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A hospital-based electronic medical record referral system effectively connected cancer patients facing financial hardship with assistance programs, securing over $850,000 in aid. This quality improvement project highlights a feasible hospital-level intervention for cancer treatment financial toxicity.

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Area of Science:

  • Oncology
  • Health Services Research
  • Health Economics

Background:

  • Financial toxicity is a significant burden for cancer patients, with limited research on hospital-level interventions.
  • Existing referral mechanisms often fail to connect patients with necessary financial assistance programs.

Purpose of the Study:

  • To develop, test, and implement an electronic medical record (EMR) order set for direct patient referral to a hospital-based financial assistance program.
  • To assess the feasibility and efficacy of a hospital-level intervention to mitigate cancer treatment financial toxicity.

Main Methods:

  • A three-cycle Plan-Do-Study-Act (PDSA) process was used over three years (March 2019-February 2022).
  • The project involved assessing current referral practices, piloting an EMR order set, and implementing it institution-wide.
  • Data collected included referral numbers, patient demographics, and financial aid amounts secured.

Main Results:

  • Approximately 25% of patients experienced financial hardship, with initial low connection rates to resources.
  • The pilot EMR referral order set was feasible and well-received by providers.
  • Over 12 months, 718 referrals for 670 patients resulted in at least $850,000 USD in financial aid for 38 patients.

Conclusions:

  • A multidisciplinary, hospital-level intervention using an EMR referral system is feasible and effective in addressing cancer patient financial toxicity.
  • Simple referral mechanisms can empower healthcare providers to connect patients with vital financial resources.
  • This quality improvement project demonstrates a successful strategy for mitigating the financial burden of cancer care.