The infrastructure your patients need.
The standard your institution requires.
ASCO guidelines mandate that every cancer patient should be referred to exercise programming. NAPBC 2024 standards require documented exercise recommendations for breast cancer patients. The Commission on Cancer is moving in the same direction. The question is no longer whether to implement exercise oncology — it is how to do it in a way that meets your clinical, operational, and financial obligations. memios answers that question.
Compliance status — without memios
✕
NAPBC 2024 Exercise Documentation
Required since January 2024. Documented exercise recommendation for every eligible breast cancer patient. No compliant workflow in place.
Gap
!
ASCO Referral Mandate Compliance
ASCO 2022 guideline requires referral to exercise programming for all cancer patients. Referral rate at most institutions is under 20%.
Partial
✕
Prehabilitation Program
No structured pre-surgical exercise protocol. Significant opportunity for complication reduction and length-of-stay improvement.
Missing
!
Survivorship Care Plan (SCP) with Exercise Rx
CoC requires SCPs. ASCO SCP standards include exercise. Most SCPs lack an individualized exercise prescription component.
Incomplete
15%
Of cancer patients currently receiving an exercise referral — despite universal guidelines
$30K
Average cost of one avoided 30-day readmission — often exceeding the full program license cost
60 days
From signed contract to first patient enrolled through the memios deployment pathway
2024
Year NAPBC standards requiring documented exercise recommendations took effect — your compliance clock is running
The compliance mandate
The guidelines are clear.
The clock is running.
Your oncology team is delivering exceptional cancer care. Your surgeons are skilled. Your medical oncologists follow the latest protocols. Your nursing staff is dedicated to every patient.
But there is a care gap that three major accreditation and guideline bodies now explicitly require you to close. NAPBC 2024 standards are not aspirational — they are a compliance requirement that went into effect this year. Commission on Cancer standards are advancing toward matching mandates across all accredited cancer programs.
memios gives you the infrastructure to meet every one of these requirements — with automated documentation, structured referral pathways, and outcomes reporting that demonstrates compliance to accreditation bodies on demand.
And beyond compliance: the clinical, financial, and competitive case for structured exercise oncology programs is among the strongest in healthcare. Every dollar invested in this program returns measurably in reduced readmissions, improved quality scores, and the competitive differentiation that attracts and retains cancer patients in a crowded market.
Compliance Status — with memios
All Resolved
NAPBC 2024 — Exercise Documentation
Auto-generated documentation for every eligible breast cancer patient. Stored in EHR. Exportable for accreditation review on demand.
Resolved
ASCO Referral Mandate
EHR-embedded referral workflow with CDS Hooks alert for every patient without an active exercise referral. Referral rate tracked and reported quarterly.
Resolved
Prehabilitation Program
Structured pre-surgical exercise protocol activated at diagnosis. Baseline assessment, personalized plan, and surgical team communication all automated.
Resolved
Survivorship Care Plan — Exercise Component
ASCO SCP template extended with individualized exercise prescription, nutrition plan, and holistic wellness goals. Generated automatically at treatment completion.
Resolved
CoC Accreditation Documentation
Program performance reports in CoC-compatible format available on demand. Referral rates, enrollment, outcomes, and compliance metrics exported in required structure.
Resolved
The financial case
The return on investment
is documented.
These are not projected benefits. They are outcomes documented in peer-reviewed literature from programs like the UPMC Hillman Cancer Center — the model on which the memios triage and referral protocol is built.
−32%
30-Day Readmission Reduction
Prehabilitation programs reduce post-surgical readmissions by approximately one-third. At an average readmission cost of $15,000–$30,000, even a modest reduction produces savings that exceed annual program costs.
Source: Peer-reviewed prehabilitation literature; UPMC Hillman Cancer Center protocol outcomes
1.8 days
Reduced Average Length of Stay
Prehabilitated surgical patients leave the hospital an average of 1.5–2 days sooner than non-prehabilitated controls. At an average daily inpatient cost of $2,500–$4,000, this generates direct per-patient savings that accumulate rapidly across your surgical oncology census.
Source: Colorectal and thoracic surgical oncology prehab trial literature
45%
Exercise Referral Rate Achieved
The Hillman Cancer Center, using the EXCEEDS screening model at the core of the memios protocol, achieved a 45% patient connection rate to exercise or rehabilitation services — using only 3–5 minutes of staff time per patient at second chemotherapy infusion.
Source: Schmitz et al., Support Care Cancer, 2024
−27%
ED Utilization Reduction
Cancer patients enrolled in structured exercise programs are less likely to present to the emergency department during active treatment. Reduced symptom burden, better-managed side effects, and improved communication with the care team all contribute to this reduction.
Source: Cancer exercise oncology meta-analysis; healthcare utilization outcomes literature
−50%
Cancer-Related Fatigue Reduction
The most consistent outcome in exercise oncology research. A 50% reduction in fatigue severity drives direct improvements in patient satisfaction scores — a metric tied to your CMS reimbursement and public reputation.
Source: FACIT-Fatigue outcomes across 2,800+ RCTs in exercise oncology literature
$2M+
Annual Research Grant Competitiveness
Institutions with structured, outcomes-measured exercise oncology programs are demonstrably more competitive for NCI, NIH, and pharmaceutical research grants. The memios platform provides the data infrastructure and documented outcomes that grant applications require.
Source: NCI NCORP and academic medical center grant portfolio analysis
ROI Estimator
Adjust your program parameters to estimate annual financial benefit from implementing the memios exercise oncology program.
Annual surgical oncology patients: 200
Average cost per readmission ($): $20,000
Current 30-day readmission rate (%): 18%
Estimated annual savings
$230,400
From readmission reduction alone — not including ED cost savings, LOS reduction, or research grant competitiveness.
Avoided readmissions / year
11.5
Readmission reduction applied
32%
Program license range
$75K–$175K / yr
Estimated net benefit
+$55,400
Accreditation and compliance
Every standard.
Automated.
memios does not just help you meet accreditation standards — it automates the documentation, reporting, and workflow changes that those standards require. Your administration gets compliance status on demand. Your accreditation reviewers get formatted reports generated automatically. Your clinical team focuses on patients.
As accreditation standards continue to advance — NAPBC, CoC, URAC — memios updates its documentation and reporting templates to stay current. You do not manage the standard. We do.
NAPBC — American College of Surgeons
2024 Breast Center Standard
Requires documented exercise recommendation for all breast cancer patients under medical oncology care. Effective 2024. memios auto-generates and stores this documentation in the EHR.
Active Requirement
ASCO — 2022 Clinical Guideline
Exercise Oncology Referral Mandate
Medical oncologists should refer all patients to exercise programming. memios embeds this referral workflow directly in your EHR clinical encounter — requiring zero additional clicks when the CDS Hook fires.
Guideline Mandate
CoC — Commission on Cancer
Survivorship Care Plan Standards
CoC requires SCPs for eligible survivors. ASCO SCP standards include exercise. memios generates ASCO-standard SCPs extended with exercise prescription, automatically at treatment completion.
Advancing Standard
ACSM Moving Through Cancer
CMS National Coverage Determination
ACSM has submitted a draft NCD to CMS for exercise oncology coverage. Early-adopting institutions are building the outcomes data and program infrastructure now — ahead of reimbursement policy change.
Pending
Technology infrastructure
EHR-native.
HIPAA-certified.
Day-one ready.
The memios platform is built on HL7 FHIR R4 — the current federal interoperability standard — and integrates natively with Epic and Cerner through the App Orchard and Cerner Code certification programs. Your clinical workflows are not disrupted. They are extended.
A dedicated memios health IT specialist manages your integration from contract signature through go-live. Average Epic integration time is under 30 days. The platform is SOC 2 Type II certified, HIPAA-compliant from day one, and signs a Business Associate Agreement before any patient data is touched.
memios FHIR R4 Platform
HL7 FHIR R4 · SMART on FHIR · CDS Hooks · SOC 2 Type II
⟷ bidirectional data exchange ⟷
Epic EHR
App Orchard Certified · FHIR R4
Cerner / Oracle Health
Cerner Code Certified · FHIR R4
Hospital Lab (LIS)
HL7 FHIR DiagnosticReport
Revenue Cycle / Billing
X12 837P · HL7 FHIR Claim
Patient Portal (MyChart)
SMART on FHIR Launch
Hospital Identity (SSO)
SAML 2.0 · Azure AD · Okta
EHR-Embedded CDS Hooks
Exercise oncology referral alert fires automatically when an oncologist opens a patient encounter without an active exercise referral. Zero workflow change required. The prompt appears inline in the clinical encounter.
EXCEEDS Triage Algorithm
The validated Exercise in Cancer Evaluation and Decision Support screening tool, embedded directly in your EHR. Administered at the second chemotherapy infusion. Risk tier assigned automatically. Referral generated in 3–5 minutes of staff time.
Administration Dashboard
Real-time program performance metrics visible to program leadership and hospital administration. Referral rates by oncologist, enrollment rates, session completion, outcomes by domain, and accreditation compliance status — all in one dashboard.
HIPAA and HITRUST Compliance
SOC 2 Type II certified. BAA executed before first patient data contact. AES-256 encryption at rest and in transit. Zero-trust network architecture. Annual third-party penetration testing. 99.9% uptime SLA with redundant cloud infrastructure.
Billing and Revenue Optimization
CPT code recommendation engine for PT, cardiac rehab (93797-93799), and pelvic floor services. Medical necessity documentation templates. Prior authorization tracking and appeal workflow. CORE model criteria automatically applied to identify cardiac rehab-eligible patients.
Patient Mobile App
The memios patient app provides guided exercise programs, daily symptom tracking, HIPAA-compliant telehealth sessions, and secure care team messaging. Session adherence and outcomes data flow automatically back to the clinical dashboard and EHR.
From contract to first patient
Go live in 60 days.
The memios implementation pathway is structured, supported, and proven. Every hospital client has a dedicated implementation specialist from day one. Your first patients enroll within 60 days of contract signing.
1
Days 1–10
Readiness Assessment
Structured evaluation of your EHR environment, patient population, current referral workflows, staffing capacity, and space. CFIR-based barrier analysis. Integration scope confirmed.
2
Days 11–30
EHR Integration
Epic or Cerner integration configured and tested. EXCEEDS triage workflow embedded. CDS Hooks activated. Referral order templates created. EHR training for coordinators and nursing staff.
3
Days 31–50
Staff Credentialing and Training
CES staff credentialing verified. Platform onboarding for all clinical staff. Documentation standards training. Outcomes measurement protocols established. Accreditation reporting configured.
4
Days 51–60
First Patients Enrolled
Program launch. First referrals processed. First patient assessments completed. Administration dashboard activated. 90-day proof-of-concept data collection begins immediately.
Low-Risk Entry Point
90-Day Proof-of-Concept Pilot
We understand that a new clinical program requires institutional confidence before full commitment. The memios pilot pathway gives your administration documented program performance data — referral rates, enrollment, patient outcomes, and financial metrics — before the full contract term begins. If the data does not meet agreed benchmarks, you have an exit. In our experience, it always does.
90
Days to documented program ROI data
Quality and reimbursement
The metrics that protect
your reimbursement.
Exercise oncology programs directly improve the quality measures that drive your CMS reimbursement, payer contract performance, and market reputation. These are not soft benefits — they are financially quantifiable outcomes tied to your operating revenue.
HCAHPS / Patient Satisfaction
Patient Satisfaction Scores
Cancer patients in structured exercise programs report significantly higher care satisfaction. HCAHPS scores tied to CMS value-based purchasing reimbursement improve measurably with active exercise program participation.
+14 pts
MIPS / Value-Based Care
MIPS Quality Score Performance
Functional assessment and cancer screening quality measures are documented automatically by the memios platform, contributing directly to your MIPS performance composite score and the associated reimbursement adjustment.
Automated
Oncology Care Model / Value-Based
Total Cost of Care Reduction
Reduced readmissions, shorter hospital stays, lower ED utilization, and improved treatment completion rates all contribute to measurable total cost of care reduction — the core metric for shared savings contracts and value-based oncology care models. The memios platform tracks pre- and post-enrollment utilization data structured for your payer contract performance reviews.
Trackable in real time
Quality measure impact by domain
| Quality Measure | Program / Standard | memios Contribution | Impact Level |
|---|---|---|---|
| 30-Day Readmission Rate | CMS Value-Based Purchasing | Prehabilitation protocol reduces surgical readmissions by ~32% | High |
| Cancer Functional Assessment | MIPS Quality Measure #358 | ECOG and KARNOFSKY status documented at every session; auto-reported | High |
| Depression Screening and Follow-Up | HEDIS / MIPS | PHQ-9 administered at every phase transition; referral pathways documented | High |
| Patient-Reported Outcomes Collection | PCORI / CMS PRO-PM | PROMIS Physical Function and FACIT-Fatigue collected at every assessment | Medium |
| Survivorship Care Plan Completion | CoC Standard 4.8 | ASCO SCP with exercise prescription auto-generated at treatment completion | High |
| Exercise Referral Documentation | NAPBC 2024 Standard | Auto-documented for every eligible patient; structured for accreditation export | High |
| Patient Experience — Communication | HCAHPS | Structured care team communication and symptom monitoring improve communication scores | Medium |
Hospital client voices
From institutions that have
made this work.
"
We had been talking about starting an exercise oncology program for three years. The barrier was always the same: we did not have the infrastructure, the staffing model, or the workflow to make it happen. memios gave us all three. We launched in 60 days. Within six months, our referral rate had tripled, our NAPBC documentation was fully automated, and our patient satisfaction scores in the oncology division were the highest we had recorded. Administration did not need to be convinced of the ROI — the data made the case.
JM
Jennifer M., MD
Medical Director, Breast Oncology — Regional Academic Medical Center
"
The NAPBC standard change was what triggered the conversation. We needed a documented exercise recommendation workflow. memios solved that problem — and then solved five other problems we did not know we had. The prehabilitation program alone paid for the first year of the license in avoided readmissions from our colorectal surgical census.
RB
Robert B.
Cancer Program Director — Community Health System
"
Our oncologists were not opposed to referring patients — they just did not have a referral pathway that worked in under five minutes. The CDS Hooks integration with Epic changed that entirely. The prompt appears in the encounter. One click places the order. The coordinator gets the notification. The patient gets screened within 48 hours. We went from 8% to 41% referral rate in three months.
LT
Lisa T., MSN, RN
Oncology Nurse Navigator — NCI-Designated Cancer Center
The memios commitment to your institution
Everything included in
your program license.
Epic and Cerner EHR Integration
App Orchard and Cerner Code certified. EXCEEDS triage embedded in clinical workflow. CDS Hooks referral alerts. Bidirectional data exchange for referrals, labs, demographics, and SCPs. Average integration time under 30 days.
NAPBC 2024 Compliance Automation
Documented exercise recommendation generated and stored in the EHR for every eligible breast cancer patient. Exportable accreditation reports on demand. Zero manual documentation burden on clinical staff.
Documented ROI from Day 90
The 90-day pilot generates documented financial metrics: avoided readmissions, ED utilization changes, length-of-stay data, and referral rate improvement. Administration has board-ready ROI data within three months.
Certified CES Workforce Pipeline
memios provides access to the national network of CETI-certified Cancer Exercise Specialists for program staffing. Telehealth delivery options extend coverage without requiring additional on-site headcount.
Real-Time Administration Dashboard
Program-level metrics visible to leadership at all times: referral rates by oncologist, patient enrollment, session adherence, outcomes by domain, and accreditation compliance status. Quarterly business review reports auto-generated.
Research Grant Infrastructure
The memios outcomes dataset provides the documented, structured clinical data that NCI, NIH, and pharmaceutical grant applications require. Institutions with memios programs are demonstrably more competitive for exercise oncology research funding.
Cardiac Rehabilitation Billing Optimization
CORE model criteria automatically identify patients eligible for reimbursable cardiac rehabilitation. CPT codes 93797-93799 and G-codes supported. Medical necessity documentation generated automatically. Revenue you are currently leaving on the table.
All Four Phases — One Platform
The only exercise oncology platform covering prehabilitation, active treatment, post-procedure rehabilitation, and long-term survivorship in a single integrated system. One contract, one platform, one patient journey from diagnosis to decades of survivorship.
Enterprise-Grade Security and Compliance
SOC 2 Type II certified. HIPAA-compliant from day one. BAA executed before any patient data contact. AES-256 encryption. Zero-trust architecture. 99.9% uptime SLA. Your IT and compliance teams will not have concerns.
Close the gap your patients
deserve you to close.
The guidelines are clear. The evidence is overwhelming. The infrastructure now exists to implement exercise oncology at the standard your patients deserve and your accreditation bodies require. The pilot is 90 days. The ROI arrives before it ends.