Oncology State of the Union - Franciscan Health · 2019-10-08 · ©2018 The Advisory Board Company...

Oncology Roundtable

Oncology State of the UnionThe Six Trends That Will Reshape Cancer Care

Ashley Riley MPH

rileyaadvisorycom

copy2018 The Advisory Board Company bull advisorycom

2

The World Is Starting to Look Very Different

Source Oncology Roundtable interviews and analysis

1 Cancer is the number one killer in 22 states (and counting)

Six Trends Shaping Cancer Care

2 We are on our way to being a majority-minority country

3 Health care reimbursement and reform are at a turning point

4 Telehealth is breaking down cancer center walls

5 Health care ldquoconsumersrdquo demand evidence of cost and quality performance

6 Genomic medicine is revolutionizing cancer care


3

Cancer Becoming the Number One Killer in America

Trend 1

Source httpsinjuryfactsnscorgall-injuriespreventable-death-overviewodds-of-dyingdata-details httpswwwadvisorycomdaily-

briefing20190116deathsWTmc_id=Email|DailyBriefing+Headline|DBECTake|DBInfogram|DBA|DB|2019Jan16|ATestDB2019Jan16||||

ampelq_cid=401455ampx_id=003C000001Cv2utIAB Oncology Roundtable interviews and analysis


4

An Older More Complex and More Costly Population

Source Colby SL Ortman JM ldquoThe Baby Boom Cohort in the United States 2012 to 2060rdquo US Census Bureau

May 2014 httpswwwcensusgovprod2014pubsp25-1141pdf Medicare Chronic Conditions Dashboard

httpswwwcmsgovResearch-Statistics-Data-and-SystemsStatistics-Trends-and-ReportsDashboardChronic-

Conditions-StateCC_State_Dashboardhtml Oncology Roundtable interviews and analysis

10

13

20

1970 2010 2030

Estimated Percentage of the US

Population Age 65 and Over

45 growth in the

number of new

cancer cases from

2014 to 2030

Percentage of Medicare Cancer

Patients with Comorbidities

7

26

31

36

Cancer Only 1-2 Other Conditions

3-4 Other Conditions 5 or More Conditions

45 growth in the

number of new

cancer cases from

2014 to 2030

Beneficiaries with

4 or more

conditions account

for 75 of total

Medicare spend

2015


5

Zeroing In on Indiana

Similar Aging and Cancer Incidence Trends in Indiana

Source Demographic Profiler Cancer Incidence Estimator

Oncology Roundtable interviews and analysis

16

18

2018 2023

Estimated Percentage of the Indiana


33028

35473

37294

2018 2023 2028

Estimated and Projected Cancer

Incidence in Indiana

+74

+129


6

The Impact on Cancer Programs

Preparing for an Aging and Polymorbid Population

Focus on Top-of-License Practice and

Multidisciplinary Care

Provide coordinated multidisciplinary care

Grow cross-service line specialties

(eg cardio-oncology geriatric oncology)

Ensure top-of-license practice across the care team

Build the oncology workforce pipeline via

outreach community education and rotations


Improve transitions back to primary care


7

Transitions Save Oncologists Time for Their True Specialty

Source Memorial Sloan Kettering Cancer Center New

York NY Oncology Roundtable interviews and analysis

1) Nurse practitioner

Triage Survivors to Optimal Site of Care

Risk-Based Stratification of Survivors at Memorial Sloan Kettering

Low Risk

Medium Risk

High Risk

Survivorship NP continues managing

patients in the survivorship clinic until

they are ready for transition

Survivors

Survivorship NP1 transitions patients

back to PCP by discussing new care

plan with patient and creating a

transition note for the patient and PCP

Steps to Prepare Patients for Transition

Explain active treatment

and post-treatment care

plans to patients at the

start of treatment

1 Reiterate transition plan

as patients approach

treatment completion and

set patient expectations

about recovery

2 Assure patients that the

cancer center will remain

a resource to them after

their transition

3

Risk of recurrence

late effects

Survivorship NP may manage patients

in the survivorship clinic indefinitely

but coordinates with PCP throughout


9

Survivors and PCPs Comfortable with Management



Transitions Going Smoothly

Care Plans Proving Useful

Percentage of PCPs surveyed

who reported that they would

change their plan of care for

survivors based on information

in the survivorship care plan

33

Data Supports Risk-Based Approach

Percentage of breast cancer

survivors transitioned to their

community PCP over a 22-month

period who required a return visit

at Memorial Sloan Kettering

02

Oncology Roundtable

Related Resources

Tactics to Support PCPs

bull PCP-Led Survivorship Care

bull Engage Primary Care Providers

bull Further the Primary Care

Partnership

bull Survivorship Interview Guide

for PCPs

bull Survivorship Education Resources

for Primary Care Providers

Tactics to Support Survivors

bull Prepare Patients for Survivorship

bull Prepare Cancer Patients Early

for the Transition to Survivorship


10

Crossover Expected to Occur in 2044

Trend 2

Source Colby SL Ortman JM ldquoProjections of the Size and Composition of the US Population 2014 to 2060rdquo US

Census Bureau March 2015 httpswwwcensusgovcontentdamCensuslibrarypublications2015demop25-

1143pdf Demographic Profiler Oncology Roundtable research and analysis

US Set to Become lsquoMajority-Minorityrsquo

Distribution of the US Population

National Projections

62

44

38

56

2014 2060

White Minority

By 2030 minorities

will comprise asymp45

of the population

RaceEthnicityProjected

Percent Change

Asian +144

HawaiianPacific

Islander+105

Multi-race +101

American

IndianAlaskan Native+10

Other Race +96

Black +33

White +04

Hispanic +117

Non-Hispanic +08

Projected Percent Change in Race

Distribution in Indiana from 2018-2023


11

Health Disparities a Major Issue

Racial Disparities in Cancer-Related Deaths

of deaths among

Hispanics in 2014 were

cancer-related making it

the leading cause of death

for Hispanics in America

22

higher death rate for

blacks than whites for all

cancers combined

25

more likely Hispanic

women are to die from

cervical cancer compared

to white women

14x

Source Cancer Facts amp Figures for Hispanics and Latinos httpwwwcancerorgresearchcancerfactsstatisticshispanics-

latinos NCI ldquoExamples of Cancer Health Disparitiesrdquo httpwwwcancergovabout-nciorganizationcrchdabout-health-

disparitiesexamples Oncology Roundtable research and analysis


12


Caring for an Increasingly Diverse Patient Population

1) Examples include access to

interpreters and specialized

resources for transgender patients

Start Building a Diverse Culturally Competent

Workforce Now

Train culturally competent staff and clinicians

Build a pipeline to assemble a workforce that

is representative of the community served

Ensure access to resources and specialists

to address specific populationsrsquo challenges1


Related Resources

Find resources to help your team at our new resource page

The Health Disparities Initiative


13

Equip Staff to Identify and Address Disparities

ACCURE Program Closes Racial Gap in Lung Cancer Treatment

Source Casey B ldquoASTRO Outreach Boosts Radiation Therapy Rates for Blacksrdquo AuntMinniecom

httpwwwauntminniecomindexaspxsec=nwsampsub=radamppag=disampItemID=115211 Oncology

Roundtable interviews and analysis

1) Accountability for Cancer Care Through Undoing Racism and Equity

2) Stereotactic body radiation therapy

Components of ACCURE1 Program

1Leverage EHR to alert providers

when patient misses an appointment

or treatment milestone

Missed Appointment Alert

2Use nurse navigators trained to deal

with race-related barriers to care

Trained Navigators

3Present race-specific feedback

on treatment to care teams

Provider Feedback

4Conduct health equity training

sessions every three months

for health care staff

Staff Education

55

80

61

79

64

96

76

96

50

60

70

80

90

100

Baseline 2007-2012 ACCURE 2013-2015

Treatment Rates by Race for Lung Cancer

Patients at Baseline and in ACCURE Group

For Resection Only and Resection Plus SBRT2

n=2044 in baseline group n=100 in ACCURE group

White Resection Plus SBRT

Black Resection Only

White Resection Only

Black Resection Plus SBRT


15

How Did We Get Here

Trend 3

Source Kirzinger A et al ldquoKFF health tracking poll ndash January 2019 The public on next steps for the ACA and proposals

to expand coveragerdquo Kaiser Family Foundation January 23 2019 ldquoHow the Democratic Candidates Responded to a

Health Care Policy Surveyrdquo New York Times June 23 2019 Health Care Advisory Board interviews and analysis

Presidential candidates

endorsing Medicare for

All 2016

Presidential candidates supporting Medicare for All 20201

56Survey respondents who favor a

national health plan in which all

Americans would get their insurance

from a single government health plan

Public support for Medicare for All

37

37

67

71 Guarantee insurance as a right

Eliminate premiums and out-of-pocket costs

Eliminate private health insurance

Require most Americans to pay more in taxes

hellipif it would do the following

Presidential candidates supporting public option 20201

1) Current as of June 26 2019 according to a New York Times survey of the candidates


16

Reimbursement and Reform Are at a Turning Point

Congress Choosing Between Payment Reform and Payment Cuts

Source Health Care Advisory Board interviews and analysis

Strategic Imperatives

bull Radical cost-efficiency

bull Asset and service rationalization

bull Fixed cost restructuring


bull Business model transformation

bull Integration and system-wide

care coordination

bull Risk-based contracting strategy

Shift to Payment Cuts

Providers remain in fee-for-

service but face ever-more

stringent reimbursement cuts

Continue Payment Reforms

Providers accept alternative

payment models and move

rapidly away from fee-for-

service status quo


17

Oncology Care Model Entering Its Fourth Year

Source CMS Oncology Care Model

httpsinnovationcmsgovinitiativesoncology-care


bull 176 medical

oncology practices

bull 10 payers

bull CMS

Who is

participating

bull Fee-for-service payments for all services

to enrolled beneficiaries

bull Monthly enhanced oncology services

(MEOS) payment of $160 for six months

upon initiation of chemo

ndash If the patient continues or resumes chemo

practice can trigger subsequent episodes

How are

practices paid

bull Performance-based payment provided if

practice reduces beneficiariesrsquo total

Medicare billings and meets threshold for

quality performance

ndash Quality measured relative to other

practices

ndash Cost performance is evaluated against

historic performance

bull Provide 247 access to appropriate

clinician with real-time access to

medical records

bull Provide the core functions of

patient navigation

bull Document a care plan with the

13 components recommended by

the IOM

bull Treat patients on nationally

recognized clinical guidelines

bull Use certified electronic health

record technology (CEHRT)

bull Utilize data for continuous quality

improvement

What are the requirements

for participating providers

Overview of the Oncology Care Model (OCM)


18

Not The Results We Were Hoping For

Too Early To Draw Conclusions But Participants Split On Value

Source Abt Associates ldquoEvaluation of the Oncology Care Modelrdquo Performance Period Onerdquo December

2018 Genentech ldquo2018 Genentech Oncology Trend Reportrdquo April 2018 httpswwwgenentech-

forumcomcontentdamgenemanagedcareforumpdfsOncology-

Trends2018_Genentech_Oncology_Trend_Reportpdf Oncology Roundtable interviews and analysis

=

Performance Period (PP) 1 results

Quality

Against the comparator group

the OCM cohort hadhellip

Small reductions in admissions

and ICU stays at end of life

= Costs

Slightly declined total costs of care

not including MEOS payments

Key caveats

bull Delayed roll out of data

bull Many practices just starting to implement

cost-savings initiatives

bull Methodology concerns eg attribution

tumor-specific risk adjustment novel

therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care

No not at all Too early to tell

Yes somewhat Yes significantly

OCM participantsrsquo perception of value

n=51 oncologists participating in OCM


20

Proposal For Radiation APM Released This Summer

Five-year pilot projected to begin either January 1 2020 or April 1 2020

Source Hubbard A ldquoRO-APM What we know what we donrsquot and what it all

meansrdquo ASTRO Blog February 14 2019 httpswwwastroorgBlogFebruary-

2019RO-APM-What-we-know-what-we-donE28099t-and-what-it-all


Model basics

Find more information online at httpsinnovationcmsgovinitiativesradiation-

oncology-model and subscribe to the Oncology Rounds blog to get our latest insights

and takeaways from the proposal

bull Will require participation from providers (including physician group practices hospital outpatient

departments and freestanding centers) within randomly selected Core Based Statistical Areas

bull Providers treating beneficiaries with one of the 17 included cancer types will receive prospective

payments for a 90-day episode of care

bull Broken into professional component and technical component payments

bull Amounts based on proposed base rates trend factors and adjustments for participantrsquos case-

mix historical experience and geographic location

bull CMS will apply a discount factor of 4 for professional component and 5 for technical

components

bull Participants can earn back withholds based on clinical data reporting quality measure reporting

and performance and the CAHPS Cancer Care Radiation Therapy Survey

bull Will qualify as an Advanced APM and MIPS APM


21


Transitioning to Risk-Based Payment

Cancer Leaders Need to Build Nimble Programs and

Manage Change

Evaluate staffing and operations to gain

maximum efficiency

Focus on prevention informed screening

survivorship and end-of-life care

Provide proactive symptom management

navigation and coordination across sites of care

Create a nimble organization that can adapt to

unexpected and swift regulatory changes



22

Hairston Hospital1 Works with PCPs to Increase HPV Vaccination


1) Pseudonym

Play Your Part

Leverage Data

Use data to identify high

incidence of cervical

cancer in community

Select Approach

Decide to focus on

increasing HPV vaccine

uptake in the community

Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination

Disseminate Information

Distribute educational

materials about HPV

vaccination at

community events

Related Resources

bull Alberta Health Services HPV Vaccination Decision Tool

bull Healthwise HPV Should I Get the Vaccine


24

Target Navigation to Patients Who Will Benefit Most

High-Need Patients at UAB Receive More Frequent and Intense Support

Characteristics of Navigated Patients at UAB

Source UAB Medicine Birmingham AL Rocque GB et al ldquoThe Patient Care Connect

Program Transforming Health Care Through Lay Navigationrdquo Journal of Oncology Practice

12 no 6 (2016) e633-e642 Oncology Roundtable interviews and analysis

bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress

bull Lack of support

bull Advanced or

complex disease

High-Risk Patients

Contacted at least once

a week by navigator

bull Accepted navigation

bull Active treatment

bull Distress indicated

bull Socioeconomic need

Medium-Risk Patients


a month by navigator

bull Refused navigation

bull Robust social support

bull No or low distress

bull Completed treatment

Low-Risk Patients

Contacted at least every

three months by navigator

Navigator performs distress

screening during outreach to

identify and resolve patient issues


26

Worth the Investment

UAB Demonstrated Significant Decrease in Utilization from Navigation

1) Compared to non-navigated patients

2) Excludes Part D claims Source UAB Medicine Birmingham AL Rocque GB et al ldquoResource Use and Medicare Costs

During Lay Navigation for Geriatric Patients with Cancerrdquo JAMA Oncology January 26 2017

httpswwwncbinlmnihgovpubmed28125760 Oncology Roundtable interviews and analysis

COST SAVINGS

RESOURCE UTILIZATION

Additional decrease in ED

visits per quarter for

navigated patients1

6Additional decrease in

hospitalizations per quarter

for navigated patients1

8Additional decrease in ICU

admissions per quarter for

navigated patients1

11

Additional reduction in total costs

of care for each navigated

patient1 per quarter2

$781Approximate total savings for

all navigated patients across

the network in one year

$19M

Visit advisorycomornavigation for all of our resources


27

Telehealth Is Breaking Down Cancer Center Walls

Expanding Access and Enabling Real-Time Information Sharing

Trend 4

Source Japsen B ldquoDoctorsrsquo Virtual Consults with Patients to Double by 2020rdquo Forbes August 9 2015

httpwwwforbescomsitesbrucejapsen20150809as-telehealth-booms-doctor-video-consults-to-double-by-

20202d4da3675d66 Lamkin P ldquoWearable Tech Market to Be Worth $34 Billion by 2020rdquo Forbes February 17 2016

httpwwwforbescomsitespaullamkin20160217wearable-tech-market-to-be-worth-34-billion-by-20205ed1133a3fe3

ldquoDoctor Fitbit How the Wearables Company Sees Its Futurerdquo The Daily Briefing April 20 2016

httpswwwadvisorycomdaily-briefing20160420how-the-wearables-company-sees-its-future Oncology Roundtable

research and analysis

166

269

21 54

145

215

2015 2020

Estimated Growth in Virtual

Consults

Millions of Visits in the US

PCP Visits

Total

Specialty Consults

Estimated growth in the global

market for smart wearables

including activity trackers and

smartwatches between

2016 and 2020

72

Introducing Doctor Fitbit

ldquoFive to ten years down the line the

power of these devices to help

consumers health care providers the

whole health care ecosystem track

and give diagnoses to peoplemdashI think its

incredibly tantalizingrdquo

James Park CEO Fitbit


28


The Growing Use of Telehealth

Leverage Telehealth to Enhance Efficiency Improve

Patient Engagement and Collect Patient Data

Build and train a workforce comfortable with and

skilled at using technology

Invest in technology specialists and support staff

Provide ongoing patient and provider education


Invest in data security and management specialists


29

Source University of Virginia Health System Charlottesville

VA Oncology Roundtable interviews and analysis

Telemedicine Provides Access to the Community

bull High cancer rates in

Southwest Virginia due

to high tobacco use

bull Limited access to

gynecologic oncologists

in rural setting

Local nurse

practitioner performs

colposcopy in

community setting

UVA gynecologic oncologist

directs colposcopy via camera

attached to colposcope

instructs NP where to biopsy

Logistics

When

Once a month

How


bills same EM codes as an

in-person visit

Who

150 high-risk patients

with abnormal Pap test

results since 2011

University of Virginiarsquos Telemedicine Cervical Cancer Screenings

Factors Driving

Clinic Development

Components of Cervical

Cancer Screening Clinic


31

Think Different

Cooper and Polaris Health Partner to Elevate Patient Engagement

Source MD Anderson Cancer Center at Cooper Camden NJ Polaris Health

Directions Wayne PA Oncology Roundtable interviews and analysis

Apple Watch

OutputsInputs

Breast Cancer Patient Pilot at MD Anderson Cancer Center at Cooper

Watch Automatically Collects

bull Heart rate

bull Steps

bull Time standing

bull Active calories

Care Team Receives

bull Dashboard color coded by

severity of patient needs

bull Email alert when patient

meets criteria for follow-up

bull Data over time

Patient Receives

bull Weekly dashboard of data

bull Daily summary of physical

and behavioral health

Patients Report

bull Physical symptoms

bull Distress

bull Sleep


34

Extending Care Beyond the Office

Provide Real-Time Information and Motivation

Source Scipioni J ldquoHow the Apple Watch Helps Cancer Patients in Treatmentrdquo Fox Business February 29 2016

httpwwwfoxbusinesscomfeatures20160229how-apple-watch-helps-cancer-patients-in-treatmenthtml MD Anderson

Cancer Center at Cooper Camden NJ Polaris Health Directions Wayne PA Oncology Roundtable interviews and analysis

emPOWER App on Apple Watch

Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue

Breast Cancer Survivor

After surgery there were days

when I wanted to be in bed all day

but this app made me get up and

movehellipI wish the trial started six

months earlier

Considerations for Scaling Pilot

bull Technology infrastructure and support

bull Triage protocols for identified patient needs

bull Funding beyond initial pilot

bull Impact on cancer center workflow


35

Successfully Decreasing Utilization

Memorial Sloan Kettering Documents Impact of Remote Monitoring

Source Basch E et al ldquoSymptom Monitoring with Patient-Reported

Outcomes During Routine Cancer Treatmentrdquo Journal of Clinical Oncology

34 no 6 (2016) 557-565 Oncology Roundtable interviews and analysis

STAR Intervention Results

Study Design Advanced solid tumor patients receiving chemotherapy were randomized to regularly

report 12 common symptoms using the web-based Symptom Tracking and Reporting (STAR)

platform or to receive usual care consisting of symptom management at the discretion of clinicians

17 Decrease

Percentage of Cancer Patients

Visiting the ED Across One Year

4134

Usual Care STAR


Hospitalized Across One Year

8Decrease

45

Usual Care STAR

49

Percentage of Cancer

Patients Alive at One Year

9Increase

Usual Care STAR

7569


37

Disrupting Traditional Referral Patterns

Trend 5


Patients Acting More Like Consumers

Rising Expectations

for Service

Growing Price

Sensitivity

Increasing Access to

Health Care Information

bull Rising health care costs

bull Patients shouldering

larger portion of health

care costs

bull Patients developing

habit of ldquoshoppingrdquo for

providers to maximize

value of care

bull Access to and use of

the Internet now

nearly ubiquitous

bull More organizations

publishing health care

cost and quality data

bull Growth in online

communities and

availability of

patient reviews

bull Patients gaining experience

with retail clinics (eg

Walgreens MinuteClinic)

bull Patients expect different

type of doctorrsquos visit

bull Nature of patient-physician

relationship changing

patients become more

skeptical and empowered

to make decisions about

their care


38

Cost and Quality Data Can Be Overwhelming

Programs Need to Make Sure Information Is Empowering Not Paralyzing

1) PPS-Exempt Cancer Hospital Quality Reporting Program

2) Pennsylvania Health Care Quality Alliance

3) Consumer Assessment of Healthcare Providers and Systems

Source What Do Consumers Want from Specialty Care

Market Innovation Center The Advisory Board Company

Washington DC 2015 Cancer Patient Experience Survey


of cancer patients spent

over one hour researching

specialists highest among

all specialty patient

populations surveyed

41

25

of cancer patients looked

at provider reviews or

quality performance

websites while selecting

a provider

Cancer Patients Already Doing

Their Research

Actual and Expected Availability of

Provider Information

Today

Healthgrades includes

Cancer CAHPS3 scores

National warehouse of survival

data by provider published

Clinical pathways adherence

reported publicly

Consumer-facing tools allow

patients to compare cancer

providersrsquo cost and quality

PHCQA2 publishes scores for

five cancer care metrics online

CMS expands

PCHQR1 program

2030


39


Increased Consumerism


Focus on Providing Education and Effective

Communication

Train staff and clinicians to teach patients about quality

measurement in cancer care

Prepare staff to become experts at persuasive

communication

Invest in the services and expertise that patients in

your community value most

Train staff and clinicians to educate patients about the

costs of care and provide necessary support

copy2015 The Advisory Board Company bull advisorycom bull 30624B

40

Sharp HealthCare Provides Physician Biographies Photos and Videos

Source Sharp HealthCare San Diego CA


Maximizing Chances for Connection

Varieties of Online Physician Profiles

Help patients put a face to

a name

Allow patients to see

physiciansrsquo style of speaking

Describe physiciansrsquo

hobbies reasons for

becoming a doctor and

philosophy of care

Amount of Physician Information

Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely

patients are to view

profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42

Promote Full Transparency

University of Utah Publishes All Patient Reviews Online

Source University of Utah Salt Lake City UT Physician Practice

Roundtable Building the Service-Driven Medical Group Washington

DC Advisory Board 2014 Oncology Roundtable interviews and

analysis

1) Pseudonym

John Doe1

Dr Doe


44

A Thoughtful Approach to Profile Design

Source University of Utah Salt Lake City UT

Physician Practice Roundtable Building the Service-

Driven Medical Group Washington DC Advisory

Board 2014 Oncology Roundtable interviews and

analysis

1) Resources loaned for start-up involved enterprise data warehouse architect Social Content Office director and analyst patient experience director and analyst

2) Allow physicians to flag comments for review by system physician committee on a case-by-case basis

3) 1 FTE data analyst monitors comments in addition to other responsibilities comments filtered only for personal attacks inappropriate (eg racist) remarks

Gathered Data Curated Content Streamlined Design Managed Reactions

bull Compiled existing

reviews on all

major physician

rating sites

bull Compared social

media ratings with

survey scores to

ensure advantage of

publishing scores

bull Created profiles1

bull Edited appearance

to be consistent with

typical rating sites

(eg five-star

rating system)

bull Tested webpage

usability

bull Showed physicians

previews of their

profiles three

months before

public launch

bull Met with physicians

to discuss concerns2

Of patient comments posted in

their entirety399

University of Utahrsquos Process to Publicize Physician Data

bull Identified necessary

content for profile to

be useful credible

bull Decided to include

ndash Ten provider

communication

metrics wait times

ndashBoth positive and

negative comments


45

Transparent Data Draws Patient Attention

Public Information Also Helps Motivate Clinical Providers




analysis

503070

1148720

Year prior toposting patient

reviews

Year afterposting patient

reviews

Yearly Physician Profile ViewsBefore and After Patient Reviews

Posted Online

128 increase

9

3

50

25

Percentage of Hospital-Employed

Physicians Achieving Top Scores Compared to National Cohort

Top 10 Top 1

Year 0 Year 3


46

Determine Patient Priorities

Nebraska Medicinersquos YouTube Series Appeals to New Patients

Source Nebraska Medicine Omaha NE Market Innovation

Center Advisory Board Oncology Roundtable interviews and

analysis

1 Recruit Physicians

Recruit cancer center

physicians to conduct

mock interviews with

marketing team

3 Analyze Dialogue

Isolate physiciansrsquo most

commonly used words

and phrases when having

a diagnosis conversation

2 Physician Role-Play

Physicians present diagnoses

and health information to

marketing team as if they were

newly diagnosed patients

4 Create Videos

Craft videos around content and

key words used by physicians

during diagnosis tag videos with

identified key words

Key Steps to Developing Nebraskarsquos YouTube Campaign


48

Results Attributed to Nebraskarsquos YouTube Campaign

Translating YouTube Hits into ROI

Use Comprehensive Analysis to Attract Patients Online



analysis

Analyze videos viewed to completion including where

viewers rewind content

Determine key words and topics associated with critical content

Use analysis to develop new critical content and inform development of

marketing materials

Nebraskarsquos Analytical Approach to Patient Concerns

Increase above budget

and year-to-year financial

performance

16Increase in oncology

volumes18

Determine key words and

topics associated with

critical content


49Trend 6


Precision Medicine Complex and Rapidly Evolving

High-Risk

Precision Medicine

Immunotherapy

Molecular Diagnostics

circulating tumor cells Clinical validity

Tis

sue B

anks

Companion Diagnostics

Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors

Patient Engagement Checkpoint Inhibitors

FIS

H

On

co

typ

e D

x

Genomics

Biomarkers

Next-Generation Sequencing

shared decision making

CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50


Advances in Personalized Medicine


Equip the Care Team to Put Personalized Medicine

into Practice

Include new expertise on the care team

(eg molecular scientists bioethicists data managers)

Provide training and support to help physicians implement

and stay up to date on clinical innovations

Provide comprehensive education and support to patients

Account for increased physician and nurse time needed

to manage patients receiving complex therapies

Maintain coordination across specialties as clinicians

become more subspecialized


51

Develop a Comprehensive Strategy

Precision Medicine Raises Many Thorny Questions


Five Imperatives for Precision Medicine

Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52

Right Test Right Time Right Treatment

Syapse Platform Guides Oncologist at Point of Care

Source Henry Ford Health System Detroit MI


Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines

testing and treatment

guidelines for system

Provider identifies

appropriate actions

Henry Fordrsquos Process for Integrating Precision Medicine into the Physician Workflow

Order test

Order treatment

Select clinical trial

Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads

bull Population health experts


55

Make It Easy for Patients to Participate

Source Wagle N et al ldquoThe Metastatic Breast Cancer Project A National Direct-to-Patient Initiative to Accelerate Genomics

Researchrdquo Journal of Clinical Oncology 34 (2016) Suppl Abstr LBA1519 Oncology Roundtable interviews and analysis

The Metastatic Breast Cancer Project (MBCP)

bull Patient clicks ldquoCount

Me Inrdquo Button on

homepage

bull Patient completes

an online form

bull Patient signs consent to

enable MBCP to obtain

medical record and

stored tissue sample

from treating institution

bull MBCP sends the patient

a kit to collect saliva

bull MBCP sequences tumor and

saliva samples

bull Results are shared with

researchers

bull Patients are kept apprised of

advancements and studies

gt1Kpatients signed

up in first three

months of launch

Social Media Outlets Advocacy Groups


57










58


Thank you

Questions

Feel free to reach out

Ashley Riley MPH

rileyaadvisorycom


2











3


Trend 1





4






10

13

20

1970 2010 2030



45 growth in the

number of new

cancer cases from

2014 to 2030



7

26

31

36



45 growth in the

number of new

cancer cases from

2014 to 2030

Beneficiaries with

4 or more

conditions account

for 75 of total

Medicare spend

2015


5





16

18

2018 2023



33028

35473

37294

2018 2023 2028



+74

+129


6














7







Low Risk

Medium Risk

High Risk




Survivors









start of treatment





about recovery




their transition

3

Risk of recurrence

late effects





9











33







02

Oncology Roundtable

Related Resources





Partnership


for PCPs








10


Trend 2







62

44

38

56

2014 2060

White Minority

By 2030 minorities


of the population


Percent Change

Asian +144

HawaiianPacific

Islander+105

Multi-race +101

American


Other Race +96

Black +33

White +04

Hispanic +117

Non-Hispanic +08




11



of deaths among





22



cancers combined

25




to white women

14x





12







Workforce Now







Related Resources




13















Trained Navigators



Provider Feedback




Staff Education

55

80

61

79

64

96

76

96

50

60

70

80

90

100











15

How Did We Get Here

Trend 3






All 2016







37

37

67









16











care coordination










service status quo


17





bull 176 medical

oncology practices

bull 10 payers

bull CMS

Who is

participating








How are

practices paid




quality performance


practices





medical records


patient navigation



the IOM






improvement





18







=


Quality





= Costs



Key caveats






therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care






20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


3


Trend 1





4






10

13

20

1970 2010 2030



45 growth in the

number of new

cancer cases from

2014 to 2030



7

26

31

36



45 growth in the

number of new

cancer cases from

2014 to 2030

Beneficiaries with

4 or more

conditions account

for 75 of total

Medicare spend

2015


5





16

18

2018 2023



33028

35473

37294

2018 2023 2028



+74

+129


6














7







Low Risk

Medium Risk

High Risk




Survivors









start of treatment





about recovery




their transition

3

Risk of recurrence

late effects





9











33







02

Oncology Roundtable

Related Resources





Partnership


for PCPs








10


Trend 2







62

44

38

56

2014 2060

White Minority

By 2030 minorities


of the population


Percent Change

Asian +144

HawaiianPacific

Islander+105

Multi-race +101

American


Other Race +96

Black +33

White +04

Hispanic +117

Non-Hispanic +08




11



of deaths among





22



cancers combined

25




to white women

14x





12







Workforce Now







Related Resources




13















Trained Navigators



Provider Feedback




Staff Education

55

80

61

79

64

96

76

96

50

60

70

80

90

100











15

How Did We Get Here

Trend 3






All 2016







37

37

67









16











care coordination










service status quo


17





bull 176 medical

oncology practices

bull 10 payers

bull CMS

Who is

participating








How are

practices paid




quality performance


practices





medical records


patient navigation



the IOM






improvement





18







=


Quality





= Costs



Key caveats






therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care






20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


4






10

13

20

1970 2010 2030



45 growth in the

number of new

cancer cases from

2014 to 2030



7

26

31

36



45 growth in the

number of new

cancer cases from

2014 to 2030

Beneficiaries with

4 or more

conditions account

for 75 of total

Medicare spend

2015


5





16

18

2018 2023



33028

35473

37294

2018 2023 2028



+74

+129


6














7







Low Risk

Medium Risk

High Risk




Survivors









start of treatment





about recovery




their transition

3

Risk of recurrence

late effects





9











33







02

Oncology Roundtable

Related Resources





Partnership


for PCPs








10


Trend 2







62

44

38

56

2014 2060

White Minority

By 2030 minorities


of the population


Percent Change

Asian +144

HawaiianPacific

Islander+105

Multi-race +101

American


Other Race +96

Black +33

White +04

Hispanic +117

Non-Hispanic +08




11



of deaths among





22



cancers combined

25




to white women

14x





12







Workforce Now







Related Resources




13















Trained Navigators



Provider Feedback




Staff Education

55

80

61

79

64

96

76

96

50

60

70

80

90

100











15

How Did We Get Here

Trend 3






All 2016







37

37

67









16











care coordination










service status quo


17





bull 176 medical

oncology practices

bull 10 payers

bull CMS

Who is

participating








How are

practices paid




quality performance


practices





medical records


patient navigation



the IOM






improvement





18







=


Quality





= Costs



Key caveats






therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care






20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


5





16

18

2018 2023



33028

35473

37294

2018 2023 2028



+74

+129


6














7







Low Risk

Medium Risk

High Risk




Survivors









start of treatment





about recovery




their transition

3

Risk of recurrence

late effects





9











33







02

Oncology Roundtable

Related Resources





Partnership


for PCPs








10


Trend 2







62

44

38

56

2014 2060

White Minority

By 2030 minorities


of the population


Percent Change

Asian +144

HawaiianPacific

Islander+105

Multi-race +101

American


Other Race +96

Black +33

White +04

Hispanic +117

Non-Hispanic +08




11



of deaths among





22



cancers combined

25




to white women

14x





12







Workforce Now







Related Resources




13















Trained Navigators



Provider Feedback




Staff Education

55

80

61

79

64

96

76

96

50

60

70

80

90

100











15

How Did We Get Here

Trend 3






All 2016







37

37

67









16











care coordination










service status quo


17





bull 176 medical

oncology practices

bull 10 payers

bull CMS

Who is

participating








How are

practices paid




quality performance


practices





medical records


patient navigation



the IOM






improvement





18







=


Quality





= Costs



Key caveats






therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care






20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


6














7







Low Risk

Medium Risk

High Risk




Survivors









start of treatment





about recovery




their transition

3

Risk of recurrence

late effects





9











33







02

Oncology Roundtable

Related Resources





Partnership


for PCPs








10


Trend 2







62

44

38

56

2014 2060

White Minority

By 2030 minorities


of the population


Percent Change

Asian +144

HawaiianPacific

Islander+105

Multi-race +101

American


Other Race +96

Black +33

White +04

Hispanic +117

Non-Hispanic +08




11



of deaths among





22



cancers combined

25




to white women

14x





12







Workforce Now







Related Resources




13















Trained Navigators



Provider Feedback




Staff Education

55

80

61

79

64

96

76

96

50

60

70

80

90

100











15

How Did We Get Here

Trend 3






All 2016







37

37

67









16











care coordination










service status quo


17





bull 176 medical

oncology practices

bull 10 payers

bull CMS

Who is

participating








How are

practices paid




quality performance


practices





medical records


patient navigation



the IOM






improvement





18







=


Quality





= Costs



Key caveats






therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care






20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


7







Low Risk

Medium Risk

High Risk




Survivors









start of treatment





about recovery




their transition

3

Risk of recurrence

late effects





9











33







02

Oncology Roundtable

Related Resources





Partnership


for PCPs








10


Trend 2







62

44

38

56

2014 2060

White Minority

By 2030 minorities


of the population


Percent Change

Asian +144

HawaiianPacific

Islander+105

Multi-race +101

American


Other Race +96

Black +33

White +04

Hispanic +117

Non-Hispanic +08




11



of deaths among





22



cancers combined

25




to white women

14x





12







Workforce Now







Related Resources




13















Trained Navigators



Provider Feedback




Staff Education

55

80

61

79

64

96

76

96

50

60

70

80

90

100











15

How Did We Get Here

Trend 3






All 2016







37

37

67









16











care coordination










service status quo


17





bull 176 medical

oncology practices

bull 10 payers

bull CMS

Who is

participating








How are

practices paid




quality performance


practices





medical records


patient navigation



the IOM






improvement





18







=


Quality





= Costs



Key caveats






therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care






20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


9











33







02

Oncology Roundtable

Related Resources





Partnership


for PCPs








10


Trend 2







62

44

38

56

2014 2060

White Minority

By 2030 minorities


of the population


Percent Change

Asian +144

HawaiianPacific

Islander+105

Multi-race +101

American


Other Race +96

Black +33

White +04

Hispanic +117

Non-Hispanic +08




11



of deaths among





22



cancers combined

25




to white women

14x





12







Workforce Now







Related Resources




13















Trained Navigators



Provider Feedback




Staff Education

55

80

61

79

64

96

76

96

50

60

70

80

90

100











15

How Did We Get Here

Trend 3






All 2016







37

37

67









16











care coordination










service status quo


17





bull 176 medical

oncology practices

bull 10 payers

bull CMS

Who is

participating








How are

practices paid




quality performance


practices





medical records


patient navigation



the IOM






improvement





18







=


Quality





= Costs



Key caveats






therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care






20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


10


Trend 2







62

44

38

56

2014 2060

White Minority

By 2030 minorities


of the population


Percent Change

Asian +144

HawaiianPacific

Islander+105

Multi-race +101

American


Other Race +96

Black +33

White +04

Hispanic +117

Non-Hispanic +08




11



of deaths among





22



cancers combined

25




to white women

14x





12







Workforce Now







Related Resources




13















Trained Navigators



Provider Feedback




Staff Education

55

80

61

79

64

96

76

96

50

60

70

80

90

100











15

How Did We Get Here

Trend 3






All 2016







37

37

67









16











care coordination










service status quo


17





bull 176 medical

oncology practices

bull 10 payers

bull CMS

Who is

participating








How are

practices paid




quality performance


practices





medical records


patient navigation



the IOM






improvement





18







=


Quality





= Costs



Key caveats






therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care






20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


11



of deaths among





22



cancers combined

25




to white women

14x





12







Workforce Now







Related Resources




13















Trained Navigators



Provider Feedback




Staff Education

55

80

61

79

64

96

76

96

50

60

70

80

90

100











15

How Did We Get Here

Trend 3






All 2016







37

37

67









16











care coordination










service status quo


17





bull 176 medical

oncology practices

bull 10 payers

bull CMS

Who is

participating








How are

practices paid




quality performance


practices





medical records


patient navigation



the IOM






improvement





18







=


Quality





= Costs



Key caveats






therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care






20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


12







Workforce Now







Related Resources




13















Trained Navigators



Provider Feedback




Staff Education

55

80

61

79

64

96

76

96

50

60

70

80

90

100











15

How Did We Get Here

Trend 3






All 2016







37

37

67









16











care coordination










service status quo


17





bull 176 medical

oncology practices

bull 10 payers

bull CMS

Who is

participating








How are

practices paid




quality performance


practices





medical records


patient navigation



the IOM






improvement





18







=


Quality





= Costs



Key caveats






therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care






20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


13















Trained Navigators



Provider Feedback




Staff Education

55

80

61

79

64

96

76

96

50

60

70

80

90

100











15

How Did We Get Here

Trend 3






All 2016







37

37

67









16











care coordination










service status quo


17





bull 176 medical

oncology practices

bull 10 payers

bull CMS

Who is

participating








How are

practices paid




quality performance


practices





medical records


patient navigation



the IOM






improvement





18







=


Quality





= Costs



Key caveats






therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care






20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


15

How Did We Get Here

Trend 3






All 2016







37

37

67









16











care coordination










service status quo


17





bull 176 medical

oncology practices

bull 10 payers

bull CMS

Who is

participating








How are

practices paid




quality performance


practices





medical records


patient navigation



the IOM






improvement





18







=


Quality





= Costs



Key caveats






therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care






20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


16











care coordination










service status quo


17





bull 176 medical

oncology practices

bull 10 payers

bull CMS

Who is

participating








How are

practices paid




quality performance


practices





medical records


patient navigation



the IOM






improvement





18







=


Quality





= Costs



Key caveats






therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care






20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


17





bull 176 medical

oncology practices

bull 10 payers

bull CMS

Who is

participating








How are

practices paid




quality performance


practices





medical records


patient navigation



the IOM






improvement





18







=


Quality





= Costs



Key caveats






therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care






20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


18







=


Quality





= Costs



Key caveats






therapy adjustment

37

33

27

27

24

31

12

8

Loweredcost ofcare

Increasedquality of

care






20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


20







Model basics












components





21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


21




Manage Change


maximum efficiency









22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


22



1) Pseudonym

Play Your Part

Leverage Data



cancer in community

Select Approach

Decide to focus on



Develop Partnership

Partner with PCP

specializing in

adolescents and HPV

vaccination



materials about HPV

vaccination at

community events

Related Resources




24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


24







bull Comorbidities

bull Poor prognosis

bull Specific

medications

bull High distress


bull Advanced or

complex disease

High-Risk Patients


a week by navigator












Low-Risk Patients







26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


26







COST SAVINGS




navigated patients1






navigated patients1

11







$19M



27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


27



Trend 4








166

269

21 54

145

215

2015 2020


Consults


PCP Visits

Total

Specialty Consults





2016 and 2020

72










28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


28












29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


29






to high tobacco use



in rural setting

Local nurse


colposcopy in

community setting





Logistics

When

Once a month

How



in-person visit

Who



results since 2011


Factors Driving

Clinic Development




31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


31

Think Different




Apple Watch

OutputsInputs



bull Heart rate

bull Steps

bull Time standing


Care Team Receives





bull Data over time

Patient Receives




Patients Report


bull Distress

bull Sleep


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


34







Provides daily

challenges

bull Join a

support

group

bull Go for a

brisk walk

Displays daily

and weekly

data such as

bull Activity

bull Distress

bull Pain

bull Fatigue






months earlier







35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


35










17 Decrease



4134

Usual Care STAR



8Decrease

45

Usual Care STAR

49



9Increase

Usual Care STAR

7569


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


37


Trend 5



Rising Expectations

for Service

Growing Price

Sensitivity






care costs




value of care


the Internet now

nearly ubiquitous





communities and

availability of

patient reviews











their care


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


38















41

25



quality performance


a provider


Their Research



Today






reported publicly






CMS expands

PCHQR1 program

2030


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


39





Communication




communication






40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


40







a name




hobbies reasons for


philosophy of care


Num

be

r o

f P

rofile

Vie

ws

2xTimes more likely


profile with photo

3xTimes more likely


profile with video

Biographies

Photos

Videos


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


42






analysis

1) Pseudonym

John Doe1

Dr Doe


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


44






analysis






reviews on all

major physician

rating sites


media ratings with

survey scores to

ensure advantage of

publishing scores





(eg five-star

rating system)

bull Tested webpage

usability


previews of their

profiles three

months before

public launch




their entirety399




be useful credible


ndash Ten provider

communication

metrics wait times


negative comments


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


45






analysis

503070

1148720


reviews


reviews


Posted Online

128 increase

9

3

50

25



Top 10 Top 1

Year 0 Year 3


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


46





analysis





marketing team

3 Analyze Dialogue


commonly used words








4 Create Videos







48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


48






analysis





marketing materials




performance


volumes18



critical content


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


49Trend 6



High-Risk

Precision Medicine

Immunotherapy



Tis

sue B

anks


Proteomics

Patient-reported

Outcomes

Targeted treatment

Pharmacogenetics

PARP Inhibitors


FIS

H

On

co

typ

e D

x

Genomics

Biomarkers



CAR-T Cell Therapy

Liquid Biopsies

CDK-4 Inhibitors

DNA

Umbrella Trials


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


50





into Practice











51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


51





Evaluate the

Business Case for

Precision Medicine

Provide

Support for

Oncologists

Develop Patient-

Centered

Standards

Elevate the Role

of Clinical Trials

Harness the

Power of Data

1 2 3 4 5


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


52





Integrates clinical

and molecular

information as well

as guidelines into

Syapse platform

Providers see

guidelines in EHR

at point of care

Precision medicine

team determines



Provider identifies

appropriate actions


Order test

Order treatment


Experts include

bull Oncologists

bull Pathologists

bull Informaticists

bull Research leads



55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


55







homepage


an online form



medical record and






saliva samples


researchers



gt1Kpatients signed

up in first three

months of launch



57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom


57










58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom

58


Thank you

Questions


Ashley Riley MPH

rileyaadvisorycom

Oncology State of the Union - Franciscan Health · 2019-10-08 · ©2018 The Advisory Board Company...

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Transcript of Oncology State of the Union - Franciscan Health · 2019-10-08 · ©2018 The Advisory Board Company...