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TELeheaLth癌症护理（STELLAR）中心的研究计划，然后翻译研究结果 全面的癌症治疗。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， 缺乏身体活动和烟草使用在癌症患者和癌症幸存者的方式，最大限度地提高癌症 护理可及性、质量、患者-临床医生沟通和癌症治疗结果。该网络将 利用我们为基于人口的Lurie癌症中心建立的相同临床实践网络 戒烟计划，这一直是NCI癌症中心戒烟倡议（C3 I）的一部分，自 2018.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、西北部、西部）。NM的52个肿瘤诊所完全集成了一个单一的远程医疗 基础设施（Doximity），单一的EHR系统（Epic），以及单一的，全面的，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 将实施和维护该中心的电子和临床基础设施，与 行政和研究和方法核心，与管理人员，质量负责人，肿瘤学临床和 手术负责人和护士导航员。临床实践网络将包括两个工作 小组，以促进STELLAR的远程医疗研究计划的实施。技术方面， 优化将由基础设施工作流团队执行，该团队将与Epic（患者门户）保持一致 （MyChart），以及系统的可穿戴和应用程序组件，以支持 恒星需要的技术。优化的人的方面将由 利益相关者/临床工作流程团队，将癌症风险行为的治疗与现有的 癌症护理交付的工作流程。在政策咨询小组和内部咨询委员会的指导下， 临床实践网络将安装STELLAR中心的试点研究和务实的临床试验。这些会， 反过来，提供一个强大的证据基础，以推动可持续远程医疗的转化和整合 治疗NM的癌症风险行为。

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.