Table 1.

Components of the eCCM in the IePRO model of care

Components of the eCCM	Related element of the IePRO model of care	Description
Self-management support (SMS)	Electronic mobile application	The electronic mobile application containing the ePROM: • Communicates patient-reported data in real time • Engages patients with automated reminders to encourage self-assessment of symptoms • Provides patients with a chart portraying the evolution of their symptoms over time
	Telephone triage process	SMS is provided to patients by the triage nurses using the French translation of the UKONS 24-hour triage tool and available internal and international guidelines in symptom and IrAE management.
Delivery system design (DSD)	Redesigned care coordination	• Triage nurses call patients in the event of a new or worsening symptom and administer self-care and self-management support via telephone call. • Symptoms are relayed to the oncology care team via e-mail or telephone call, according to UKONS 24-hour triage tool recommendations. • The triage process is documented in the patient’s EHR. • Follow-up measures put in place are communicated with the broader team using e-mail.
Clinical decision support (CDS)	Telephone triage algorithm	The UKONS 24-hour triage tool algorithm outputs actionable recommendations for self-care and self-monitoring of symptoms, with clear clinical management guidance including if an in-person assessment is recommended.
	Internal symptom management guidelines	Both sites have internal evidence-based symptom management guidelines, based on international guidelines that support clinicians when reviewing the recommendations issued from the triage algorithm.
Clinical information systems (CIS)	Telephone triage report	EHR notes are standardized according to the contents of the triage log form of the UKONS 24-hour triage tool, enabling access to triage reports by all healthcare providers.
eHealth education (eHE)	Patient eHealth education	Patients are guided in the use of the electronic application and the extent of its functionality. Introductory information flyer is provided, and further education is provided in-person or over the phone by nurses.
	Provider eHealth education	Providers were trained in the use of the UKONS 24-hour telephone triage tool and on the use of the ePROM application to monitor patient-reported symptoms.