Managing a Navigation Program: The Role of Administrators
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Phyllis A. DeAntonio, RN, MSN, FAAMA Marie S. DeStefano, RN, MSN, FAAMA
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Managing a Navigation Program: The Role of Administrators
- 1. Managing a Navigation Program: The Role of Administrators Phyllis A. DeAntonio, RN, MSN, FAAMA Administrator, Cancer Services Pitt County Memorial Hospital University Health Systems of Eastern North Carolina Greenville, NC
- 4. Teaching Hospital Cancer Program Accredited by ACoS CoC Teaching Hospital Cancer Program Accredited by ACoS CoC
- 6. Article from Community Focus
- 46. Questions
- 47. Evaluation and Measurement of a Patient Navigation Program Marie S. DeStefano, RN, MSN, FAAMA Administrative Director of Oncology Crozer-Keystone Health System, PA
- 49. Crozer Keystone Health System
- 59. Multidisciplinary Team Social Services Radiologist Oncology Nurses Navigator Plastic Surgeon Supportive Services Radiation Oncology Medical Oncology Radiologist Pathologist Genetic Counselor Surgeon PCP/GYN PATIENT
- 66. Benign Percutaneous Biopsy Surgeon Abnormal Malignant 6 month f/u imaging Palpable not see on imaging Not a candidate for Percutaneous biopsy Abnormal imaging BHC
- 67. Breast Panel Review Medical Oncology Radiation Oncology Reconstructive Surgeon Genetic Counselor Definitive Treatment Plan Supportive Services
- 69. Breast Health Coordinator STATS July 2010 CCMC Springfield Media Brinton Lake Total 24 5 0 1 Seen or Contacted 24 5 0 1 Stayed in System 21 5 0 1 Out migrated 3* 0 0 0 Patient Contacts = 59 Total New Bi-Rad 4 or 5 = 30 Total New malignancy New Breast Cancer Staying in System = 6 *Reason for Outmigration Pt referred by Dr. Vakil, preferred surgical biopsy with him Pt biopsy here- benign- to Jeff Pt referred to Lankenau by Dr Tirado
- 74. What Administration Wants: ROI Referrals From Patients Referrals for Supportive care Additional Radiographic Imaging Medical Oncology/ Chemo Radiation Therapy Surgery Surgical Consult Percutaneous biopsy Ultrasound Diagnostic mammogram Screening mammogram
- 78. One Size Does Not Fit All
Notes de l'éditeur
- Good morning everyone! I am so happy to be here, of course you know I did have to turn down an invitation to the Royal Wedding But really, I am excited to share my program with you, It is my first time presenting at Congress, I am a bit nervous, but figure I am talking about what I do everyday so as long as I don’t fall down I’ll be ok And hey someone out there will revive me Right?
- Reference http://action.lls.org/atf/cf/%7B28668E32-EB72-4C5E-B1D6-BE5E9E58E6C9%7D/Patient_Navigation_Funding.doc and GovTrack.us. H.R. 1812--109th Congress (2005): Patient Navigator Outreach and Chronic Disease Prevention Act of 2005, GovTrack.us (database of federal legislation) <http://www.govtrack.us/congress/bill.xpd?bill=h109-1812> (accessed Nov 25, 2007)
- Reference http://action.lls.org/atf/cf/%7B28668E32-EB72-4C5E-B1D6-BE5E9E58E6C9%7D/Patient_Navigation_Funding.doc and GovTrack.us. H.R. 1812--109th Congress (2005): Patient Navigator Outreach and Chronic Disease Prevention Act of 2005, GovTrack.us (database of federal legislation) <http://www.govtrack.us/congress/bill.xpd?bill=h109-1812> (accessed Nov 25, 2007)
- Great As we may have heard about The American College of Surgeons, Commission on Cancer will be requiring a Patient Navigation Program for accreditation
- We are so fortunate to have our interdisciplinary team all on site to help expedite and coordinate care
- Comment I see most of you have Breast navigation programs, Which is where I am, I am lucky to have a captive audience , working with individuals who have breast abnormalities on imaging is when i first interact with patients I know it is more difficult to establish this point of contact for other sites
- Now my role is comfortable, but it didn’t start off that way. It was a new concept and I had to really sell myself and service. Mentorship from my sister hospital DCMH was helpful as well as all the support I received from the Fox Chase Cancer Center Partnership Breast Care Coordinator Team, I found quickly that navigation programs vary from institution to institution, even within Health care Systems. ,
- I am going to start by introducing you to the Health System in which I work and the history of the Navigation program there Crozer Keystone Health System has 5 hospitals in Delaware County Pa, just south of Philadelphia Pt navigation really started there before the buzz word took off. We have had a nurse in the system who navigated our breast and cervical patients through the CDC’s Healthily Woman Program in which provides breast and cervical screenings to the uninsured in PA. She has been also managing the Granted monies from Komen for the Cure for our system which we have been lucky enough to receive over 1 million dollars to care for our Ladies in Delaware County. The official role of Breast naviagator was established in 2005 and proved by the reduction in out patient migration of breast health patients to be successful. Along with that there were other benefits such as timiness to care patient and physician satisfaction. The role was established at Crozer in 2006 , and I have been there from the start, and can honestly say everyday is something new!
- So I found great mentorship and my Champion if you will in Women’s Imaging. I learned so much from our Breast Imagers and technicians This is where I became an important part of other Breast Health Tem
- So I found great mentorship and my Champion if you will in Women’s Imaging. I learned so much from our Breast Imagers and technicians This is where I became an important part of other Breast Health Tem
- So Pt navigation starts at time of abnormal imaging. We are a busy center with designated diagnostic and biopsy days I also get referrals through our web site , Hope line or word of mouth.
- Our algorithm looks like this This is where the patients may have the most stress, at time of abnormal imaging and waiting for biopsy results.
- Our multidisciplinary team meets weekly and cases are presented prospectively throughout patient care planning. Ans in follow up as needed Clinical Staging, course of care and barriers are identified and discussed. Patents are notified of any changes in care that may have evolved from conference.
- So in evaluating our Navigation program, The focus has been on out migration Be so close to renowned University Hospitals is tempting for patients and prior to my position out migration was high Capturing data is straight forward These are monthly stats that are reported to administrator Additional Metrics are also kept in regards to timeliness and treatment modalities
- So now out migration looks like this Prior to navigation Program we were losing 14% of our breast patient to other institutions, Now , just 2%
- So yea we think so , keeping this percentage of our newly dx breast cancer patients makes everyone happy Especially Administration
- Becayou can see the return on investment is huge- Keeping just one extra patient in the system, requiring all the different services provides revenue for the hospital
- Of course there are other benefits as well Such as patient and physician satisfaction,…..
- So in ending, if just starting your program , evaluating your program or in the mist of changing your program Remember to g slow and take a team approach so that you can have success And one more thing Congratulations to Will and Kate!! Thank you for your attention!