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1. 2013 IOM Report: Delivering High Quality Cancer Care: Charting a New
Course for a System in Crisis: Patient Navigators were included as team members
2. 5 Values of effective health care teams: Honesty
Discipline
Creativity
Humility
Curiosity
3. Supprt Staff Interactions: can positively impact a patients care
4. IOM principles of Team Based Healthcare: Clear Goals
Mutual Trust
Ettective Communication
Measurable processes and outcomes
5. 1999 IOM report: Ensuring Quality Cancer Care: All Americans receive High Quality Health-
care:
Maintaining a system to measure and monitor
Treatment by experienced professionals
Access to the full complement of resources
Access to Clinical Trials
6. 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 ettects and late ettects 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 ettorts to improve QOL for cancer survivors
8. eliminate discrimination and minimize ettects of cancer care on employment
9. Adequate and attordable Health insurance
10. private orgaziantions and foundations ( ACS, etc) to expand research on Cancer survivorship
7. 2013 IOM Conceptual Framework: 6 components of high quality cancer care-
: 1. Engaged patient
2. Adequately statted, trained and coordinated workforce
, AONN Certification REVIEW
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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, attordable cancer care
8. 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.
9. Iin AONN became the member of the Commission on Cancer: 2015
53rd
10. Fragmentation of Care: Trends and Issues Attecting 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
11. Patient's Life Goals: Goals need to be acknowledged and when appropriate , incorporated into the
decision making process.
12. 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
13. NCI Adopted Freeman's goal for Patient Navigation: 5 year cooperative agreement
Cost ettective patient navigation programs
primary project was the PNRP - patient Navigation Research Project
14. PNRP - Patient Navigition Research Project: provided funding to 9 sites
primary focus on populations experiencing cancer health disparities
Breast, Cervical, Colorectal, Prostate cancers
15. Evolution of Navigation: Grew out of focus on community outreach with emphasis on coordination of
care / transactions of care
16. AONN - Academy of Oncology Nurse Navigators': Established in 2009, incorporated with
the commitment to improve patient care and quality of life by defining, enhancing, and promoting the role of Oncology
Nurse and patient Navigators