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Patient Navigators were included as team members
5 Values of effective health care teams
Honesty
Discipline
Creativity
Humility
Curiosity
Supprt Staff Interactions
can positively impact a patients care
IOM principles of Team Based Healthcare
Clear Goals
Mutual Trust
Effective Communication
Measurable processes and outcomes
1999 IOM report: Ensuring Quality Cancer Care
All Americans receive High Quality Healthcare:
Maintaining a system to measure and monitor
Treatment by experienced professionals
,Access to the full complement of resources
Access to Clinical Trials
2005 IOM From Cancer to Cancer Survivor: Lost in Translation
10 key recommendations
1. Cancer Survivorship is distinct phase of cancer care
2. Pt's provided with "Survivorship Care Plan"
3. Evidenced Based clinical practice guidelines to manage effects and late effects
of cancer and cancer treatment
4. Quality Survivorship care developed and monitored
5. CMS / NCI develop and coordinate interdisciplinary Survivorship care in diverse
communities
6. CDC, Congress to support development of comprehensive care plans for
survivorship
7. MCI and other organizations to expand and coordinate efforts to improve QOL
for cancer survivors
8. eliminate discrimination and minimize effects of cancer care on employment
9. Adequate and affordable Health insurance
10. private orgaziantions and foundations ( ACS, etc) to expand research on
Cancer survivorship
2013 IOM Conceptual Framework: 6 components of high quality cancer care
1. Engaged patient
2. Adequately staffed, trained and coordinated workforce
3. Evidenced based cancer care
4. Learning healthcare IT Technology for cancer care
5. Translation of evidence into clinical practice, quality measurement and PI
6. Accessible, affordable cancer care
Commission on Cancer (CoC)
is a consortium of professional organizations dedicated to improving survival and
quality of life for cancer patients through standard-setting, prevention, research,
education, and the monitoring of comprehensive quality care.
, Iin ____ AONN became the _____member of the Commission on Cancer
2015 53rd
Fragmentation of Care
Trends and Issues Affecting Healthcare Delivery:
There is so much to know in the field of medicine. Instead of one person learning
all of this knowledge you get people who are specialized in one area. To see
someone you need to get a referral from your physician.
Since one patients sees so many healthcare professionals in one day, it can cause a
breakdown in the continuity of care. This can result in conflicting care plans, too
much or too little medication and higher healthcare costs.
NURSE NAVIGATOR are important members of the team to help address this
fragmentation
Patient's Life Goals
Goals need to be acknowledged and when appropriate , incorporated into the
decision making process.
The President's Cancer Panel 2001 and 2003
recommended funding be provided to support community based programs such
as patient navigator programs, to assist individual in obtaining cancer information,
screening, treatments, and supportive services
NCI Adopted Freeman's goal for Patient Navigation
5 year cooperative agreement
Cost effective patient navigation programs
primary project was the PNRP - patient Navigation Research Project
PNRP - Patient Navigition Research Project
provided funding to 9 sites
primary focus on populations experiencing cancer health disparities
Breast, Cervical, Colorectal, Prostate cancers