Clinical Practice Network

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 可扩展的远程保健癌症护理(STELLA)中心的研究计划，然后翻译研究结果 全面的癌症护理。该中心的研究计划可以被视为填补知识空白 关于如何优化癌症护理社会技术系统，为肥胖症提供远程医疗治疗， 癌症患者和癌症幸存者的缺乏运动和烟草使用，以最大限度地增加癌症 护理可获得性、质量、患者与临床医生之间的沟通以及癌症治疗结果。该网络将 利用我们为以人群为基础的卢里癌症中心建立的相同的临床实践网络 戒烟计划，自2005年以来一直是NCI癌症中心戒烟倡议(C3I)的一部分 2018年。我们的实践网络将包括4个西北医学(NM)地区的11家医院 (中部、北部、西北、西部)。NM的52个肿瘤科诊所完全集成在一个远程医疗系统中 基础设施(Doximity)、单一EHR系统(EPIC)以及单一、全面和集成的 所有临床和研究数据的存储库(企业数据仓库)。临床实践网络 将与中心密切合作，实施和维护该中心的电子和临床基础设施 管理、研究和方法核心，并与管理人员、质量领导者、肿瘤学临床和 操作领导和护士领航员横跨新墨西哥州。临床实践网络将包括两个工作 促进实施Stella的远程健康研究计划的团体。它的技术方面 基础架构工作流团队将执行优化，该团队将与患者门户Epic保持一致 (MyChart)，以及系统的可穿戴和应用程序组件，以支持无缝集成 星际所需的技术。优化的人的方面将由 利益相关者/临床工作流团队，将癌症风险行为的治疗无缝整合到现有 提供癌症护理服务的工作流程。在政策咨询小组和内部咨询委员会的指导下， 临床实践网络将开展Stella Center的先导研究和务实临床试验。这些遗嘱， 反过来，提供强大的证据基础来推动可持续远程医疗的转换和集成 北卡罗来纳州癌症危险行为的治疗。

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.