The development of national learning collaborative for ePRO enabled RSM in oncology: insights for co-implementation

Area of Science:

• Implementation Science
• Healthcare Innovation
• Oncology

Background:

• Learning collaboratives are key for spreading complex innovations.
• The OncoPRO initiative studied the development of such a collaborative for remote symptom monitoring (RSM) using electronic patient-reported outcomes (ePROs) in oncology.
• Understanding collaborative development is crucial for sustained healthcare initiatives.

Purpose of the Study:

• To examine the development and first year of the OncoPRO national learning collaborative.
• To identify cross-organizational barriers and implementation strategies used.
• To provide insights into building and sustaining learning collaboratives for complex interventions.

Main Methods:

• A multi-methods implementation science approach was used.
• Data collected from conception through year 1 (March 2023-December 2024) from 12 health systems.
• Barriers and strategies were identified and categorized using CFIR 2.0 and ERIC frameworks.

Main Results:

• 29 barriers and 37 implementation strategies were identified.
• Strategies were organized into six domains supporting collaborative development and implementation.
• Early broad strategies built a foundation, while later specific strategies supported operationalization and quality improvement.

Conclusions:

• The study describes the initial development of a national learning collaborative for ePRO-enabled RSM in oncology.
• It offers a case study and roadmap for developing large-scale collaboratives.
• This analysis supports future research on implementation variation and strategy effectiveness.