Innovating Cancer Care Delivery: the Example of the 4R Oncology Model for Colorectal Cancer Patients

Julia Trosman, Christine Weldon, Sheetal Mehta Kircher, William J Gradishar, Al B Benson III

Research output: Contribution to journalReview article

Abstract

Care delivery innovation is necessary to address the growing complexity of cancer care across specialties and integrate new diagnostics, treatments, and services into care delivery. Informed by Cancer Care Delivery Research (CCDR), multilevel intervention research, and other disciplines, this article describes the 4-step cancer care delivery innovation cycle. The cycle guides collaborative efforts of cancer clinicians, researchers, patients, and other stakeholders to systematically define care delivery problems and formulate, test, and implement care innovations to effectively address problems. We illustrate the 4 steps of the innovation cycle with the example of developing the 4R Oncology Model for colorectal cancer (4R is Right Information and Right Care for the Right Patient at the Right Time). The 4R is a multilevel intervention informed by CCDR, the team science, and lessons learned from other models, such as survivorship care planning. We offer additional considerations for balancing the need to innovate with concerns about constrained resources and overextended workforce. We suggest to focus on care delivery models which are synergistic with other efforts and do not require extensive information systems support in earlier cycles of development.

Original languageEnglish (US)
Article number11
JournalCurrent treatment options in oncology
Volume20
Issue number2
DOIs
StatePublished - Feb 1 2019

Fingerprint

Colorectal Neoplasms
Neoplasms
Research
Diagnostic Services
Patient Rights
Information Systems
Patient Care
Survival Rate
Research Personnel
Therapeutics

Keywords

  • 4R Oncology Model
  • Cancer care delivery
  • Care delivery innovation
  • Care delivery models
  • Care delivery redesign
  • Project management in care delivery
  • Systems engineering in cancer care delivery

ASJC Scopus subject areas

  • Oncology
  • Pharmacology (medical)

Cite this

@article{54023badd3cc46bbae6ccb134c7e9627,
title = "Innovating Cancer Care Delivery: the Example of the 4R Oncology Model for Colorectal Cancer Patients",
abstract = "Care delivery innovation is necessary to address the growing complexity of cancer care across specialties and integrate new diagnostics, treatments, and services into care delivery. Informed by Cancer Care Delivery Research (CCDR), multilevel intervention research, and other disciplines, this article describes the 4-step cancer care delivery innovation cycle. The cycle guides collaborative efforts of cancer clinicians, researchers, patients, and other stakeholders to systematically define care delivery problems and formulate, test, and implement care innovations to effectively address problems. We illustrate the 4 steps of the innovation cycle with the example of developing the 4R Oncology Model for colorectal cancer (4R is Right Information and Right Care for the Right Patient at the Right Time). The 4R is a multilevel intervention informed by CCDR, the team science, and lessons learned from other models, such as survivorship care planning. We offer additional considerations for balancing the need to innovate with concerns about constrained resources and overextended workforce. We suggest to focus on care delivery models which are synergistic with other efforts and do not require extensive information systems support in earlier cycles of development.",
keywords = "4R Oncology Model, Cancer care delivery, Care delivery innovation, Care delivery models, Care delivery redesign, Project management in care delivery, Systems engineering in cancer care delivery",
author = "Julia Trosman and Christine Weldon and Kircher, {Sheetal Mehta} and Gradishar, {William J} and {Benson III}, {Al B}",
year = "2019",
month = "2",
day = "1",
doi = "10.1007/s11864-019-0608-7",
language = "English (US)",
volume = "20",
journal = "Current Treatment Options in Oncology",
issn = "1527-2729",
publisher = "Springer New York",
number = "2",

}

TY - JOUR

T1 - Innovating Cancer Care Delivery

T2 - the Example of the 4R Oncology Model for Colorectal Cancer Patients

AU - Trosman, Julia

AU - Weldon, Christine

AU - Kircher, Sheetal Mehta

AU - Gradishar, William J

AU - Benson III, Al B

PY - 2019/2/1

Y1 - 2019/2/1

N2 - Care delivery innovation is necessary to address the growing complexity of cancer care across specialties and integrate new diagnostics, treatments, and services into care delivery. Informed by Cancer Care Delivery Research (CCDR), multilevel intervention research, and other disciplines, this article describes the 4-step cancer care delivery innovation cycle. The cycle guides collaborative efforts of cancer clinicians, researchers, patients, and other stakeholders to systematically define care delivery problems and formulate, test, and implement care innovations to effectively address problems. We illustrate the 4 steps of the innovation cycle with the example of developing the 4R Oncology Model for colorectal cancer (4R is Right Information and Right Care for the Right Patient at the Right Time). The 4R is a multilevel intervention informed by CCDR, the team science, and lessons learned from other models, such as survivorship care planning. We offer additional considerations for balancing the need to innovate with concerns about constrained resources and overextended workforce. We suggest to focus on care delivery models which are synergistic with other efforts and do not require extensive information systems support in earlier cycles of development.

AB - Care delivery innovation is necessary to address the growing complexity of cancer care across specialties and integrate new diagnostics, treatments, and services into care delivery. Informed by Cancer Care Delivery Research (CCDR), multilevel intervention research, and other disciplines, this article describes the 4-step cancer care delivery innovation cycle. The cycle guides collaborative efforts of cancer clinicians, researchers, patients, and other stakeholders to systematically define care delivery problems and formulate, test, and implement care innovations to effectively address problems. We illustrate the 4 steps of the innovation cycle with the example of developing the 4R Oncology Model for colorectal cancer (4R is Right Information and Right Care for the Right Patient at the Right Time). The 4R is a multilevel intervention informed by CCDR, the team science, and lessons learned from other models, such as survivorship care planning. We offer additional considerations for balancing the need to innovate with concerns about constrained resources and overextended workforce. We suggest to focus on care delivery models which are synergistic with other efforts and do not require extensive information systems support in earlier cycles of development.

KW - 4R Oncology Model

KW - Cancer care delivery

KW - Care delivery innovation

KW - Care delivery models

KW - Care delivery redesign

KW - Project management in care delivery

KW - Systems engineering in cancer care delivery

UR - http://www.scopus.com/inward/record.url?scp=85061292864&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85061292864&partnerID=8YFLogxK

U2 - 10.1007/s11864-019-0608-7

DO - 10.1007/s11864-019-0608-7

M3 - Review article

VL - 20

JO - Current Treatment Options in Oncology

JF - Current Treatment Options in Oncology

SN - 1527-2729

IS - 2

M1 - 11

ER -