Operations Management

The authors present reports on the important role of nurse navigations in care coordination and operations management to assist navigators in preparing for the coming certification test.

Operations management is vital in the healthcare industry to ensure that processes are in place to provide safe, quitable, effective, efficient, timely, and patient-centered care.

A case study demonstrating the role of the navigator in improving efficiency in the clinic which positively impacts the utilization of resources, patient satisfaction, and timeliness of treatment.

As members of the multidisciplinary team, navigators are instrumental in assessing improving the patient flow process.

Sarah Cannon’s San Antonio market was seeking a way to effectively improve key quality and operational navigation metrics on their monthly Navigation Market Scorecard.

Patient navigation has been shown to improve patient engagement and enrollment in clinical trials and increase supportive cancer care.


Offering patients access to oncology navigation is not only recommended, it is also a requirement for certification of oncology programs endorsed by 2 national organizations.


There is extensive literature in change and transition management in leadership but limited literature from a non-managerial or navigator’s point of view.




Community Care Physicians (CCP) is a practice located in Upstate New York that comprises 430 providers and 30+ subspecialties.

In February 2019, to more fully support prostate cancer patients with sexual health and urinary recovery posttreatment, Sutter Medical Center Sacramento implemented a nurse navigator to facilitate patient participation in a survivorship support group and education around symptom management.


The program began with a general focus navigation model (breast, lung, gastrointestinal cancers), then transitioned to a breast navigation only model in March 2018 due to patient volumes and navigator bandwidth.


Removing the Barriers to Oncology Navigation
As the Director for Corporate Oncology Navigation at Ballad Health, Zilipah Cruz believes that the 2018 AONN+ Annual Conference helped her understand the needs of the oncology navigators at her institution. While oncology navigators help remove the barriers that keep patients from getting the appropriate treatment, administrators like her help remove the barriers that oncology navigators face.

Oncology nurse navigators and administrative staff reported spending more than half their daily shifts in some way managing incoming calls and the backlog of voicemails.





As the healthcare landscape is evolving from independent hospitals to large healthcare systems, the challenge of standardizing programs such as navigation becomes paramount to ensuring best practices and service consistency.



Journal of Oncology Navigation & Survivorship
JONS

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