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Identifying Patients with Breast Cancer History Using Epic Electronic Health Record.

Sarah J Fadem1, Ayana April-Sanders2, Alicja Bator2

  • 1From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (SJF, AB, JF, JRH, SVH, BFC, DO); Department of Biostatistics & Epidemiology, Rutgers School of Public Health, New Brunswick, NJ (AA-S); RWJBarnabas Health, New Brunswick, NJ (KG); and Rutgers Cancer Institute of New Jersey, New Brunswick, NJ (SVH, BFC, DO). sjf158@rwjms.rutgers.edu.

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PubMed
Summary

Primary care practices can now identify cancer survivors using electronic health record (EHR) reports. This systematic approach improves breast cancer survivorship care delivery and patient registry creation.

Keywords:
Breast CancerCancer SurvivorsElectronic Health RecordsHuman Centered DesignImplementation ScienceMedical InformaticsOrganizational ChangePrimary Health CareQuality ImprovementRegistry Data

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Area of Science:

  • Oncology
  • Primary Care Medicine
  • Health Informatics

Background:

  • Identifying cancer survivors in primary care is challenging for delivering optimal survivorship care.
  • Electronic Health Record (EHR) systems offer potential for systematic patient identification.

Purpose of the Study:

  • To develop and evaluate a process for identifying breast cancer survivors in primary care using EHR reporting.
  • To assess the feasibility and appropriateness of implementing this EHR-based identification tool.

Main Methods:

  • A process using EHR reporting capabilities was developed to identify patients with a history of breast cancer.
  • The intervention was implemented in 13 primary care practices within an integrated health system.
  • End-user feedback guided refinements to the EHR reporting procedure and tool.

Main Results:

  • Primary care practices successfully generated EHR reports identifying patients with a history of breast cancer at practice and clinician levels.
  • Refinements included expanding report access to nonphysicians and adding search criteria based on user feedback.
  • The process demonstrated feasibility and appropriateness for implementation.

Conclusions:

  • System-wide EHR reports and training facilitate informatics skills for primary care teams to manage cancer survivorship care.
  • This method enables the creation of cancer survivor patient registries, applicable to various contexts for evidence-based survivorship care.