The setting
makes software and data services for cancer care and research. is its electronic medical record system for smaller practices in the community that treat cancer.
Treatment delivery needs the current clinical intent without adding another note for oncologists.
Infusion staff need an unambiguous handoff while oncologists need plan changes to remain clinically reviewable.
Who you’d be doing this for
“I had the regimen in front of me, but I still had to page the oncologist to ask what changed.”
Koji Yamamoto · Infusion Nurse · a character in this brief
Works in a community oncology practice and prepares patients for treatment using the current plan in OncoEMR.
What is at stake
Infusion nurses keep calling oncologists when a changed regimen reaches delivery. You must decide which intent details belong in the handoff and which stay in the plan.
Why it isn’t already fixed
Every obvious fix costs something else. That’s the part you’d have to decide.
- delivery clarity vs clinician documentation load
- shared context vs plan complexity
- pilot adoption vs workflow disruption
- structured signals vs clinical nuance
Why Flatiron Health
OncoEMR sits across treatment planning, ordering, and delivery, where an unclear regimen change interrupts care at the point of treatment.
Written with these in mind
Not your kind of problem? 2 more at Flatiron Health, or browse every organization.
Where the organization context comes fromThe postings this brief was written from, and the reporting read before it.
The organization context comes from public information. The situation and characters are written for the brief.
Job postings it was written from
Public descriptions of the work at Flatiron Health. They are listed as sources, not as openings. The lines under a posting are its own words, where it meets this brief.
- Product Manager (Clinical Workflows) (opens in a new tab)
- You will work in our matrix model alongside a team of cross-functional peers to build smart, simple, and safe solutions that form the backbone of cancer care delivery — directly impacting patients at every step of their treatment journey.
- Evaluating, prototyping, and shipping new capabilities - exploring where AI and intelligent workflows can reduce cognitive burden and improve clinical efficiency.
- Lead Product Manager (Clinical Workflows) (opens in a new tab)
- This may involve staffing decisions, budget considerations, and complex scenario planning.
- Flatiron’s HC Product teams are deeply cross-functional given their focus on creating end to end solutions clinicians rely on every day to deliver safe and efficient cancer care —from diagnosis and staging through treatment planning, ordering, and delivery.
- Clinical Genomics Advanced Practice Provider (opens in a new tab)
- The role is designed for an advanced practice provider (Nurse Practitioner or Physician Assistant) with deep experience in clinical oncology, genomic testing, test result interpretation, and subsequent patient care and clinical decisions.
- Develop and deliver educational resources (e.g., guides, presentations, webinars) to help practices utilize point of care genomic testing recommendations, orders, and results in support of personalized patient care.
This is the setup. The work is inside.
Running it puts you in the room: the full situation and its constraints, stakeholders who push back in their own words, and the decisions that are yours to make. What you produce becomes a Day One Plan — work you can show someone instead of describing.
Where similar work appears
Other live briefs connected to this one, and what connects them.
Similar problems at other organizations
Like this one, each of these turns on deciding on evidence that's still thin.
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Other problems with a similar purpose
In each of these, as in this one, the aim is to get the right piece of information into a decision-maker's hands at the precise moment it changes their choice.
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You must weigh fast provider updates against a claim history clinicians can trust.
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