An electronic patient-reported outcomes (ePRO)-directed virtual model for addressing oncology supportive care needs.

Abstract

e13886 Background: Virtual oncology care models using electronic patient-reported outcomes (ePRO)-based interventions improve outcomes, but limited access leaves gaps in care for symptom management, psychosocial support, and malnutrition. 1-16 This study aims to identify the percentage of participants who completed ePRO surveys as part of the Iris by OncoHealth virtual supportive care program and were referred to oncology specialists for virtual care based on survey results. We also assessed patients' perceptions of the care they received. Methods: A retrospective review of electronic medical records from June 2022 to May 2025 evaluated the effectiveness of ePRO screening and its role in referring patients to oncology-certified nurses (OCNs), oncology social workers (OSWs), and oncology-specialized dietitians (RDs) in the Iris program. The study population included cancer patients ≥18 years old who were members of participating health plans. Enrolled patients completed ePRO surveys, including the Patient Health Questionnaire-4 (PHQ-4), NCCN Distress Thermometer and Problem List, Malnutrition Screening Tool (MST), symptom questionnaire, and a survey evaluating resource needs. OCNs utilized ePROs to develop care plans and navigate patients to the appropriate services based on results. Patient perceptions were assessed through surveys after virtual interactions. Results: During the study period,976 patients enrolled and 507 (51.9%) engaged with the program. Table 1 summarizes ePRO results and clinical care. A total of 177 patients (34.9%) completed the patient perceptions survey, providing 441 responses. Of these, 92.2% were 5-star ratings, and 99.3% indicated needs were addressed. The program achieved a Net Promoter Score of 91 (93% promoters, 6% passives, and 2% detractors). Conclusions: The study results show high ePRO screening completion for distress, anxiety and depression, malnutrition, and symptom management within the oncology population, with a significant proportion of positive cases establishing care with OSW, RDN, or ONN. These results demonstrate how ePRO-directed virtual supportive care can address the needs of people with cancer and help close system-wide gaps in access to services. Patient satisfaction was exceptionally high, reflecting both the program's effectiveness and strong patient approval. Summarizes ePRO results and clinical care. Category Completed Screening (N, %) Screened Positive (N, %) Established Care (N, %) (Clinician) Distress 260 (51.3%) 169 (65.0%) 113 (66.9%) (OSW) Anxiety and Depression 156 (30.8%) 92 (59.0%) 77 (83.7%) (OSW) Malnutrition 155 (30.6%) 51 (34.9%) 36 (70.6%) (RDN) Symptom Questionnaire 341 (67.3%) 277 (81.2%) 98 (35.4%) (ONN)