Clinician perceptions of Passport for Care, a web‐based clinical decision support tool for survivorship care plan delivery

Background The Children's Oncology Group Long‐Term Follow‐Up Guidelines provide exposure‐based risks and recommendations for late effects screening of survivors of childhood cancer. Passport for Care (PFC) is a web‐based clinical decision support tool for generating a personalized survivorship care plan (SCP) derived from the Guidelines and user‐entered exposures. We assessed PFC clinician user practices and perceptions of PFC impact on clinic workflow, guidelines application, and survivor shared decision‐making. Procedure A 35‐item REDCap survey was emailed to all PFC users (n = 936) in 146 current and former PFC user clinics. Anonymous responses were permitted. Results were summarized and compared with a 2012 survey. Results Data were available from 148 respondents representing 64 out of 146 PFC user clinics (minimum clinic response rate 44%, excluding 49 anonymous responses). Generation of a personalized SCP was the most common application of PFC, followed by determination of surveillance recommendations and use as a survivor database. Twenty‐five respondents (17%) felt data entry was a significant or insurmountable barrier to PFC application. Sixty‐nine percent of respondents attributed PFC with a very high/high impact on guidelines adherence in their clinical practice, compared with 40% who attributed PFC with having a significant impact on adherence in 2012 (p