AccessHope work flow. Flowchart depicting the multistep process of case identification, intake of medical records, summary of a case narrative, distribution of the case to the subspecialist expert, editing of the report, delivery of the case to the recipient(s), subsequent case discussion with the local oncologist, and review of case metrics to assess the clinical and financial impact of each case. AH, AccessHope; APO, Accounfig Precision Oncology; EAR, Expert Advisory Review; MD, physician; NP, AccessHope nurse; QC, quality control; RN, AccessHope registered nurse.