Bridging the Gap Between Oncologists and Payers: Impact of an EHR-Embedded CDS Tool in Oncology Clinical Pathway (OCP) Adherence

As value-based oncology care gains traction, health practices and providers on the frontlines of care delivery increasingly rely on technological so­lutions that enable and support favorable performance across a dynamic array of alternative payment models. Successful participation requires a values-based transformation, a key component of which includes practice alignment with ev­idence-based pathways, which prioritizes the highest-quality treatment options over lower-value, clinically equivalent regimens. In this retrospective, observa­tional, real-world study of treatment selection patterns across American On­cology Network medical oncologists, we analyze pathway adherence rates be­fore and after a pilot project where Evolent level 1 pathways were integrated into Flatiron Assist, an electronic health record-embedded clinical decision sup­port tool in OncoEMR. Results suggest that integrating evidence-based path­ways into ordering workflows may improve adherence by providing clinicians with just-in-time clinical and financial insights for optimal treatment decisions.