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

Navigation: A Guide to Implementing Person-Centred Care September 2012Template for Implementing NavigationGoal: To improve the cancer experience by providing Navigation services to patients and their familiesImplementation of NavigationObjective: To organize and planimplementation of a navigationprogram.Activities: Develop detailedimplementation plan, to include:• Field preparation• Stakeholder engagement• Marketing• Quality improvement andevaluation processes (data collection,measurement and feedbackProcess Outputs:• Detailed implementation plan• Data collection and reportingsystem• # of patients informed aboutnavigation function andavailability• # of patients receivingnavigationProcess Outcome:• Implementation of a Navigationprogram within a model of continuousQuality ImprovementEnd Outcome:• Improved cancer care deliverywith integrated NavigationservicesStaff Education and TrainingObjectives:• To train navigators in the skills, knowledgeand core competencies essential totheir scope of practice.• To educate other health care providers inthe institution or community about theNavigation role and function and preparethem to support the integration of thenavigator in the health care team.Activities:Conduct navigator training, including:• Person-centered care• Best practices• Institutional guidelines• Evaluation and QI processConduct training for other staff as aboveand also:• Navigation definition and function• Navigator’s role in the team• Changes in work culture (i.e., trackingprocesses, referrals, protocols)Process Outputs:• Training materials for navigators andother staff• # of navigators hired and trained• # training sessions for other staff• # and category of staff attending sessions• # navigators with skills and corecompetencies for practice• # other staff equipped to supportintegration of Navigation in care processTeamwork and CollaborationObjective: To establish interprofessionalcollaboration among navigatorsand other team members.Activities:• Develop capacities of navigatorsand other health care teammembers to work in an interprofessionalteam, using bestpractices• Develop and implement processesand protocols to promote teamcooperation and communicationProcess Outputs:• Interprofessional model of carefor Navigation• Staff satisfaction with teamworkand integration of Navigation incareProcess Outcomes:• Improved team collaboration• Increased adherence to bestpractice guidelinesEnd outcomes:• Improved coordination and continuityof care• Increased cross-disciplinaryknowledge of and support forNavigationPatient EngagementObjective: To improve the experienceof the patient and family.Activities: Implement processes toensure that navigated patients andfamilies are:• Informed about the navigator’sfunction• Aware of the scope of the navigator’srole (i.e., what to expect)• Participating meaningfully in thenavigation process (i.e., expressingneeds, planning their care, makingdecisions)• Participating meaningfully in evaluatingthe Navigation ProgramProcess Output:• Patient/family satisfactionProcess Outcomes:• Increased satisfaction with healthcare• Improved patient experience ofcare• Increased knowledge of disease andthe cancer care trajectory• Increased awareness of availableservices and resourcesProcess Outcome:• Increased capacity for Navigation asintegrated part of cancer care process88