Members of the Coleman Supportive Oncology Collaborative including over 169 cancer care providers from 44 institutions came together in person to share lessons from their 3-year project to improve supportive cancer care across the region and to launch the next step in the Coleman Foundation initiative which is to improve patient communication and experience.

1. WELCOME to the:
Coleman Supportive
Oncology
Collaborative
and
4R Patient Care
Sequences
Symposium

2. Coleman
Supportive
Oncology
Collaborative
4R Patient Care
Sequences
Symposium

3. 2
Disclosures
• Rosa Berardi, Michael Hennessy have disclosed
that there are no actual or potential conflicts of
interest in regards to this presentation.
• The planners, editors, faculty and reviewers of
this activity have no relevant financial
relationships to disclose.
• This presentation was created without any
commercial support.

4. Greetings & Welcome
Michael Hennessy, President & CEO
Rosa Berardi, Senior Program Officer

5. Dorothy and J.D. Stetson Coleman
Founders

6. Private Grantmaking Foundation
Main Program Areas
• Entrepreneurship Education
• Cancer and Supportive Care
• Services for People with Developmental
Disabilities

7. Cancer and Supportive Care Impact
Cancer patients in the Chicago Metro
area are fully engaged in their cancer
treatment, and achieve the best
possible outcome and quality of life.

8. Supporting the Coleman Supportive
Oncology Collaborative since 2014
Coleman 4R Patient Care Sequences for
Cancer and Supportive Care
January 2019 through December 2020

9. Coleman Supportive Oncology Collaborative
(CSOC) Goals
Cancer patients
• are regularly screened for distress, psychosocial
support and palliative care needs;
• receive appropriate services (from diagnosis through
survivorship and end-of-life) from multiple, high-
quality service providers that have core
competencies in delivering cancer care and support;
• are informed and empowered, along with their
families, by personalized patient care sequence
document(s), which are adjusted throughout cancer
treatment and supportive care.
2

10. Coleman Supportive Oncology Collaborative
(CSOC)
Cycle 1 Sites
1. Mercy Hospital and Medical Center
2. Mount Sinai Hospital
3. John H. Stroger, Jr. Hospital of Cook County
4. Rush University Medical Center
5. University of Chicago Medicine
6. University of Illinois Health Cycle 2 January 2017 through March 2018
Added Cycle 2 Additional Sites
7. Jesse Brown VA Medical Center
8. Loyola University Medical Center
9. Northwestern Medicine
10. Methodist Medical Center of Illinois
+
Cycle 1 December 2014 through May 2016
9
Cycle 3 Sites
1. Jesse Brown VA Medical Center
2. Loyola University Medical Center
3. Mount Sinai Hospital
4. Methodist Medical Center of Illinois
4R Sites
1. Advocate
2. Lake Forest
3. NorthShore
4. Northwestern
5. Rush University Medical Center
6. University of Chicago Medicine
7. University of Illinois Health
Cycle 3 October 2018 to December 2019
4R January 2019 to December 2020
3

11. Overview of
Symposium
Introduction to
Supportive Care
Guidelines,
Standards and
Tools
Christine Weldon
The Center for Business
Models in Healthcare

12. 11
Disclosures
• Ms. Weldon has disclosed that there is no actual
or potential conflict of interest in regards to this
presentation
• The planners, editors, faculty and reviewers of
this activity have no relevant financial
relationships to disclose.
• This presentation was created without any
commercial support.

13. Symposium Learning Objectives
At the conclusion of this course participants will be able to:
• Describe supportive oncology standards and guidelines
• Report approaches and processes to apply supportive
oncology guidelines in practice
• Compare methods to provide patients access to
supportive care services
• Generate discussion and ideas of how to incorporate
improvements in supportive care for cancer patients
within each center
• Identify tools and methods to support enhanced
supportive care for cancer patients
• Explain the 4R Oncology Model for patient care planning
• Assess Use of Supportive Care Tools in participants
organizations and assess implementation of 4R Oncology
model as quality improvement

14. To obtain credit you must:
• Be present
• Complete an evaluation survey:
https://cmetracker.net/RUSH/Publisher?page=pubOpen#/getCertificate/42510
Certificate will be sent to you via e-mail from Rush
In support of improving patient care, Rush University Medical Center is accredited
by the American Nurses Credentialing Center (ANCC), the Accreditation Council for
Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical
Education (ACCME) to provide continuing education for the healthcare team.
Rush University Medical Center designates this live activity for a maximum of (7)
AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate
with the extent of their participation in the activity.
ANCC Credit Designation – Nurses
The maximum number of hours awarded for this CE activity is (7) contact hours.
This activity is being presented without bias and without commercial support.
Rush University is an approved provider for physical therapy (216.000272),
occupational therapy, respiratory therapy, social work (159.001203), nutrition,
speech-audiology, and psychology by the Illinois Department of Professional
Regulation.
Rush University designates this live activity for (7) Continuing Education credit(s).

15. Evolution of Supportive Oncology
In the recent years:
Supportive Oncology scope expanded to all aspects of quality of life
Guidelines & certifications expanded to require Supportive Oncology Care
IOM 2013 report “High Quality Cancer Care: Charting a New Course for a
System in Crisis”
Identified components of Supportive Oncology as crucial to quality cancer care and
addressing the crisis
Cancer
Treatment
Supportive
care (Patient’s
autonomy,
productivity)
Work
productivity;
Education,
retooling
Survivor
care
Dental
Health
Distress
Mgmt
Pain /
symptom
Mgmt
Physical
Med,
Rehab
Nutrition
Cancer
Genetics
Onco-
Fertility
Bone
Health
Supportive
care
(clinical)
Clinical
Trials
Primary and
comorbidity
Care
Radiation
Oncology
Medical
Oncology
Surgical
Reconstructive
Surgical
Oncology
Pathology
and
Diagnostics
Radiology &
Imaging
OTHER
Child and
family care
Access to care
and financial
viability
Self-care and
self-
sufficiency
Logistical
support
(transportation,
housing, other)
Occupational
therapy
Palliative
care
ComprehensiveCancerCare
OTHER:
Image Rec,
Sexuality,
Spirituality
Hospice
Family /
caregiver
support
Other
© Copyright 2015. Center for Business Models in Healthcare

16. Supportive Oncology Guidelines
Distress Management
Palliative Care
Survivorship
Cancer-related Fatigue
Adult cancer Pain
 Antiemesis
 Cancer- and chemotherapy-Induced Anemia
 Myeloid Growth Factors
 Prevention and Treatment of Cancer-related infections
 Smoking Cessation
NCCN guidelines for Supportive Care
Challenge: guidelines and recommendations are often non-specific and leave ample room
for variation of processes for care delivery
e.g. distress screening at pivotal points in care

17. IOM Report - Presented By Patricia Ganz at 2014 ASCO Annual Meeting
16
IOM report focused on supportive care (PURPLE ARROW) starting at diagnosis
through the entire care continuum
IOM Report -
Presented By
Patricia Ganz at
2014 ASCO
Annual Meeting

18. Financial
support
Delivery of
services &
Care processes
Screen
for
needs
Tools
Educate
providers,
patients,
caregivers
Patient Focus &
Feedback from
Providers,
patients,
caregivers
Service Delivery
Critical
supporting
capabilities /
infrastructure
• Distress /
Psychosocial
• Palliative
• Surveillance
• Survivorship
Transition
Implementation
Reporting and
performance
metrics
CSOC Priorities
To support the IOM report recommendations in supportive care, 27 project ideas were identified by over 100
Chicago area cancer stakeholders in Spring/Summer 2014. 27 projects were grouped into 7 priorities above.
8

19. Outline for the Symposium
Implementing Screening and Supportive Care
• Describe supportive oncology standards and guidelines
• Report approaches and processes to apply supportive
oncology guidelines in practice
Teresa Lillis will share Rush’s experience implementing
holistic supportive screening, including use of EPIC and
Tablets
Joanna Martin and Lauren Rynar will talk about
screening and supportive high need cancer patients at
a VA Medical Center
Stacy Sanford will share Screening for psychosocial
stressors in Adolescents and Young Adults (AYA)

20. Outline for the Symposium
Break around 10:30

21. Outline for the Symposium
Helping patients help themselves
• Compare methods to provide patients access to
supportive care services
• Identify tools and methods to support enhanced
supportive care for cancer patients
Betty Roggenkamp will share patient handouts
created for each concern/need on the screening tool.
Pam Khosla will describe Sinai’s Supportive Oncology
Clinic
Pat Mumby and Lauren Rynar will share how Loyola
continues to evolve distress and supportive screening

22. Outline for the Symposium
Ways to Improve Supportive Oncology
Services
• Identify tools and methods to support enhanced
supportive care for cancer patients
• Generate discussion and ideas of how to incorporate
improvements in supportive care for cancer patients
within each center
Mary Pasquinelli will discuss how supportive screening
and care was improved through education and
training
Ana Gordon will share the need for psychosocial
services in the UI Health cancer patient population and
the business case for adding social workers

23. Outline for the Symposium
Ways to Improve Supportive Oncology
Services
• Generate discussion and ideas of how to
incorporate improvements in supportive care
for cancer patients within each center
Lunch and Breakouts around 12:10
• Lunch tables assigned
• Discussions will occur during lunch of how
tools and methods may work in your
practice.

24. Outline for the Symposium
Review CSOC Toolkit and Introduction to 4R
• Identify tools and methods to support enhanced supportive care
for cancer patients
• Explain the 4R Oncology Model for patient care planning
• Assess Use of Supportive Care Tools in participants organizations
and assess implementation of 4R Oncology model as quality
improvement
• CSOC Toolkit will be shared
• 4R Oncology Model will be presented and Claudia Perez will
share her experience using 4R
• Break around 2:20
• A panel will discuss their experiences and expectations of the
4R Oncology Model within their organization