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Excited to see an #ASCO24 telehealth care plenary study showcasing evidence for virtual pall care. Discussant shared data on potential disparities in telehealth receipt- the @NCICareDelivRes TRACE-sponsored THRIVE initiative supports study of telehealth equity for Veterans.

Louder for those in the back! Research is only meaningful if it can equitable reach the populations it is supposed to serve. Thank you Dr. Krzynzanowska for this nuances discussion. #ASCO24 ASCO Hematology & Oncology Women Physicians Group—HOWPG #CareDelivery #Policy #ImplementationScience cc: Gabrielle

Interesting point re: multiD coordination b/t med onc and pall care when one or both go to video visits. Informal provider discussions on day of clinic are really helpful, if we lose that, what are good ways to replicate it as we do more tele-onc + tele-pall care? #ASCO24

Finally made it to an #ASCO24 8 am session in-person: you shouldn't be surprised it's "Revolutionizing Rural Oncology: Innovative Models and Global Perspectives". This is where my heart is- rural oncology care delivery should be an international science + endeavor.

I'm interested to follow progress with standardized PROs/metrics for financial toxicity: data/analysis needs to go beyond refining pt programs. Present the problem in policy + payer arenas to confront the impending cancer cost crisis and build pressure/change #ASCOQLTY24

Interventions to increase serious illness conversations often focus on acute moments in the care trajectory. This study suggests that ongoing, staged approaches are vital for goal-concordant care and may be better integrated into workflows. Anne Montgomery, PhD, MSc #ASCOQLTY24

Anne Montgomery's Penn Medicine team used qual research techniques to describe what makes serious illness discussions hard in busy onc clinics. They describe what I find helpful in GI onc, dropping "breadcrumbs" with micro-big picture convos prior to scan reviews. #ASCOQLTY24

In the US, there is a growing reliance on industry to conduct cancer clinical research. Underinvestment in federally-sponsored research comes at a cost for both pts & researchers, with lost opportunities for scientific, clinical, & population advances. DrJoeUnger #ASCOQLTY24

Co-locating multiple specialties in one space makes cancer care more feasible. It took 6-8m to train the DM APPs. Workforce turnover kills budding initiatives when orgs don't want to re-invest. How do we improve health sys retention of great people for our teams? #ASCOQLTY24

"We need care delivery research deeply embedded in health systems and to support career pathways for this work!" Preach, Ethan Basch! #ASCOQLTY24

I'd like to repeat Kerin Adelson, MD, MHCDS's "Covered/Not Covered" Medicare quiz show for policy/payer/patient advocate/business leadership audiences TOGETHER to force discussion of our misaligned incentives, an effective way to spark solutions over fingerpointing. #ASCOQLTY24

Physicians don't have a crystal ball, which makes the heavy QI emphasis on treatment in the last 30d of life somewhat vexing. We can operate on probabilities, but should I be withholding tx that could help symptoms bc I think someone is 51% likely to die in 30 days? #ASCOQLTY24

Happy to hang up this poster for UPMC Hematology & Oncology Fellowship Program UPMC Hillman Cancer Center fellow Subhash Edupuganti who couldn't make it to #ASCOQLTY24. Check out this QI initiative for managing ICI-related thyroid dysfunction!

Excited for this session on pharmaceutical supply chain challenges in oncology at #ASCOQLTY24. Jumping right in with Dr. Patt tackling the role of PBMs in the cancer cost mess: PBM practices are now influencing drug prices and she will explain how!

Excited to chat about our analysis of colon cancer care fragmentation in PA at #ASCOQLTY24. Do poorer pts have the same "flavor" of fragmentation as affluent pts? Thanks to @lindsaysabik for YIA mentorship! Conquer Cancer, the ASCO Foundation UPMC Hillman Cancer Center

Always so happy to see and learn from Chris Manz at HSR/QI conferences! His team did 34 interviews to elucidate barriers + solutions to address how cancer care for incarcerated individuals falls short. Bad outcome risk follows people after prison- this matters. #ASCOQLTY24

Really pleased to see explicit discussion of multiD care led by Raymond Osarogiagbon, MBBS, FACP at #ASCOQLTY24. Agree that "physiology" of multiD differentiates co-located clinics from a TEAM: I use the phrase "shared mental model" w/colleagues- the HOW (processes) is more than "treat the pt"...

It's awesome to hear a patient advocate describing that chatbots can be helpful for those "3am thoughts" and anxieties while on cancer treatment. This really underscores the responsibility on developers to ensure generative AI is safe and... empathic #ASCOQLTY24

Glad I could make it from clinic to the PM sessions of inaugural University of Pittsburgh, College of Business healthcare conference, "Advancing & Scaling Equitable Delivery of Patient-Focused Healthcare Solutions". This networking game is genius to warm up a multidisciplinary audience! #MDMBAEnergy

Energized to see the final panel at the University of Pittsburgh, College of Business Healthcare conference take on a tough Q about balancing the profit imperative + pursuit of health equity. Social entrepreneurship lit uses the "triple bottom line" concept, HC businesses likely need different tools/language.