P ATIENT N AVIGATION Sheila Citroni, RN, OCN Oncology Nurse Navigator

T YPES OF N AVIGATORS Lay Navigators Survivorship Navigators Nurse Navigators

CONCIERGE/ LAY NAVIGATOR Meet and greet Facilitate transportation for appointments Refer to ACS Resource staff Refer to Survivorship Navigator Refer to Nurse Navigator Provide education materials Oversee community events in our building

S URVIVORSHIP N AVIGATOR Definition of survivorship LCSW Financial assistance Insurance Supportive counseling Cover our inpatients, outpatient radiation and medical oncology group Survivorship support group Distress Tool

N URSE N AVIGATOR Oncology Certified Nurse Provides support, education, advocacy and guidance to all types of cancer patients in inpatient and outpatient settings Early involvement with new diagnosis Facilitate appointments Liaison with VNA Support with transition of care Pulmonary nodule tracking Survivorship Care Plans

C ANCER R EGISTRARS You play a critical role - thank you! Close communication with registrars Pathology reports Early involvement with patients Facilitate appointments, especially with primary care physicians Tumor Boards COC Visit

P ULMONARY N ODULES Fleischner Recommendations CT to Biopsy Positive biopsy to Pulmonary appointment Arrange metastatic work-up Virtual Clinic with pulmonary, medical oncology, radiation oncology and thoracic surgeon

SURVIVORSHIP CARE PLANS Journey Forward Breast cancer patients 1 month post completion of treatment Copies to all physicians Meet with nurse navigator and survivorship navigator

B ENEFITS OF N AVIGATORS Patient and family satisfaction Retention of patients in system Physicians are happy with our supports to their patients With social worker involved, starting or renewing insurance, facilities get reimbursed

O BSERVATIONS Information given to patients and families needs to be accurate and timely provided by the right person Be consistent, available and flexible Be a good listener