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dc.contributor.authorCasanova, Nicole L.
dc.contributor.authorLeClair, Amy M.
dc.contributor.authorXiao, Victoria
dc.contributor.authorMullikin, Katelyn R.
dc.contributor.authorLemon, Stephenie C.
dc.contributor.authorFreund, Karen M.
dc.contributor.authorHaas, Jennifer S.
dc.contributor.authorFreedman, Rachel A.
dc.contributor.authorBattaglia, Tracy A.
dc.date2022-08-11T08:10:20.000
dc.date.accessioned2022-08-23T17:04:34Z
dc.date.available2022-08-23T17:04:34Z
dc.date.issued2022-06-14
dc.date.submitted2022-07-11
dc.identifier.citation<p>Casanova NL, LeClair AM, Xiao V, Mullikin KR, Lemon SC, Freund KM, Haas JS, Freedman RA, Battaglia TA; Translating Research Into Practice (TRIP) Consortium. Development of a workflow process mapping protocol to inform the implementation of regional patient navigation programs in breast oncology. Cancer. 2022 Jul 1;128 Suppl 13(Suppl 13):2649-2658. doi: 10.1002/cncr.33944. PMID: 35699611; PMCID: PMC9201987. <a href="https://doi.org/10.1002/cncr.33944">Link to article on publisher's site</a></p>
dc.identifier.issn0008-543X (Linking)
dc.identifier.doi10.1002/cncr.33944
dc.identifier.pmid35699611
dc.identifier.urihttp://hdl.handle.net/20.500.14038/44662
dc.description.abstractBACKGROUND: Implementing city-wide patient navigation processes that support patients across the continuum of cancer care is impeded by a lack of standardized tools to integrate workflows and reduce gaps in care. The authors present an actionable workflow process mapping protocol for navigation process planning and improvement based on methods developed for the Translating Research Into Practice study. METHODS: Key stakeholders at each study site were identified through existing community partnerships, and data on each site's navigation processes were collected using mixed methods through a series of team meetings. The authors used Health Quality Ontario's Quality Improvement Guide, service design principles, and key stakeholder input to map the collected data onto a template structured according to the case-management model. RESULTS: Data collection and process mapping exercises resulted in a 10-step protocol that includes: 1) workflow mapping procedures to guide data collection on the series of activities performed by health care personnel that comprise a patient's navigation experience, 2) a site survey to assess program characteristics, 3) a semistructured interview guide to assess care coordination workflows, 4) a site-level swim lane workflow process mapping template, and 5) a regional high-level process mapping template to aggregate data from multiple site-level process maps. CONCLUSIONS: This iterative, participatory approach to data collection and process mapping can be used by improvement teams to streamline care coordination, ultimately improving the design and delivery of an evidence-based navigation model that spans multiple treatment modalities and multiple health systems in a metropolitan area. This protocol is presented as an actionable toolkit so the work may be replicated to support other quality-improvement initiatives and efforts to design truly patient-centered breast cancer treatment experiences. LAY SUMMARY: Evidence-based patient navigation in breast cancer care requires the integration of services through each phase of cancer treatment. The Translating Research Into Practice study aims to implement patient navigation for patients with breast cancer who are at risk for delays and are seeking care across 6 health systems in Boston, Massachusetts. The authors designed a 10-step protocol outlining procedures and tools that support a systematic assessment for health systems that want to implement breast cancer patient navigation services for patients who are at risk for treatment delays.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=35699611&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1002/cncr.33944
dc.subjectbreast cancer
dc.subjecthealth equity
dc.subjectimplementation science
dc.subjectpatient navigation
dc.subjectquality improvement
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectNeoplasms
dc.subjectOncology
dc.subjectQuality Improvement
dc.titleDevelopment of a workflow process mapping protocol to inform the implementation of regional patient navigation programs in breast oncology
dc.typeArticle
dc.source.journaltitleCancer
dc.source.volume128 Suppl 13
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/prc_pubs/175
dc.identifier.contextkey30166579
html.description.abstract<p>BACKGROUND: Implementing city-wide patient navigation processes that support patients across the continuum of cancer care is impeded by a lack of standardized tools to integrate workflows and reduce gaps in care. The authors present an actionable workflow process mapping protocol for navigation process planning and improvement based on methods developed for the Translating Research Into Practice study.</p> <p>METHODS: Key stakeholders at each study site were identified through existing community partnerships, and data on each site's navigation processes were collected using mixed methods through a series of team meetings. The authors used Health Quality Ontario's Quality Improvement Guide, service design principles, and key stakeholder input to map the collected data onto a template structured according to the case-management model.</p> <p>RESULTS: Data collection and process mapping exercises resulted in a 10-step protocol that includes: 1) workflow mapping procedures to guide data collection on the series of activities performed by health care personnel that comprise a patient's navigation experience, 2) a site survey to assess program characteristics, 3) a semistructured interview guide to assess care coordination workflows, 4) a site-level swim lane workflow process mapping template, and 5) a regional high-level process mapping template to aggregate data from multiple site-level process maps.</p> <p>CONCLUSIONS: This iterative, participatory approach to data collection and process mapping can be used by improvement teams to streamline care coordination, ultimately improving the design and delivery of an evidence-based navigation model that spans multiple treatment modalities and multiple health systems in a metropolitan area. This protocol is presented as an actionable toolkit so the work may be replicated to support other quality-improvement initiatives and efforts to design truly patient-centered breast cancer treatment experiences.</p> <p>LAY SUMMARY: Evidence-based patient navigation in breast cancer care requires the integration of services through each phase of cancer treatment. The Translating Research Into Practice study aims to implement patient navigation for patients with breast cancer who are at risk for delays and are seeking care across 6 health systems in Boston, Massachusetts. The authors designed a 10-step protocol outlining procedures and tools that support a systematic assessment for health systems that want to implement breast cancer patient navigation services for patients who are at risk for treatment delays.</p>
dc.identifier.submissionpathprc_pubs/175
dc.contributor.departmentUMass Worcester Prevention Research Center
dc.contributor.departmentDepartment of Population and Quantitative Health Sciences, Division of Preventive and Behavioral Medicine
dc.source.pages2649-2658


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