A Comprehensive Informatics Framework to Increase Breast Cancer Risk Assessment and Chemoprevention in the Primary Care Setting

Jeffrey Wood, Katherine Crew, Rita Kukafka, Joseph Finkelstein

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

The U. S. Preventive Services Task Force recommends that clinicians engage in shared decision making with women at high-risk for breast cancer about medications to reduce their risk, also known as chemoprevention. However, uptake has been low (<5%) in the primary care setting. The goal of this project was to implement a comprehensive informatics framework to increase breast cancer risk assessment and chemoprevention in the primary care setting. We built a novel breast cancer risk navigation (BNAV) tool, which incorporates the Gail breast cancer risk model into the electronic health record. To address patient-related barriers to chemoprevention, an interactive decision aid, RealRisks, was developed that allows participants to experience risk through an activity. An automated system of theory-based tailored messaging was built to alert providers to engage in guideline-concordant chemoprevention practices. This innovative technology has high potential to facilitate evidence-based decision support for women's health in primary care setting.

Original languageEnglish (US)
Title of host publicationProceedings - 2016 IEEE International Conference on Healthcare Informatics, ICHI 2016
EditorsWai-Tat Fu, Kai Zheng, Larry Hodges, Gregor Stiglic, Ann Blandford
PublisherInstitute of Electrical and Electronics Engineers Inc.
Pages293-296
Number of pages4
ISBN (Electronic)9781509061174
DOIs
StatePublished - Dec 6 2016
Event2016 IEEE International Conference on Healthcare Informatics, ICHI 2016 - Chicago, United States
Duration: Oct 4 2016Oct 7 2016

Publication series

NameProceedings - 2016 IEEE International Conference on Healthcare Informatics, ICHI 2016

Other

Other2016 IEEE International Conference on Healthcare Informatics, ICHI 2016
Country/TerritoryUnited States
CityChicago
Period10/4/1610/7/16

Keywords

  • breast cancer
  • clinical decision support
  • risk assessment

ASJC Scopus subject areas

  • Health Informatics
  • Health(social science)
  • Computer Networks and Communications
  • Computer Science Applications

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