A Guide to Implementing Best Practices in Person ... - cancerview.ca

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Navigation: A Guide to Implementing Person-Centred Care September 2012Possible ModalitiesPossible LocationsResource RequirementsCritical Success Factors• Face-to-face meetings• Telephone consultation (telemedicine, telepractice)• Online communication (email, chat rooms, online support groups)• Referrals to web-based information (websites, databases)• Referrals to other information sources (resource centres, health libraries, articles, books)• Clinic/hospital: outpatient or inpatient• Community organization• Home• Online• Compensation (for professionals/clinicians; for peer/lay navigators in some cases)• Extensive training curricula, targeted to specific roles and institutional demands• Patient education/information materials• Information about and links to provincial and local resources• Instructors/supervisors• Curriculum developers• Mechanisms to support navigators in work, to debrief and to alleviate emotional stress (e.g., mentoring,professional networks, communities of practice)• Institutional space/office supplies/technical support• Program administration and management• Monitoring and evaluation of programs and individual practice• Leadership• Participation• Problem assessment/problem solving• Organizational structures/processes (e.g., best practice guidelines, accountability framework)• Resource mobilization; referral pathways and links• Communications plan; marketing of program• Right people with the right skillsets• Program management/coordination• Program evaluation mechanisms64
Navigation: A Guide to Implementing Person-Centred Care September 2012Appendix B: Cancer J ourney Navigation Program Logic ModelComponents Planning & Assessment Staff Selection, Training & Support Teamwork & CollaborationInputs • Staffing • IS/IT • Facilities • Materials/DocumentsActivitiesOutputsProcessOutcomesShort-TermOutcomesIntermediateOutcomesLong-TermOutcomesAssessment of:• Problem or local situation• Individual staff perceptions, motivation• Existing social supports• Organizational capacity for Navigationprogram• Barriers to implementation• Tailoring Navigation program to localcontext• Creation of implementation plan• Documentation of rationale for needfor Navigation program• Best practice guidelines for Navigation• Implementation plan• Barrier management strategy• Tailored components of Navigationplan, including tools, methods, etc.• Increased preparation and readinessfor implementation of Navigation programs• Overcoming the barriers for Navigationprograms• Navigation programimplemented as designed• Increased patient and family satisfactionwith the experience of care• Sustainability of Navigation program• Select and recruit navigators• Conduct education and training in:– Person-centered approach– Best practices– Institutional Guidelines– Evaluation and QI process• Person-centered educational modulesfor navigators and other staff• Navigators hired and trained• Training sessions for other staff• Increased knowledge skills and capacityfor navigation as part of cancercare process• Increased awareness and integrationof key attributes of personcenteredcare• Increased knowledge about the corecompetencies required• Enhanced staff competencies andcapacity for person-centered approachto navigation• Increased patient and familyawareness of supportive care servicesand resources• Reduced patient and family stressand increased quality of life• Develop capacities of navigators andother health care team members towork in an interprofessional team usingbest practices• Develop and implement processesand protocols to promote team cooperationand communication• Interprofessional model of care forNavigation• Increased adherence to evidencebasedguidelines for navigation• Improved team collaboration andservice coordination• Provision of safe and accessible care• Staff satisfaction with teamwork andcollaboration• Improved coordination, continuityand integration of cancer care deliverywith navigation services• Working toward person-centered care• Increased patient and family knowledgeabout self-management andself-care• Reduced costs to cancer care system65
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