Table 1. Actionable guidelines for promoting health of cancer patients in the setting of value-based care.
Cancer survivors | Life-limiting cancer |
Survivorship care plans Incorporate guidelines for diet and exercise and expected physical and mental symptoms | Early palliative care Utilize specialized clinics at beginning of the disease process to improve long-term outcomes |
Communicate costs Communicate expected costs and resources for managing costs during and after cancer treatment | Communicate prognosis Honestly discuss prognostic information, respecting patient wishes and needs |
Survivorship resources Provide easily accessible and understandable resources for survivors | Educate providers Train practitioners and employees to communicate with and provide cancer care in a multi-disciplinary team |
Quality metrics for survivorship care Implement metrics improving continuity of care and continued screening for cancer survivors | Quality metrics for end of life care Implement metrics that emphasize improved quality of life aligning with patient goals of care |
Value-based care Adopt value-based frameworks to guide treatment decisions that align patient preferences and cost ecost-effectivence-based health care |