1. MBCIS Patient Navigation Database October 22, 2015

3. Identifying Navigation Clients 1.Is client due for breast/cervical cancer screening? 2.Is the client WILLING to receive needed services? 3.Does the client need agency help in scheduling services? Barrier Intervention(System, Financial, Psychosocial, Communication) 4.Did the client receive needed services?

5. MBCIS Patient Navigation Before you can enter data in Patient Navigation database: 1. Request access to PN Database Sign User Agreement Form Fax to Sam or Tory at 517-335-8752 Subscribe to Applications in MBCIS 2. List of Navigator names to Sam via email (burkes5@michigan.gov or 517-241-6913burkes5@michigan.gov

6. ACCESS to Applications – Step 1 User Agreement Form o MBCIS o Discoverer o DCH File Transfer o Cancer Mapper Faxed to Sam Burke or Tory Doney at 517-335- 8752

7. Single Sign On – Step 2 SSO Application Portal o https://sso.state.mi.us https://sso.state.mi.us o Subscribe to Applications

12. Encounter 1 INTAKE Assessment: Services/Barriers Identified Navigation Begins Identify from client, provider referral, own observation: Client’s needs (I.e. receipt of breast/cervical screening, diagnostic, and/or treatment services) Barriers (problems) that prevent the client from obtaining needed services Explain the Outreach Navigation program services and assistance provided by navigator based on the information provided to the navigator by the client.

14. Encounter 2+ Coordinate Resources/Barrier Intervention Navigators  Identify problems or obstacles that prevent clients from getting the care they need. (I.e. Make the connection between providers and the community).  Work with community providers and agencies to locate women in need of breast/cervical cancer screening services.  Understand what resources could be used to overcome common barriers in the community you serve and know how to access these resources.  Are able to cultivate a network of provider, health system, and community resources support over time.

16. Encounter 3 Client Receipt of Services Was the outcome achieved? Were barriers resolved? Were services received? Navigation Ends

17. BCCNS Forms 1.Intake Form 2.Encounter Summary Form 3.MTA Client Encounter Form

18. Navigation Intake Form Used to document: Client verbal acknowledgement Breast/cervical services required Barriers that may interfere with receiving services When used: All NEW “navigation only” clients Previous “navigation only” clients returning for annual services

19. Navigation Encounter Summary Form Used to document: Clinical services received Resolution of barriers When used: One form per client contact Exception: If multiple calls made within one day use ONE form/24 hour period to document calls 2 encounters required for navigation-only services to be reimbursed

20. MTA Client Encounter Form Used to record navigation services provided to ALL NEW or Re-Enrolling MTA Clients AFTER July 1 First Encounter = Date MTA application signed Second Encounter = Client Follow-up contact date or MTA End Date

26. Contacts Ann Garvin, BCCCNP Lead Nurse Consultant garvina@michigan.gov;garvina@michigan.gov 517-335-9087 E.J. Siegl, BCCCN Program Director/Nurse Consultant siegle@michigan.gov 517-335-8814 Susan Harris, BCCCNP Data Manager sharris@mphi.org 517-324-7306 Debbie Webster, BCCNS Navigation Consultant websterd1@michigan.gov 517-335-8517