Download NCI Community Cancer Centers Program (NCCCP) Overview

MMC Cancer Institute
Navigation Program
Donna Green BSN, RN,BA,OCN
[email protected]
MMC model
• Utilizes an Oncology Nurse Navigator (ONN)
– Experienced RN
– Oncology certified
– BSN minimum preparation (or matriculated)
Key Elements of the ONN Role
• Screening for barriers to care; psychosocial, financial, transportation,
lodging, cultural, information & educational
• Coordinating diagnostic, staging & treatment appointments
• Providing information, education & access to support services for
patients & families
• Facilitating timely accurate communication among providers
• Screening for appropriate clinical trials/ genetic risk assessment
• Coordinating multidisciplinary tumor conferences
• Acting as patient advocate
Time line for the MMC/ONN
Program
2006-2007
Cancer Committee
considers concept
2008 Convert 2
clinical BCC / 1
coordinator TOC
positions to Nav
2008 GU Nav
Hired
2008 Shared
funding of
ACS
navigation
2009
2010
2011
Budgeted
Funding for
UGI, LGI, GYN,
NCCCP 3.5
2011 NCCCP
million 2yr
contract
Survivor Nav
48K NBCF
2010 NCCCP
1.5 SW Cross
cultural Navigator
2011 NCCCP
SW
Grant
SW Nav
dedication to
Breast
Survivorship
A S
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L R
L V
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C V
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N R
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Similar roles different needs
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Breast
Thoracic
GU
Upper GI
Lower GI
GYN
Health System
Survivorship
Cross Cultural
Program Goals
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Increase number of referrals to support services and palliative care
Support Informed decision making
Increased accruals to clinical trials
Retention of patients within the health care system
Adherence to referencing NCCN guidelines and TNM staging in
multidisciplinary tumor conferences
Outreach, screening events, support groups
NCI Community Cancer Centers
Program (NCCCP) Overview
• NCCCP started in 2007 with initial funding of 16
sites primarily in rural, small town and underserved
urban areas in 14 states
• In April 2010, MMCCI became one of 14 newlyfunded sites
• MMCCI second site in New England
• 2-Year, $3.7 million contract
• Joint effort between CORE/MMCRI/MMCCI
Overall goal
• To improve access to quality cancer care
-- including high-priority clinical trials -with a focus on rural, poor, and
immigrant/refugee populations in Maine
NCCCP Regional Rural Navigation concept
• The creation of a Maine Health regional
rural Patient Navigator role serving cancer
patients in a pilot community will increase
access to high quality cancer care for those
patients.
Methodology
• A Patient Navigator designated to support the
primarily rural geographic area currently serviced
by Penobscot Bay Medical Center, Waldo County
General Hospital and Lincoln County Healthcare.
• Individual will based out of those communities, but
has a reporting relationship with NCCCP staff at
MMCCI to ensure that contract deliverables are
being addressed.
Contract Objectives addressed
• Targeted access to underserved populations (rural, poor,
primarily white, population)
• Increasing accruals to clinical trials and biospecimens
initiatives
• Advancing the quality of cancer care provided in the
community (with a particular focus on improving the care
of breast cancer patients in a pilot region)
• Improving access to high quality cancer services (i.e.
palliative care, screening, reconstructive services,
radiation oncology, etc.)
Cross Cultural Navigators focus
– Immigrant and/or refugee patients
– Rural patients
– Underserved patients (underinsured,
uninsured)
Cross Cultural Navigator Roles
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Outreach
– Community needs
assessments
– Establish and foster community
relationships
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Navigation
– System-wide navigation
• Hospital, community, state,
regional
– Staff support
• Cultural competence and
awareness
Cross Cultural Navigator Roles
• Some patient populations we have
served:
– African cultures, particularly Somali, Burundi,
Rwandan
– Serbian
– Vietnamese, Chinese
– Underinsured and uninsured
– Rural
Survivorship Navigator
• Focused on assessment of Survivorship
needs
• Co Facilates Bridges program
• Participates in program development
Future of Patient Navigation
• “In my opinion, the creation of the navigator role is one of
those advances which I can no longer imagine functioning
without.”
~ Thomas Vander Kloot, MD