A new proactive virtual resource center navigation model identifies patient risk factors to reduce barriers to cancer care during the COVID-19 pandemic.

Purpose: The COVID-19 pandemic has exacerbated cancer treatment disparities, including accessibility to resources. We describe the process and outcomes of a new proactive, virtual nurse-led, resource center navigation model enhanced by using volunteer patient navigators. Using known patient risk factors, this model provides interventions to reduce barriers to care, with an emphasis on non-English-speaking populations.

Risk stratification and outreach to hematology/oncology patients during the COVID-19 pandemic.

Purpose: Cancer patients have many medical and psychosocial needs, which may increase during the COVID-19 pandemic. We sought to (1) risk-stratify hematology/oncology patients using general medicine and cancer-specific methods to identify those at high risk for acute care utilization, (2) measure the correlation between two risk stratification methods, and (3) perform a telephone-based needs assessment with intervention for high-risk patients.

Methods: Patients were risk-stratified using a general medical health composite score (HCS) and a cancer-specific risk (CSR) stratification based on disease and treatment characteristics.

The Independent Specialty Medical Advocate Model of Patient Navigation and Intermediate Health Outcomes in Newly Diagnosed Cancer Patients.

Background: Navigation programs are generally characterized as providing patient-centered support and guidance intended to help patients and family members overcome barriers such as timely diagnosis resolution, patient satisfaction, coping with primary and adjuvant treatment, management of side effects, and patient engagement in the healthcare process. The aim of this study was to examine the associations between the Independent Specialty Medical Advocate (ISMA) model of patient navigation and intermediate patient health outcomes for newly diagnosed cancer patients.

Methods: A pre-post intervention study was conducted in 26 newly diagnosed cancer patients recruited from a national partnership between the LIVE Cancer Navigation Service Program and the NavigateCancer Foundation between April 2013 and December 2015.

Monitoring collaborative practice guideline access: initial steps to define effect on patient outcomes.

Over the past decade Intermountain Healthcare (Intermountain) developed the Collaborative Practice Guidelines (CPGs) as an e resource to direct bedside care delivery. The intent was to decrease care variability and improve patient outcomes. The CPGs provide pertinent clinical knowledge at the point of care.

Feasibility of linking external valuation sources to bedside-caregiver activities in interdisciplinary patient care standards.

Establishing accurate and standardized values for bedside-care activities is crucial to the development of resource utilization prediction and management systems. We describe our experience of associating a representative sample of activities extracted from interdisciplinary patient care standards developed at Intermountain Healthcare with an external database of time & motion valued actions. The association exercise revealed important considerations for the development of a standard methodology for linking activities to future national or international standardized value units.

Towards ubiquitous peer review strategies to sustain and enhance a clinical knowledge management framework.

Widespread cooperation between domain experts and front-line clinicians is a key component of any successful clinical knowledge management framework. Peer review is an established form of cooperation that promotes the dissemination of new knowledge. The authors describe three peer collaboration scenarios that have been implemented using the knowledge management infrastructure available at Intermountain Healthcare.

Development of coded action concepts to support workload and cost prediction applications.

We propose to use a compositional terminology model to encode care-directive concepts or "actions" from patient care standards. Action concepts are made up of one or more work items that can be part of a work list or care plan. The nature of an action is specified by the elements of the terminology model.

Linking interdisciplinary patient care standards to clinical information systems using structured actions.

Intermountain Healthcare (Intermountain) has developed and deployed a document collection of over 700 evidence-based inpatient interdisciplinary patient care standards as a means of improving patient care by reducing practice variability. We propose to identify and structure action concepts from these care standards, define their embedded work items and relative financial values, and use the coded concepts as the application development construct that enables patient workload requirement and cost prediction. Valid action concepts will conform to a compositional terminology model that details clinically meaningful information at various levels of granularity as well as the minimum required experience (e.

Integration of interdisciplinary guidelines with clinical applications: Current and future scenarios.

Intermountain Healthcare (Intermountain) has developed a referential free-text interdisciplinary document collection to define standards for patient care. In order to improve access and use in bedside clinician workflow, Intermountain converted the document collection into a ubiquitous web-compatible format. The content has been structured using XML so it can be utilized by Intermountain's existing clinical applications, as well as positioning it for use in future deployed applications.

Understanding nurses' information needs and searching behaviour in acute care settings.

Unlabelled: We report the results of a pilot study designed to describe nurses' information needs and searching behaviour in acute care settings. Several studies have indicated that nurses have unmet information needs while delivering care to patients.

Aim: Identify the information needs of nurses in acute care settings.