OpenWorks @ MD Anderson
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Intro remarks
Introduction remarks by:
Ernest Hawk, MD, MPH
Vice President, Division Head Cancer Prevention and Population Science
Library News June 2025
Responding to Peer Review A Little Dialogue about dia- Accessibility in Study and Canvas New LibGuide Helps Dermatologists Diagnose Skin Conditions in Patients with Skin of Colorhttps://openworks.mdanderson.org/rmlnews25/1005/thumbnail.jp
Designing an Electronic Patient-Reported Outcomes Information Infrastructure Supported by the RE-AIM Implementation Framework
Objective: Patient-reported outcomes (PROs) contain valuable information that can be leveraged by providers to perform timely interventions and improve quality of life and survival. However, the implementation of electronic PROs (ePROs) remains a challenge from technical and evaluation perspectives. Our objective was to construct a robust electronic health record (EHR)-integrated ePRO information infrastructure founded on RE-AIM (reach-effectiveness-adoption-implementation-maintenance) principles.
Materials and Methods: We used Epic Systems as our EHR platform to build the MD Anderson Symptom Index Head and Neck Module (MDASI-HN) for release to all patients undergoing evaluation and/or treatment in our HN Radiation Oncology clinics. RE-AIM metrics were established and used to design patient, provider, and implementing facilitator information tools.
Results: From January 2021 to July 2024, our ePRO program has collected 13,156 patient-submitted ePROs on 3,497 unique HN patients, with a 12-month sustained ePRO compliance rate of 82%. We also propose a dynamic 2-cycle implementation model. This model can be used to continuously (re)define, build, and adapt ePRO information tools for patients, providers, and program facilitators.
Discussion: Our ePRO framework has several benefits, including integrated clinical data for enhanced decision-making, potential scalability, and use of a common EHR system. Formative (ie, mid-phase) evaluations were essential to our program, allowing for timely optimization of ePRO compliance, ePRO usage by clinical staff, and secondary use of high-quality ePRO data.
Conclusion: In this article, we provide a valuable roadmap toward developing a comprehensive, EHR-based ePRO information infrastructure simultaneously optimized for clinical utility, informatics operations, and implementation evaluation founded on RE-AIM principles
License Plate Purse, 2025
Artist(s): Tammy Farnsworth
Materials: Metal, plastic, felt
Expired license plates repurposed to make a unique crossbody purse, with a golf cart seatbelt as the strap, bottle cap snap closure and felt lining.https://openworks.mdanderson.org/recycledart2025/1017/thumbnail.jp
The Helping Hands of Facilities Management, 2025, overhead-view
Artist(s): Daniel Banda
Materials: Wood, metal
Vintage metal workbench with wood top decorated with the helping hands of the men and women of the Facilities Management Division.https://openworks.mdanderson.org/recycledart2025/1023/thumbnail.jp
Colors of Life, 2025
Artist(s): Miranda Ruiz
Materials: Plastic, glass, wood
This piece is a glass pane decorated with pieces of recycled plastic (laundry detergent lids, plastic placemats, a clipboard, clear plastic folders, and a plastic pencil container) to imitate the effect of stained glass and mosaic. The center of the piece is a mosaic of the before mentioned recycled plastic that creates the MD Anderson logo. The glass pane is affixed into a wooden frame with glue and is able to be hung with a metal wire. The recycled materials were sourced from the Texas Art Asylum, an art supply store that sells recycled materials to use in creative ways.https://openworks.mdanderson.org/recycledart2025/1078/thumbnail.jp
Pokémon Concierge, 2025, Psyduck
Artist(s): Steven Cuevas
Materials: Cardboard, chicken wire, cloth
We used masks that were damaged, and cardboard boxes from the hospital. We also used chicken wire and low VOC paints al. We also used chicken wire and low VOC paints.https://openworks.mdanderson.org/recycledart2025/1075/thumbnail.jp
Sunset Coast, canvas
Artist: Leni Mathews
Materials: Wood, cardboard, leftover yarn, paint, gluehttps://openworks.mdanderson.org/recycledart2025/1003/thumbnail.jp
Our Royal Zoo The Earth, 2025, side-view
Artist(s): Lauren Smith
Materials: Aluminum cans, cardboard, metal, fabric
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The idea of Our Royal Zoo can be a powerful metaphor for the moral imperative to protect Earth\u27s ecosystems and their inhabitants. It underscores the interconnectedness of all living things and the need for responsible stewardship. This project was made from old Amazon boxes that I used to draw and make the cardboard animal cut outs. Each royal on this life-raft is uniquely adorned with leftover fabric from small bags that my tea leaves came in or the end roles of special occasion wrapping paper or gift bags that could not be used. The raft is made from recycled coke zero cans and old National Geographic covers since it is one of the only publications widely subscribed to that covers matters related to our ecosystem and broadens awareness. The flowers by which the raft is buoyed are made from crumbled tissue paper. The jewels that adorn both the elephant and sealion are from old recycled metal earrings that had broken and a unique ribbon that came with a gift of spices I\u27d received from a loved one who visited India.https://openworks.mdanderson.org/recycledart2025/1087/thumbnail.jp
Healing in the Elements, 2025, detail
Artist(s): Marlene Castro
Materials: Plastic supply caps
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This artwork, crafted from Apheresis Clinic\u27s supply caps and tubings meant for discard, and mostly of unused/expired specimen lab tubes generously provided by the MDA Laboratory Department- transform the remnants of diagnosis into a vision of recovery. Each cap, tube, and stopper once carried the story of someone doing Stem Cell Therapy or awaiting answers-each a symbol of illness, uncertainty and the fragile search for healing. Now, reimagined as a vivid landscape, they tell a new story: one of resilience, hope, renewal and the interconnectedness of science, nature and the human spirit. This recycled art piece is a tribute by the Apheresis Clinic and team to every patient, every healer, and the enduring beauty that can rise from our most vulnerable moments.https://openworks.mdanderson.org/recycledart2025/1090/thumbnail.jp