What we do · Oncology

Cancer care does not keep office hours.

A diagnosis lands on a Tuesday afternoon and the questions arrive at eleven that night, when the clinic is closed and the pamphlet is in a drawer somewhere. FRANSiS gives your program an always open text line that answers from your own education materials.

✓ HIPAA COMPLIANCE SUPPORTED BAA INCLUDED POWERS ZACH AT ZERO
CC
Cancer Center
VIA FRANSiS™ · SMS
Tues · 11:14 PM
My mom starts chemo Monday. What side effects should we expect the first week?
Here is the first-week guide your care team wrote, plus what to watch for and when to call.
Thank you. I did not want to bother anyone this late.
You are not bothering anyone. A nurse navigator will follow up in the morning if you would like.
The gap nobody staffs

Your team already does this work.

The trifolds, the education packets, the curated links, the phone number for the navigator: all of it is real and all of it matters. But none of it is what a person reaches for at eleven at night. What they reach for is the phone in their hand.

Roughly half of what a cancer patient support line receives arrives outside business hours. Late night contact is not an anomaly to be smoothed out of the data. It is a steady, week over week feature of how people living with cancer behave.

Half
Of contact arrives outside business hours
<1 min
Typical response, day or night
9-10
Messages deep in a typical exchange
No limit
Text has no catchment area
What people actually ask

The volume goes where the difficulty is.

When a national cancer organization opened a text line for patients and caregivers, the questions were not logistical. Conversation themes from one live deployment:

28% · Deciding on treatment

Weighing options, second opinions, and what a recommendation actually means.

24% · Living with side effects

What is normal, what is not, and when to call someone.

18% · Making sense of a result

A number on a portal at nine at night with no one to explain it.

15% · Advanced disease

Navigating later stage care, logistics, and what comes next.

15% · Screening and detection

Eligibility, timing, and what a screening visit involves.

None of it is a reminder

Every one of these is a question about understanding. A notification cannot answer any of them.

Who is really carrying it

The person carrying the most weight is often not the patient.

It is an adult child in another time zone trying to understand what the next few weeks look like. They will not call the office the next morning. They are not sure the question is big enough, and they are not the patient, so they are not certain they are allowed to ask.

Text is the channel people use when they are not sure they are allowed to ask.

What we build

An always open front door, trained on what your team already wrote.

The AI Powered Helper answers from your organization’s own materials, within your guidelines, and hands off to a person when a question needs one. It extends the navigators, social workers, and educators you already have. It does not replace them, and it does not give medical advice.

Answers in under a minute

A question at eleven does not wait until nine the next morning.

Real two way conversations

A typical exchange runs nine or ten messages deep, not a single alert.

No catchment area

People reach in from well beyond the region you were built to serve.

Patients and caregivers

Family members are a large share of contact, along with clinicians and navigators.

Compliance built in

HIPAA compliance supported with a signed BAA included, TCPA consent and opt out handled.

No app required

Works on any mobile phone without an app, an account, or an internet connection.

Running today

ZACH runs on FRANSiS.

ZERO Prostate Cancer built ZACH, which stands for ZERO’s Access to Community Health, on the FRANSiS™ platform. It is a cornerstone of the organization’s Blitz the Barriers initiative.

Open at any hour

People reach it by texting 1-844-660-9376 or through zerocancer.org/text, with no smartphone, app, account, or internet connection needed.

Built for the whole circle

It serves at risk men, patients and survivors, caregivers, partners and family, clinicians, patient navigators, and advocates.

Multiple languages

Available in multiple languages and reading levels, which matters when the material is clinical.

ZACH is an informational support tool and does not provide medical advice. Program details are drawn from ZERO Prostate Cancer’s public announcement.

Compliance

Built for the rules your program already lives under.

HIPAA compliance is supported, with a signed business associate agreement included as standard. Consent, quiet hours, and opt out handling follow TCPA requirements, and carrier registration is managed for you. Data is encrypted in transit with TLS 1.3 and at rest with 256 bit AES.

More detail: HIPAA compliant text messaging and SMS compliance requirements.

Questions

Frequently asked

Is this just appointment reminders?

No. In live oncology deployments the conversation volume goes to treatment decision making, side effect management, making sense of test results, and navigating advanced disease. A reminder cannot answer any of those.

Does the AI Powered Helper give medical advice?

No. It answers from your organization’s own approved materials and within your guidelines, and hands off to a person when a question needs one. It is informational support, not medical advice.

Is texting HIPAA compliant for patient communication?

Texting can be used in a HIPAA compliant program when the right safeguards and agreements are in place. FRANSiS supports HIPAA compliance and includes a signed business associate agreement as standard.

Do patients need a smartphone or an app?

No. Text messaging works on any mobile phone without an app, an account, or an internet connection, which is why it reaches people that portals and apps miss.

Who does this serve besides patients?

Caregivers, partners, and family members are a large share of contact, along with clinicians and patient navigators who need a quick answer between appointments.

What does it take to launch?

Your existing education materials, a phone number, and consent and opt out handling that follows TCPA requirements. Carrier registration is managed for you.

Can it support more than one language?

Yes. Programs commonly run in more than one language and at more than one reading level, which matters when the material is clinical.

Next step

See what your patients would ask at eleven at night.

We will walk through what an always open text line looks like for your program, using your own education materials.