Pyramidal Decision Support Framework Leverages Subspecialty Expertise across Enterprise to Achieve Superior Cancer Outcomes and Personalized, Precision Care Plans

Linda D. Bosserman; Isa Mambetsariev; Colton Ladbury; Afsaneh Barzi; Deron Johnson; Denise Morse; Debbie Deaville; Wade Smith; Swapnil Rajurkar; Amartej Merla; George Hajjar; Daniel Kim; Jeremy Fricke; Vijay Trisal; Ravi Salgia

doi:10.3390/jcm11226738

Journal of Clinical Medicine (Nov 2022)

Pyramidal Decision Support Framework Leverages Subspecialty Expertise across Enterprise to Achieve Superior Cancer Outcomes and Personalized, Precision Care Plans

Linda D. Bosserman,
Isa Mambetsariev,
Colton Ladbury,
Afsaneh Barzi,
Deron Johnson,
Denise Morse,
Debbie Deaville,
Wade Smith,
Swapnil Rajurkar,
Amartej Merla,
George Hajjar,
Daniel Kim,
Jeremy Fricke,
Vijay Trisal,
Ravi Salgia

Affiliations

Linda D. Bosserman: Department of Medical Oncology and Therapeutics Research, City of Hope, Irwindale, CA 91706, USA
Isa Mambetsariev: Department of Medical Oncology and Therapeutics Research, City of Hope, Duarte, CA 91010, USA
Colton Ladbury: Department of Radiation Oncology, City of Hope, Duarte, CA 91010, USA
Afsaneh Barzi: Department of Medical Oncology and Therapeutics Research, City of Hope, Irwindale, CA 91706, USA
Deron Johnson: Department of Clinical Informatics, City of Hope, Duarte, CA 91010, USA
Denise Morse: Department of Quality, Risk and Regulatory Management, City of Hope, Duarte, CA 91010, USA
Debbie Deaville: Department of Enterprise Business Intelligence, City of Hope, Irwindale, CA 91706, USA
Wade Smith: Department of Medical Oncology and Therapeutics Research, City of Hope, Newport Beach, CA 92660, USA
Swapnil Rajurkar: Department of Medical Oncology and Therapeutics Research, City of Hope, Upland, CA 91784, USA
Amartej Merla: Department of Medical Oncology and Therapeutics Research, City of Hope, Antelope Valley, CA 93534, USA
George Hajjar: Department of Medical Oncology and Therapeutics Research, City of Hope, Mission Hills, CA 91345, USA
Daniel Kim: Department of Medical Oncology and Therapeutics Research, City of Hope, Duarte, CA 91010, USA
Jeremy Fricke: Department of Medical Oncology and Therapeutics Research, City of Hope, Duarte, CA 91010, USA
Vijay Trisal: Department of Medicine, City of Hope, Duarte, CA 91010, USA
Ravi Salgia: Department of Medical Oncology and Therapeutics Research, City of Hope, Duarte, CA 91010, USA

DOI: https://doi.org/10.3390/jcm11226738
Journal volume & issue: Vol. 11, no. 22
p. 6738

Abstract

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The complexity of cancer care requires integrated and continuous support to deliver appropriate care. An expert network with complementary expertise and the capability of multidisciplinary care is an integral part of contemporary oncology care. Appropriate infrastructure is necessary to empower this network to deliver personalized precision care to their patients. Providing decision support as cancer care becomes exponentially more complex with new diagnostic and therapeutic choices remains challenging. City of Hope has developed a Pyramidal Decision Support Framework to address these challenges, which were exacerbated by the COVID pandemic, health plan restrictions, and growing geographic site diversity. Optimizing efficient and targeted decision support backed by multidisciplinary cancer expertise can improve individual patient treatment plans to achieve improved care and survival wherever patients are treated.

Published in Journal of Clinical Medicine

ISSN: 2077-0383 (Online)
Publisher: MDPI AG
Country of publisher: Switzerland
LCC subjects: Medicine
Website: http://www.mdpi.com/journal/jcm

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Abstract

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