Linda Eagen MBA

President and CEO

Cancer Coaching

EMPOWERED

PATIENT

ENGAGED COMMUNI

TYENABLED

CARE

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

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

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

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

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…

At diagnosis 0.16

In treatment 0.3

Post treatment 0.19

End of life0.11

Caregivers 0.24

Served to date: 2,500 / currently active: 559 Women: 76 % / Men: 24 %

OUR CLIENTS

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

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。

السرطان؟ بمرض مصاب أحبائك، أحد أو أنت، هلالمساعدة نقدم أن .نستطيع

Close to home

Partnerships with health and social care providers

Care integration

Community of practice

Patient / coaching portal

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

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

Cance

r C

oaching

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

Social Impact B

onds

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

Kno

wledge

sharing

Research partnershipsCertificationCommunity of practice

FUTURE OF CANCER COACHING

Making cancer coaching part of the standard of care

SOCIAL IMPACT BONDS

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

CONTINUITY AND SUSTAINABILITY

Cancer Coaching

About the Ottawa Regional Cancer Foundation

www.ottawacancer.ca

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.

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

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