Tools and Resources for the New and Experienced Oncology Nurse Navigator & Oncology Care Coordinator The ONS Oncology Nurse Navigator (ONN) Toolkit was created by the leadership team of the Nurse Navigation and Care Coordination Community. For ease of use, the toolkit is divided into sections relevant to specific areas of navigation. A description of the resource and corresponding link are also provided. It is our hope that you will find the information you need to effectively build sustainable navigation programs or enhance existing ones. If you have a resource you would like to see added to the toolkit, please contact Dominique Srdanovic (DSrdanovic@stamhealth.org). Navigation & Survivorship Toolkits and Resources Association of Community Cancer Centers -- Patient Navigation: Resources and Tools for the Multidisciplinary Team Tools for implementing a navigation program at a community cancer center including assessment tools, navigator job descriptions, and standard operating procedures. It also includes sample intake and referral forms, tracking forms, discharge tools, patient and physician satisfaction surveys, an outcome measures tool and a bibliography/resource list. http://www.accc-cancer.org/resources/patientnavigation-overview.asp Boston Medical Center Patient Navigation Toolkit 1 st Edition Toolkit includes three volumes, Developing Your Patient Navigation Program, Supervising and Supporting Patient Navigators and Patient Navigation in the Field. Evidence-based and experience-based examples, case studies, tools and resources designed for program initiators/ planners, supervisors of navigators, and patient navigators. https://nciphub.org/resources/1600/download/bmc_patient_navigation_toolkit_-_vol_1.pdf Advancing the Field of Cancer Patient Navigation: A Toolkit for Comprehensive Cancer Control Professionals (GW Cancer Institute) A resource to: Educate and train patient navigators Provide technical assistance to members of your coalition Build navigation networks at the state level Identify policy approaches to sustain patient navigation (2016) https://smhs.gwu.edu/cancercontroltap/sites/cancercontroltap/files/pn%20toolkit%20final.pdf 1
Educare Breast Health Navigator Professional Resources Provides up-to-date tools to assist you in patient education, increasing patient compliance and outcomes, while decreasing time constraints on your practice. http://www.educareinc.com/pros.php Harold P. Freeman Patient Navigation Institute Navigation Resources Communication, legal, financial, outreach, diagnostic, treatment, survivorship, rehabilitation and supportive care navigation resources. http://www.hpfreemanpni.org/resources/index.php?phpsessid=3b4f7a69d918acc4accf242dd64ad937#3 Kansas Cancer Partnership Cancer Patient Navigation Program Toolkit A toolkit to help healthcare professionals implement a program that provides individualized support, case coordination and targeted services, with a specific focus on cancer care. http://www.cancerkansas.org/download/cancer_patient_navigation_toolkit.pdf Navigation: A Guide to Implementing Best Practices in Person- Centered Care A guide to enhance delivery of cancer care services by supporting innovative practices in navigation. http://www.cancerview.ca/idc/groups/public/documents/webcontent/guide_implement_nav.pdf ONS Connect Blog Nurse Navigators Need These Big 3 Resources: Tools, Training and Tracking. A listing of key resources for the navigator in these 3 categories, tools, training and tracking http://connect.ons.org/ons-connect-blog/nurse-navigators-need-these-big-3-resources Oncology Service Line Catholic Health Initiatives Navigation Program Resource Guide. Best practices for Patient Navigation Programs https://mdpnn.files.wordpress.com/2013/04/chi-navigation-program-resource-guide-_final-012013_.pdf Rural Care Coordination Toolkit Resources for identification and implementation of a care coordination program with resources and best practices. 2
https://www.ruralhealthinfo.org/community-health/care-coordination GW Cancer Institute National Cancer Survivorship Resource Center Toolkit: Implementing Clinical Practice Guidelines for Cancer Survivorship Care This toolkit provides resources to help with implementing American Cancer Society cancer survivorship care guidelines for colorectal, head and neck and prostate cancers and the American Cancer Society/American Society of Clinical Oncology cancer survivorship care guideline for breast cancer. Information is included on training opportunities for primary care providers and patient materials to help activate cancer survivors to be full participants in their survivorship care. https://smhs.gwu.edu/gwci/survivorship/ncsrc/national-cancer-survivorship-center-toolkit GW Cancer Center Cancer Control Tap Supporting Cancer Survivors through Comprehensive Cancer Control Programs https://smhs.gwu.edu/cancercontroltap/sites/cancercontroltap/files/survivorship%20report.pdf A Resource Guide for CoC- Accredited Facilities: Meeting the Commission on Cancer Patient- Centered Standards A collection of services, programs and tools available across the country to help CoC accredited organizations meet Standards 3.1, 3.2 and 3.3. The guide is comprised of local, regional and national resources from Alliance member organizations. http://www.cfah.org/pdfs/alliance_resource_guide_3_2014.pdf Cancer Survivorship Care Plans: A Toolkit for Health Care Professionals A practical guide to advance the goal of increasing awareness and understanding of survivorship care plans among systems of care and to increase the utilization of survivorship care plans. http://triagecancer.org/wp-content/uploads/2016/02/cdoc-cancer-survivorship-care-plan-toolkit-final-2016.pdf Journey Forward Templates for treatment plans, treatment summaries and survivorship care plans www.journeyforward.org 3
National Organizations Supporting Navigation Academy of Oncology Nurse & Patient Navigators (AONN+) https://www.aonnonline.org Membership organization that provides networking, online continuing education courses for oncology nurse navigators, tools and resources for patients, caregivers and national conferences. Oncology Nurse Advisor Navigation Summit Yearly conference that is designed to support the role of an oncology nurse navigator. Networking opportunities and national speakers provide an exceptional conference for new and seasoned navigators. Non-membership organization. http://www.oncologynurseadvisor.com/ Oncology Nursing Society (ONS) Professional membership association of more than 39,000 members committed to promoting excellence in oncology nursing and the transformation of cancer care. Award-winning publications include: Oncology Nursing Forum, Clinical Journal of Oncology Nursing. https://www.ons.org/ Specific resources for oncology nurse navigators include: NN/Care Coordinator Community Platform enabling real time networking and problem solving with oncology nurses, care coordinators and navigators across the country, national conferences and ONS recommended tools and standards of care to ensure the delivery of quality cancer care across the continuum. 4
Communication and Health Literacy Quick Guide to Health Literacy Department of Health and Human Services guide to understanding health literacy and strategies for improving communication. https://health.gov/communication/literacy/quickguide/default.htm Plainlanguage.gov http://www.plainlanguage.gov Strategies for using plain language in healthcare communication. AHRQ Universal Precautions Health Literacy Toolkit Initially intended for primary care offices, this guide outline the steps and tools needed to effectively improve the delivery of patient information. http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/index.html Motivational Interviewing (MI) https://www.ncbi.nlm.nih.gov/books/nbk64964/ Article describes the steps for motivational interviewing and provides examples on the use of MI in clinical practice. 5
Nurse Navigation Training/Certificate/ Certification Programs AAACN Care Coordination and Transition Management (CCTM) certificate https://www.aaacn.org/cctm A 13 module online course offered by the AAACN Online Library for RNs in all settings from ambulatory care to hospitals. The course covers 9 dimensions of the RN s care coordination and transition management role and related competencies. The first module is offered at no cost and includes 2.4 contact hours. AONN + Nurse Navigation Certification Offers general nurse navigation certification exam. The exam is designed for the generalist nurse navigator. https://www.aonnonline.org/career-center/aonn-navigation-certification/ The George Washington Institute s Oncology Patient Navigator Training: The Fundamentals The competency-based training uses interactive web-based presentations to discuss evidence-based information and case studies to prepare patient navigators to effectively address barriers to care for cancer patients and survivors. http://tinyurl.com/gwonlineacademy GW Cancer Institute GW Cancer Institute develops first free online comprehensive training for patient navigators. http://smhs.gwu.edu/gwci/news/gw-cancer-institute-develops-first-free-online-comprehensive-training-patient-navigators Harold P. Freeman Patient Navigation Institute Training on patient navigation (Certificate of Completion) Offers a Certificate in Patient Navigation. The program teaches skills essential to the safe and effective movement of a patient across the care continuum, improved self-management, and enhanced patient-practitioner communication. Three courses with a prerequisite of a bachelor s degree or equivalent. An RN license is not required. http://www.hpfreemanpni.org/ Institute for Integrative Oncology Navigation A training program for new and experienced navigators across disciplines. This will focus on navigation in the practice of integrative cancer care. No specific prerequisites required healthcare professionals can attend but it is open to patient advocates and lay navigators. http://www.smithcenter.org/institute-for-integrative-oncology-navigation.html 6
National Consortium of Breast Centers (NCBC) Breast Patient Navigation Certification Program (6 certifications offered, individual designation based on licensure) Involves sitting for an exam: Must be a licensed medical professional, navigate breast patients at least 50% of the time, and a minimum of 2 years of experience is recommended. http://www2.bpnc.org/certification/ Oncology Nursing Certification Corporation (Certification) Offers initial certification in specific oncology specialties for eligible applicants: AOCNP, AOCNS, OCN, CPHON, CBCN and BMTCN and renewal of certification for eligible applicants: OCN, AOCNP, AOCN, CPON and CPHON. Certificate programs offered: Chemotherapy Biotherapy and Radiation Oncology Nursing. Nurses in ONN roles should possess certification through one of the National Commission for Certifying Agencies accredited certifications offered by the Oncology Nursing Certification Corporation minimally, Oncology Certified Nurse (OCN ). http://www.oncc.org/ Patient Navigator Training Collaborative (Certificate of Completion) Offers a full curriculum of courses to prepare new navigators or improve patient navigation knowledge and skills. It includes workshops, online courses, online tutorials, and special topics webinars. Designed for new and experienced patient navigators, nurses, social workers, and community health care workers. http://patientnavigatortraining.org/ For patient navigators, social workers, nurses and community health workers, price varies 7
Magnet/Certification Recognition American Nurses Credential Center (ANCC) (ALL ONCC certifications are recognized by this body) ANCC s Certification Program enables nurses to demonstrate their specialty expertise and validate their knowledge to employers and patients. Magnet Recognition Program Certification List Inclusion Criteria National Certifications Currently Included in the DDCT Certification: http://www.nursecredentialing.org Magnet: http://www.nursecredentialing.org/magnet/programoverview.aspx 8
Competencies ONS Oncology Nurse Navigator Core Competencies Describes the fundamental knowledge and skills that novice ONNs should possess or acquire during their first 1-2 years in the role and reflects practice across most settings but is considered within the context of the navigation program. (2013) https://www.ons.org/sites/default/files/onncompetencies_rev.pdf AAACN Care Coordination and Transition Management Core Competencies. By Sheila Hass, Beth Ann Swan, & Traci Haynes Developing Ambulatory Care Registered Nurse Competencies for Care Coordination and Transition Management. Nine core competencies for care coordination and transition management in ambulatory settings are discussed. (2013) http://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1062&context=nursfp George Washington University Cancer Institute Core Competencies for Non- Clinically Licensed Patient Navigator Intended for use by health care professionals and institutions considering qualifications for patient navigators. May be used as a guide for training and professional development with proper acknowledgement. (2014) http://smhs.gwu.edu/gwci/sites/gwci/files/pn%20competencies%20report.pdf 9
Oncology Nurse Navigation Books Becoming a Breast Cancer Nurse Navigator. By L D. Shockney, 2009. Resource that guides nurses through the process of becoming a nurse navigator at breast cancer centers. http://www.amazon.com/becoming-breast-cancer-nurse-navigator/dp/076378494x Oncology Nurse Navigation Case Studies. By P. Daugherty, K. Gamblin & M. Rummell, 2017 This book provides examples of successful oncology nurse navigation programs throughout the disease and treatment trajectory. https://www.ons.org/store/books/oncology-nurse-navigation-case-studies Oncology Nurse Navigation: Delivering Patient-Centered Care Across the Continuum. By K.D. Blaseg, P. Daugherty, and K.A. Gamblin, 2014. This book offers you a blueprint for developing your own navigation program, tips for running a successful program in your institution, and realworld examples from navigator programs in various settings and serving a variety of patient populations. https://www.ons.org/products/oncology-nurse-navigation-delivering-patient-centered-care-across-continuum Issues of Cancer Survivorship: An Interdisciplinary Team Approach to Care. By Kantor, D & Suzan, Zelda, 2015. Addresses the psychosocial issues experienced by the patient and interdisciplinary collaboration covering areas such as psychological distress, short- and long-term effects of treatment, body image issues, and family relationships. http://www.amazon.com/issues-cancer-survivorship-interdisciplinary-approach/dp/1451194382 Patient Navigation: A Resource Guide for Navigators and Care Coordinators By J. Smith & M. Teague, 2016 This practical and exhaustive manual covers a wide range of topics within health systems navigation and care coordination. It provides not only an overview of its history and the skills necessary for success but also touches on other important issues like health promotion strategies, emotional considerations, and a self-help reference for the navigator. Rooted in the field of oncology navigation, the model designed and implemented by the authors has application in all areas of health care both acute and chronic. 10
https://tinyurl.com/patientnav 11
National Position Statements American Nurses Association https://tinyurl.com/anaposition Care Coordination and Registered Nurses Essential Role 2012 American Medical Association Improving the Health Marketplace with Patient Navigation 2012 http://patientnavigator.com/blog/wp-content/uploads/2014/10/ama-statement-on-patient-navigators.pdf Oncology Nursing Society Oncology Nursing Society, the Association of Oncology Social Work, and the National Association of Social Workers Joint Position on the Role of Oncology Nursing and Oncology Social Work in Patient Navigation 2010 https://www.ons.org/advocacy-policy/positions/education/patient-navigation Oncology Nursing Society Oncology Nurse Navigation Role & Qualifications https://www.ons.org/advocacy-policy/positions/education/onn Oncology Nursing Society Oncology Certification for Nurses https://www.ons.org/advocacy-policy/positions/education/certification Disclaimer: This toolkit was developed by members of the ONS Nurse Navigator & Care Coordinator Community. This list is not comprehensive. The information provided was the most current information available at the time of the publication. Some material may change or become dated without notice since the content was gathered from many sources. The sponsors and individuals listed assume no responsibility for time sensitive information. It is the responsibility of the individual user to verify the accuracy of pertinent content. ONS is not suggesting that navigator training or certification is necessary, nor claiming that programs listed are exemplary. The training/certificate/certification programs listed are only a sample of the professional development options available on the market. Material provided does not constitute an endorsement or specific recommendation by ONS or its affiliations. Initiated March, 2015, Revised January, 2017 12