Background: The burden of acute care among cancer patients, estimated to exceed $70
billion by 2020, represents approximately 50% of all costs of advanced cancer care
and accounts for 70% of nationwide regional variation in these costs. The Centers
for Medicare and Medicaid Services proposed value-driven Rule OP-35 includes a mandate
to reduce acute care use among oncology patients. Emergency departments (ED) are the
gateway to much acute care use and their 60% oncology patient admit rates are more
than double general rates. Keeping oncologic urgencies and emergencies out of the
ED has the potential to increase value for oncology care delivery. Here we describe
the launch of a dedicated oncology urgent care clinic that offers same-day treatment
for oncologic urgencies/emergencies, as well as unplanned supportive care needs and,
where necessary, facilitates direct admission to the inpatient service.
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