Survivorship Care Plans in a Community Oncology Practice

Completed

• Conditions: Breast Cancer; Colorectal Cancer; Prostate Cancer
• Interventions: Behavioral: Survey

• Registration Number: NCT03028584
• Lead Sponsor: University of Wisconsin, Madison

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).

Study Timeline

• Study First Submitted: 2016-11-10
• Study First Submitted QC: 2017-01-19
• Study First Posted: 2017-01-23
• Study Start: 2017-09-11
• Primary Completion: 2018-02-28
• Study Completion: 2018-03-23
• Status Verified: 2018-10
• Last Update Submitted: 2019-11-14
• Last Update Posted: 2019-11-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Clinicians	Survey	Observe up to N=10 clinicians. Observations will include: 1. 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 2. 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 3. Clinician seeking survivorship related information or resources through use of technology or discussion with other clinicians 4. 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
Clinicians and Patients	Survey	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.

Primary Outcome Measures

Name	Time	Method
EHR-based SCPs and care planning	Up to 2 years	Asses whether barriers to EHR-based SCPs and care planning have been mitigated, based on clinician survey.

Secondary Outcome Measures

Name	Time	Method
Feasibility of providing EHR-based care planning, measured by the EHR	Up to 2 years	Measured by survivor access to SCPs, per the EHR
Self-reported change in satisfaction, using survey	Up to 2 years	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)
Feasibility of providing EHR-based care planning, measured by SCP provision rates	Up to 2 years	Measured by SCP provision rates (percentage of survivors with EHR-based SCPs)
Impact of providing EHR-based care planning	Up to 2 years	Measured by reported SCP usability, usefulness, and content (assessed prior to and at 4 weeks after SCP provision)

Trial Locations

Locations (1)

UW Cancer Center at ProHealth Care; 🇺🇸 Waukesha, Wisconsin, United States