Table A3.

Survivorship Care Plan Changed Delivery and Organization of Patient Care

Themes	Sample Quotes
SCP changed patient's management	“It did [changed management]. I would only do DEXA scans on her every 5 yr if at all, but she's been getting it every two years since then. But, in this case, based on what was written, it sounded like it was worth doing this test more often.”
SCP assisted in updating and organizing patient's problem list	“The surveillance piece I thought was very good, because in that way I was able to update my problem focus list and make sure I had some target dates to drive when things needed to happen, so I thought that was good. Also … now when I see a patient that may not be part of the survivorship program I go “ok, these are the things to (do) … this is the way to organize the thinking.”
Recommendations facilitated health insurance approval and payment for tests	“One of the patients I remember because she had Hodgkin's lymphoma as a child and she had radiation therapy to her chest, and of course that put her at higher risk for breast cancer … and it was the first year the recommendations came out for doing the MRI's for breast cancer screenings for very high risk patients like that. So … I'd heard of it, but [the SCP] actually helped because without that she wouldn't have gotten it covered by her insurance company.”

Abbreviation: SCP, survivorship care plan.