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Brief ReportBrief Report

Identifying Patients with Breast Cancer History Using Epic Electronic Health Record

Sarah J. Fadem, Ayana April-Sanders, Alicja Bator, Jeanne Ferrante, Jenna Howard, Jennifer R. Hemler, Kennedy Ganti, Shawna V. Hudson, Benjamin F. Crabtree and Denalee O’Malley
The Journal of the American Board of Family Medicine November 2025, 38 (6) 1006-1011; DOI: https://doi.org/10.3122/jabfm.2025.250095R1
Sarah J. Fadem
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (SJF, AB, JF, JRH, SVH, BFC, DO); Department of Biostatistics & Epidemiology, Rutgers School of Public Health, New Brunswick, NJ (AA-S); RWJBarnabas Health, New Brunswick, NJ (KG); and Rutgers Cancer Institute of New Jersey, New Brunswick, NJ (SVH, BFC, DO).
PhD
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Ayana April-Sanders
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (SJF, AB, JF, JRH, SVH, BFC, DO); Department of Biostatistics & Epidemiology, Rutgers School of Public Health, New Brunswick, NJ (AA-S); RWJBarnabas Health, New Brunswick, NJ (KG); and Rutgers Cancer Institute of New Jersey, New Brunswick, NJ (SVH, BFC, DO).
PhD
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Alicja Bator
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (SJF, AB, JF, JRH, SVH, BFC, DO); Department of Biostatistics & Epidemiology, Rutgers School of Public Health, New Brunswick, NJ (AA-S); RWJBarnabas Health, New Brunswick, NJ (KG); and Rutgers Cancer Institute of New Jersey, New Brunswick, NJ (SVH, BFC, DO).
MPH
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Jeanne Ferrante
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (SJF, AB, JF, JRH, SVH, BFC, DO); Department of Biostatistics & Epidemiology, Rutgers School of Public Health, New Brunswick, NJ (AA-S); RWJBarnabas Health, New Brunswick, NJ (KG); and Rutgers Cancer Institute of New Jersey, New Brunswick, NJ (SVH, BFC, DO).
MD
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Jenna Howard
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (SJF, AB, JF, JRH, SVH, BFC, DO); Department of Biostatistics & Epidemiology, Rutgers School of Public Health, New Brunswick, NJ (AA-S); RWJBarnabas Health, New Brunswick, NJ (KG); and Rutgers Cancer Institute of New Jersey, New Brunswick, NJ (SVH, BFC, DO).
PhD
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Jennifer R. Hemler
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (SJF, AB, JF, JRH, SVH, BFC, DO); Department of Biostatistics & Epidemiology, Rutgers School of Public Health, New Brunswick, NJ (AA-S); RWJBarnabas Health, New Brunswick, NJ (KG); and Rutgers Cancer Institute of New Jersey, New Brunswick, NJ (SVH, BFC, DO).
PhD
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Kennedy Ganti
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (SJF, AB, JF, JRH, SVH, BFC, DO); Department of Biostatistics & Epidemiology, Rutgers School of Public Health, New Brunswick, NJ (AA-S); RWJBarnabas Health, New Brunswick, NJ (KG); and Rutgers Cancer Institute of New Jersey, New Brunswick, NJ (SVH, BFC, DO).
MD
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Shawna V. Hudson
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (SJF, AB, JF, JRH, SVH, BFC, DO); Department of Biostatistics & Epidemiology, Rutgers School of Public Health, New Brunswick, NJ (AA-S); RWJBarnabas Health, New Brunswick, NJ (KG); and Rutgers Cancer Institute of New Jersey, New Brunswick, NJ (SVH, BFC, DO).
PhD
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Benjamin F. Crabtree
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (SJF, AB, JF, JRH, SVH, BFC, DO); Department of Biostatistics & Epidemiology, Rutgers School of Public Health, New Brunswick, NJ (AA-S); RWJBarnabas Health, New Brunswick, NJ (KG); and Rutgers Cancer Institute of New Jersey, New Brunswick, NJ (SVH, BFC, DO).
PhD
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Denalee O’Malley
From the Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (SJF, AB, JF, JRH, SVH, BFC, DO); Department of Biostatistics & Epidemiology, Rutgers School of Public Health, New Brunswick, NJ (AA-S); RWJBarnabas Health, New Brunswick, NJ (KG); and Rutgers Cancer Institute of New Jersey, New Brunswick, NJ (SVH, BFC, DO).
MSW, PhD
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  • Article
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Article Figures & Data

Tables

    • View popup
    Table 1.

    Practice and Champion Characteristics

    Practice IDNo. of CliniciansPractice Lifespan (Years)Years in Integrated Health SystemAfter-BC Champion Roles (3 per Practice)
    P12 MDs
    1 NP
    22Clinician (MD),
    Practice Administrator
    CMA
    P22 MDs662 Clinicians (MDs)
    Office Manager*
    P31 MD
    1 PA
    1212Clinician (MD)
    Office Manager
    CMA
    P44 MDs
    1 DO
    66Clinician (MD),
    Practice Administrator
    CMA
    P51 MD±
    2 NPs
    55Practice Administrator
    Registered Nurse
    CMA
    P64 MDs663 Clinicians (MDs)
    P72 MDs
    1 NP
    552 Clinicians (1 MD, 1 NP)
    Practice Administrator
    P81 MD115Clinician (MD),
    Practice Administrator
    CMA
    P93 MDs
    1 DO
    1010Clinician (DO),
    Practice Administrator
    CMA
    P101 MD2117Clinician (MD),
    Practice Administrator
    CMA
    P111 MD259Clinician (MD),
    Practice Administrator
    CMA
    P122 MDs1010Clinician (MD),
    Practice Administrator
    Patient Service Representative
    P133 MDs
    1 NP
    239Clinician (MD),
    Practice Administrator
    CMA
    • Abbreviations: BC, Breast Cancer; MD, Medical doctor; NP, Nurse practitioner; PA, Physician assistant; DO, Doctor of osteopathic medicine; CMA, Certified Medical Assistant.

    • ↵*One champion represented P2 (where she was the Office Manager) and P9 (where she was the Practice Administrator).

    • ±MD was on medical leave for duration of the intervention.

    • View popup
    Table 2.

    Process for Developing Epic Report to Generate Patient List

    WhoActions
    Development team
    1. Define parameters for query (i.e., ICD-10 diagnosis codes for breast cancer history)

    2. Define demographics and additional filters

    Epic ITDevelop system-wide workbench report
    1. Navigate to Reporting Workbench

    2. Create a new report

    3. Select “Patient List”

    4. Set previously identified parameters for query

    5. Enable access of authorized users

    6. Store report in a system-wide folder

    Practice usersRun report:
    1. Select Reports > My Reports

    2. Run the previously created report

    3. Check report results for known patients to validate report

    4. Save report for future use

    • Abbreviations: ICD-10, International Classification of Diseases, Tenth Revision; IT, Information Technology.

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The Journal of the American Board of Family     Medicine: 38 (6)
The Journal of the American Board of Family Medicine
Vol. 38, Issue 6
November-December 2025
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Identifying Patients with Breast Cancer History Using Epic Electronic Health Record
Sarah J. Fadem, Ayana April-Sanders, Alicja Bator, Jeanne Ferrante, Jenna Howard, Jennifer R. Hemler, Kennedy Ganti, Shawna V. Hudson, Benjamin F. Crabtree, Denalee O’Malley
The Journal of the American Board of Family Medicine Nov 2025, 38 (6) 1006-1011; DOI: 10.3122/jabfm.2025.250095R1

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Identifying Patients with Breast Cancer History Using Epic Electronic Health Record
Sarah J. Fadem, Ayana April-Sanders, Alicja Bator, Jeanne Ferrante, Jenna Howard, Jennifer R. Hemler, Kennedy Ganti, Shawna V. Hudson, Benjamin F. Crabtree, Denalee O’Malley
The Journal of the American Board of Family Medicine Nov 2025, 38 (6) 1006-1011; DOI: 10.3122/jabfm.2025.250095R1
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