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Leveraging Patient Reported Outcomes Measurement via the Electronic Health Record to Connect Patients with Cancer to Smoking Cessation Treatment

Author

Listed:
  • Julia R. May

    (Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
    Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL 60611, USA)

  • Elizabeth Klass

    (Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
    Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL 60611, USA)

  • Kristina Davis

    (Quality Innovation Center, Northwestern Medicine, Chicago, IL 60611, USA)

  • Timothy Pearman

    (Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL 60611, USA
    Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA)

  • Steven Rittmeyer

    (Information Systems, Northwestern Medicine, Chicago, IL 60611, USA)

  • Sheetal Kircher

    (Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL 60611, USA)

  • Brian Hitsman

    (Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
    Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL 60611, USA)

Abstract

Tobacco use negatively impacts cancer treatment outcomes, yet too few providers actively support their patients in quitting. Barriers to consistently addressing tobacco use and referring to treatment include time constraints and lack of knowledge surrounding treatment options. Patient Reported Outcomes (PRO) measurement is best practice in cancer care and has potential to help address these barriers to tobacco cessation treatment. This descriptive program evaluation study reports preliminary results following implementation of a novel automated PRO tobacco use screener and referral system via the electronic health record (EHR) patient portal (MyChart) that was developed and implemented as a part of a population-based tobacco treatment program at the Robert H. Lurie Comprehensive Cancer Center of Northwestern University. Between 25 June 2019 and 6 April 2020, 4589 unique patients completed the screener and 164 (3.6%) unique patients screened positive for recent (past month) cigarette smoking. All patients who screened positive were automatically referred to a smoking cessation treatment program integrated within the Lurie Cancer Center, and 71 (49.7%) patients engaged in treatment, as defined by completing at least one behavioral counseling session. Preliminary results indicate that the PRO/MyChart system may improve smoker identification and increase offering of treatment and, despite the “cold call” following a positive screen, may result in a treatment engagement rate that is higher than rates of treatment engagement previously documented in oncology settings. Longer term evaluation with formal statistical testing is needed before drawing conclusions regarding effectiveness, but PRO measurement via the EHR patient portal may serve a potentially important role in a multi-component approach to reaching and engaging cancer patients in comprehensive tobacco cessation treatment.

Suggested Citation

  • Julia R. May & Elizabeth Klass & Kristina Davis & Timothy Pearman & Steven Rittmeyer & Sheetal Kircher & Brian Hitsman, 2020. "Leveraging Patient Reported Outcomes Measurement via the Electronic Health Record to Connect Patients with Cancer to Smoking Cessation Treatment," IJERPH, MDPI, vol. 17(14), pages 1-13, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:5034-:d:383945
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    References listed on IDEAS

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    1. Colleen Meyer & Sara Mitra & Ellen Ruebush & Laurel Sisler & Kyle Wang & Adam O. Goldstein, 2020. "A Lean Quality Improvement Initiative to Enhance Tobacco Use Treatment in a Cancer Hospital," IJERPH, MDPI, vol. 17(6), pages 1-9, March.
    2. Christine E. Sheffer & Jeffrey S. Stein & Cara Petrucci & Martin C. Mahoney & Shirley Johnson & Pamela Giesie & Ellen Carl & Laurie Krupski & Allison N. Tegge & Mary E. Reid & Warren K. Bickel & Andre, 2020. "Tobacco Dependence Treatment in Oncology: Initial Patient Clinical Characteristics and Outcomes from Roswell Park Comprehensive Cancer Center," IJERPH, MDPI, vol. 17(11), pages 1-15, May.
    3. Kathleen Gali & Brittany Pike & Matthew S. Kendra & Cindy Tran & Priya Fielding-Singh & Kayla Jimenez & Rachelle Mirkin & Judith J. Prochaska, 2020. "Integration of Tobacco Treatment Services into Cancer Care at Stanford," IJERPH, MDPI, vol. 17(6), pages 1-10, March.
    4. Thulasee Jose & Joshua W. Ohde & J. Taylor Hays & Michael V. Burke & David O. Warner, 2020. "Design and Pilot Implementation of an Electronic Health Record-Based System to Automatically Refer Cancer Patients to Tobacco Use Treatment," IJERPH, MDPI, vol. 17(11), pages 1-11, June.
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    Cited by:

    1. Chineme Enyioha & Graham W. Warren & Glen D. Morgan & Adam O. Goldstein, 2020. "Tobacco Use and Treatment among Cancer Survivors," IJERPH, MDPI, vol. 17(23), pages 1-7, December.

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