Survivorship Care Plans: Strategies to Enhance Patient Utility and Value
Deb Walker, APRN1; Carrie Stricker, PhD, RN2; Amanda Katzman, MSW1; Karen Hammelef, DNP, RN2; SarahLena Panzer, BS2; Ellen Dornelas, PhD1
1Cleveland Clinic Foundation (Cleveland, OH); 2Carevive Systems, Inc. (Miami, FL)
A decade ago the Institute of Medicine recommended that every survivor receive a survivor care plan (SCP) yet despite endorsements of clinical merit, evidence is still evolving regarding SCP utility and value to patients.
This pilot enrolled women who had recently completed active treatment for breast cancer. Patients completed an electronic patient reported outcomes (ePRO) survey via the Carevive Care Planning System (CPS) which is combined with clinical data to electronically generate tailored care plans with survivorship and symptom specific recommendations (i.e. follow-up care, self-management, supportive care referrals). Nurse practitioners conducted a consultative survivorship visit during which patients received their care plan. Patients completed follow-up assessments approximately 6- weeks later.