Survivorship Care Plans in a Community Oncology Practice

University of Wisconsin, Madison30 enrolled

Overview

This is a two part observational study evaluating the feasibility of implementing an EHR-based model within a community oncology practice.

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).

Study Type

OBSERVATIONAL

Enrollment

Conditions

Breast Cancer Prostate Cancer Colorectal Cancer

Interventions

SurveyBEHAVIORAL

Subjects (cancer patients and clinicians) will complete up to 2 surveys.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

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

Locations (1)

UW Cancer Center at ProHealth Care

Waukesha, Wisconsin, United States

Outcomes

Primary Outcomes

EHR-based SCPs and care planning

Asses whether barriers to EHR-based SCPs and care planning have been mitigated, based on clinician survey.

Time frame: Up to 2 years

Secondary Outcomes

Feasibility of providing EHR-based care planning, measured by SCP provision rates

Measured by SCP provision rates (percentage of survivors with EHR-based SCPs)

Time frame: Up to 2 years

Feasibility of providing EHR-based care planning, measured by the EHR

Measured by survivor access to SCPs, per the EHR

Time frame: Up to 2 years

Self-reported change in satisfaction, using survey

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)

Time frame: Up to 2 years

Impact of providing EHR-based care planning

Measured by reported SCP usability, usefulness, and content (assessed prior to and at 4 weeks after SCP provision)

Time frame: Up to 2 years

Data from ClinicalTrials.gov

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