the dollars and $ense of navigation: how to quantify your role
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The Dollars and $ense of Navigation: How to quantify your role. Donna Moore Wilson, BSN, RN, CBCN Oncology Nurse Navigator Bon Secours St. Mary’s Hospital Richmond, Virginia [email protected]. Objectives. Defining the role of the navigator - PowerPoint PPT PresentationTRANSCRIPT
Good Help to Those in Need. ®
The Dollars and $ense of Navigation:
How to quantify your role
Donna Moore Wilson, BSN, RN, CBCN
Oncology Nurse Navigator
Bon Secours St. Mary’s Hospital
Richmond, Virginia
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Objectives
Defining the role of the navigator Choosing appropriate navigation metrics
to justify the roleDeveloping a plan to demonstrate
navigation’s value and return on investment
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Bon Secours St Mary’s Hospital
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Mission of the Navigator
Provide a resource for cancer patients to assist them in navigating through the complex healthcare environment & around any barriers to timely care which might exist…
Bon Secours Cancer Institute (2006)
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Bon Secours Navigation Goal
Improve communication between patients, providers, and caregivers
Connect patients with community resources
Collaborate across the medical team on all aspects of cancer care from diagnosis, treatment and survivorship.
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Defining Navigator Program
Goal of the programKey stakeholdersOrganization/patient needs
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Goal of the program
Decide on model that is most compatible for organization and patient population servedTumor SitePatient Entry PointRN, Social Worker, Community Health
Worker, Lay person/survivor
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Key stakeholders
Patient, family members, and community Physician buy in
Physician Champion
Administration buy inReturn On Investment
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Organizational/Patient needs
Expectations from providersExpectations from administrationPatient demographics
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Navigation Role
OutreachEducation/PreventionEarly Detection/Access to Care
Diagnosis/TreatmentTime of abnormal finding, diagnosis, treatmentBarriers, concerns issues arise
SurvivorshipSummary/Care PlanQOL issues
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Metric Selection
MeaningfulReliableFeasibleUnderstandableEvidenced Based
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Outcome Metrics
Timeliness to careReferrals to ancillary servicesRetained patientsPatient satisfaction
Catholic Health Initiatives, 2013
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Metric Recommendations
Disease site/staging at time of diagnosisTarget is to increase early stage diagnosis
Referral sourceTimeliness to care
National benchmarks can be used as reference (breast, lung, colorectal, head & neck)
Catholic Health Initiatives, 2013
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Navigator Productivity Indicators
Patient volumesInitial, ongoing, and surveillance/survivorship
Number of barriers to care identifiedNumber of referral needs for barrier migrationTime spent making referrals
Patient acuity level Catholic Health Initiatives, 2013
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Navigator Productivity Indicators
Patient satisfaction Retention (decrease outmigration & subsequent
revenue = downstream revenue)Navigator impact on treatment adherence
(revenue capture)
Referral to services Can demonstrate downstream revenue Catholic Health Initiatives, 2013
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Navigator Productivity Indicators
Provider SatisfactionOutcome metrics
Timeliness to careCoordination/continuity of care
Collaboration with addressing patient concerns
Quality of patient education Catholic Health Initiatives, 2013
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Demonstrating value
Increased volume and revenueIncreased patient & provider satisfactionReduced time from abnormal screening to
diagnosisEarlier stage at diagnosisReduced outmigration
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Demonstrating value
Adherence to treatment appointments/ reduced no-show rates
Resolution of patient’s barrier to careReduced emergency visitsShortened hospital readmissionsImproved coordination of care
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Conclusion
Navigation is an unreimbursed serviceAdministration faced with pressure to quantify
benefits of navigation Critical to track revenues from new or returned
patients who were attracted by the program’s navigation services
Vital to track navigation-specific patient satisfaction.
2011 The Advisory Board Company
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“ “Alone we can do so little; together we Alone we can do so little; together we can do so much.” can do so much.”
Helen KellerHelen Keller
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References
Bon Secours Cancer Institute. (2006). Oncology patient navigation program. Retrieved November 5, 2008, from Bon Secours Richmond Health System.
Catholic health initiatives. Navigation program resource guide: Best practices for patient navigation programs. (2013). Retrieved August 3, 2013 from http://navigator.vc.ons.org/file_depot/0-10000000/0-10000/1338/folder/8022/CHI+Navigation+Program+Resource+Guide+(Outside+CHI+Version+0413).pdf
Oncology roundtable, the advisory board company. Maximizing the value of patient navigation: lessons for optimizing program performance. (2011). Retrieved August 5, 2013 from http://www.advisory.com/~/media/Advisory-com/Research/OR/Research-Study/2011/Maximizing-the-Value-of-Patient-Navigation/Maximizing-the-Value-of-Patient-Navigation.pdf