KanSurvive 2.0: Testing Enhanced Models of Cancer Survivorship Care for Rural Cancer Survivors in Primary Care Practice

Rural cancer survivors experience a higher risk of negative health outcomes and require coordinated care to address the many effects of cancer and its treatment. Primary care providers recognize the importance of providing high-quality, evidence-based survivorship care and are well-positioned to meet survivor needs, however, these needs are often unmet due to limitations in knowledge, lack of resources, and administrative demands. Practical strategies are needed to help PCPs improve cancer survivorship care, and this proposal will test implementation strategies to optimize the adoption of evidence-based practices for cancer survivorship care in rural primary care settings.

Inclusion criteria: 1. Rural primary care practice (PCP) located within rural urban continuum codes (RUCC) 4-9 in Kansas 2. PCPs must have multiple providers 3. PCPs must have at least on medical assistant 4. PCPs must have an employed medical scribe or be willing to consider employing a medical scribe using study compensation and practice revenue 5. Cancer survivor data is eligible for extraction if the patient is a breast, prostate, lung, and/or colorectal cancer survivor and considered to have a "reasonable likelihood" of 24-month survival by a practice provider. Exclusion criteria: 1. PCPs not located within RUCC 4-9 in Kansas 2. PCPs without multiple providers 3. PCPs without a medical assistant 4. PCPs without a medical scribe or unwilling to consider employing one 5. Cancer survivorship data is ineligible for extraction is the patient is \75 years of age, is currently receiving hospice services, or has a history of cancer other than breast, prostate, lung, or colorectal.