“…The IOM fact sheet from the 2005 report suggested 18 components for the TS/SCP (7 for the record of care and 11 for the care plan), each of which were bullet points containing multiple elements to be documented [1]. In an effort to create a metric scorecard, Palmer and colleagues identified 92 separate items for inclusion on a TS/SCP (60 for the TS, 32 for the SCP) based upon the IOM report recommendations [19]. A number of factors impair the ability to provide TS/SCP to survivors: disparity and variability amongst practice settings (i.e., academic, community, urban, and rural), access to electronic health records, computerized TS/SCP programs such as Journey Forward, staffing, approval and support among practice setting administrators, and myriad other factors [24,25].…”