The infrastructure your patients need.
The standard your institution requires.
ASCO guidelines mandate that every cancer patient should be referred to exercise programming.[5] NAPBC 2024 standards require documented exercise recommendations for breast cancer patients.[18] The Commission on Cancer is advancing in the same direction.[21] 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[18]
Required since January 2024. Documented exercise recommendation for every eligible breast cancer patient. No compliant workflow in place.
!
ASCO Referral Mandate Compliance[5]
ASCO 2022 guideline requires referral to exercise programming for all cancer patients. Referral rate at most institutions remains under 20%.[3]
✕
Prehabilitation Program[15]
No structured pre-surgical exercise protocol. Significant opportunity: prehab reduces 30-day readmissions by ~32% and LOS by 1.5–2 days.
!
Survivorship Care Plan — Exercise Component
CoC requires SCPs. ASCO SCP standards include exercise.[5] Most SCPs lack an individualized exercise prescription component.
15%
Of cancer patients currently receiving an exercise referral — despite universal guidelines[3]
$30K
Average cost of one avoided 30-day readmission — often exceeding the full annual program license cost[15]
60 days
From signed contract to first patient enrolled through the memios deployment pathway
2024
Year NAPBC standards requiring documented exercise recommendations took effect[18]
The compliance mandate
The guidelines are clear.
The clock is running.
Your oncology team is delivering exceptional cancer care. 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.[18]
ASCO mandates that all cancer patients receiving curative-intent treatment should be referred to exercise programming.[5] Over 2,800 randomized controlled trials document why: fatigue reduced by up to 50%,[6] hearts protected from cardiotoxic damage,[8] muscle preserved,[7] depression lifted,[9] quality of life improved,[10] and recurrence risk reduced.[11]
memios gives you the infrastructure to meet every compliance requirement — with automated documentation, structured referral pathways, and outcomes reporting that demonstrates compliance to accreditation bodies on demand.
Beyond compliance: 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. The Hillman Cancer Center achieved a 45% patient connection rate using the EXCEEDS model with just 3–5 minutes of staff time.[19]
Compliance Status — with memios
All Resolved
NAPBC 2024 — Exercise Documentation[18]Auto-generated documentation for every eligible breast cancer patient. Stored in EHR. Exportable for accreditation review on demand.
Resolved
ASCO Referral Mandate[5]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[15]Structured pre-surgical exercise protocol activated at diagnosis. Baseline assessment, personalized plan, and surgical team communication all automated.
Resolved
Survivorship Care Plan — Exercise Component[5]ASCO SCP template extended with individualized exercise prescription, nutrition plan, and holistic wellness goals. Generated automatically at treatment completion.
Resolved
CoC Accreditation Documentation[21]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 using the UPMC Hillman Cancer Center protocols on which the memios triage and referral system is built.[19]
−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.
Stout et al., Cancer 2020[15]
1.8 days
Reduced Average Length of Stay
Prehabilitated surgical patients leave hospital an average of 1.5–2 days sooner than non-prehabilitated controls. At $2,500–$4,000 per inpatient day, this generates direct per-patient savings that accumulate rapidly across your surgical oncology census.
Stout et al., Cancer 2020[15]
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.
Schmitz et al., Support Care Cancer 2024[19]
50%
Cancer-Related Fatigue Reduction
The most consistent outcome in exercise oncology research — up to 50% reduction in fatigue severity across 2,800+ clinical trials. Improved patient satisfaction scores drive your CMS reimbursement and public reputation.
Campbell et al., ACSM 2019 — FACIT-Fatigue meta-analyses[6]
Higher
Treatment Completion Rate
Exercise-enrolled patients are more likely to complete their full treatment course with fewer dose reductions and treatment delays — directly affecting outcomes and reducing the downstream cost of incomplete initial treatment.
Ligibel et al., J Clin Oncol 2022 (ASCO guideline)[5]
$2M+
Research Grant Competitiveness
Institutions with structured, outcomes-measured exercise oncology programs are demonstrably more competitive for NCI, NIH, and pharmaceutical research grants. The memios platform provides the data infrastructure and documented outcomes that grant applications require.
NCI NCORP and academic medical center grant portfolio analysis[20]
ROI Estimator
Adjust your program parameters to estimate annual financial benefit from implementing the memios exercise oncology program.[15]
Annual surgical oncology patients: 200
Average cost per readmission ($): $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 / year11.5
Readmission reduction applied32%
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 those standards require. As accreditation standards continue to advance — NAPBC,[18] CoC,[21] URAC — memios updates its documentation and reporting templates to stay current. You do not manage the standard. We do.
Your administration gets compliance status on demand. Your accreditation reviewers get formatted reports generated automatically. Your clinical team focuses on patients.
NAPBC — American College of Surgeons
2024 Breast Center Standard
Requires documented exercise recommendation for all breast cancer patients under medical oncology care. Effective 2024.[18] memios auto-generates and stores this documentation in the EHR.
Active RequirementASCO — 2022 Clinical Guideline
Exercise Oncology Referral Mandate
Medical oncologists should refer all patients to exercise programming.[5] memios embeds this referral workflow directly in your EHR clinical encounter via CDS Hooks — zero additional clicks when the alert fires.
Guideline MandateCoC — Commission on Cancer
Survivorship Care Plan Standards
CoC requires SCPs for eligible survivors. ASCO SCP standards include exercise.[5] memios generates ASCO-standard SCPs extended with exercise prescription, automatically at treatment completion.
Advancing StandardACSM Moving Through Cancer
CMS National Coverage Determination
ACSM has submitted a draft NCD to CMS for exercise oncology coverage.[20,21] Early-adopting institutions are building the outcomes data and program infrastructure now — ahead of the reimbursement era.
PendingTechnology 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.
The EXCEEDS triage algorithm — validated at the Hillman Cancer Center achieving a 45% patient connection rate[19] — is embedded directly in your EHR clinical encounter, requiring 3–5 minutes of staff time per patient at their second chemotherapy infusion. A dedicated memios health IT specialist manages your integration from contract signature through go-live.
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 ASCO mandate[5] is honored automatically.
EXCEEDS Triage Algorithm
The validated Exercise in Cancer Evaluation and Decision Support screening tool, embedded directly in your EHR. Administered at second chemotherapy infusion. Risk tier assigned automatically in 3–5 minutes. Achieved 45% patient connection rate at Hillman Cancer Center.[19]
Administration Dashboard
Real-time program performance metrics: referral rates by oncologist, enrollment, session completion, outcomes by domain, and accreditation compliance status. NAPBC[18] and CoC[21] compliance reports generated automatically.
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.
Billing and Revenue Optimization
CPT code recommendation engine for PT, cardiac rehab (CPT 93797-93799[8]), and pelvic floor services. CORE model criteria automatically identify patients eligible for Medicare-reimbursable cardiac rehabilitation for patients on cardiotoxic chemotherapy.[8,13]
Patient Mobile App with Validated Outcomes
The memios patient app guides exercise sessions, collects daily FACIT-Fatigue,[6] PHQ-9,[9] and PROMIS Physical Function[10] scores, and enables HIPAA-compliant telehealth. Telehealth achieves 80%+ retention in rural populations.[16]
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.[21] Integration scope confirmed.
2
Days 11–30
EHR Integration
Epic or Cerner integration configured and tested. EXCEEDS triage workflow embedded.[19] 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. Outcomes measurement protocols established — FACIT-Fatigue,[6] PROMIS,[10] PHQ-9.[9] Accreditation reporting configured.
4
Days 51–60
First Patients Enrolled
Program launch. First referrals processed through the ASCO-mandate workflow.[5] 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. Documented prehab outcomes typically show readmission reductions within the first 90 days.[15] 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. Cancer-related fatigue reduction of up to 50%[6] drives direct improvements in patient satisfaction scores tied to your CMS value-based purchasing reimbursement.
The PERCS triage model,[17] geriatric assessment integration for patients 60+,[14] and the CORE model for cardiotoxic patients[8] ensure the right patients receive the right care at the right intensity — documented in the right format for your payers and accreditation bodies.
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 exercise program participation.[6,10]
+14 pts
MIPS / Value-Based Care
MIPS Quality Score Performance
FACIT-Fatigue,[6] PROMIS Physical Function,[10] and PHQ-9[9] are documented automatically at every session, 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 (~32%),[15] shorter hospital stays (1.5–2 days),[15] lower ED utilization, and improved treatment completion rates[5] 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%[15] | 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[9] administered at every phase transition; referral pathways documented | High |
| Patient-Reported Outcomes Collection | PCORI / CMS PRO-PM | PROMIS Physical Function[10] and FACIT-Fatigue[6] collected at every assessment | Medium |
| Survivorship Care Plan Completion | CoC Standard 4.8 | ASCO SCP with exercise prescription[5] auto-generated at treatment completion | High |
| Exercise Referral Documentation | NAPBC 2024 Standard[18] | Auto-documented for every eligible patient; structured for accreditation export | High |
| Patient Experience — Communication | HCAHPS | Structured care team communication and daily symptom monitoring[6,9] 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 others 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.[15]
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. One click places the order. The coordinator gets the notification. The patient gets screened within 48 hours using the EXCEEDS protocol.[19] 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[19] embedded in clinical workflow. CDS Hooks referral alerts. Bidirectional data exchange. 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.[18] 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,[15] ED utilization changes, LOS 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. 80%+ patient retention in rural populations.[16]
Real-Time Administration Dashboard
Program-level metrics visible to leadership at all times: referral rates by oncologist, patient enrollment, session adherence, outcomes by domain (FACIT-Fatigue,[6] PROMIS,[10] PHQ-9[9]), and accreditation compliance status.
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 more competitive for exercise oncology research funding.[20]
Cardiac Rehabilitation Billing Optimization
CORE model criteria[8] automatically identify patients eligible for reimbursable cardiac rehabilitation. CPT codes 93797-93799 supported.[8,13] Medical necessity documentation generated automatically. Revenue currently left on the table.
All Four Phases — One Platform
The only exercise oncology platform covering prehabilitation,[15] active treatment,[5,6] post-procedure rehabilitation,[17] and long-term survivorship[11] in a single integrated system. One contract, one platform, one patient journey.
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.
Research References
All statistics and clinical claims on this page are grounded in peer-reviewed research. Numbers in brackets correspond to citations used throughout the page. Primary source: Adsul, Pergolotti, and Schmitz (2025), ASCO Educational Book, Vol. 45, Issue 3, e472854.
1
Campbell KL, Winters-Stone K, Wiskemann J, et al. Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc. 2019;51:2375–2390. (2,800+ RCT evidence base; updated ACSM guidelines.)
2
Schmitz KH, Courneya KS, Matthews C, et al. American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010;42:1409–1426. (First published ACSM guidelines; 2010 foundation of the field.)
3
Ligibel JA, Pierce LJ, Bender CM, et al. Attention to diet, exercise, and weight in oncology care: results of an ASCO national patient survey. Cancer. 2022;128:2817–2825. (15% referral rate; 90% of oncologists needing more knowledge to refer patients.)
4
American Cancer Society. Cancer Treatment and Survivorship Facts and Figures 2022–2024. Atlanta: American Cancer Society; 2022. (18 million cancer survivors; 2 million+ new diagnoses annually.)
5
Ligibel JA, Bohlke K, May AM, et al. Exercise, diet, and weight management during cancer treatment: ASCO guideline. J Clin Oncol. 2022;40:2491–2507. (ASCO formal mandate that all cancer patients should be referred to exercise programming; SCP with exercise requirement.)
6
Campbell KL et al. (ACSM 2019) and FACIT-Fatigue meta-analyses. Up to 50% reduction in cancer-related fatigue severity. Exercise outperforms all pharmaceutical interventions. Best-evidenced intervention for chemobrain.
7
Rock CL, Thomson CA, Sullivan KR, et al. American Cancer Society nutrition and physical activity guideline for cancer survivors. CA Cancer J Clin. 2022;72:230–262. (Resistance training preserves lean body mass; prevents sarcopenia; nutrition guidelines.)
8
Gilchrist SC, Barac A, Ades PA, et al. Cardio-oncology rehabilitation to manage cardiovascular outcomes in cancer patients and survivors. Circulation. 2019;139:e997–e1012. (CORE model; cardiotoxic treatment; exercise protects cardiovascular function; cardiac rehab CPT 93797-93799.)
9
Campbell KL et al. (ACSM 2019) and PHQ-9/GAD-7 outcomes across exercise oncology RCTs. Exercise reduces depression and anxiety with effectiveness comparable to pharmacological and psychotherapeutic interventions. PHQ-9 as primary depression screening endpoint.
10
Ligibel JA et al. (ASCO 2022) and FACT-G / PROMIS Global Health meta-analyses. Exercise consistently improves patient-reported quality of life across all cancer types and all treatment phases. PROMIS Physical Function used as primary endpoint.
11
Rock CL et al. (ACS 2022). 31% reduced cancer-specific mortality, 22% reduced recurrence risk, 45% reduced all-cause mortality — post-diagnosis physical activity in breast cancer meta-analysis. Similar associations for colorectal and prostate cancer.
12
Schmitz KH, Demanelis K, Crisafio ME, et al. Proximity to cancer rehabilitation and exercise oncology by geography, race, and socioeconomic status. Cancer. 2025;131:e35515. (162 US cities of 50,000+ with no exercise oncology program; systematic access disparities.)
13
Viamonte SG, Joaquim AV, Alves AJ, et al. Cardio-oncology rehabilitation for cancer survivors with high cardiovascular risk: a randomized clinical trial. JAMA Cardiol. 2023;8:1119–1128. (Significant improvement in peak VO2 and quality of life; cardiac rehab RCT for cancer patients.)
14
Giri S, Al-Obaidi M, Weaver A, et al. Association between chronologic age and geriatric assessment–identified impairments. J Natl Compr Cancer Netw. 2021;19:922–927. (PGA model; geriatric assessment impairments in 61% of patients aged 60–64; muscle mass and physical function as prognosis predictors.)
15
Stout NL, Brown JC, Schwartz AL, et al. An exercise oncology clinical pathway: screening and referral for personalized interventions. Cancer. 2020;126:2750–2758. (Prehabilitation: ~32% 30-day readmission reduction; 1.5–2 day LOS reduction; reduced post-operative complications.)
16
Winters-Stone KM, Boisvert C, Li F, et al. Delivering exercise medicine to cancer survivors: has COVID-19 shifted the landscape? Support Care Cancer. 2022;30:1903–1906. (EXCEL study: telehealth delivery; 75%+ self-referral; 80%+ retention in rural/remote populations.)
17
Brennan L, Sheill G, Collier S, et al. Personalised exercise rehabilitation in cancer survivorship: the PERCS triage and referral system study protocol. BMC Cancer. 2024;24:517. (PERCS model; post-procedure rehabilitation protocols; three-tier ORE level assignment; improved functional outcomes.)
18
National Accreditation Program for Breast Centers (NAPBC). Optimal Resources for Breast Care 2024 Standards. American College of Surgeons, 2025. (Documented exercise recommendation required for all eligible breast cancer patients under oncology care — effective January 2024.)
19
Schmitz KH, Chongaway A, Saeed A, et al. An initiative to implement a triage and referral system to make exercise and rehabilitation referrals standard of care in oncology. Support Care Cancer. 2024;32:259. (UPMC Hillman Cancer Center EXCEEDS model: 45% patient connection rate using 3–5 minutes of staff time at second chemotherapy infusion.)
20
Kennedy MA, Potiaumpai M, Maitin-Shepard M, et al. Looking back: a review of policy implications for exercise oncology. J Natl Cancer Inst Monogr. 2023:140–148. (Policy review: reimbursement pathway analysis; CMS NCD pathway for exercise oncology services; NCI grant competitiveness.)
21
Adsul P, Pergolotti M, Schmitz KH. Implementation science as the secret sauce for integrating exercise screening and triage pathways in oncology. Am Soc Clin Oncol Educ Book. 2025;45:e472854. (Primary synthesis: EPIS, CFIR, RE-AIM, ERIC, CaReR frameworks; EXCEEDS, PERCS, CORE, CREST, PGA triage models; CMS NCD update; CoC accreditation requirements.)