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New Models of Patient Navigation in Kansas. Carol J. Bush, BS RN, Patient Navigator Midwest Cancer Alliance The University of Kansas Cancer Center. Longitudinal Model of Patient Navigation (PN). Holistic, Integrative Approach Patient-focused Follows disease trajectory
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New Models of Patient Navigation in Kansas Carol J. Bush, BS RN, Patient Navigator Midwest Cancer Alliance The University of Kansas Cancer Center
Longitudinal Model of Patient Navigation (PN) Holistic, Integrative Approach Patient-focused Follows disease trajectory Allows for systems-based approach Navigation phases
GWCI’s Framework for Longitudinal, Integrative, And Network Patient Navigation Patient Navigation Survivorship Navigation Treatment Navigation Screening Navigation • Screening, Abnormal finding, • Diagnostic Resolution, • Treatment, Palliative Care, • End of Life Care • Eliminate critical delivery gap • for populations experiencing • disparities • Provide seamless transition • from screening through • treatment and survivorship Outreach Rehabilitation Education Screening Initial Contact Diagnosis Treatment Survivorship Abnormal Results/ Diagnosis Diagnosis Treatment Survivorship Dr Steven Patierno, PI, George Washington Cancer Research Institute
Emerging Concepts in PN • Network Navigation—creating city-wide and regional multi-health system networks for navigation across geographic and social-cultural barriers KU Wichita Center for Breast Cancer Survivorship Community/Academic partnership-- multi-disciplinary team collaborates across health systems Multi-Community Alliance-- multi-disciplinary team collaborates across geo-medical boundaries
Emerging Concepts in PN Systems-based Navigation From Outreach, through and beyond Treatment, including End of Life care and Survivorship Midwest Cancer Alliance Design unique to community needs and health system, multidisciplinary team; collaborative assistance to develop and integrate into existing operations
Emerging Concepts in PN • PN is a multi-disciplinary Team process • Proactive system • Strength-based approach • Builds on unique resources of community or health system • Makes economic sense • 4 C’s of Sustainability—Community Needs, Community Solutions, Collaboration & Communication
A Call to Action Patient Navigation field touches all levels of health care Integrative approach can include all participants, at all levels of their being Tailor to meet unique needs of the community Increase both patient and provider satisfaction Cross-cutting collaborations and partnerships