Innovation in Electronic Health Records for Oncology Care, Research, and Surveillance: Proceedings of a Workshop (2022)

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Appendix B Workshop Agenda FEBRUARY 28, 2022 9:30 a.m. Welcome from the National Cancer Policy Forum Planning Committee Co-Chairs: • Mia Levy, Foundation Medicine, Inc. • Lawrence N. Shulman, University of Pennsylvania Abramson Cancer Center 9:40 a.m. Session 1: Overview of the Use of EHRs in Oncology Care, Research, and Surveillance Co-moderators: • Mia Levy, Foundation Medicine, Inc. • Lawrence N. Shulman, University of Pennsylvania Abramson Cancer Center Session Objective: To review the current state and trends of EHRs and discuss the evidence base for the design, devel- opment, and use of EHRs in cancer care, research, and surveillance. Technical and Contextual Evolution of EHRs Mia Levy, Foundation Medicine, Inc. 61 PREPUBLICATION COPY—Uncorrected Proofs 

62 INNOVATION IN ELECTRONIC HEALTH RECORDS  e Electronic Health Record: From the View of the Th Oncologist Lawrence N. Shulman, University of Pennsylvania Abramson Cancer Center Facilitator of Trust or Mediator of Communication: The EHR and the Patient-Physician Relationship Gwen Darien, National Patient Advocate Foundation Integrating Social Determinants of Health in EHRs: Ethical and Social Justice Issues Chanita Hughes-Halbert, USC Norris Comprehensive Cancer Center Quality Improvement and Research Perspective Neal J. Meropol, Flatiron Health Panel Discussion with Speakers 11:10 a.m. Break 11:20 a.m. Session 2: Opportunities to Improve the Patient-Facing Aspects of EHRs Co-moderators: • Etta D. Pisano, Harvard Medical School/American College of Radiology • Robin Yabroff, American Cancer Society Session Objective: To explore opportunities and approaches  to improve the patient-facing aspects of EHRs to empower patients and improve patient care and outcomes. The Impact of EHRs on the Physician–Patient Relationship Jyoti D. Patel, Northwestern University Integrating Patient-Reported Outcomes into Electronic Health Record Systems in Oncology Ethan Basch, University of North Carolina at Chapel Hill Today’s Patient Portal and Sharing of Patient Data across EHR Systems for Cancer Care and Research Travis J. Osterman, Vanderbilt University Medical Center PREPUBLICATION COPY—Uncorrected Proofs 

APPENDIX B 63 Using the EHR to “Nudge” Evidence-Based Cancer Care Samuel U. Takvorian, Penn Medicine Next-Generation EHRs to Facilitate Oncology Care George Hripcsak, Columbia University Panel Discussion with Speakers 12:50 p.m. Lunch Break 1:50 p.m.  Session 3: Opportunities to Optimize the Functionality and Usability of EHRs in Oncology Care Co-moderators: • Bradley Malin, Vanderbilt University Medical Center • Alex Melamed, Columbia University Medical Center Session Objective: To examine the challenges and opportuni- ties to optimize the functionality and usability of EHRs in clinical workflow to meet the needs of the various users in oncology care. Oncology Care Pathways: Importance and Relation to Current EHRs’ Functionality and Opportunities for Improvement Robin Zon, Michiana Hematology Oncology Opportunities for Decision Support through the Use of EHRs Mary M. Ichiuji, Kaiser Permanente Efficiency of EHR Use and Management in Creating an Ideal Workspace and Presentation of Critical Data for Oncology-Specific Care Providers Shilo Anders, Vanderbilt University Interface between Electronic Systems and Humans: View from Outside of Medicine Elizabeth Mynatt, Northeastern University  Human Factors Engineering for EHR Design in Oncol- ogy Care: The Patient Experience across the Cancer Care Continuum Pascale Carayon, University of Wisconsin-Madison PREPUBLICATION COPY—Uncorrected Proofs 

64 INNOVATION IN ELECTRONIC HEALTH RECORDS An Industry Perspective Jenna Date, Allscripts Hospital and Health Systems Panel Discussion with Speakers 3:25 p.m. Break 3:35 p.m. Session 4: Roundtable—Innovative Strategies to Improve EHR Data Collection to Support Care Quality and Research Initiatives Co-moderators: • Neal J. Meropol, Flatiron Health • Lara Strawbridge, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services Session Objective: To discuss new approaches and opportuni-  ties to enhance EHR structure, data collection and standardiza- tion, interoperability, and EHR integration to improve clinical care and enhance oncology research. Clinician Perspective Tufia C. Haddad, Mayo Clinic College of Medicine and Sciences Opportunities and Challenges: Entry of Critical Structured Data into EHRs Monica Bertagnolli, Brigham & Women’s Hospital and Dana- Farber Cancer Institute  Researcher Perspective: Opportunities for Improved Research Jeremy L. Warner, Vanderbilt University Quality Improvement Initiatives: Opportunities for Improved Quality of Care Barry Russo, The Center for Cancer and Blood Disorders Payer Perspective Reed V. Tuckson, Black Coalition Against COVID and Tuck- son Health Connections, LLC Panel Discussion with Panelists PREPUBLICATION COPY—Uncorrected Proofs 

APPENDIX B 65 4:50 p.m. Closing Remarks 5:00 p.m. Adjourn MARCH 1, 2022 9:00 a.m. Welcome and Overview of Day 2 Planning Committee Co-Chairs • Mia Levy, Foundation Medicine, Inc. • Lawrence N. Shulman, University of Pennsylvania Abramson Cancer Center 9:05 a.m. Session 5: The Roles of Federal Agencies to Advance Prog- ress in EHRs Co-moderators: • Robert W. Carlson, National Comprehensive Cancer Network • Nicole F. Dowling, Centers for Disease Control and Prevention Session Objective: To explore current collaborations and ini- tiatives to conceptualize and implement innovations in EHRs, and discuss potential policy incentives for the adoption of improved EHRs in cancer care, research, and surveillance. Potential Role of Science and Technology Policy in Advancement of EHRs Twee Sim, Office of Science and Technology Policy and the Department of Defense Advancing Progress in EHRs: Cancer Surveillance as an Example Lynne Penberthy, National Cancer Institute Electronic Health Records for Public Health Planning and Research Lisa C. Richardson, Centers for Disease Control and Prevention PREPUBLICATION COPY—Uncorrected Proofs 

66 INNOVATION IN ELECTRONIC HEALTH RECORDS Leveraging Electronic Health Records: Expanding Oppor- tunities for Evidence Generation Paul G. Kluetz, Oncology Center of Excellence, Food and Drug Administration Ready, Set, Go!: Leveraging EHRs for Innovation Avinash Shanbhag, Office of Technology, Office of the National Coordinator CMMI Perspective Lara Strawbridge, Center for Medicare and Medicaid Innova- tion, Centers for Medicare & Medicaid Services Panel Discussion with Speakers 10:35 a.m. Break 10:45 a.m. Session 6: Policies to Foster EHR Redesign to Advance Progress in Cancer Care, Research, and Surveillance Co-moderators: • Mimi Huizinga, ImmunoGen, Inc. • Robert A. Winn, Virginia Commonwealth University Massey Cancer Center Session Objective: To discuss potential policy levers and actionable strategies to enhance innovation in the develop- ment, implementation, and use of EHRs in oncology care, research, and surveillance. Panelists (Session Co-moderators) • Representing Session 1: Lawrence Shulman • Representing Session 2: Etta Pisano • Representing Session 3: Bradley Malin • Representing Session 4: Lara Strawbridge • Representing Session 5: Nicole Dowling Open Discussion 11:50 a.m. Closing Remarks Mia Levy, Foundation Medicine, Inc. Planning Committee Co-Chair 12:00 p.m. Adjourn PREPUBLICATION COPY—Uncorrected Proofs