A Quality Improvement Approach to the Management of Chronic Lymphocytic Leukemia

This multifaceted initiative will include evaluating patient perspectives on their QoL,
evaluating provider perspectives on managing QoL, and providing education to the whole CLL
care team (hematologists/oncologists, nurse practitioners, physician assistants, and nurses)
on contemporary approaches for individualized, patient-centered management of CLL.
Providers, including physicians, nurse practitioners, and physician assistants will
participate in educational initiatives geared towards enhancing their knowledge and
confidence with managing QoL concerns for patients with CLL. Pre and post surveys will be
conducted with providers to evaluate change in these areas. The project aims to train this
team on how to enhance communication with patients and caregivers as a means to increase
patient engagement in care and QoL in this population.

Inclusion Criteria: Clinician

- Participant must be a hematologist, oncologist, nurse practitioner, or physician
assistant who practices medicine in the Duke Cancer Network

- Participant treats patients with CLL

- Participant is willing to participate in the educational component of this project

Inclusion Criteria: Patient

- Patient has a diagnosis of Chronic Lymphocytic Leukemia

- Patient is over the age of 18

- Patient is being treated at a Duke Cancer Network affiliate site,

- Patient is expected to see their physician or another member of their care team at
least 3 times annually.

- Signed informed consent

Exclusion Criteria: Clinician

Exclusion Criteria: Patient

- Patient is Non-English speaking

- Patient diagnosed with CLL < 60 days ago