FIG 1.

My Wellness Check initiative workflow. Patients with a scheduled second oncology visit and a confirmed ICD-10 cancer diagnosis who have not received the My Wellness Check assessment within the past 30 days are contacted via text, e-mail, or the patient portal (on the basis of their stated preferences) 72 hours before their appointment and asked to complete the assessments. Patients who do not complete the assessment before their scheduled appointment have an opportunity to complete it within the clinic visit at multiple touchpoints (eg, registration, waiting room, via intake nurse). Once the assessment is completed, the results are populated in real time in the EHR. Best practice alerts are generated and triaged as follows: (1) clinically elevated anxiety, depression, and/or endorsed practical and psychosocial needs (eg, transportation and stress management) generate an alert to Social Work/Cancer Support Services; (2) clinically elevated pain, fatigue, and/or poor physical function generate an alert to the oncology team; and (3) endorsement of nutrition needs generates an alert to the nutrition team. Alerts remain open until a disposition is coded (eg, treatment, referral, etc). The process repeats itself but not more than once every 30 days. CAT, computer adaptive test; EHR, electronic health record; EMR, electronic medical record; HRQoL, health-related quality of life; ICD-10, International Classification of Diseases, Tenth Revision; PRO, patient-reported outcomes.