SBIR Topic 246 - Integrating Patient-Reported Outcomes in Hospice and Palliative

我们的技术目标侧重于识别和克服利益相关者和技术障碍，将电子患者报告的结果整合到姑息治疗和临终关怀服务中。我们将与大型综合交付网络合作，从关键利益相关者（例如肿瘤学家，护士，临床支持人员和患者）的角度确定在姑息治疗和临终关怀实践中接受和采用ePRO评估的障碍。我们将与提供者和患者一起测试姑息治疗和临终关怀ePRO评估系统的工作原型。我们将开发运营和技术解决方案，以解决供应商确定的障碍。我们将开发基于ePRO的疼痛管理改进模型。然后，我们将在与主要利益相关者的第二轮焦点小组中测试和验证我们的解决方案。最后，我们将制定一个计划，将ePRO完全整合到姑息治疗和临终关怀实践中，并制定一个评估计划，在第二阶段研究中测试该系统。

Our technical objectives focus on identifying and overcoming stakeholder and technical barriers to integration of electronic patient-reported outcomes in palliative care and hospice services for cancer care. We will collaborate with a large integrated delivery network to identify, from the perspective of key stakeholders (e.g. oncologists, nurses, clinical support staff, and patients), barriers to acceptance and adoption of ePRO assessment in palliative care and hospice practice. We will test a working prototype of a palliative care and hospice ePRO assessment system with providers and patients. We will develop operational and technical solutions to stakeholder-identified barriers. We will develop a model for ePRO-based pain management improvement. We will then test and validate our solutions in a second round of focus groups with key stakeholders. Finally, we will develop a plan for full integration of ePRO into palliative care and hospice practice, and develop an evaluation plan for testing the system in a Phase II study.