Digital Bridges: Optimizing Telehealth for Older Adults with Cancer

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Gain insights into how the City of Hope’s advanced practice-led geriatric consult clinic—which provides a holistic approach to geriatric oncology based on ASCO and NCCN guidelines—developed a telehealth assessment tool geared toward the unique needs of older adults.

Topics We’ll Cover:

  • The advanced practice nurse (APN) experience in leading a Geriatric Oncology Clinic
  • Benefits of adapting to a telehealth approach for conducting geriatric assessments and implementing geriatric oncology interventions
  • The importance of the patient experience when addressing aging patient-specific needs and preferences
  • Optimal ways to engage and communicate with patients, families, and caregivers
  • The need to facilitate communication and collaboration between the primary care and multidisciplinary teams


Leana Cabrera Chien, MSN, RN, GCNS-BC, GNP-BC
Nurse Practitioner
City of Hope, Duarte, CA

Send your questions on implementing telehealth for older adults with cancer to by May 22, 2022. Register for the webinar to join the conversation and get the recording delivered to your inbox once it’s ready.

This webinar is open to the public. You do not need to be an ACCC member to view this webinar, but you will need to create an account to register. Please click the "Registration Instructions" tab for details.

This webinar is part of the ACCC education program, Digital Bridges. This project is supported by Merck.

Leana Cabrera Chien, MSN, RN, GCNS-BC, GNP-BC

Geriatric Nurse Practitioner

City of Hope

Leana Chien is a Nurse Practitioner at the City of Hope Center for Cancer and Aging in Duarte, California. She specializes in the care of older adults with cancer. She earned her Master of Science in Nursing degree with an emphasis in Gerontology at the University of California Los Angeles (UCLA) and her Bachelor of Science Degree (BSN) at Mount St. Mary’s University.

She joined City of Hope’s medical oncology team in 2016. She started her journey as a collaborating investigator on several clinical trials including “Advancing Screening and Treatment for Older Patients with Cancer” which includes a telehealth cohort (IRB# 15161) and "Treating Hospitalized Older Adults with Cancer: Integrating the Principles of Geriatric Medicine and Oncology Care” (IRB# 17044).

Her current position at City of Hope involves the development of an advanced practice nurse (APN) Geriatric Oncology clinic, the Aging Wellness Clinic in 2019. In this clinic, a team of APNs provide a holistic approach to wellness, offering specialized care for older adults with cancer. Under a UniHealth grant she offers telehealth services to a rural community site to create a model of care for Older Adults with Cancer via telehealth. A Pfizer grant supports her study, “Geriatric Oral Adherence and Longevity Surveillance for Older Adults with Metastatic Cancer.” These studies aim to assess and treat older adults with cancer by performing a geriatric assessment in various healthcare settings including outpatient, inpatient, and via tele-health to improve their care by identifying geriatric concerns and developing a plan of care to meet needs uncovered. She works collaboratively with an interdisciplinary team as a consultant and as a resource nurse with expertise in the care of older adults with cancer. In addition, she provides support to the education and preparation of oncology nurses to care for the older adult.


Digital Bridges: Optimizing Telehealth for Older Adults with Cancer
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