Clinical Practice Network

临床实践网络

基本信息

批准号：
10682527
负责人：
Brian L Hitsman
金额：
$ 17.8万
依托单位：
NORTHWESTERN UNIVERSITY AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-08-01 至 2027-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10682527
关键词：
Administrator Adopted Budgets Cancer Center Cancer Patient Cancer Survivor Caring Clinic Clinical Clinical Oncology Collaborations Communication Data Data Collection Decision Making Electronic Health Record Electronics Enrollment Ensure Health Health Promotion Health Services Accessibility Healthcare promotion Hospitals Human Individual Infrastructure Institutional Review Boards Intervention Knowledge Malignant Neoplasms Medicine Monitor Nature Nurses Oncology Outcome Patients Pilot Projects Policies Pragmatic clinical trial Provider Quality of Care Randomized, Controlled Trials Research Research Methodology Research Project Grants Research Support Risk Behaviors Safety Services Site System Technology Tobacco Use Cessation Tobacco use Translating Translations Treatment outcome Work cancer care cancer risk cancer therapy care delivery clinical infrastructure clinical practice data warehouse digital electronic health record system evidence base health disparity implementation facilitation obesity treatment operation patient health information patient portal patient-clinician communication physical inactivity population based pragmatic trial preference programs repository telehealth tool trial design working group

项目摘要

Abstract – Clinical Practice Network The Clinical Practice Network is the vehicle that will facilitate clinical intervention and data collection for the Scalable TELeheaLth Cancer CARe (STELLAR) Center’s research program and then translate study findings into comprehensive cancer care. The Center’s research program can be seen as filling gaps in knowledge about how to optimize the cancer care sociotechnical system to deliver telehealth treatment for obesity, physical inactivity, and tobacco use in cancer patients and cancer survivors in a manner that maximizes cancer care access, quality, patient-clinician communication, and cancer treatment outcomes. The network will leverage the same clinical practice network that we established for the population-based Lurie Cancer Center Tobacco Cessation Program, which has been part of the NCI Cancer Center Cessation Initiative (C3I) since 2018. Our practice network will comprise 11 hospitals across the 4 Northwestern Medicine (NM) Regions (Central, North, Northwest, West). NM’s 52 oncology clinics are fully integrated by a single telehealth infrastructure (Doximity), a single EHR-system (Epic), and a single, comprehensive, and integrhoated repository of all clinical and research data (Enterprise Data Warehouse). The Clinical Practice Network will implement and maintain the Center’s electronic and clinical infrastructure in close collaboration with the Administrative and Research and Methods Core and with administrators, quality leaders, oncology clinical and operations leads, and nurse navigators across NM. The Clinical Practice Network will include two working groups to facilitate the implementation of STELLAR’s telehealth research program. The technical aspect of this optimization will be carried out by the Infrastructure Workflow Team that will align Epic, the patient portal (MyChart), and the wearable and app components of the system to support seamless integration of technologies needed for STELLAR. The human aspect of the optimization will be carried out by a Stakeholder/Clinical Workflow Team that will align treatment of cancer risk behaviors seamlessly into existing workflows for cancer care delivery. Guided by the Policy Advisory Group and Internal Advisory Board, the Clinical Practice Network will mount STELLAR Center’s Pilot Studies and Pragmatic Clinical Trial. These will, in turn, provide a robust evidence base to drive the translation and the integration of sustainable telehealth treatment of cancer risk behaviors across NM.

摘要 – 临床实践网络临床实践网络是促进临床干预和数据收集的工具可扩展的 TELEheaLth Cancer Care (STELLAR) 中心的研究计划，然后转化研究结果该中心的研究项目可以被视为填补了知识空白。关于如何优化癌症护理社会技术系统以提供肥胖症的远程医疗治疗，癌症患者和癌症幸存者缺乏身体活动和吸烟，从而使癌症最大化该网络将提供护理服务、质量、患者与临床医生的沟通以及癌症治疗结果。利用我们为以人群为基础的卢里癌症中心建立的相同临床实践网络戒烟计划自成立以来一直是 NCI 癌症中心戒烟计划 (C3I) 的一部分 2018 年。我们的执业网络将包括横跨 4 个西北医学 (NM) 地区的 1 家医院（中部、北部、西北、西部）新墨西哥州的 52 个肿瘤诊所由一个远程医疗完全整合。基础设施 (Doximity)、单一 EHR 系统 (Epic) 以及单一、全面且集成的所有临床和研究数据的存储库（企业数据仓库）。将与以下机构密切合作实施和维护中心的电子和临床基础设施行政、研究和方法核心以及管理人员、质量领导者、肿瘤学临床和新墨西哥州的临床实践网络将包括两名工作主管和护士导航员。促进 STELLAR 远程医疗研究计划的技术方面的实施。优化将由基础设施工作流程团队进行，该团队将与患者门户 Epic 进行调整（MyChart），以及系统的可穿戴和应用程序组件，支持无缝集成 STELLAR 所需的技术将由一个人来进行优化。利益相关者/临床工作流程团队将癌症风险行为的治疗无缝地融入现有的癌症护理服务的工作流程由政策咨询小组和内部咨询委员会指导。临床实践网络将开展 STELLAR 中心的试点研究和实用临床试验。反过来，提供强有力的证据基础来推动可持续远程医疗的转化和整合治疗整个新墨西哥州的癌症风险行为。