, highlighting the current challenges, and operational methods of different cancer care delivery models.
  • ePROs: Lighting the Way to Improved Outcomes Efficiency and Patient Experience
    Amanda Patton, MA
    Highlands Oncology Group took key steps toward implementing an ePRO platform aimed at reducing emergency department utilization and unplanned hospitalization, while improving the patient’s quality of life.
  • Institution Directed Quality Improvement of Genetic Counseling and Testing for Community Oncology Patients with Breast Cancer
    Leigh Boehmer, PharmD, et al.
    ACCC conducted a national, institution-directed quality improvement initiative aimed at increasing the rates of guideline-concordant genetic counseling and testing in patients with Stage 0 to III breast cancer, where results could impact care.
  •  Pre- and Post-treatment Clinic: Providing Psychosocial Care from Diagnosis to Survivorship
    Jennifer Hancock, PSYD, and Carrie Wines-Larch, BSN, RN, ONN-CG
    Charleston Area Medical Center Cancer Center is the largest cancer program in Southern West Virginia. The cancer center opened a new treatment clinic to offer pre- and post-treatment visits to better help patients navigate their cancer journey.
  •  Tools
  •  Improving Cancer Care Teamwork
    Elizabeth H. Lazzara, Joseph R. Keebler, Logan M. Gisick, Kimberly N. Williams, Stephanie Zajac, and Jillian Gunther
    The absence of an optimal cancer care coordination model coupled with the vast network of providers involved in cancer care, necessitates the implementation of key strategies to strengthen care coordination.
  •  All of Me: Bridging the Sexual Health Communication Gap in Cancer Care
    By Maddelynne Parker
    Cancer and its treatment impact patients in many ways, beginning before a diagnosis and lasting long through survivorship, including one's sexual health. All of Me was created to bridge this communication gap between patients and providers.
  •  Living Well After Cancer
    By Gabrielle Riazi, Mike Alpert, Sarah Flores, Danielle Kline, Haley Allen, Aditi Vyas, Denise Johnson, and Jessica Clague DeHart
    This pilot study aimed to determine the efficacy of a community-based wellness program offered to patients outside of the clinical setting.
  •  Views: Fertility Preservation for Women with Cancer
    James Grifo, MD, PHD
    Advancements in reproductive science has provided more options for women to take greater control of their reproductive future.
  •  An APP-Physician Model Improves Risk Stratification and Palliative Care
    By Jia Conway, DNP, CRNP, AOCNP
    Cancer Care Associates of York, implemented an autonomous APP model of care designed to allow these clinicians to work at the top of their license, facilitate effective physician and APP partnerships, and improve overall patient satisfaction.
  •  Genetic Counseling Referrals Among Cancer Registry Patients Who Meet NCCN Guidelines: An Ohio Study
    By Lindsey Byrne, et al.
    A multicentered study based in Ohio measured genetic counseling referrals for patients with cancer.
  •  Oncology Capture of ED Patients with Incidental Radiologic Findings
    By Nicholas Garland and Katie Klar
    Vanderbilt-Ingram Cancer Center shares details about how it shifted from a push to a pull model of care for patients who present at the emergency department with incidental findings.
  •  Action
    ACCC and AstraZeneca were recognized for their joint effort in the Rural Appalachian Lung Cancer Screening Initiative at the Cancer Moonshot: Goals Forum hosted, by the President and First Lady.
  •  A Multidisciplinary Consortium to Advance Counseling in Oncology
    The Iowa Oncology Society launched an educational project designed to spark conversations, and raise awareness about the importance of genetic testing, counseling, and screening.
  •  Technology Solutions in Practice
    By Sibel Blau, MD
    The successful deployment of technology in cancer practices, promises to improve the quality of patient care and the patient experience, while also alleviating excessive burdens on clinicians and staff.
  •  Views: Introducing the New Digital ACCC Patient Assistance & Reimbursement Guide
    By Jordan Karwedsky
    The ACCC Patient Assistance & Reimbursement Guide is an interactive and fully digital tool, patients, health care providers and members of the multidisciplinary oncology care team can access to help find and apply for financial assistance.
  •  Holy Smokes! Developing a Cannabis Clinic for Patients with Cancer
    By Sarah Jax, Katherine Schmiechen, and Dylan M. Zylla
    The HealthPartners Frauenshuh Cancer Center has safely incorporated cannabis in the treatment of patients with cancer.
  •  Time to Get Screened
    By Amanda Patton
    The COVID-19 pandemic has had a negative impact in the rate of cancer screening across various states in the United States. Louisiana, Delaware, Kentucky and Northern Michigan serve as vehicles for an analysis of the disparity in cancer screening rates, before and after the pandemic.
  •  Understanding and Mitigating Disparities in Bladder Cancer Care
    Disparities in evaluation, management, and mortality persist in patient populations where bladder cancer is less common.
  •  A Model Telehealth Adolescent and Young Adult Oncology Program
    By Amanda Parkes, MD, et al.
    The overall cancer rate among adolescents and young adults is on a gradual increase, thus creating the need for oncology programs geared towards young adults and adolescents.
  •  Auxiliary Personnel Involved in Comprehensive Cancer Care
    By Teri Bedard, BA, RT(R)(T), CPC
    Comprehensive cancer care encompasses a wide range of services that are critical to high-quality care and the patient experience.
  •  Development of a Virtual Integrative Oncology Center
    Alissa Huston, MD
    Because of the COVID-19 pandemic, Wilmot Cancer Institute's integrative oncology team shares how integrative oncology-based services can be delivered via telehealth.
  •  How Do You DISCO?
    Lauren M. Hamel, et al.
    Leveraging the Discussions of Cost App to reduce financial toxicity and improve treatment cost communication.
  •  Deconstructing the Meaning of Multidisciplinary Cancer Care
    Victoria A. Rendell, MD, et al.
    As part of the conversation regarding the optimal restructuring of multidisciplinary cancer care clinics, the authors developed a quality improvement project focused on understanding how patients view multidisciplinary cancer care.
  •  3-D Virtual Reality Takes Patient Education to the Next Level
    Douglas E. Holt, MD
    In 2019, at the University of Colorado, Douglas Holt, MD, led the effort to implement and study the use of virtual reality within the clinic for patient education in oncology.
  •  Implementing an e-Advisory Council in the COVID-19 Era
    Julie Bulger
    When the COVID-19 public health emergency heightened, everyone’s priorities shifted and the Patient and Family Advisory Council moved to the virtual space.
  •  A Focus on APPs
    Sibel Blau, MD
    While the number of oncology patients and survivors is increasing, the growth of medical oncologists has lagged behind, and advanced practice providers (APPs) play a critical role in filling this care gap.
  •  A Framework for Defining High Quality Care for Patients with NSCLC
    Mark A. Socinski, MD, and Leigh M. Boehmer, PharmD, BCOP
    An expert ACCC Steering Committee shares 32 informed treatment and care delivery recommendations for the ideal care of patients with non-small cell lung cancer.
  •  The Evolving Immunotherapeutic Landscape in Renal Cell Carcinoma
    Robert A. Figlin, MD, FACP; Jocelyn Mohs, PharmD, BCOP; and Laura S. Wood, RN, MSN, OCN
    In 2019 the Association of Community Cancer Centers developed an education program to provide all members of the multidisciplinary care team knowledge and resources to help successfully integrate immunotherapies into the treatment of patients with RCC.
  •  Management of Hospital Admissions for Checkpoint Inhibitor Immune-Related Adverse Events at a Regional Cancer Center
    Andrew Li, PharmD, and Michela Altergott, PharmD
    With the rise of immunotherapies, it is critical to ensure patient safety, as the toxicity profiles of immunotherapy agents are vastly different from traditional cytotoxic chemotherapies.
  •  Avoidable and Unavoidable ER Utilization by Cancer Patients on Systemic Therapy
    Leonard R. Henry, et al.
    In the current transition to value-based care, avoidable ER utilization represents an opportunity for cost savings, but difficulties remain in determining what visits are and are not avoidable based on coding and billing data alone.
  •  Telehealth at Its Best: Transitioning a Comprehensive Psychosocial Program to a Virtual Format
    Jennifer Bires, MSW, LCSW, OSW-C, and Drucilla Brethwaite, MSW, LCSW
    Due to the COVID-19 pandemic and its associated risks for patients with cancer, all Life with Cancer programming was cancelled on Mar. 12, 2020. Staff, struggling with their own anxiety over personal safety, quickly went into action on how best to continue to meet the psychological and educational needs of patients and families.
  •  Implementing and Evaluating an Online Educational Resource for Veterans with Cancer
    Cheryl Booth, RN, MSN, NP-C, AOCNP, AND Gwendolyn Hooper, PhD, RN, FNP, APRN-BC
    One VA Center improved patient education by developing an online resource for veterans with cancer. Although several barriers emerged during this quality improvement process, the VA Center was able to meet its patients needs and decrease their anxiety.
  •  MyCareCompass
    Elizabeth Koelker, MHA, FACHE, et al.
    A dynamic partnership with a technology company allowed one cancer program to improve patient education through the use of digital communication. Today patients receive emails or texts at crucial and targeted moments during their cancer treatment journey.
  •  Cancer Crushing Prevention and Early Detection
    By Chuck DeGooyer
    In looking at cancer incidence data, Tri-Cities Cancer Center found that its region was experiencing a higher rate of late-stage lung and colorectal diagnoses than the national average. The cancer center developed a creative and humorous marketing campaign and workplace wellness program to raise awareness and increase screening compliance.
  •  Views: The Breast Cancer School for Patients
    John Williams, MD
    Most healthcare facilities provide information online and offer handouts to patients at their facilities. I suggest that cancer programs, professional organizations, and physicians should pivot toward “teaching” patients how to obtain quality, cutting-edge care in their own communities. Specifically, our profession should engage patients with sophisticated video-based patient education. That is why I created the Breast Cancer School for Patients.
  •  A Small, Island Community Hospital Removes Barriers to Lung Cancer Screening and Detection
    By Donna Delfera, RN; Micayla Albers; Lysle Ailstock, MD; and Charles Shelton, MD
    Because of its growing retirement-age population and its unique location on a barrier island, The Outer Banks Hospital saw patients with lung cancer presenting at too late a stage for curative treatment. Learn how the hospital created an LDCT program and partnered with local providers and community cancer centers to identify patients with lung cancer at an earlier stage.
  •  Technology Unlocks Untapped Potential in a Financial Navigation Program
    By Clara Lambert, BBA, OPN-CG; Scott Legleitner, BA, LPhT, SST; and Kathleen LaRaia
    While financial navigation programs ease the burden of financial toxicity on patients with cancer and help healthcare organizations with revenue loss, the manual nature of the process is challenging for navigators and financial advocates. Cowell Family Cancer Center piloted a financial navigation software program to analyze the effects of automation on productivity, workflow, and organizational alignment.
  •  The SCOOP Program
    Christopher Koprowski, MD, MBA; Edith J. Johnson, PhD, MBA; Karen Sites, BSN, RN, OCN; and Nicholas Petrelli, MD
    The Helen F. Graham Cancer Center and Research Institute implemented the Supportive Care of Oncology Patients (SCOOP) Program, which developed and implemented a clinical pathway that improved the patient experience and reduced the cost of care in selective curative cases.
  •  Development of Care Pathways to Standardize and Optimally Integrate Multidisciplinary Care for Head and Neck Cancer
    Assuntina G. Sacco, Charles S. Coffey, Parag Sanghvi, Gloria P. Rubio, et al.
    The complexity of head and neck cancer management demands greater attention in order to provide high-quality care. UC San Diego Moores Cancer Center developed a well-defined care pathway to enable predictability and consistency in both care delivery and cost.
  •  Tailoring Education for the Oncology Patient
    By Kristin Shea Donahue, MSN, RN, OCN, and Anne Marie Fraley Rainey, MSN, RN, CHC
    In the face of changing patient demographics, Clearview Cancer Institute made a concerted effort to bolster their patient education program across several different methods of communication.
  •  An Inpatient and Outpatient Nursing Collaborative Improves the Patient Experience
    By Christine Shike, RN, BSN
    When SwedishAmerican Regional Cancer Center found itself unable to quantify performance in inpatient oncology, it saw an opportunity to break down barriers in communication and education between the inpatient and outpatient setting.
  •  Turning on the Light Switch
    By Ann McGreal, RN
    Discover how 2017 ACCC Innovator Award winner Advocate Medical Group developed and implemented an immunotherapy program, lessons learned, and tools created to educate staff and patients.
  •  Closing a Gap in Cancer Care
    By Jan Akervall, MD, PhD; Jan Parslow, RN, MS, CCRP, OCN; Erin Maxon, MS, RD, CNSC; Nathan Tonlaar, MD; and Thomas Lanni Jr., MBA, FACE
    By implementing a weekly outpatient nutrition clinic for patients with head and neck cancer, this 2014 ACCC Innovator Award winner improved patient quality of life and reduced the cost of care.
  •  The Community Health Worker: A Cancer Program’s Role in Population Health Efforts
    Marla Moore, RN, BSN, MA; Rebecca Larson, BS; and Abhinav Chandra, MD
    In Arizona, Yuma Regional Medical Center Cancer Center leveraged the traditional Hispanic promotora, or community health worker, to reach high-risk and underserved populations.
  •  Fox Chase Cancer Center Care Connect
    Kelly Filchner, MSN, RN, OCN, CCRC, and Alan Howald, BS
    Fox Chase Cancer Center, Philadelphia, Pa., committed resources to develop a program to improve communication and education between oncology and primary care, and improve overall survivorship care.
  •  Implementation of a Health Disparities & Equity Program at the Duke Cancer Institute
    Nadine J. Barrett; Tracey Vann Hawkins; Julius Wilder; Kearston L. Ingraham; Valarie Worthy; Xiomara Boyce; Rebecca Reyes; Maritza Chirinos; Patricia Wigfall; William Robinson; and Steven R. Patierno
    In this article, we share the experience of the Duke Cancer Institute initiative to expand its capacity to engage the community and the health system towards achieving improved population and patient health outcomes.