New Models of Patient Navigation in Kansas

Carol J. Bush, BS RN, Patient NavigatorMidwest Cancer AllianceThe 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

Outreach

Education

Treatment Navigation

Patient Navigation

Rehabilitation

Screening Navigation Survivorship Navigation

Screening

Diagnosis Treatment Survivorship

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 survivorshipInitial Contact

GWCI’s Framework for Longitudinal, Integrative,And Network Patient Navigation

Dr Steven Patierno, PI, George Washington Cancer Research Institute

Abnormal Results/Diagnosis

Diagnosis Treatment Survivorship

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 AllianceDesign 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

Thank you, Kansas Masonic Foundation!!