HJBR Jul/Aug 2024

HEALTHCARE JOURNAL OF BATON ROUGE I  JUL / AUG 2024 55 Angela Hammett, MSN Director of Patient Navigation and Support Services Mary Bird Perkins Cancer Center patient outcomes and healthcare efficiency. One of the most significant benefits is the re- duction in time from diagnosis to treatment. Studies have shown that patients engaged in a well-structured navigation program begin their treatment up to 11 days sooner through streamlined care coordination, which is cru- cial for many cancer diagnoses where tim- ing is critical. Oncology navigation also enhances the overall communication structure between patients, caregivers, and providers, ensuring everyone involved understands the agreed- upon treatment plan. This leads to greater adherence and patient engagement. Navi- gators provide continuous education, sup- port, and encouragement, helping patients stay committed to their care regimen. This increased engagement leads to better overall outcomes, including improved life expec- tancy and quality of life. Additionally, oncology navigation helps reduce the frequency of unnecessary hos- pital admissions. By proactively managing care and addressing potential issues before they escalate, navigators help keep patients out of the ER, reducing the overall cost of care. Moreover, patients and their families report higher levels of satisfaction due to the personalized and compassionate sup- port they receive. Challenges in oncology navigation Despite its benefits, oncology naviga- tion faces several challenges, particularly in funding and resource allocation. Historically, navigation services have been provided free of charge, often relying on philanthropic support. This model, however, is unsustain- able for many healthcare organizations, es- pecially those serving economically disad- vantaged areas. The recent introduction of CMS billing codes for navigation services represents a significant shift, offering the potential for reimbursement. However, the transition to a billable service model is fraught with complexities. Healthcare organizations must navigate legal and ethical considerations, such as ensuring patient consent and par- ticipation in cost-sharing, which can be par- ticularly challenging for services that have traditionally been free. Future of oncology navigation The future of oncology navigation lies in the standardization and professionaliza- tion of these services. As the field evolves, establishing clear standards and best prac- tices will be essential to ensure consistent quality and effectiveness. Professional or- ganizations are already working towards this goal, aiming to harness the collective knowledge and experience of navigators across the country. The new CMS billing codes offer an op- portunity to scale and sustain navigation programs. By generating revenue, health- care organizations can invest in additional navigators and resources and expand their capacity to serve more patients. However, careful implementation and ongoing evalu- ation will be crucial to avoid unintended consequences, such as deterring patients due to cost concerns. n Angela Hammett,MSN,director of patient navigation and support services, is at the helm of Mary Bird Perkins’ patient navigation initiative, overseeing nurse navigators, social workers, and dietitians across the cancer center’s network in Louisiana and Mississippi.In addition,Hammett provides leadership for the palliative care, genetics, psychotherapy, and support services programs. Her educational background encompasses a Master of Science in nursing leadership and management as well as a Bachelor of Science in nursing, both earned from Western Governors University in Salt Lake City. What is oncology navigation? Oncology navigation refers to a special- ized form of patient support that provides individualized assistance throughout the cancer care continuum, from diagnosis and treatment through survivorship. Oncology navigators are central to this process, offer- ing expertise and guidance to help patients navigate the multifaceted landscape of can- cer treatment. These oncology professionals possess specialized training or certification in navigation, enabling them to deliver tai- lored support to each patient. The oncology navigation process The journey of oncology navigation be- gins with a comprehensive assessment conducted by a nurse navigator. This initial evaluation considers the patient's medical condition, personal circumstances, and spe- cific needs. Based on this assessment, the navigator crafts a personalized care plan, which may include educating the patient about their treatment options, coordinat- ing appointments, and addressing psycho- social needs. A critical aspect of oncology navigation is its integration with social services and other external resources. Navigators often refer patients to social workers who can connect them with community resources such as transportation, food pantries, and financial assistance. This comprehensive approach ensures that patients receive the support they need beyond just medical care, addressing social determinants of health that can significantly impact treatment outcomes. Benefits of oncology navigation The advantages of oncology navigation are many, contributing to both improved