Health Care Coach Support in Reducing Acute Care Use and Cost in Patients With Cancer

Launched by STANFORD UNIVERSITY · May 12, 2017

Keywords

ClinConnect Summary

PRIMARY OBJECTIVES:

I. To reduce acute care utilization by 2-5% for advanced cancer patients by training and deploying health care coaches who help patients and families discuss care goals, virtual modalities, engage in shared-decision-making, and participate in educational activities.

SECONDARY OBJECTIVES:

I. To improve patients' experience of their care. II. Improve patient understanding of advanced care planning. III. To improve the receipt of goal concordant care. IV. To reduce total healthcare costs.

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM A: Patients receive usual ca...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Newly diagnosed patients for the following conditions
• • Colon cancer stage III and IV
• • Rectal cancer stage II, III, IV
• • Glioblastoma multiforme (brain) -- no stage
• • Non-small cell lung cancer stage IIIA, IIIB, IV
• • Small cell lung cancer, limited stage and extensive stage
• • Castration-resistant prostate cancer
• • Head and neck cancer stage III and IV
• • Gastric cancer stage III and IV
• • Esophageal cancer stage III and IV
• • Pancreatic cancer stage II, III, IV
• • Renal cell carcinoma, stage IV
• • Breast cancer, stage IV, if triple negative ER/PR/H2N negative or on systemic chemotherapy
• • Sarcoma, stage IV
• • Bladder carcinoma, stage IV
• • Acute myeloid leukemia
• • Melanoma, stage III and IV
• • Ovarian cancer, stage III and IV
• • High grade myelodysplastic syndrome (MDS)
• • Any patient with recurrent or progressive cancer
• • Patients must have the ability to understand and willingness to sign a written informed consent document
• • Patient must have ongoing oncologic needs and plan to receive all care at the study institution and not already be in hospice or home-care
• Exclusion Criteria:
• • Patients must have capacity to consent
• • Pregnant patients are excluded