A unique model using patient-reported outcomes to screen cancer survivors and manage physical, emotional, nutritional, and practical needs in real-time. Brought to you by the Sylvester Comprehensive Cancer Center.
Identify unmet needs
Reduce cancer burden
Enhance quality of life
My Wellness Check uses patient-reported outcomes via MyUHealthChart to continuously monitor and manage cancer survivors’ quality of life. Results allow care teams to respond to patient concerns within 72 hours of questionnaire completion and update cancer survivorship care plans. This data, as part of our quality improvement and survivorship care initiatives, help our teams provide precision survivorship care and address the multiple needs and challenges our survivors may be experiencing throughout their cancer journey.
Through our specialty Survivorship Wellness Clinics, My Wellness Check brings personalized care and guidance to cancer survivors across a wide spectrum of cancer types.
View research related to My Wellness Check.
My Wellness Check is a program that monitors patient-reported outcomes (PROs), such as distress, physical symptoms and psychosocial, practical, and nutrition needs in ambulatory oncology patients. These PROs and needs are assessed via the MyUHealth Chart portal and are scored and populated in real-time in the patient’s electronic health record.
The system assesses physical symptoms, psychosocial symptoms, nutrition needs and practical needs.
A request to complete the assessment is sent via MyChart to adult patients with a cancer diagnosis 72 hours before their scheduled appointment. Alerts automatically appear in EPIC for patients who endorse clinically elevated symptoms or report a need. Assessments are tied to appointments and take place no more than once every 90 days.
Relevant provider teams, such as social work, medical and nutrition teams, are alerted in real-time via EPIC and asked to select a disposition based on the stated need or elevated score.
The Patient-Reported Outcomes Measurement Information System (PROMIS) is a National Institutes of Health funded initiative that has developed and validated patient-reported outcomes (PROs) for clinical research and practice. It includes a set of measures that evaluate and monitor physical, mental, and psychosocial health in adults and children. My Wellness Check uses PROMIS computerized assessment tests (CATs) to assess anxiety, depression, pain, fatigue and physical function.
PROMIS Computer Adaptive Tests are brief, interactive assessment tools that tailor a person's questions depending on their responses. Scores within a specific range will trigger and alert.
Yes. PROMIS CATs are brief, well-validated and clinically relevant measures that can assess various PROs in cancer patients and survivors and provide actionable data to guide clinical practice.
Redundancy in several items is necessary to calculate the CAT score and establish a response pattern.
PROMIS CATs generate T-scores with clinically validated cutoffs based on normative data from cancer patients and the general population.
Data generated will be used to assist care providers in delivering precision and patient-centered care. My Wellness Check also meets accreditation requirements set by the American College of Surgeons, Commission on Cancer (COC) 2020 Standards, Section 5.2.
The single-item Distress Thermometer is a quick and easy tool but not always sufficient because it lacks sensitivity and specificity—it can yield a high rate of false positives or false negatives. The PROMIS tool provides greater accuracy in identifying relevant cancer-related distress.
My Wellness Check can provide metrics specific to patient’s distress, practical needs, and nutritional needs, thus assisting administrators in projecting and allocating necessary resources to meet the needs of our ambulatory oncology patients. The program also provides opportunities to optimize clinical workflows, evaluate how the identification of patients’ needs and appropriate referrals impact system-level outcomes, including care costs.
Contact the My Wellness Check team at 305-243-8864 or MyWellnessCheck@med.miami.edu.
Yes. In the patient portal, patients can choose text messages as their preferred mode of communication from UHealth.
Since the My Wellness Check was designed as an electronic health record integrated screening and referral model, it is recommended that a patient have a MyChart account to complete the screener. However, a patient without a MyChart account may complete My Wellness Check with the assistance of our clinic teams. Contact 305-243-8864 or MyWellnessCheck@med.miami.edu.
PROMIS measures use a T-score metric in which 50 is the mean of a relevant reference population and 10 is the standard deviation of that population. Patients with PROMIS T-scores falling within “moderate” or “severe” thresholds will trigger an alert to the appropriate care team for triaging. In addition to physical and psychosocial symptoms, providers are also able to monitor and track a patient's practical and nutritional needs in the electronic health record over time.
My Wellness Check is a quality improvement project within the Sylvester Cancer Survivorship and Supportive Care Institute (SSCI), designed to assess the impact of systematically evaluating psychosocial, physical, practical needs and other patient-reported outcomes (PROs). Interested investigators can inquire about accessing the data set for research purposes. Our team can provide guidance on available data, the IRB submission process for data access and user guidelines.
A training guide and modules are available upon request by contacting the My Wellness Check patient navigator at MyWellnessCheck@med.miami.edu or 305-243-8864.
Contact the My Wellness Check patient navigator at MyWellnessCheck@med.miami.edu or 305-243-8864.
The My Wellness Check program is used across all Sylvester locations, including Survivorship Wellness Clinics. Contact Vandana Sookdeo Moore, MD, EMBA, Administrative Director of Clinical Operations, at v.sookdeo@med.miami.edu for more information.