onkommon.com
Physician to physician
Refer a case. Keep the patient.
Not a marketing promise, a contractual clause, an audited process, and the only way an institution like this one survives past its second year.
Request
What you can send us
Refer a case
General referral into the appropriate clinic, with the pathway coordinated from here.
Request a board listing
A written, evidence-graded recommendation you sign into your own record.
Request a second opinion
For your own patient who is asking for one, and whom you would rather got a good one.
Request molecular interpretation
Including reports generated at another laboratory, read back against the clinical picture.
Request a surgical review
Independent of the proposed procedure, with the two independence rules applied.
Request a radiation review
Indication, modality, dose-fractionation and sequencing opinion.
Request a pathology review
Independent read, with adequacy assessment for molecular testing.
Join the expert network
Board access and the protocol library, without your institution signing a contract.
Partner with KPCIRC
Build oncology capability into your own hospital or nursing home.
Policy, not courtesy
The referral etiquette rule
A referring doctor who suspects their patients get absorbed will stop referring, and will tell every colleague why. One captured patient is worth a few lakh. One doctor who refers for a decade is worth several crore. So this is commercial policy with an owner and an audit, not good manners.
Every time
- You are named on the report
- A copy reaches you the same day it reaches the patient
- The patient is returned with a written plan
- If a patient asks to transfer, you are informed before the first appointment
- Our representatives are measured on referrer retention, not only new cases
A disciplinary matter here
- Suggesting a patient leave their treating doctor, anyone, at any level
- Accepting a transfer the patient did not initiate in writing
- Issuing a plan without copying the referring physician
- Any arrangement that would make a referral turn on anything but the patient’s interest
The return-the-patient guarantee
The recommendation is advisory. You sign it into your own record and retain clinical responsibility. We return the patient, always, with a written plan, and everything reaches you the same day it reaches them.
If a patient asks to transfer their care to us, they must initiate that in writing, and you are informed before their first appointment, not after.
SHOT LATER · IMG-DOC-01 · 1400 × 1050 · 4:3
Case transfer, specified
Four transfer types
Handled badly, a transfer is poaching. Handled as a specified product with a protocol and a consent set, it is one of the most valuable things we do.
| Type | What moves | How it starts | The rule |
|---|---|---|---|
| T1 · Inbound clinical | The patient's care comes to KPCIRC entirely. | Patient-initiated, almost always after a second opinion. Never solicited by us. | The patient must initiate it in writing. Nobody here may suggest a patient leave their treating doctor. |
| T2 · Decision | Only the decision moves. The patient stays with you and your hospital. | Physician-initiated, or under a POAS contract. | Advisory; you sign it into your own record and retain clinical responsibility. The most common transfer type. |
| T3 · Procedure | The patient goes out to a partner for surgery, radiation or day care, and comes back. | KPCIRC-initiated, from the board plan. | The patient chooses from at least two named options where clinically equivalent. Two invoices, no split. |
| T4 · Continuity | Active treatment finishes elsewhere; surveillance and survivorship come here. | Discharge-triggered. | The discharging institution is notified and copied. The patient returns to them for anything the pathway detects, unless they decide otherwise. |
The transfer SOP
Origin check
Who initiated the transfer, and how. An inbound transfer without a patient-initiated origin is stopped here.
Record set
Pathology, staging imaging, treatment to date with dates and doses, prior molecular, current medication. Incomplete cases are held and the patient is helped to obtain what is missing.
Consent
Separate, specific, independently withdrawable consents: care, records transfer, genomic testing, research use, and contact.
Clinical handover
A named clinician on each side. Where treatment is in progress, an explicit handover with a date and time, never an implied one.
Board listing
A transfer is not accepted into a treatment plan that has not been reviewed.
Courtesy notification
The previous institution or referring doctor is informed and copied, unless the patient explicitly refuses.
Commercial capture
Services are billed against the published price card, and the transfer type is coded. No fee moves in either direction for the referral itself.
For individual physicians
Expert network membership
No single clinician has a tumour board. Membership is how you get one, without your institution signing a POAS contract.
- Board access for your cases, at member rates
- The clinical protocol and SOP library, updated as evidence changes
- Pathology review and molecular ordering routing
- Genetic counselling for your patients by tele-clinic
- Complex-case route and case discussion access
Turnaround you can hold us to
Service levels
| Service | Turnaround |
|---|---|
| Board listing | Next scheduled board, if submitted 48 hours before |
| Written recommendation | Within 72 hours of the board |
| Urgent board slot | On request, on stated clinical urgency |
| Pathology second opinion | 3–5 working days from block receipt |
| Standard second opinion | 5–7 working days from a complete record set |
| Surgical second opinion | 3–5 working days |
| Rapid / express tier | 48–72 hours, at a stated premium |
Measured from a complete submission. Incomplete cases are held and you are told what is missing within one working day.
Send one case and judge us on what comes back
Pick a case you are genuinely unsure about. Read the recommendation, the rejected alternatives and the evidence tiers. If it is not better than what you could write yourself in an afternoon, do not send a second one.
