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Implementing a Clinical Pathway for Needs Assessment and Supportive Care Interventions.

Nicole L Stout1,2, Catherine M Alfano3,4,5, Raymond Liu6,7

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Implementing a cancer care needs assessment system is crucial for survivors

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Area of Science:

  • Oncology
  • Implementation Science
  • Health Services Research

Background:

  • Cancer survivors often experience persistent issues affecting quality of life and life role participation.
  • Needs assessment is vital for timely connection to supportive services during cancer care.
  • Healthcare systems face challenges in implementing sustainable needs assessment and management systems.

Purpose of the Study:

  • To guide the pragmatic implementation of a clinical needs assessment system in cancer care using an implementation science framework.
  • To outline a four-step approach for successful implementation of needs assessment systems.

Main Methods:

  • Utilized an implementation science framework to guide the process.
  • Identified four key steps: tool selection, addressing multilevel barriers, workflow integration, and value demonstration.
  • Focused on provider, clinic, and healthcare system levels for implementation strengths and barriers.

Main Results:

  • Successful implementation requires careful tool selection and consideration of multilevel factors (provider, clinic, system).
  • Actionable needs assessment involves matching identified needs with clinical workflows.
  • Demonstrating system value is essential for sustainability and long-term adoption.

Conclusions:

  • A structured, four-step implementation science approach can facilitate the adoption of a clinical needs assessment system in cancer care.
  • Addressing multilevel barriers and integrating needs assessment into clinical workflows are critical for success.
  • Demonstrating value is key to ensuring the sustainability of these vital systems for cancer survivors.