A5090764678- Economic and Financial Impacts of Cancer
- Global Cancer Incidence and Screening
- Electronic Health Records Systems
- Head and Neck Cancer Studies
- Cancer survivorship and care
- Medication Adherence and Compliance
- Interpreting and Communication in Healthcare
- Colorectal Cancer Screening and Detection
- Mobile Health and mHealth Applications
- Health Systems, Economic Evaluations, Quality of Life
- Medical Coding and Health Information
- Technology Use by Older Adults
- Translation Studies and Practices
- Cancer Immunotherapy and Biomarkers
- Clinical practice guidelines implementation
- Medical Research and Treatments
- Text Readability and Simplification
- Healthcare Systems and Technology
- Genetic factors in colorectal cancer
- Quality and Safety in Healthcare
- Kidney Stones and Urolithiasis Treatments
- Multiple and Secondary Primary Cancers
- Healthcare Technology and Patient Monitoring
- Chronic Disease Management Strategies
- Telemedicine and Telehealth Implementation
Dana-Farber Cancer Institute
2017-2023
Northeastern University
2018
Introduction Developing an optimized and user-friendly mHealth application for patients family members in the hospital environment presents unique challenges given diverse patient population patients' various states of well-being. Objective This article describes user-centered design methods results developing facing user interface functionality MySafeCare, a safety reporting tool hospitalized their members. Methods Individual group usability sessions were conducted with specific testing...
Purpose: Nine months after the implementation of a new electronic medical record (EMR) system at single institution, physicians (MDs), nurse practitioners (NPs), and physician assistants (PAs) expressed frustration with its use. We aimed to test if an individually tailored training approach reduced time spent EMR increased confidence. Materials Methods: Two hours were conducted in one-on-one manner trainer. Content was individualized according following: provider survey, utilization profile,...
<h3>Importance</h3> Measurement of the quality care is important for alternative payment models in oncology, yet ability to distinguish high-quality from low-quality across oncology practices remains uncertain. <h3>Objective</h3> To assess reliability cancer measures using registry and claims-based process, utilization, end-of-life (EOL) care, survival, correlations practice-level performance measure types. <h3>Design, Setting, Participants</h3> This cross-sectional study used Surveillance,...
<h3>Importance</h3> Often electronic tools are built with English proficient (EP) patients in mind. Cancer limited proficiency (LEP) experience gaps care and at risk for excess toxic effects if they unable to effectively communicate their team. <h3>Objective</h3> To evaluate whether patient-reported outcome (ePROs) improve health outcomes EP might also be acceptable LEP the context of oral cancer-directed therapies (OCDT). <h3>Design, Setting, Participants</h3> This qualitative study was...
7038 Background: Health literacy and numeracy are essential for patients to make informed cancer treatment decisions. Oncologists do not typically evaluate vary in their ability adapt health discussions meet patients’ needs. Systematic ascertainment of may provide oncologists with useful information help guide initial oncology consultations. Methods: We deploy an electronic new patient intake questionnaire (NPIQ) that includes numeracy, basic demographics risk screening. Patients considered...
COUTURE, BRITTANY BS; CLEVELAND, JESSICA ERGAI, AWATEF PHD; KATSULIS, ZACHARY ICHIHARA, NAOAKI MD, PHD, MPH; GOODWIN, ALICIA BA; SMITH, ANN DEBORD MD,MPH; GERSHANIK, ESTEBAN MPH, MMSC; CHANG, FRANK MSE; COLLINS, SARAH A RN
DFCI feasibility study shows patients on oral anticancer Rx's use EHR-embedded ePROs, but there is room to improve.
10503 Background: Lynch syndrome (LS) is the most common inherited cause of colorectal (CRC) and endometrial cancers. Significant provider institutional level barriers limit LS detection, even in oncology patients with LS-associated PREMM5 a validated tool based on personal family cancer history that recommended by national professional societies for risk assessment. This project’s goal was to study feasibility patient-facing assessment using screener embedded an electronic health record...
Abstract Objective As part of ongoing implementation electronic patient-reported outcome tools at the Dana-Farber Cancer Institute, here we describe development New Patient Intake Questionnaire. Materials and Methods The original Questionnaire includes a review symptoms, oncology history, family health behaviors, social status, literacy numeracy, which was modified for integration into EHR using content determination, build configuration, implementation, analytics, interventions. engagement...
12115 Background: Monitoring electronic patient reported outcomes (ePROs) has demonstrated impact on quality of life and survival in oncology. Maintaining high response rates to ePRO measures is critical routine care. We evaluate the care implementation head neck oncology (HNO)-focused ePROs demographics assignment method rate. Methods: Since October 2021, patients diagnosed with cancer (PHN) at Dana-Farber Cancer Institute (DFCI) have had opportunity respond EHR-integrated European...
Abstract Purpose: As access to cancer care expands in sub-Saharan Africa, it is essential develop strategies examine and improve quality. We designed implemented a quality improvement (QI) training mentorship program for clinicians at Butaro Cancer Center of Excellence (BCCOE) Rwanda foster culture continual improvement. report our early experience. Methods: The BCCOE QI curriculum was adapted from programs Dana-Farber Institute Partners In Health-Rwanda included didactic training, mentored...
Errors, an everyday concern in virtually all organizations, are occasionally attributed to heavy workload. In this paper we re-examined the relationship between workload and errors. While it is usually assumed that workloads lead increased frequency of errors, explore counterintuitive experience diminished error rates such work conditions. absence acceptable theoretical explanation, commonly a measurement flaw form incomplete or reporting. We draw on new advanced sensor-based data collection...
123 Background: The increasing use of Electronic Medical Records (EMR) has been coupled with a growing focus on physician dissatisfaction. A recent study revealed physicians spend twice as much time working the EMR and related tasks they patients. Physicians also spent at night EMR-related work. Nine months after implementation new Dana-Farber Cancer Institute, providers expressed frustration burden. Following three group training sessions, requested individualized training. We sought to...
You have accessJournal of UrologyEndourology & Nephrolithiasis (V01)1 Apr 2019Endourology (V01) View All Author Informationhttps://doi.org/10.1097/01.JU.0000558530.45096.9dAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April Advertisement Copyright Permissions© Inc.MetricsAuthor Information...
2073 Background: Alternative payment models for oncology seek to improve quality and reduce spending. Yet the ability measure high-quality care across practices remains uncertain. We characterized of using registry claims-based measures processes, utilization, end-of-life care, survival assessed correlations practice-level performance type cancers. Methods: Using SEER-Medicare data, we studied individuals with newly diagnosed lung (N = 95,635), breast 78,736), or colorectal (CRC, N 51,385)...
e19117 Background: Systematic review of electronic patient reported outcomes (ePRO) has been shown to improve quality life and overall survival in clinical trial. We previously demonstrated feasibility ePRO across Dana-Farber Cancer Institute (DFCI). sought examine the distribution frequency first symptomatic adverse events (SAEs) among responders ambulatory oncology practice. Methods: The tool uses validated NCI developed Patient Reported Outcomes – Common Terminology Criteria for Adverse...
Abstract Introduction: Leveraging electronic Patient Reported Outcomes (ePRO) improves cancer care delivery by reducing ED visits/hospitalizations and increasing overall survival. Yet little is known patient-reported outcomes or association with visits following immunotherapy. Here, we describe systematic ePRO collection using 15 core symptoms via the validated - Common Terminology Criteria for Adverse Events (PRO-CTCAE) tool among pts prescribed anti-CTLA4/PD-1/L-1 antibody immunotherapy GI...
107 Background: About 30 million people in the US report Limited-English Proficiency (LEP). LEP cancer pts are less likely to understand their medical condition(s) and at increased risk of LHL, emergency department (ED) visits or hospitalizations. We examined relationship between LEP, ED visits/hospitalization oncology. Methods: Dana-Farber Cancer Institute’s New Pt Intake Questionnaire (NPIQ) documents clinical social determinants health, including LHL. Pts reported LHL if they responded “a...
e13509 Background: Patients receiving oral cancer directed therapy (OCDT) may be at greater risk of toxicity and non-adherence than those on intravenous treatments. Electronic patient reported outcomes (ePROs) have the potential to mitigate risks by alerting clinicians status between visits, prompting earlier intervention. Best practices for ePROs implementation are not yet defined. We sought demonstrate feasibility visits patients OCDT both without with asynchronous nursing triage calls...
178 Background: The social determinants of health contribute to patient (pt) status throughout the cancer care continuum. Here we describe preliminary results RESOURCE, a pragmatic intervention ID and intervene on pt resource needs at an academic oncology center. RESOURCE is EHR-integrated questionnaire (qst), given when establishing care, that IDs following needs: transportation; financial, food, & housing security; cost care; education employment; caregiving burden. Pts from HUP...
463 Background: In clinical trials, the systematic collection of patient (pt) reported outcomes has been shown to improve quality life & overall survival. To develop predictive care models for symptom management, we explored frequency distribution SAEs by pts who electronic (ePRO) prior outpatient visits Gastrointestinal Cancer Center (GCC) at Dana Farber Institute (DFCI). Methods: ePRO is a modified NCI Patient Reported Outcomes – Common Terminology Criteria Adverse Events instrument...