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Title:      DEVELOPING TEMPLATED CLINICAL NOTES FOR CANCER SURVIVORSHIP CARE
Author(s):      David Wiljer, Aleksandra Chafranskaia, Menaka Pulandiran, Scott Secord, Sara Urowitz, Dave Willson, Pamela Catton
ISBN:      978-972-8939-49-6
Editors:      Mário Macedo
Year:      2011
Edition:      Single
Keywords:      Synoptic, templated notes, cancer survivorship, cost benefit, innovation
Type:      Full Paper
First Page:      3
Last Page:      10
Language:      English
Cover:      cover          
Full Contents:      click to dowload Download
Paper Abstract:      Background: Health Information Technologies (HITs) have the potential to improve clinical care delivery and provide cost-savings. Synoptic reports have been successfully utilized for pathology and surgical reports, and discharge summaries. This project explores the role of synoptic reporting in a Cancer Survivorship Program. Methods: Utilizing the eCancerCare™ model for synoptic reporting, an iterative design approach was utilized for three clinical processes: 1) the internal referral; 2) the survivorship consult and follow-up; and 3) the clinical management of late effects. The system optimizes clinical care, research and patient-provider communication. Results: eCancer Survivorship Program (ESP) is designed to standardize data collection during the survivorship consult with an easy-to-use, click-box approach. Overall, the effect of EPS on the clinical encounter and on the patient experience was positive. Patients found the tool helpful in planning and strategizing within the consults; however, some patients expressed concerns over the computer not being personal enough. The synoptic reporting system yielded significant cost savings by eliminating the need for transcription services and saving clinical time. Conclusions: Synoptic reporting structures have important advantages over traditional clinical notes in several different settings and can be an effective means of capturing both clinical and research relevant data.
   

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