Abstract
ABSTRACT The Exercise is Medicine campaign initiated by the American College of Sports Medicine is intended to advance the integration of exercise into formalized medical care through strategic linkages between health care systems, providers, health-related digital technologies, and available exercise programs. Exercise is established as a fundamental element of comprehensive cancer care and given the critical role of the electronic medical record (EMR) in health care communication, optimizing the use of the EMR by qualified exercise professionals and for exercise-related referrals may improve clinical outcomes. The purpose of this article is to describe the strategies, facilitators, barriers, and opportunities in implementing exercise information in the EMR in three cancer centers in North America: The University of Alabama at Birmingham, the Sylvester Comprehensive Cancer Center, and the Princess Margaret Cancer Centre. The collective experience of three cancer centers identifies the diverse opportunities and challenges in connecting exercise programming with the EMR. The implementation of exercise programming, resources, and linkages in the EMR is complex, involves numerous stakeholders, and can be mapped against the Consolidated Framework of Implementation Research. Methods of establishing communication or referral pathways to exercise programs described here can serve as precedents for similar endeavors. Further research is needed to determine whether implementation strategies that target identified implementation science constructs can facilitate the implementation of exercise programming via EMR where the Consolidated Framework for Implementation Research may serve as a useful empirical framework.
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