And it's more than a program — every patient you refer joins an active community of survivors who keep showing up for each other, long after the appointment ends.

Shift is built by Sami Mansfield

Sami Mansfield

Creator/ Coach - ACSM-CET, Precision Nutrition Certified

a 20+ year exercise and lifestyle oncology specialist who has worked with 10,000+ cancer patients and survivors across hospitals, non-profits, and community programs. She co-authored the ASCO exercise guidelines for cancer survivors and the American College of Lifestyle Medicine's Cancer Risk Reduction & Survivorship Toolkit.

92% of cancer survivors want lifestyle guidance. Only 4% meet the guidelines.*

It isn't a failure of oncology. It's structural. A 15 minute follow-up was never built to hold what to eat, how to move, when to rest, how to sleep, what supplements actually help, and what to do when fatigue won't lift. Your team knows the evidence. They simply don't have the time or the reimbursement to deliver it.


Shift is the place to send them.


A structured, evidence-based system that picks up exactly where the appointment ends — and reports back so you can see how your patients are doing.


* Only 4% of cancer survivors meet all four American Cancer Society lifestyle recommendations — physical activity, alcohol limits, healthy weight, and fruit & vegetable intake. Baughman et al., JAMA Oncology, 2024.

REFER & RECEIVE DATA

Path 1 - Refer - entry no contract

Your team refers; individuals self-enroll using a discount and coupon code. You get coded referral attribution and aggregate, de- identified outcomes — before you fund a single seat. 

 Credible, evidence-based program — zero lift for your team

→ Dedicated referral codes + co- branded landing page

→ Aggregate de-identified outcomes: body composition, fatigue, sleep, strength

→ Useful for survivorship metrics, CoC accreditation, and quality reporting

Free No Cost

SPONSOR A COHORT

Path 2 -Sponsor - System funded

Your institution funds access — per-seat licensing or a hospital-branded cohort delivered virtually — so it's free to the patients who need it most.

 No cost to your patients

→ A system branded program  

Full outcomes data for your stakeholders

Gather deeper metrics on your patients — data that ties directly into your EMR

~$350 / seat · ~20- seat cohort · onboarding cost for new systems

LICENSE & DELIVER

Path 3 -License - deepest integration

Your team delivers Shift in-house and owns delivery at scale, inside your survivorship care.

 Full program materials + train- the -trainer

→ Support to build your delivery workflow 

Staff training

Quarterly clinical update 

$15–30K annual + renewal

Let's talk about your patients.

Tell us about your practice, system, or organization and we'll show you how Shift fits — and share the outcomes data your team needs to feel confident referring.

Outcomes you can scrutinize.

Your patients already know what to do. What they're missing is the how — and that's what Shift teaches. Give people the how, and the change shows up where it matters. After cancer, lifestyle medicine isn't a nice-to-have. It's a MUST. Because Shift teaches the how — not just the what — the change is measurable across the domains that matter most after cancer:

  • The Body

    Body composition,functional strength, physical function. InBody, DEXA — clinical assessments

  • How they are

    Energy, fatigue, cognition, stress. EORTC QLQ-C30 — validated survivorship tool

  • Habits & confidence

    Sleep quality and confidence in self-management. Participant-reported, intake vs. completion