Survivorship Care Plans in a Community Oncology Practice

Study Overview
=================
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).

Official Title
-----------------
Feasibility of Delivering Electronic Health Record (EHR)-Based Survivorship Care Plans and Planning to Cancer Survivors in a Community Oncology Practice

Conditions
-----------------
Breast Cancer, Prostate Cancer, Colorectal Cancer

Intervention / Treatment
-----------------
* Behavioral: Survey


Participation Criteria
=================
Eligibility Criteria
-----------------
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

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Clinicians<br>Observe up to N=10 clinicians. Observations will include: 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 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 Clinician seeking survivorship related information or resources through use of technology or discussion with other clinicians 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 | Behavioral: Survey<br>* Subjects (cancer patients and clinicians) will complete up to 2 surveys.<br>|
| Clinicians and Patients<br>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. | Behavioral: Survey<br>* Subjects (cancer patients and clinicians) will complete up to 2 surveys.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| EHR-based SCPs and care planning | Asses whether barriers to EHR-based SCPs and care planning have been mitigated, based on clinician survey. | Up to 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility of providing EHR-based care planning, measured by SCP provision rates | Measured by SCP provision rates (percentage of survivors with EHR-based SCPs) | Up to 2 years | 
| Feasibility of providing EHR-based care planning, measured by the EHR | Measured by survivor access to SCPs, per the EHR | 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) | 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) | Up to 2 years | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
BrCa, PrCa, CRCa