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Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED P ATIENT ENGAGED COMMUNITY ENABLED CARE

Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

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Page 1: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

Linda Eagen MBA

President and CEO

Cancer

Coaching

EMPOWERED

PATIENT

ENGAGED

COMMUNITY

ENABLED

CARE

Page 2: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

Every two hours,

someone in our community is diagnosed with cancer One in three will be diagnosed with cancer in their lifetime

7,361 new cases each year

30,000 in treatment

2,639 cancer related deaths

150,000 survivors

Fragmented care: During treatment, patients will interact with 8

medical professionals each visit averaging 15 minutes.

Unmet needs: Whole-person and family supportive care needs are

not fully acknowledged across cancer systems.

These failures contribute to unnecessary physical and psychological

distress and poor quality of life and patient experience

WHY CANCER COACHING

Page 3: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

PATIENT AND FAMILY PERSPECTIVE

I am overwhelmed by the daily challenges I face.

I feel bounced around in the system.

I don’t know how to talk to my doctors.

I need help to make so many decisions.

I am flooded with information and not sure what to trust…

I want to know how to take better care of myself.

What should I eat? What exercise program could help?

I need help coping with fear and anxiety.

How can I better manage pain and fatigue?

I worry about my finances.

Caring for my wife is exhausting. I need support.

Patients are the most underutilized resource in the health care system.

93% of patients want family or friends involved in care

Page 4: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed
Page 5: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

END-OF-LIFE COACHING

Starts with what matters to you

Understanding of prognosis and care options

Dealing with the effects of cancer and treatment

Managing fear and anxiety

Being well

Getting the help required from family, friends and community

Having desired / necessary conversations

Advanced Care planning

Coordinating health and social care

Having more effective conversations with providers

Accessing professional services required

Accessing financial aid

Dealing with grief

Page 6: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

CANCER COACHES

Health and social care professionals with a background in oncology

New coaching certification

Coaching principles: What matters to you

Patient needs: physical, emotional, spiritual, practical and informational

Technical skills: motivational interviewing and cognitive behaviorial change

Competency development: internship and mentorship

Tools: empowerement model - I CAN plan

Navigation: community and other resources

On-going professional development

Weekly / Monthly case management meetings

Educational opportunities

Quality assurance / evaluations

Page 7: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

COACHING SERVICES

Private coaching

Up to five hours

No referral required

Orientation session

Check-ins

Exit interviews

Group coaching

Coping with metastatic disease

Caregivers

Grief

Children of parents with cancer

Return to work

Coaching workshops

Nutrition / Fitness / Relaxation / Positive

thinking / Resilience / Brain Fog / Mind

Body Connection…

Page 8: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

[CATEGORY NAME]

[VALUE]

[CATEGORY NAME]

[VALUE] [CATEGORY

NAME] [VALUE]

[CATEGORY NAME]

[VALUE]

[CATEGORY NAME]

[VALUE]

Served to date: 2,500 / currently active: 559

Women: 76 % / Men: 24 %

OUR CLIENTS

Page 9: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

THE POWER OF CANCER COACHING

93% report that they are better

able to keep themselves healthy

90% report a greater ability to

cope

87% report an overall better

quality of life

Improved health outcomes and

quality of patient experience

Cancer Foundation Client Survey

Personalized, professional

coaching addresses the

navigational / educational /

supportive / practical needs of

people living with cancer.

Through coaching individuals

become active participants in

their health and wellbeing.

Coaching outperforms advice-

giving based approaches in

80% of clinical trials. Harvard Institute of Coaching

Page 10: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

BARRIERS TO ACCESS

Cultural preferences

Are you or someone you love affected by cancer? We can help. Êtes-vous une personne atteinte par le cancer? Nous pouvons vous aider. ¿Usted o algún ser querido padece de cáncer? Nosotros podemos ayudarlo. 你或你的家人是否受到癌症的困擾? 我們可以幫助你。 你或你的家人是否受到癌症的困扰? 我们可以帮助你。 هل أنت، أو أحد أحبائك، مصاب بمرض السرطان؟

.نستطيع أن نقدم المساعدة

Close to home

Partnerships with health

and social care providers

Care integration

Community of practice

Patient / coaching portal

Page 11: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

EXPERIENCE & EVIDENCE

Pain and symptom management

Adherence to treatment

Self-management and coping

Lifestyle / behavior changes

Improved health outcomes and

quality of patient experience

MacMillan Nurses

US Community Health Workers

Health Change Australia

Evidence-based / best

practices

Page 12: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

THE POTENTIAL OF CANCER COACHING

Reduced health care costs

more efficient acute care utilization

improved access to community services

improved homecare

support for caregivers

Socio-economic benefits

return to work productivity gains

reduced disability expenses

Treatment is complex and

expensive. Patients require care

from multiple providers and

organizations.

Patient

Needs

Health care

Resources

80% of healthcare costs are used by 10% of Ontario population.

Cancer is one of the top diagnoses within the 10%.

All patients with cancer fall within this 10% during active treatment

Page 13: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

Can

cer

Co

ach

ing

A promising health and social care service that can improve quality of life, health outcomes and generate healthcare savings

So

cia

l Im

pact

Bo

nd

s A social finance

model that engages all stakeholders in the assessment and growth of new services

Kn

ow

led

ge

sh

ari

ng

Research partnerships

Certification

Community of practice

FUTURE OF CANCER COACHING

Making cancer coaching part of the standard of care

Page 14: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

SOCIAL IMPACT BONDS

Page 15: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

POTENTIAL

Social Impact Bond Term

expected health care savings : $750 per person

total savings: $15,000,000

total investment: $12,000,000

potential gains: $3,000,000

Long-term (5,000 clients / year)

Cost of Cancer Coaching: $2,500,000 / year

Health care savings: $3,750,000 / year

Net to be re-invested: $1,250,000

year 1 2 3 4 5 6 Total

# 2000 2500 3000 3500 4000 5000 20000

Coaching $1 000 000 $1 250 000 $1 500 000 $1 750 000 $2 000 000 $2 500 000 $10 000 000

Knowledge $100 000 $50 000 $50 000 $50 000 $50 000 $150 000 $450 000

Technology $600 000 $400 000 $250 000 $100 000 $100 000 $100 000 $1 550 000

Total $1 700 000 $1 700 000 $1 800 000 $1 900 000 $2 150 000 $2 750 000 $12 000 000

Page 16: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

CONTINUITY AND SUSTAINABILITY

Cancer Coaching

Social enterprise

Government support

Knowledge creation and

sharing

Philanthropy

Page 17: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

About

the Ottawa Regional Cancer Foundation

www.ottawacancer.ca

Page 18: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

COMMUNITY AND MISSION

The Cancer Foundation is dedicated to increasing cancer survivorship

We help people living with cancer by providing person-centered health and

social care through Cancer Coaching and funding innovative cancer research

that increases access to personalized treatment.

Through our actions we aim to achieve outcomes that directly impact the

people in our community. We focus on “what matters to them”.

Those we help are “cancer survivors” they include cancer patients -- from day

one of diagnosis, through treatment, recovery and beyond and at end of life –

as well as their families and their caregivers.

Page 19: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

I need fast access to state-of-the-art treatment

$5 million for Cancer Centre expansion

$10 million for robotics & cyberknife

I need care close to home

$7 million for new west- end facilities

$2 million for regional / rural care

I want hope for the future

$20 million for research

$3 million for clinical trials

I want a better quality of life

$1 million for cancer rehab

$5 million for survivorship care

A HISTORY OF SUCCESS

Page 20: Cancer Coaching - CADTH.ca · Linda Eagen MBA President and CEO Cancer Coaching EMPOWERED PATIENT ENGAGED COMMUNITY ENABLED CARE. Every two hours, someone in our community is diagnosed

Values Strategic Goals ACTIONs Survivor Outcomes

Leadership Empower more survivors Advocate I have a voice and I am heard.

Coach I CAN better help myself.

Survivorship Increase access to

personalized treatment

Transform I get treatment that’s best for my

cancer and my life.

Inspire I feel part of a community and I

want to give back.

Partnership Enable integration and

continuity of care

Organize I have a connected health and

social care team.

Navigate I have access to the resources I

need.

COMMUNITYACTION OUR STRATEGIC PLAN