Table 1.

Supporting behavioral needs across the cancer continuum from within Healthcare.

	Cancer Control Goal	Healthcare Informatics Systems
Prevention	Promote health protective lifestyle Offer support services for behavior change Personalize communication based on molecular, genetic, behavioral profile	Provide educational materials through patient portals, “information prescriptions” Embed evidence-based support applications tethered to patient data; link to services Maintain an ongoing personalized prevention plan, informed by genetic tests, biomarker assays, personal history, and patient- contributed input.
Early detection	Ensure adherence for recommended screenings Promote informed decision making Interpret findings from self-vigilance Ensure adherence to follow-up plan	Develop profile-driven “reminder systems” to prompt healthcare team and patient Create user-friendly decisional architectures to prompt action in line with patient values Offer self-paced interpretative information online with inquiry capability to care team. Offer escalating support to patient and care team to remove barriers, incent adherence
Diagnosis	Coordinate tests, reduce financial/invasive burden to patient Support timely, sensitive communications Offer psychosocial support services	Build data sharing and secure messaging tools to facilitate timely transfer of data for referrals. Perform systems analysis to reduce burden. Conduct user-testing on methods for communicating diagnostic results to patients. Offer easy access to support services through online service-request functions.
Treatment	Organize a treatment plan that is safe, effective, and congruent with patient values Facilitate decision making throughout course of treatment Control pain, monitor for side effects Facilitate social support	Create a persistent, transparent version of the treatment plan that can be shared easily with the patient and members of the broader caregiving team. Offer 24 X 7 access to supportive information relevant to the treatment plan; offer communication channels for advice. Build mechanisms for ubiquitous connectivity between the patient and care team. Expand system coverage to include the patient’s family.
Survivorship	Prevent recurrent & new cancers, late effects Monitor for cancer spread; assess for psychosocial late effects Intervene for consequences of cancer and its treatment Coordinate between specialists and primary care providers	Personalize prevention recommendations to take into account adjusted risk. Establish a monitoring plan that can sustain surveillance triggers reminders across the full system of care. Include accountability tools, checklists and reminders systems to ensure treatment plan fulfillment. Enable ability to update survivorship care plan and to retain historical revisions.
End of life	Preserve dignity, quality of life Offer palliative care in accordance with patient’s values Offer bereavement counseling; attend to family’s social, financial, and legal needs	Organize system around patients’ needs for autonomy and personal connections. Establish a reporting channel for monitoring palliative care needs; expand connectivity to include ordering capacity for pain control. Offer linkages to additional support services through electronic messaging, and service fulfillment.