Clinical Pathways and Value-Based Care at the Dana Farber Cancer Institute
Journal of Clinical Pathways spoke with Aymen Elfiky, MD, MPH, MSc, attending physician, clinical oncology, Dana Farber Cancer Institute (Boston, MA), about clinical pathway implementation at the Institute, advancements in cancer care, and the future of oncology care.
What inspired you to work in oncology?
Unlike with any other clinical subspecialty, I have long appreciated the intimacy of trust and dedication to the sanctity of life that can grow in oncology over the course of each provider-patient relationship. Increasing scientific knowledge and insights about the nature of cancer development and propagation has inspired new perspectives on the human experience of cancer. Indeed, the more we appreciate cancer as representing a diseased manifestation of a fundamental ‘loss of balance’ within our system, the more we appreciate and are humbled by the complex interplay of finely balanced biochemical processes and systems that embody the amazing human enterprise.
My cross-disciplinary training gave me the tools to bring to light those forces and processes that impact at the individual and structural levels and come to manifest as adverse health outcomes. As my vision for the future of healthcare matured, I see the dire need for principled managers and leaders who can affect meaningful changes in their organizations and policies which dictate people’s care experiences and sustainability of health.
How does your work at Dana Farber Cancer Institute contribute to advancements in cancer care?
Interfacing with dedicated scientists and clinical experts to rapidly translate novel scientific insights to the clinical realm to benefit patients inspires me to reason beyond usual academic bounds and work across dimensions. My particular area of work is focused on applying novel informatics/analytics technologies with the goal of knowledge development derived from the spectrum of data representing all of the clinical decisions, treatments, patient outcomes, and “value” captured across the entirety of the care delivery spectrum. As healthcare and society is increasingly evolving within a digital economy, there are exciting new opportunities and necessities for healthcare providers to usher in artificial intelligence and analytics tools as they play increasing roles in care delivery over the coming years.