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
PublisherInstitute of Electrical and Electronics Engineers Inc.
Pages293-296
Number of pages4
ISBN (Electronic)9781509061174
DOIs
StatePublished - Dec 6 2016
Externally publishedYes
Event2016 IEEE International Conference on Healthcare Informatics, ICHI 2016 - Chicago, United States
Duration: Oct 4 2016Oct 7 2016

Other

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

Fingerprint

Informatics
Chemoprevention
Risk assessment
risk assessment
Primary Health Care
cancer
Breast Neoplasms
decision aid
Decision Support Techniques
Electronic Health Records
high technology
Women's Health
Advisory Committees
health
Decision Making
Navigation
medication
Decision making
Health
electronics

Keywords

  • breast cancer
  • clinical decision support
  • risk assessment

ASJC Scopus subject areas

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

Cite this

Wood, J., Crew, K., Kukafka, R., & Finkelstein, J. (2016). A Comprehensive Informatics Framework to Increase Breast Cancer Risk Assessment and Chemoprevention in the Primary Care Setting. In Proceedings - 2016 IEEE International Conference on Healthcare Informatics, ICHI 2016 (pp. 293-296). [7776357] Institute of Electrical and Electronics Engineers Inc.. https://doi.org/10.1109/ICHI.2016.41

A Comprehensive Informatics Framework to Increase Breast Cancer Risk Assessment and Chemoprevention in the Primary Care Setting. / Wood, Jeffrey; Crew, Katherine; Kukafka, Rita; Finkelstein, Joseph.

Proceedings - 2016 IEEE International Conference on Healthcare Informatics, ICHI 2016. Institute of Electrical and Electronics Engineers Inc., 2016. p. 293-296 7776357.

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

Wood, J, Crew, K, Kukafka, R & Finkelstein, J 2016, A Comprehensive Informatics Framework to Increase Breast Cancer Risk Assessment and Chemoprevention in the Primary Care Setting. in Proceedings - 2016 IEEE International Conference on Healthcare Informatics, ICHI 2016., 7776357, Institute of Electrical and Electronics Engineers Inc., pp. 293-296, 2016 IEEE International Conference on Healthcare Informatics, ICHI 2016, Chicago, United States, 10/4/16. https://doi.org/10.1109/ICHI.2016.41
Wood J, Crew K, Kukafka R, Finkelstein J. A Comprehensive Informatics Framework to Increase Breast Cancer Risk Assessment and Chemoprevention in the Primary Care Setting. In Proceedings - 2016 IEEE International Conference on Healthcare Informatics, ICHI 2016. Institute of Electrical and Electronics Engineers Inc. 2016. p. 293-296. 7776357 https://doi.org/10.1109/ICHI.2016.41
Wood, Jeffrey ; Crew, Katherine ; Kukafka, Rita ; Finkelstein, Joseph. / A Comprehensive Informatics Framework to Increase Breast Cancer Risk Assessment and Chemoprevention in the Primary Care Setting. Proceedings - 2016 IEEE International Conference on Healthcare Informatics, ICHI 2016. Institute of Electrical and Electronics Engineers Inc., 2016. pp. 293-296
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