Supportive care plans: Harnessing technology & patient-reported outcomes to drive quality care across the cancer continuum

Supportive Care Plans: Harnessing Technology and Patient-Reported Outcomes to Drive Quality Care Across the Cancer Continuum

Jeannine Brant, PhD, RN¹; Carrie Tompkins Stricker, PhD, RN²; William Dudley, PhD³; Paul Jacobsen, PhD⁴.

¹ Clinic Cancer Center (Billings, MO); ² On Q Health, Inc., (Miami, FL); ³ Piedmont Research Strategies (Greensboro, NC), ⁴ Moffitt Cancer Center (Tampa, FL)
* study partially funded by On Q Health, Inc.

Originally presented at ASCO Quality 2014.

Background

Cancer care is increasingly complex and clinicians lack time to stay current on evolving evidence and resources to implement quality standards. Health information technology solutions have proliferated, including electronic patient-reported outcome (ePRO) and care pathway technologies, but adoption has been slow. The goal of this study is to explore feasibility, usability, and acceptability of incorporating a novel supportive care planning technology into clinic workflow. The On Q Care Planning System™ (CPS) collects ePRO and clinical data to generate a personalized supportive care plan aligned with quality care standards and current evidence. Plans promote selfmanagement and patient-provider communication.

Method

Billings Clinic (a comprehensive community cancer center), and Moffit Cancer Center (a NCI-designated comprehensive cancer center).

• 100 patients and their providers will participate;
• 50 women with gynecological cancers on chemotherapy
• 50 women post-active treatment for breast cancer.

Patients complete an ePRO assessment and are given an electronically generated, personalized supportive care plan by their providers during office visit(s) over a 3-month period. Study outcomes evaluated at baseline and 6 weeks include:

• Feasibility/usability of the platform (patient/provider
• Post-test only; surveys/platform statistics)
• Patient satisfaction with care (pre/post-test; CG-CAHPS)
• Adherence to care plan recommendations (post-test survey).

Conclusions

• The On Q Care Planning System™ in a novel supportive care planning technology developed to improve care processes and patient outcomes through the delivery of personalized electronic care plans.
• Preliminary analysis supports high patient and provider satisfaction including improvements in patient-provider communication.
• Conducting ongoing examination of impact of On Q CPS on quality metrics

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