Oncology Data Management Systems

1. Oncology Data Management Systems

2. Implementing Metrics In Your Navigation ProgramThe Next Frontier Tina Evans, RN, BS Vice President Navigation Systems OncoNav Patient Navigation Software Kristina Rua, BSN, RN, ONN-CG Gynecology Oncology Nurse Navigator Miami, FL

3. Welcome Thank you for joining us today for our webinar We will take questions and comments at the end of the presentation You may enter your questions into the gray question box in the webinar tab This webinar is being recorded and the recording, slide deck and Q&As will be made available on the OncoNav website

4. Goals for Today Review metrics relevant to navigation programs Discuss reasons for capturing and utilizing metrics Review process and rationale for selection of metrics in a navigation program

5. Look How Far We Have Come • Harold Freeman’s Patient Navigation Program • NCI PNRP • American Cancer Society • NCONN • CoC and NAPBC • ONS/AONN+

6. Why Metrics? Measure many things: • Patient satisfaction • Quality of care • Program success • Return on investment • Downstream revenue

7. It’s Time To Validate What We Already Know There is value in navigation to the patient and the cancer program Navigators are a key to patient and provider satisfaction Navigators are the first responders to barriers to care Navigators need support

8. Is That All There Is? Is it only navigation that matters? Who else benefits?

9. Next Steps In The Navigation Continuum

10. Just More Work? Navigators don’t have time for one more thing……. This Photo by Unknown Author is licensed under CC BY-NC-ND

11. Metrics and the Oncology Navigator Scope It is imperative that oncology nurse and patient navigators understand that active participation in data collection, analytics and reporting outcomes is not added responsibilities but is already a part of the professional role.

12. Where Do They Intersect Myths and Facts Every navigation program is unique All navigators should be nurses Every patient needs the same thing Value of navigation can’t be measured

13. Where Is The Starting Line? This Photo by Unknown Author is licensed under CC BY

14. Here are some suggestions • Review your strategic plan for 1,3,5 year goals of your cancer program • Ask your Cancer Committee what data is important to them • Consider what can be easily collected • Consider the infrastructure that is in place for collection • Think about what you will do with the data you collect

15. Selection of Metrics in Your Navigation Program Kristina Rua, BSN, RN, ONN-CG Gynecology Oncology Nurse Navigator Metric Selection How metrics were chosen in a newly established program

16. Metric Selection- The “Daunting” Task Establishing metrics in your navigation program. Demystifying the process!

17. Step 1- What metrics are relevant to your program? \. . • Cancer Committee requests • What are your program goals? • How is your program set up? • What are your strengths/weakness?

18. Step 2- Data collection • What data can we collect? • Can the data be validated? • What do we do with the data?

19. Possible metrics to “tackle” • Barriers to Care • Psychosocial Distress Screening • Social Support Referrals • Diagnosis to First Oncology Consult • Diagnosis to Initial Treatment

20. Why Barriers to Care? Community Needs Assessment Is it accurate? What programs are we lacking? Can those programs be incorporated?

21. Barriers To Care What’s The Connection? How much time does a navigator spend helping patients/families overcome barriers to care? What are the major barriers in your community? How many patients struggle with financial issues that keep them from staying in care? How do you help patients who need transportation to treatment? How often does this occur?

22. Why Psychosocial Distress Screenings? • Identify at-risk patients • Improve communication with patients • Improve patient satisfaction • Identify barriers to care • Identify cancer support program needs • Increase referrals to supportive services • Utilization of best resources possible for interventions https://www.oncologynurseadvisor.com/oncology-nursing/screening-for-psychosocial-distress-a-review/article/398781/2/

23. Why Social Support Referrals? • Determine referral base • Assist in program’s performance improvement • Affect patient satisfaction scores • Identify unknown barriers to care

24. Why Diagnosis To Oncology Consult? • Improve Outcomes • Patient outcomes • Improve quality of care • Guide performance improvement • Determine process flaws

25. Why Diagnosis to Initial Treatment? Are we decreasing time from diagnosis to treatment? How effectively have we been able to break down barriers to provide more timely care? • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4751250/ • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3171897/ • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2430139/ • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5065113/

26. Benchmarks

27. National Evidence-Based Oncology Navigation Metrics: Multisite Exploratory Study to Demonstrate Value and Sustainability of Navigation Programs The purpose of this multisite exploratory quality study is to assess the reliability and validity of 10 key metrics selected from the list of 35 developed by AONN+, and gain insight into the barriers and challenges navigation programs encounter during the implementation of navigation metrics.

28. Primary Study Objectives Implementation and validation of metrics 1 2 Establishing national evidence-based standardized navigation benchmarks We would like to accomplish the following primary study objectives 3 Conducting navigation research to validate sustainability and value of navigation 4 Identification of navigation outcome measurement best practices and lessons learned 5 Creation of a centralized navigation metrics database and repository CONFIDENTIAL AND PROPRIETARY All Right Reserved, AONN+

29. Secondary Study Objectives Implementation Toolkit Clinical & IT Challenges Barriers to Measurement In collaboration with the American Cancer Society, develop a Navigation Metrics Implementation Tool Kit as an outcome of the study findings Identify common barriers and challenges (both individual and system level) to metric measurement and strategies for overcoming them Identify clinical and IT challenges and barriers with navigation metrics implementation CONFIDENTIAL AND PROPRIETARY All Right Reserved, AONN+

30. Key Take-Aways • Start small • Select metrics that are relevant to your program • Select metrics that you can collect accurate data for • Select metrics that prove the programs validity • Select metrics that will in turn strengthen your program

31. A Closer Look Patient Satisfaction survey focused on the navigation experience Quality indicators for standard of care Patient compliance Patient retention Downstream revenue

32. Patient Experience, Clinical Outcomes, Return on Investment Patient Experience: PE Patients want to be heard Patients want to actively participate in their care Clinical Outcomes: CO Was the best possible outcome achieved Was there good timeliness of care Return on Investment: ROI Was impact does the navigator have on downstream revenue generation Was there a decrease in ED visits by navigated patients JONS-online.com, Vol8. No.2. February 2017. Pg 64

33. Let’s Take A Look At A Few Transition from Treatment to Survivorship: Percentage of navigated analytic cases per month transitioned from completed cancer treatment to survivorship: PE, CO Palliative Care Referral: Number of navigated patients per month referred for palliative care services: PE, CO, ROI http://www.jons-online.com/issue-archive/2017-issues/february-2017-vol-8-no-2/academy-of-oncology-nurse-patient-navigators-announces-standardized-navigation-metrics/

34. Unlikely Metrics Patient Goals Percentage of analytic cases per month that patient goals identified and discussed with the navigator: PE, CO, ROI Identifying Learning Style Preference Number of navigated patients per month who preferred learning style was discussed during the intake process: PE, CO http://www.jons-online.com/issue-archive/2017-issues/february-2017-vol-8-no-2/academy-of-oncology-nurse-patient-navigators-announces-standardized-navigation-metrics/

35. Community Outreach, Prevention . Cancer Screening Follow-up to Diagnostic Workup Number of navigated patients per quarter with abnormal screening referred for follow-up diagnostic workup: PE, CO, ROI Completion of Diagnostic Workup Number of navigated individuals with abnormal screening that completed diagnostic workup per month/quarter: CO, ROI http://www.jons-online.com/issue-archive/2017-issues/february-2017-vol-8-no-2/academy-of-oncology-nurse-patient-navigators-announces-standardized-navigation-metrics/

36. A Different Way To Look At It Patient Retention Through Navigation Number of analytic cases per month or quarter that remained in your institution due to navigation: ROI http://www.jons-online.com/issue-archive/2017-issues/february-2017-vol-8-no-2 /academy-of-oncology-nurse-patient-navigators-announces-standardized-navigation-metrics/

37. AONN+ Standardized Navigation Metrics Published in February 2017 in the Journal of Navigation and Survivorship • Community Outreach and Prevention • Coordination of Care/Care Transitions • Patient Advocacy/Patient Empowerment • Psychosocial Support Services/Assessment • Survivorship/End of Life • Professional Roles and Responsibilities • Operations Management, Organizational Development, Health Economics • Research, Quality and Performance Improvement http://www.jons-online.com/issue-archive/2017-issues/february-2017-vol-8-no-2/academy-of-oncology-nurse-patient-navigators-announces-standardized-navigation-metrics/

38. Things To Consider Association of Community Cancer Centers Academy of Oncology Nurse and Patient Navigators Patient Experience Patient Centered Care Clinical Outcomes Oncology Care Model Return on Investment Generate revenue to sustain growth

39. Some Final Thoughts…… Is your house in order? It takes a village How do you eat an elephant? It’s a marathon, not a sprint

40. Resources and The Literature Association of Community Cancer Centers Oncology Nursing Society Academy of Oncology Nurse Navigators and Patient Navigators The Advisory Board Oncology Roundtable

41. Thanks for your time We’ll answer some of your questions now. If we can’t answer all of them , we will post answers on the OncoNav website. The slides and a recording of the presentation will be available on the OncoNav website within the next week. https:/www.onco-nav.com/webinars

42. OncoNav Patient Navigation Software If you would like to schedule a demonstration of OncoNav Patient Navigation software, please contact us 1-888-369-1791 or sales@onco-nav.com

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