Health system organization—create a culture, organization, and mechanisms that promote safe, high-quality care; use strategies aimed at organizational change; obtain support from leadership |
1. How committed do you think the leadership of (cancer center) is to cancer survivorship? |
2. What barriers exist that inhibit the organizational changes necessary at (cancer center) to focus more on the care of cancer survivors? |
3. What challenges have you witnessed at (cancer center) in adding survivorship care to the treatment model? |
Delivery system design—assure the delivery of effective, efficient clinical care and self-management support, case management, treatment summary, care plans, regular follow-up, culturally appropriate care, referral systems |
1. What models of care are being used at your COE? |
2. In what ways, if any, have these models changed over time? |
3. How are survivors evaluated medically and psychologically? |
4. Who does medical record abstraction? |
5. How are patients referred to the survivorship program? |
6. What treatment summary is used to compile data for survivorship care plan? |
Decision support—promote clinical care consistent with scientific evidence and patient preferences; use evidence-based guidelines in daily clinical practice, integrate primary and cancer care, provide education on survivorship |
1. What guides recommendations for clinical surveillance? |
2. How have you engaged other health professionals at your cancer center/hospital in survivorship issues? |
3. What new programs have been developed and added because of the COE, e.g., education for providers? |
Clinical information systems—organize patient and population data to facilitate efficient and effective care; provide reminders for providers and patients re: survivorship care, identify populations in need of survivorship care, use data to track and provide survivorship care |
1. What methods and data systems have you used successfully to track the needs of cancer survivors in the populations your cancer center serves? |
2. How have you evaluated or do you plan on evaluating your survivorship programs? |
Self-management support—empower and prepare patients to manage health and health care; use effective self-management strategies and internal and external community resources to provide self-management support |
1. What guides recommendations for health and wellness education? |
2. What are the most successful health promotion strategies used in your survivorship program? |
3. What new programs have been developed and added because of the COE, e.g., patient education, health promotion? |
Community linkages—mobilize community resources to meet needs of patients; participate in community programs, partnerships with community organizations |
1. What barriers have you found to working with the community? |
2. What experiences has the COE had in working with the community? |
3. What new community programs have been developed and added because of the COE, e.g., clinic, education? |
4. What has been the most helpful strategy for community involvement? |