Digitally powered participant-directed studies. A Strategy for Decentralized Care. The Evolution of the Digital Patient Experience in Oncology & opportunities for Human Augmented Intelligence and Touch. Outlne: Precedent and example; Opportunities for  Artificial Intelligence and/or Machine Learning? The human touch to augment technology; Challenges from a behavioral economics standpoint; Future directions. Digitally powered participant-directed studies are the right direction and may be the new reality. Patient Symptoms During Their Cancer Journey. We must shift our focus to the ‘other’ 99% of time. Patient centricity unrestricted by provider encounters. Patient Generated Health Data. Evolving the Digital Patient Experience in Oncology. AI in Health & Medicine. TREATING THE WHOLE PERSON; Health coaching to address social determinants to: Solve the 4000-hour problem; Keep patients healthy at home; Close care gaps between clinic visits; Motivate healthy behavior changeto drive better outcomes. Digital Health Possibilities for Community-Based Support. Insights from a Pilot of Digital Health Coaching. Pilot Study Data. Outcomes of a Pilot Study Exploring the Role of Digital Health Coaching for Men with Prostate Cancer. Data, Healthcare and Technology...REMEMBER THAT THERE ARE SILOS INSIDE OF EACH OF THESE SILOS – THEY ARE THEMSELVES NOT MONOLITHS. EMPHASIS SHOULD BE THAT WE ARE NOT ONLY CREATING A BRIDGE TO OPEN COMMUNICATION. WE ARE ALSO CREATING A NEW PERSON WHO HAS EXPERTISE IN ALL AREAS BROADLY – NOT ONLY JUST THESE 3.

1. Adam P. Dicker, MD, PhD, FASTRO, FASCO
Enterprise SVP, Professor & Chair-Radiation Oncology
Director, Jefferson Center for Digital Health & Data Science

2. Digitally powered
participant-directed studies
A Strategy for Decentralized Care
The Evolution of the Digital Patient Experience in Oncology
& opportunities for Human Augmented Intelligence and Touch

3. Outline
1. Precedent and example
2. Opportunities for Artificial Intelligence and/or Machine
Learning?
3. The human touch to augment technology
4. Challenges from a behavioral economics standpoint
5. Future directions

4. Evolving the Digital Patient Experience in Oncology
@APDicker
Telehealth 2.0
E Ray Dorsey, Eric J Topol, www.thelancet.com Vol 395 March 14, 2020

7. Dorsey, Kluger, Lipset, Annals of Neurology, 2020
“Digitally powered participant-directed studies are the
right direction and may be the new reality”

8. Evolving the Digital Patient Experience in Oncology
@APDicker
Patient Symptoms During Their Cancer Journey
Data taken from Mike’s patient journey at PM from 2017-2020. Used with permission from:
DR. ALEJANDRO (ALE) BERLIN, Princess Margaret Cancer Centre, University of Toronto
(physical, emotional, etc.)

9. Evolving the Digital Patient Experience in Oncology
@APDicker
Less than 1% of the time spent with provider -
How representative is our sampling?
Data taken from Mike’s patient journey at PM from 2017-2020. Used with permission from:
DR. ALEJANDRO (ALE) BERLIN, Princess Margaret Cancer Centre, University of Toronto

10. Evolving the Digital Patient Experience in Oncology
@APDicker
We must shift our focus to the ‘other’ 99% of time -
Patient centricity unrestricted by provider encounters.
Data taken from Mike’s patient journey at PM from 2017-2020. Used with permission from:
DR. ALEJANDRO (ALE) BERLIN, Princess Margaret Cancer Centre, University of Toronto

11. Evolving the Digital Patient Experience in Oncology
@APDicker
Patient Generated Health Data

12. Evolving the Digital Patient Experience in Oncology
@APDicker

19. From CMS

20. Evolving the Digital Patient Experience in Oncology
@APDicker
TREATING THE WHOLE PERSON
Health coaching to address
social determinants to:
• Solve the 4000-hour problem
• Keep patients healthy at home
• Close care gaps between clinic visits
• Motivate healthy behavior change
to drive better outcomes
www.packhealth.com

21. Evolving the Digital Patient Experience in Oncology
Digital Health Possibilities for Community-Based Support
@Letitiathompson
Evidence suggests digital patient
support may help to:
• Address modifiable behaviors,
such as diet and exercise
• Reduce fatigue
• Improve BMI
• Improve health self-efficacy
For individuals with cancer, it has
demonstrated improved psychosocial
and behavioral health outcomes.

22. Evolving the Digital Patient Experience in Oncology
Insights from a Pilot of Digital Health Coaching
@Letitiathompson
Tumor-agnostic symptom support
program was offered to individuals across
the Southern United States:
• ACS partnered with Pack Health to
develop and deliver myJourney, a 3-
month digital health coaching
intervention
• To address barriers related to social
determinants, rideshare, financial
support services, and connecting
participants with community-based
resources were integrated into the
coaching
• ACS fostered enrollment to the
program through partnership with 70+
health systems in the states of
Louisiana, Alabama, Mississippi, Texas
& Oklahoma
1:1 health coaching
Multi-channel weekly touchpoints
Patient reported outcomes (PROs)

23. Evolving the Digital Patient Experience in Oncology
Pilot Study Data
@Letitiathompson

24. Outcomes of a Pilot Study
Exploring the Role of Digital
Health Coaching for Men with
Prostate Cancer
24
Handley NR, Wen KY, Gomaa S, Brassil K, Shimada A, Leiby B, Jackson L, McMorris
M, Calvaresi A, Dicker AP. A Pilot Feasibility Study of Digital Health Coaching for
Men With Prostate Cancer. JCO Oncol Pract. 2022

27. David Miller, MD, MS
Wake Forest University
"A Direct-to-Patient Digital Health
Intervention for Cancer Screening"
Kea Turner, PhD, MPH, MA
Moffitt Cancer Center
@TurnerKea
"Digital Health and
Malnutrition Management"
Erin Gillespie, MD
Memorial Sloan Kettering Cancer Center
@ErinGillespieMD
"Implementation Science and Care
Delivery Research: Opportunities in
Radiation Oncology"
Adam Dicker, MD, PhD, FASTRO, FASCO
Thomas Jefferson University
@APDicker
Sanjay Aneja, MD
Yale School of Medicine
@SanjayAnejaMD
Matthew F. Hudson, PhD, MPH
Prisma Health
Mary E. Cooley, PhD, RN, FAAN
Dana Farber/Harvard Cancer Center
Friday, April 15, 2022
12-1:30 pm EDT
NRGOncology NCORP Webinar
Implementation Science for Digital Health
Hosted by Digital Health & Cancer Care Delivery Research (CCDR) Committees
Program Speakers
Digital Health Co-Chairs
Register Today!
https://bit.ly/NRG-DH-CCDR-Webinar
CCDR Co-Chairs

28. PROBLEM
HEALTHCAR
E
TECHNOLOGY
DATA

29. SOLUTION
HEALTHCAR
E
TECHNOLOGY
DATA
A NEW CROSS-TRAINED INDIVIDUAL