Karen Schwaderer RN, BSN, OCN Breast Nurse Navigator Pittsburgh, PA Co Founder Pennsylvania Patient Navigator Network

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1 Karen Schwaderer RN, BSN, OCN Breast Nurse Navigator Pittsburgh, PA Co Founder Pennsylvania Patient Navigator Network

2 Navigation: Building relationships Relationship with referral sources Relationship with doctors and physician champions Relationship with your community Relationship with colleagues Relationship with patients

3 Out of a relationship between two colleagues, the Pennsylvania Patient Navigator Network was born

4 University of Pittsburgh NCI grant 2004 Fox Chase Partner Program began Navigation programs 2004 Fox Chase Program Director Linda Fleisher met in Pittsburgh to discuss ideas for Pennsylvania Department of Health Pilot Grant 2005 Meetings of Navigators was taking place in Western Pennsylvania in 2006

5 First Pennsylvania Navigator Workshop in Philadelphia saw 90 participants, engaged in the new arena of navigation Panel discussion Navigation Idea of state wide group was born

6 Surveys from workshop we found: Need for additional resources in the field, connections to other patient navigators, continuing education for established programs, and best practices for new programs or institutions looking to begin a navigation program.

7 Linda Fleisher, PhD, MPH is the Assistant Vice President of Fox Chase Cancer Center s Office of Health Communications and Health Disparities, and past Program Director of the Atlantic Region Cancer Information Service, Philadelphia, PA. Aileen Galley, ACSW, LSW is the Administrative Director of the Penn State Cancer Institute at Mount Nittany Medical Center, State College, PA. Karen Schwaderer, RN, BSN, OCN is the Breast Navigator at the West Penn Allegheny Health System, Forbes Regional Campus. Previously, she worked to develop research based Navigator programs for an NCI funded grant throughout Western Pennsylvania. Elaine Sein, RN, BSN, OCN, CBCN is the Senior Project Manager for the Fox Chase Cancer Partner Program which established a Breast Care Coordinator/Patient Navigator program in 2004.

8 In response to stated needs of patient navigators across the state: the mission of the PPNN is to create a sustainable network of patient navigators for resource and information sharing and to build best practice approaches in patient navigation with the overall goal of reducing the burden of cancer in Pennsylvania.

9 Administrative support from Fox Chase Cancer Center Jen Burns, Administrative Assistant Pfizer Pharmaceuticals Accenture, Inc.

10 Webinars Face to Face Meetings Blog Internet

11 February 2009 Program Sustainability July 2009 Program Evaluation November 2009 Patient Navigation Research Program NCI/NIH Martha Hare, PhD July 2010 Future Directions, Sean Walsh, AONN March 2011 Patient Navigation in Medically Underserved Areas, Elizabeth Calhoun, PhD

12 July 2011 Cancer Patient Navigation in Appalachia, Gene Lengerich, Penn State University September 2011 Community Health Worker Update: Affordable Care Act Carl Rush Community Health Worker Model Programs American Cancer Society

13 November 2008 The First Patient Navigation Workshop held in Philadelphia November 2011 The Second Pennsylvania Patient Navigation Meeting held in State College November 2012 The Third Pennsylvania Patient Navigation Meeting held in Pittsburgh

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15 Based on your surveys, we learned that: The symposium met your expectations. 100% Agreed or strongly agreed It raised your knowledge about navigation topics. 93% Agreed or strongly agreed You will be able to apply what you learned to your jobs 100% Agreed or strongly agreed You would Recommend the symposium to others 100% Agreed or strongly agreed

16 You also shared some other navigation topics that you are interested in. Like: Navigation tracking, documentation and measurement How to address barriers to patient care More details on models using lay navigators Communication with other healthcare team members Case studies of patients that have used navigation Affordable care act and implications on navigation New resources to use with patients Metrics, standards and best practices

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24 LinkedIn Facebook Appalachian Cancer Network American Cancer Society Pennsylvania Department of Health

25 Share best practices don t reinvent the wheel Camaraderie the only one going through this Communication having an ear to listen Connections share resources Continuing Education sharing education experiences Rejuvenate yourself

26 Committee Oversight In Kind Work by Leadership Committee Need for Financial Assistance Better Method of Reaching all Navigator Programs Promoting and Marketing the group Evaluating needs of the group Growth / method of including new members Continuing education/ceu s

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