iDAPT: Implementation and Informatics - Developing Adaptable Processes and Technologies for Cancer Control

项目摘要 iDAPT的实施实验室将支持新兴的主题，利用技术支持快速循环 以及癌症控制中的实施过程和适应的真实的时间部署和测试。的 实验室将通过三个不同但相互关联的目标来实现这一目标。首先，iDAPT的开发中心将现有 与初级保健和肿瘤诊所的关系代表了地理位置、诊所 结构和患者群体利用轴辐式框架。实验室将从中心开始， 我们在北卡罗来纳州的两个中心（维克森林浸信会健康网络和 维克森林浸信会综合癌症中心）和马萨诸塞州（马萨诸塞大学纪念健康中心，马萨诸塞大学- Baystate和Reliant Medical Group）。实验室将与我们的分支协作发展：现有的虚拟 网络，包括附属于维克森林国家社区的社区肿瘤诊所 肿瘤学研究计划（NCORP）研究基地（超过900个诊所）和退伍军人健康 隶属于VA电子健康质量增强研究计划（eQUERI-a）的管理诊所 由UMMS/VA双重调查员领导的国家实施科学倡议）。二是实行 实验室将提供关键的基础设施，以促进癌症的快速启动和成功进行 与实验室成员优先事项和iDAPT一致的预防和控制实施和方法研究 新兴主题。第三，执行实验室将维持一个数据管理股和实践股， 监督部门确保科学严谨性，确定最佳实践，并为中心资源的完善提供信息 来维持实验室iDAPT的实施实验室建立在现有的强大的 临床创新的基础设施，以及对评估的支持。实验室基础设施将强调共享 与位于维克森林和马萨诸塞大学的共同PI一起治理，在以下方面具有互补的专业知识和经验： 中心辐射式站点、最先进的数据管理和有目的的程序化监控。的 实施实验室将与行政核心和研究计划密切合作，以确保 iDAPT开发中心的成功。

PROJECT SUMMARY iDAPT’s Implementation Laboratory will support the emerging theme to use technology to support rapid cycle and real time deployment and testing of implementation processes and adaptations in cancer control. The Laboratory will do so via three distinct, yet interrelated Aims. First, iDAPT’s Developing Center will existing relationships with primary care and oncology clinics representing diversity in terms of geographic locations, clinic structure, and patient populations utilizing a Hub and Spokes framework. The Lab will start in Hubs, geographically co-located clinics at our two hubs in North Carolina (Wake Forest Baptist Health Network and Wake Forest Baptist Comprehensive Cancer Center) and Massachusetts (UMass Memorial Health, UMass- Baystate, and Reliant Medical Group). The Lab will grow in collaboration with our Spokes: existing virtual networks, including community-based oncology clinics affiliated with the Wake Forest National Community Oncology Research Program (NCORP) Research Base (over 900 total clinics) and the Veterans Health Administration clinics affiliated with the VA eHealth Quality Enhancement Research Initiative (eQUERI - a national implementation science initiative led by UMMS/VA dual investigators). Second, the Implementation Laboratory will provide critical infrastructure to facilitate the rapid initiation and successful conduct of cancer prevention and control implementation and methods studies concordant with Lab Member priorities and iDAPT’s emerging theme. Third, the Implementation Laboratory will maintain a Data Management Unit and Practice Surveillance Unit to ensure scientific rigor, identify best practices, and inform the refinement of Center resources to maintain and sustain the Lab. iDAPT’s Implementation Laboratory builds upon an existing robust infrastructure for clinical innovations, and support for evaluation. Lab infrastructure will emphasize shared governance with co-PIs located at Wake Forest and UMass with complementary expertise and experiences in the Hub and Spoke sites, state-of-the-art data management, and purposeful programmatic surveillance. The Implementation Laboratory will work closely with the Administrative Core and the Research Program to ensure the success of the iDAPT Developing Center.