Polaris Oncology Survivor Transition (POST) System

描述(由申请人提供)：医学研究所(IOM)强烈建议所有正在结束积极治疗的乳腺癌患者都有一个“生存计划”。这样的计划应该帮助患者回到他们的初级保健医生(PCP)那里，为降低癌症复发或新癌症发展的风险提供建议，并解决癌症和癌症治疗的剩余心理社会挑战和后遗症。然而，由于肿瘤学提供者通常非常忙，一个全面的计划经常被忽视。这一点变得更加紧迫，因为美国外科医生学会(ACS)发布的新标准要求提供证据，证明从2015年开始的认证计划的生存计划。北极星健康方向(小企业)和马萨诸塞大学医学院(马萨诸塞州大学，研究所)合作，通过北极星肿瘤幸存者过渡(POST)系统解决生存规划不佳的问题。该职位将混合来自肿瘤学团队和患者自我评估的意见，为肿瘤学提供者、PCP和患者创建生存计划的版本。每个版本将包含以下部分，但长度和具体内容将由最终用户的需求决定：(1)病史和肿瘤治疗摘要；(2)列出未来12个月的测试和医疗预约的医疗计划；(3)与心理社会和身体功能有关的个人定制教育信息和转介，包括为那些报告严重痛苦的人提供传真转介至精神健康提供者的选项；(4)与可能提高生活质量和降低复发机会的健康行为有关的建议和资源链接；以及(5)支持性护理的建议和转介，包括协助灵性和经济问题的资源。最后，患者将在后续肿瘤科预约时完成更新评估，该计划将根据新的信息进行调整。第一阶段的具体目标是(1)设计和构建软件的原型，(2)进行现场测试，与乳腺癌患者和他们的临床医生反复改进原型，直到软件满足目标评估标准(n~30)。这一职位具有很高的创新性，因为它将是第一个产生完全反映国际移民组织和ACS要求的量身定制的生存计划的系统。此外，它将是第一个与电子病历进行双向交流的生存系统，由提供者和患者的输入驱动，允许更新以反映患者病情随时间的变化，并涵盖医疗和心理社会摘要。由于初级保健医生目前从肿瘤学团队收到的信息很少或根本没有，因此邮局为满足初级保健医生的需求而量身定做的生存计划的传递是开创性的。该职位的商业化潜力很大，因为它可以改善患者的健康，帮助提供者更容易地履行基本职能，并帮助组织遵守监管标准。北极星已经凭借其困境管理产品在目标市场建立了强大的影响力。

DESCRIPTION (provided by applicant): The Institute of Medicine (IOM) strongly recommends that all breast cancer patients who are ending active treatment have a "survivorship plan." Such a plan should assist patients in moving back to their primary care physician (PCP), provide advice for reducing risk for cancer recurrence or new cancer development, and address the remaining psychosocial challenges and aftereffects of cancer and cancer treatment. However, because oncology providers are usually very busy, a comprehensive plan is often neglected. This has taken on heightened urgency because new standards published by American College of Surgeons (ACS) require evidence of survivorship planning for accreditation beginning in 2015. Polaris Health Directions (Small Business) and the University of Massachusetts Medical School (UMass, Research Institute) have partnered to solve the problem of poor survivorship planning with the Polaris Oncology Survivor Transition (POST) system. The POST will blend input from the oncology team and a patient self-assessment to create versions of a Survivorship Plan for the oncology provider, PCP, and patient. Each version will contain the following components, but the length and specific content will be dictated by the needs of the end-user: (1) a medical history and oncology treatment summary; (2) a medical plan that lists testing and medical appointments for the next 12 months; (3) personally tailored educational information and referrals related to psychosocial and physical functioning, including the option of a faxed referral to mental health provider for those reporting significant distress; (4) recommendations and resource links pertaining to health behaviors that may improve quality of life and reduce the chance of recurrence; and (5) recommendations and referrals for supportive care, including resources to assist with spirituality and financial concerns. Finally, patients will complete updat assessments at follow up oncology appointments, and the Plan will be adjusted based on new information. The specific aims of Phase 1 are to (1) design and build a prototype of the software, and (2) conduct a field test, refining the prototype iteratively with breast cancer patients and their clinicians until the software meets the target evaluation criteria (n~30). The POST is highly innovative as it will be the first system to produce tailored survivorship plans fuly reflecting IOM and ACS requirements. Furthermore, it will be the first survivorship system to communicate bi-directionally with the EHR, to be driven by both provider and patient input, to allow updates to reflect changes in the patient's condition over time, and to encompass both a medical and a psychosocial summary. Since PCPs currently receive little or no information from the oncology team, the POST's transmission of a Survivorship Plan tailored to meet the PCP's needs is pioneering. The POST's commercialization potential is strong as it can lead to improvements in patient health, help providers perform essential functions more easily and assist organizations in complying with the regulatory standards. Polaris has already established a strong presence in the target market with its distress management product.