1. New Models of Patient Navigation in Kansas Carol J. Bush, BS RN, Patient Navigator Midwest Cancer Alliance The University of Kansas Cancer Center

2. Longitudinal Model of Patient Navigation (PN)  Holistic, Integrative Approach  Patient-focused  Follows disease trajectory  Allows for systems-based approach  Navigation phases

3. Outreach Education Treatment Navigation Patient Navigation Rehabilitation Screening Navigation Survivorship Navigation Screening Diagnosis Treatment Survivorship  Screening, Abnormal finding, Diagnostic Resolution, Treatment, Palliative Care, End of Life Care  Eliminate critical delivery gap for populations experiencing disparities  Provide seamless transition from screening through treatment and survivorship Initial Contact GWCI’s Framework for Longitudinal, Integrative, And Network Patient Navigation Dr Steven Patierno, PI, George Washington Cancer Research Institute Abnormal Results/ Diagnosis TreatmentSurvivorship

4. Emerging Concepts in PN  Network Navigation—creating city-wide and regional multi-health system networks for navigation across geographic and social- cultural barriers KU Wichita Center for Breast Cancer Survivorship Community/Academic partnership-- multi- disciplinary team collaborates across health systems Multi-Community Alliance-- multi-disciplinary team collaborates across geo-medical boundaries

5. Emerging Concepts in PN  Systems-based Navigation  From Outreach, through and beyond Treatment, including End of Life care and Survivorship Midwest Cancer Alliance Design unique to community needs and health system, multidisciplinary team; collaborative assistance to develop and integrate into existing operations

6. Emerging Concepts in PN  PN is a multi-disciplinary Team process  Proactive system  Strength-based approach  Builds on unique resources of community or health system  Makes economic sense  4 C’s of Sustainability—Community Needs, Community Solutions, Collaboration & Communication

7. A Call to Action  Patient Navigation field touches all levels of health care  Integrative approach can include all participants, at all levels of their being  Tailor to meet unique needs of the community  Increase both patient and provider satisfaction  Cross-cutting collaborations and partnerships

8. Thank you, Kansas Masonic Foundation!!