Clinical Model in Evaluating Clinical, Psychosocial, and Health Economic Factors in Adolescent and Young Adult Patients With Cancer

PRIMARY OBJECTIVES:

I. To provide economic understanding of the AYA at University of Southern California (USC)
model of care. (Norris)

II. To evaluate the existing AYA at USC program to determine the direct and indirect impact
on cost of care. (Norris)

III. To utilize the results of objective (i) to identify cost effectiveness and efficiencies
to patient and institution. (Norris)

IV. To identify specific processes within our model of care that can be improved. (Norris)

V. To improve healthcare access to AYA-specific cancer care for patients ages 15-39 served by
the Los Angeles County (LAC)+USC oncology pilot clinics. (LAC+USC)

VI. To improve the psychosocial outcome of AYA-specific cancer care patients. (LAC+USC)

VII. To provide AYA specific elements of care routinely and proactively to AYA cancer
patients. (LAC+USC)

VIII. To improve care quality through patient satisfaction. (LAC+USC)

IX. To improve resource utilization and care coordination through improved patient navigation
through efficiency and patient navigation. (LAC+USC)

OUTLINE:

Patients complete questionnaires at referral, week 4-8, week 10-12, and at the completion of
systemic therapy.

Inclusion Criteria:

- Patients diagnosed with cancer

- ADDITIONAL GRANT SPECIFIC INCLUSION CRITERIA - UNIHEALTH (NORRIS):

- Patients who were diagnosed at USC Norris Comprehensive Cancer Center and Hospital

- Patients who are currently receiving treatment for a primary or secondary tumor at USC
Norris Comprehensive Cancer Center and Hospital

- ADDITIONAL GRANT SPECIFIC INCLUSION CRITERIA - QUEENSCARE (LAC + USC):

- Patients who are being seen in sarcoma, gynecologic oncology, or genitourinary clinic
at LAC + USC (clinics A2C or 4P1)

- Patients who are currently receiving treatment for a primary or secondary tumor at LAC
+ USC and who receive oncology care from one of the clinics above

- Patients who are at or below the poverty level

Exclusion Criteria:

- Inability to sign informed assent and/or consent

- Patients who are not receiving chemotherapy and/or radiation therapy for a primary or
secondary tumor

- Primary oncology treatment team believes that participation in AYA at USC would not
benefit their patient

- ADDITIONAL GRANT SPECIFIC EXCLUSION CRITERIA - UNIHEALTH (NORRIS):

- Patients who are not receiving treatment for a primary or secondary tumor at USC
Norris Comprehensive Cancer Center and Hospital

- ADDITIONAL GRANT SPECIFIC EXCLUSION CRITERIA - QUEENSCARE (LAC+USC):

- Patients who are not receiving oncology care for a primary or secondary tumor in
sarcoma, gynecologic oncology, or genitourinary clinic at LAC + USC (clinics A2C or
4P1)

- Patients who are above the poverty level