Coordination of Care/Care Transitions

While it is generally recognized that oncology navigation programs can vary in structure, makeup, and domain of care, a common task expected of all navigators is identifying potential or existing barriers to cancer care.
Our organization had the opportunity to reduce the time of discovery of suspicious mass to surgeon consultation for patients with rectal, esophageal, and pancreatic cancer.
To address the inequities that underserved populations often face during their cancer experience, the Wake Forest Baptist Comprehensive Cancer Center developed a novel nonclinical navigation program for African American (AA), Hispanic, and rural cancer patients.
Integrated care is an approach for improving care transitions, but identifying patients to benefit from the assistance of an oncology nurse navigator (ONN) is inconsistent or nonexistent for patients transitioning from an acute inpatient setting to an outpatient treatment area.
Oncology navigation is evidence-based and plays an important role in lung cancer care, but variation remains in the navigator’s role across the continuum from early- to late-stage lung cancer.
There are approximately 436,060 head and neck cancer (HNC) survivors living in the United States, and long-term survival is becoming more common in this population.
The oncology nurse navigators (ONNs) at Lehigh Valley Health Network-Cancer Institute, comprising 8 oncology-certified registered nurses, were presented with an initiative from the administration to assist with preventing patient readmissions due to severe toxicities that could otherwise be managed in the outpatient setting.
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