Survivorship Care Plans in a Community Oncology Practice

University of Wisconsin (UW)

Status: Completed

Conditions: Breast Cancer; Prostate Cancer; Colorectal Cancer

Treatments: Behavioral: Survey

Study type: Observational

Funder types: Other; NIH

Identifiers

NCT03028584

P30CA014520 (U.S. NIH Grant/Contract)

UW16029

2016-0760 (Other Identifier)

A534260 (Other Identifier)

SMPH\MEDICINE\HEM-ONC (Other Identifier)

Details and patient eligibility

About

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

Full 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).

Enrollment: 30 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

30 participants in 2 patient groups

Clinicians

Description:

Observe up to N=10 clinicians. Observations will include: 1. Oncology history and care plan development by clinicians including use of EHR technology to develop care plans and methods used to secure necessary information for care plan creation 2. Provision and coordination of survivorship care occurring during care team meetings, discussions among clinicians, and survivor visits with clinicians, especially visits in which a care plan is provided to a survivor 3. Clinician seeking survivorship related information or resources through use of technology or discussion with other clinicians 4. Survivorship work or tasks performed by the clinician including adding, modifying or extracting information from the EHR and adding or modifying information in the care plan

Treatment:

Behavioral: Survey

Clinicians and Patients

Description:

Surveys of N=30 breast cancer, colon cancer, and prostate cancer patients. Subjects will complete 1st survey electronically in-clinic. Subjects will either be e-mailed or mailed a survey at 4 weeks. Survey of clinicians will be sent via e-mail.

Treatment:

Behavioral: Survey