Breast Cancer, Colorectal Cancer, Prostate Cancer
Conditions
Keywords
BrCa, PrCa, CRCa
Brief summary
This is a two part observational study evaluating the feasibility of implementing an EHR-based model within a community oncology practice.
Detailed description
Part 1: The research team will use a sociotechnical work systems model, developed by researchers at the University of Wisconsin (UW) Systems Engineering Initiative for Patience Safety (SEIPS), to guide analysis of the work system barriers and facilitators to implementing an EHR-based care planning model in community oncology practice, collected from direct observations. Part 2: The research team will measure reach/maintenance (percentage of survivors with EHR-based survivorship care plans (SCPs) over a 9-month time period) and impact (pre/post survey of patient satisfaction and perceived care coordination).
Interventions
BEHAVIORALSurvey
Subjects (cancer patients and clinicians) will complete up to 2 surveys.
Sponsors
National Cancer Institute (NCI)
University of Wisconsin, Madison
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Clinicians: Provide cancer care to BrCa, CRCa or PrCa * Clinicians: Are a physician, advanced practice practitioner, nurse, or equivalent * Patients: Have a diagnosis of breast, colorectal, or prostate cancer for which and EHR-based SCP will be provided * Patients: Have been treated with curative intent (e.g. surgery, chemotherapy and/or radiation therapy) for a Stage 1-3 cancer diagnosis * Patients: Have received some part of active cancer treatment * Patients: Have complete active treatment (defined as surgery, chemotherapy, and/or radiation therapy). HER2-based and endocrine therapies may be ongoing and do NOT need to have been completed
Exclusion criteria
* Unable to complete or unwilling to answer questions in English * Patients: Received all active cancer treatment elsewhere (e.g. observation - only patients) * Patients: Have metastatic cancer
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| EHR-based SCPs and care planning | Up to 2 years | Asses whether barriers to EHR-based SCPs and care planning have been mitigated, based on clinician survey. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of providing EHR-based care planning, measured by SCP provision rates | Up to 2 years | Measured by SCP provision rates (percentage of survivors with EHR-based SCPs) |
| Feasibility of providing EHR-based care planning, measured by the EHR | Up to 2 years | Measured by survivor access to SCPs, per the EHR |
| Self-reported change in satisfaction, using survey | Up to 2 years | The impact of providing EHR-based care planning measured in change of satisfaction with perceived care coordination (assessed prior to and at 4 weeks after SCP provision) |
| Impact of providing EHR-based care planning | Up to 2 years | Measured by reported SCP usability, usefulness, and content (assessed prior to and at 4 weeks after SCP provision) |
Countries
United States
Outcome results
None listed