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Survivorship care planning in a comprehensive cancer center using an implementation framework
Sofia F Garcia1,2,3, Sheetal M Kircher2,4,5, Megan Oden5
1Department of Medical Social Sciences, Northwestern University, Chicago, Illinois, USA. sofia-garcia@northwestern.edu.
The Journal of Community and Supportive Oncology
|June 4, 2016
Summary
This study details the successful implementation of cancer survivorship care plans (SCPs) using a quality improvement framework. The approach integrated clinician and patient feedback to create efficient electronic health record templates, improving survivorship care delivery.
Area of Science:
- Oncology
- Health Services Research
- Implementation Science
Background:
- Cancer survivorship care plans (SCPs) are recommended for enhancing patient care and outcomes.
- Accreditation mandates require SCP delivery for patients completing curative-intent cancer treatment.
- Best practices and efficacy of SCPs require further research.
Purpose of the Study:
- To describe the implementation of routine SCP delivery at a comprehensive cancer center.
- To utilize the Quality Implementation Framework for establishing SCP services.
- To identify and address barriers and facilitators for SCP delivery.
Main Methods:
- Employed the Quality Implementation Framework, including stakeholder engagement (clinicians, patients).
- Developed customized electronic health record (EHR) templates for SCPs.
- Implemented two complementary delivery models: integrated clinic care and centralized survivorship clinic referral.
Main Results:
- Stakeholder input indicated strong support for SCPs and survivorship services.
- Developed five EHR templates (four disease-specific, one generic), reducing manual data entry.
- Achieved a mean SCP completion time of 12 minutes, demonstrating efficiency.
Conclusions:
- The implemented framework facilitates routine SCP delivery and supports ongoing quality improvement.
- Harmonizing delivery models enhances feasibility and leverages existing workflows.
- The approach is scalable for broader implementation across diverse cancer types.
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