Symptom Management Implementation of Patient Reported Outcomes in Oncology

A multi-disciplinary team of investigators from 6 health systems have formed the Symptom Management IMplementation of Patient Reported Outcomes in Oncology (SIMPRO) Research Center. SIMPRO will use functioning ePRO prototypes to create and refine the electronic symptom management system eSyM. eSyM is the name of the platform the team will refine, integrate, implement and evaluate. eSyM addresses each of the 4 evidence gaps by: * Implementing eSyM in cancer centers in small, rural or community-based systems. * Integrating eSyM into the EHR (electronic health record) of the predominant vendor used nationwide. * Leveraging evidence-based tools, patient engagement, and population management. * Executing this work using the Consolidated Framework for Implementation Research across all phases to maximize the chances that eSyM and similar systems achieve their intended goals and decrease the morbidity of cancer treatment at a population level. This project contains 5 activities: 1. Obtain stakeholder feedback 2. Build and deploy eSyM 3. Pilot test eSyM 4. Pragmatic stepped-wedge cluster randomized trial 5. Integration of eSyM data to develop algorithms to estimate the risk of experiencing an outcome, including, but not limited to, ED usage and hospitalization among cancer patients