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Navigation: A Guide to Implementing Person-Centred Care September 2012The Quality Improvement and Evaluation Framework assigns aims (targets) in four areas.The aims are intentionally high and exist as a goal or target for the management andimplementation teams to reach for.Components and AimsQI and EvaluationComponentsProgram Logic ModelComponentsAim(s)1. Navigation • Planning and Assessment• Organizational CapacityBuilding• Monitoring, Evaluatingand Reporting• Disseminating• 90% of target group is informed aboutNavigation function and availability2. Education andTraining• Staff Selection,Training and Support• 90% of navigators hired have knowledgeand skills required for scope of practice• 90% of other health care providers haveknowledge and skills to facilitate integrationof Navigation in team practice3. Teamwork andCollaboration• Teamwork andCollaboration• 90% of navigators and other health careteam members use best practice guidelines• 90% of navigators and other health carestaff report a high degree of satisfactionwith integration of Navigation in team4. PatientEngagementand Outcomes• Patient Engagement andOutcomes• 90% of navigated patients/families aresatisfied with process of careQuality ImprovementQuality improvement offers aproven methodology for improvingcare for patients and for improvingstaff practices. It is a continuousprocess of identifying areas whereprocess changes are needed andmonitoring progress in the implementationof those changes. Theimplementation of Navigation is anopportunity to streamline and improvethe delivery of personcentredcancer care. Continuousquality improvement ensures thatBenefits of Quality Improvement• Identifies quality issues• Clarifies perceived and actual service delivery• Tags and tracks indicators to know if change isan improvement• Provides data on early gains• Allows change with little risk to patients or ofservice disruption• Allows shared learning and motivation• Promotes quality activities to all stakeholdersPowell, Rushmer and Davies, 2009;Rushmer and Voigt, 200844
Navigation: A Guide to Implementing Person-Centred Care September 2012the changes that are being made are in fact improvements, and that the changes beingmade lead to the desired goals or aims of the program.Quality improvement is a method that formalizes the way teams work. When a bottleneckor gap is apparent in clinic operations, a solution is applied to fix it. Using qualityimprovement activities, the team collects small amounts of data to measure change andensure that modifications implemented by the team are having the intended effect.Team EngagementImportantly, quality improvement is a method that implementation teams can use toengage stakeholders to participate in the process. The teams are empowered to identifyproblems or flaws in system design that lead to poor quality. Teams can try outdifferent ideas to improve how care is delivered in multiple, brief, small experimentsof change. The teams conduct frequent, targeted quality measurement in a way thatgives them instant feedback on whether the changes help move the team toward theirgoal or not.The Model for ImprovementIn this section we outline the Model for Improvement (Langley et al., 2009). There are,however, many different models for quality improvement and “no one strategy is superiorthan another based on effectiveness, ease of implementation or cost.” (Powellet al., 2009)The Model for Improvement (Langley et al., 2009)45
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