PeaceHealth Cancer Center Breast Cancer Symposium

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2 PeaceHealth Cancer Center Breast Cancer Symposium S a t u r d a y, J a n u a r y 1 6, How Navigation Helps Clear the Obstacle Course of the Breast Cancer Journey Kim Moses RN, BSN, OCN

3 Goals of talk: History of navigation Definitions Navigation in action Summary

4 History of Navigation National Cancer Act 1990 s - Dr. Harold Freeman, Harlem, NY Late stage disease High mortality rates Lack of education and outreach after tests/biopsies

5 Patient Navigator Outreach & Chronic Disease Prevention Act of 2005 Signed into law by on June 29, 2005 Recognizes the challenges in obtaining the health care they need Established a 5-year, $25 million grant Navigators should: Anticipate, identify, and help patients to overcome barriers within healthcare system Assist in coordination of health care services & referrals Facilitate involvement of community organizations in assisting individuals at risk for or who have cancer or other chronic diseases

6 Navigators Defined Oncology Nurse Navigator (ONN) The Oncology Nurse Navigator is a professional whose clinical nursing expertise guides patients, families to informed decision-making; collaborating with a multidisciplinary team to allow for timely cancer screening, diagnosis, treatment, and increased supportive care across the cancer continuum. Patient Navigator (PN) The Patient Navigator can be a layperson, a social worker or nurse who is dedicated to the individualized assistance to patients, families to help overcome health care system barriers and facilitate timely access to quality medical and psychosocial care from pre-diagnosis through all phases of the cancer experience.

7 What is Navigation? Suspicious findings receive a resolution and patients with a diagnosis are connected with appropriate providers Supports and educates patients in need of assistance with oneon-one contact Seamlessly moving patients through the health care system Works within the organization and through external services to eliminate barriers to health care

8 Breast Cancer Navigation in Whatcom County

9 What is Navigation? Suspicious findings receive a resolution and patients with a diagnosis are connected with appropriate providers

10 Breast Cancer Conference

11 Breast Conference Recommendations

12 What is Navigation? Suspicious findings receive a resolution and patients with a diagnosis are connected with appropriate providers Supports and educates patients in need of assistance with one-on-one contact

13 Navigator informational materials

14 New patient binder

15 New patient binder Table of Contents

16 What is Navigation? Suspicious findings receive a resolution and patients with a diagnosis are connected with appropriate providers Supports and educates patients in need of assistance with one-on-one contact Seamlessly moving patients through the health care system

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18 What is Navigation? Suspicious findings receive a resolution and patients with a diagnosis are connected with appropriate providers Supports and educates patients in need of assistance with one-on-one contact Seamlessly moving patients through the health care system Works within the organization and through external services to eliminate barriers to health care

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20 Goals of a Navigation Program The main goals of navigation are: To improve patient outcomes To eliminate barriers to care To ensure timely delivery of services

21 Six Integral Components of Navigation Provision of information Emotional support Facilitating decision making Creating linkages to resources Provision of practical assistance Identifying and developing community supports

22 Services offered Psychological Support Complimentary Therapies Nutrition Exercise Sexual health and fertility support Image and cosmetics: Skin, hair, etc Chaplaincy and spiritual support Relaxation and stress mgmt Social Care Financial advice Communication counseling and support Survivorship Hospice Palliative Care Caretaker Support Lymphedema clinic

23 Destination Cancer Center Community Programs Regional Network Support Departments Outreach Clinics Wellness Site Specific Programs Screening Pulmonology Urology Center Programs Cancer Care Navigation Core Services Medical Radiation Thoracic Oncology Oncology Gynecologic Guest Suites Pathology OB/Gyn Hematologic Dermatology Stem Cell Transplant Infusion Center Tumor Registry Patient and Family Cancer Wellness Ctr Surgical Oncology Cancer Research Tumor Boards Genitourinary Breast Radiology ENT Cancer Library Gastrointestinal Cancer Control Trials Neurosurgery General Surgery Dermatology Quality of Life Program Community Forums

24 Destination Cancer Center Community Programs Regional Network Support Departments Outreach Clinics Wellness Site Specific Programs Screening Pulmonology Urology Center Programs Cancer Care Navigation Core Services Medical Radiation Thoracic Oncology Oncology Gynecologic Guest Suites Pathology OB/Gyn Hematologic Dermatology Stem Cell Transplant Infusion Center Tumor Registry Patient and Family Cancer Wellness Ctr Surgical Oncology Cancer Research Tumor Boards Genitourinary Breast Radiology ENT Cancer Library Gastrointestinal Cancer Control Trials Neurosurgery General Surgery Dermatology Quality of Life Program Community Forums

25 In Summary: How does this pertain to me? : Meet with patients at point of suspicious finding or diagnosis Identify barriers or potential barriers Streamline appointments and paperwork Maintain open communication with health care providers, caregivers, and patients Assist in increasing access to culturally appropriate, supportive care Link patients, caregivers, and families with appropriate follow-up services Maintain personal contact with patients

26 Thank you!

27 Kim Moses, RN BSN OCN Breast Cancer Nurse Navigator (360)