2024
A Qualitative Study on the Impact and Feasibility of a Simulation-Based Program for Shared Decision-Making in Non–Small Cell Lung Cancer Care
Hakim H, Alexander C, Rudell E, Ingram M, Agrawal T, Peterson P, Davies M, Adelson K, Oliver B. A Qualitative Study on the Impact and Feasibility of a Simulation-Based Program for Shared Decision-Making in Non–Small Cell Lung Cancer Care. The Permanente Journal 2024, 28: 212-222. PMID: 39269215, PMCID: PMC11404665, DOI: 10.7812/tpp/23.152.Peer-Reviewed Original ResearchConceptsShared decision-makingOncology cliniciansSDM principlesPerceptions of shared decision-makingImprove health care outcomesPatient-centred care modelComprehensive cancer care centerLeadership buy-inPatient-centered careHealth care outcomesLung cancer careParticipants perceived benefitsHealth care environmentTeam member rolesNon-small cell lung cancer careThematic analysis of interview dataCancer care centerSimulation-based programAnalysis of interview dataCare modelCare outcomesCancer carePatient-centeredPatient experienceCare environment
2021
Bundling cancer subtypes in value-based care: A pilot analysis of lymphoma episodes in the Oncology Care Model.
Yue A, Chaudhry B, Schleicher S, Huntington S, Lyss A, Connor N, Tran L, Adelson K. Bundling cancer subtypes in value-based care: A pilot analysis of lymphoma episodes in the Oncology Care Model. Journal Of Clinical Oncology 2021, 39: e18850-e18850. DOI: 10.1200/jco.2021.39.15_suppl.e18850.Peer-Reviewed Original ResearchCommunity oncology practicesAcademic medical centerOncology Care ModelEpisode costsWaldenstrom's macroglobulinemiaCare modelCancer subtypesLarge community oncology practiceProportion of subtypesLarge academic medical centerICD-10 diagnosisIntensity of careValue-based careCohort studyClinical featuresCommon subtypeFrequent subtypeOncology practiceLymphoma populationLymphoma subtypesMedical CenterHeterogeneous diseaseInappropriate shiftIndividual subtypesSubtypes
2020
The association between clinical trial (CT) participation, pharmaceutical costs, and savings performance in the Oncology Care Model (OCM).
Adelson K, Canavan M, Mun S, Gross C, Sinanis N, Davidoff A. The association between clinical trial (CT) participation, pharmaceutical costs, and savings performance in the Oncology Care Model (OCM). Journal Of Clinical Oncology 2020, 38: 2-2. DOI: 10.1200/jco.2020.38.29_suppl.2.Peer-Reviewed Original ResearchOncology Care ModelDrug costsCancer CenterLung cancerEpisode costsMean MedicareYale Cancer CenterClinical trial participationSystemic cancer therapyPart D drug costsCancer therapyLower drug costsCommon cancer typesChi-square testPayment modelsClinical factorsNovel cancer therapiesTrial participationOvarian cancerPatient episodesNovel therapiesCare modelCTR groupPharmaceutical costsAlternative payment modelsThe impact of clinical trial (CTr) participation on savings performance in the oncology care model (OCM).
Adelson K, Canavan M, Mun S, Gross C, Sinanis N, Davidoff A. The impact of clinical trial (CTr) participation on savings performance in the oncology care model (OCM). Journal Of Clinical Oncology 2020, 38: e19367-e19367. DOI: 10.1200/jco.2020.38.15_suppl.e19367.Peer-Reviewed Original ResearchOncology Care ModelDrug costsMean MedicareYale Cancer CenterMean drug costClinical trial participationSystemic cancer therapyLower drug costsCommon cancer typesChi-square testValue-based payment modelsPayment modelsClinical factorsCancer CenterTrial participationLung cancerEpisode costsCare modelCTR groupAlternative payment modelsCancer typesMean differenceCancer therapyCareEpisodes
2019
Effects of rising drug costs on efforts to control overall cost at a large academic cancer center.
Adelson K, Canavan M, Supalla S, Sedghi T, Chaudhry B, Sinanis N, Gross C. Effects of rising drug costs on efforts to control overall cost at a large academic cancer center. Journal Of Clinical Oncology 2019, 37: 2-2. DOI: 10.1200/jco.2019.37.27_suppl.2.Peer-Reviewed Original ResearchOncology Care ModelLarge academic cancer centerAcute care useAcademic cancer centerPost-acute careMean costCancer CenterCare useDrug costsEmergency department useCost of hospitalizationMean total costValue-based payment programsCost of pharmaceuticalsCancer HospitalCancer careDepartment useTotal episodesInpatient careMedicare claimsCare modelCareEpisodesUtilization categoriesPharmaceutical spendingUnderstanding cancer care coordination: Opening the black box.
Canavan M, Sedghi T, Gross C, Lane S, Bogdan J, Adelson K. Understanding cancer care coordination: Opening the black box. Journal Of Clinical Oncology 2019, 37: e18310-e18310. DOI: 10.1200/jco.2019.37.15_suppl.e18310.Peer-Reviewed Original ResearchIndirect patient careCare coordinatorsPatient careAcute care utilizationCare management programSite of careDirect patient careOncology Care ModelElderly patientsMultidisciplinary careTreatment complicationsCare utilizationCancer careSymptom assessmentCare coordinationOutpatient careCare modelCare plansHigh riskAcademic centersNurses' experiencesCancer supportPatientsCareActivity time
2017
The Oncology Care Model: Perspectives From the Centers for Medicare & Medicaid Services and Participating Oncology Practices in Academia and the Community
Kline R, Adelson K, Kirshner JJ, Strawbridge LM, Devita M, Sinanis N, Conway PH, Basch E. The Oncology Care Model: Perspectives From the Centers for Medicare & Medicaid Services and Participating Oncology Practices in Academia and the Community. American Society Of Clinical Oncology Educational Book 2017, 37: 460-466. PMID: 28561660, DOI: 10.1200/edbk_174909.Peer-Reviewed Original ResearchConceptsOncology Care ModelCare modelCancer care deliveryAcademic health systemMedicaid Services (CMS) Innovation CenterCancer careOncology practiceSubstantial burdenCare deliveryHealth systemUnique beneficiariesMedicaid ServicesCommunity practicePayment incentivesCareMedicareFinancial implicationsSubstantial regional differencesRegional differencesPatientsOncologistsDevelopment of a complex patient identification process for the CMS’ Oncology Care Model.
Sinanis N, Abdelghany O, Strait M, Lyons C, Adelson K. Development of a complex patient identification process for the CMS’ Oncology Care Model. Journal Of Clinical Oncology 2017, 35: 32-32. DOI: 10.1200/jco.2017.35.8_suppl.32.Peer-Reviewed Original ResearchOncology Care ModelD statusCare modelOral drugsPatient identification processesLast visit dateMedicare Part DEligible patientsEnhanced paymentsOral prescriptionDrug fillsVisit dateSpecialty pharmacyEligibility criteriaPatientsCare managementMedicare Part BPatient identificationNew prescriptionsMedicare Part B.DrugsPrescriptionPart DStepwise approachInsurance informationThe Oncology Care Model: Perspectives From the Centers for Medicare & Medicaid Services and Participating Oncology Practices in Academia and the Community
Kline R, Adelson K, Kirshner J, Strawbridge L, Devita M, Sinanis N, Conway P, Basch E. The Oncology Care Model: Perspectives From the Centers for Medicare & Medicaid Services and Participating Oncology Practices in Academia and the Community. American Society Of Clinical Oncology Educational Book 2017, 37: 460-466. DOI: 10.14694/edbk_174909.Peer-Reviewed Original Research
2016
Multidisciplinary process improvement to optimize oral chemotherapy safety.
Amport S, Adelson K, Fradkin M, Havriliak R, Harrison M, Abdelghany O, Kregling S, Wright J, Morrow B, Sterling R, Smith M, Esposito F, Stutsky M, Miller L, Lilenbaum R, Lyons C, Chiang A, Cohen H. Multidisciplinary process improvement to optimize oral chemotherapy safety. Journal Of Clinical Oncology 2016, 34: 134-134. DOI: 10.1200/jco.2016.34.7_suppl.134.Peer-Reviewed Original ResearchMedication assistance programsPatient educationOral chemotherapy agentsPatient phone callsMultidisciplinary care modelStandardized patient educationMultidisciplinary task forceAddress patients' concernsTherapy delayChemotherapy safetyAdherence monitoringParenteral chemotherapyPatient outcomesPatient concernsChemotherapy agentsCare modelProvider trainingSpecialty pharmacyClinical careClinical teamClinical supportDay 5PatientsDrug accessStaff satisfaction