- A data entry and evaluation tool that:
- Expedites gathering, collating and analyzing patient navigation visit data
- Facilitates compliance with standardized metrics and accreditation requirements
- Focused on cancer care, addressing the entire cancer continuum (outreach to end of life)
- Capable of generating tailored pages and reports for:
- Individual or groups of patients
- Individual or groups of patient navigators (PNs)
- Navigation program evaluation and benchmarking
- Designed to work on tablets
- Patient Navigators (PNs)
- Lay (Native Sisters, community-based Navigators, Promotoras de Salud, Community Health Workers)
- Professional (nurses, social workers)
- Patient Navigation Administrators/Supervisors
- Program Evaluators
- Provides a convenient, easy-to-use method to document navigator support and provision of timely, efficient and equitable health care services, demonstrating patient navigation’s overall value to health care
- Simplifies record-keeping and data documentation
- Facilitates systematic data collection
- Uses pull down menus, radio buttons, and check boxes for easier documentation
- Data can be input either on or offline
- Allows 24 hour / 7 days a week access
- Allows for real-time summaries specific to individual and groups of patients
- Allows monitoring of PN interactions
- Creates activity summaries documenting PN value
- Documents activities for billing
- Provides templates for reports
- Includes easy-to-customize reporting functions to create summaries for:
- Patient
- Tumor type
- Issue
- Location
- Includes recommended standardized evaluation metrics from:
- Commission on Cancer
- American Society of Clinical Oncology American Cancer Society
- Center for Medicare and Medicaid's Oncology Care Model
- Association for Community Cancer Centers
- Oncology Nursing Society
- National Accreditation Program for Breast Centers
- Academy of Oncology Nurse and Patient Navigators
- Android and Windows versions will be available fall 2020
- Includes easy access to technical assistance and online training sessions
- Includes automatic app updates
- Can be tailored to meet individual program needs, such as:
- One or more phases of the cancer continuum
- One or more cancer types
- Has optional tailored add-ons (e.g., outreach, surveys)
- Collects patient perspectives on navigation services
- Generates comprehensive reports providing an in-depth view of program activities
- Creates reports showing compliance with industry regulations and requirements
View Domain Flow Chart
- Three Domains
- Patient: Patient Domain for entering patient data
- New Patient – for when the PN is seeing a new patient
- Returning Patient: New Visit – for when a patient is already in the system and is being seen for a subsequent visit
- Review &/or Edit: Patient List – for reviewing a patient and /or editing previously entered information
- Patient Navigator: for entering PN data and activities
- Personal and education data
- Contact information
- Demographics
- Work-site information
- Basic and in-service education
- Competencies
- Navigation Administrator: Section exclusively for the Administrator/Supervisor; Cannot be accessed by any other staff unless pre-approved
- Form to approve PN/staff access to NACI Care©
- Checklist identifying app topics/sections PN can access (defaults plus optional features)
- Multiple Report Templates for:
- An individual or group of PN(s)
- An individual or group of patient(s)
- Overall navigation program
- Options to tailor reports
- Review of any PN data entered
Tutorials
The tutorials need to be downloaded, then viewed in SLIDESHOW mode within Power Point. The Table of Contents includes hyperlinks to go to a section of interest. To return to the table of contents, select the teepee icon.
Video Overviews (<1-5 minutes each)
To make the video clearer, once in YouTube, select the settings (cog icon) and select high quality to 1440P
Overview of the NACI Care© Patient Navigation (PN) Program Overview of the Patient Navigation Evaluation Program
Overview of PN Administrator's controls and functions PN Administrator's functions and controls
Overview of Patient Barriers and Solutions tracking within NACI Care© Patient Barriers and Solutions
In 1999, the Institute of Medicine recommended that quality care is measured using a core set of metrics. The Academy of Oncology Nurse and Patient Navigators (AONN+) identified ~36 core competencies in 2017 that subsequently have been supported by national organizations, including but not limited to the:
- American Cancer Society's National Navigation Roundtable
- American College of Surgeons (ACOS), Commission on Cancer (CoC)
- American Society of Clinical Oncology (ASCO)'s Quality Oncology Practice Initiative (QOPI)
- Center for Medicare and Medicaid's Oncology Care Model (OCM)
- Merit-based Incentive Payment System / Alternative Payment Models (MIPS/APMs)
- National Accreditation Program for Breast Centers (NAPBC)
- Oncology Nursing Society (ONS)
These metrics are being used to evaluate whether patient navigation can improve outreach throughout end-of-life and overall value in healthcare. They also are being used as criteria for patient navigation accreditation certification and programs.
These reports within NACI Care© are grouped:
Navigation Load
- Navigation Caseloads
- Clinical Trials Education
- Patient education
- Patient Retention through Navigation
Compliance
- Treatment Compliance
- Patient Transition from Point of Entry
- No show rate
Patient /Participants Characteristics
- Demographic: best ways to learn
- Barrier Report
- Disparate Population at Screening Event
Referrals
- Clinical Trial Referrals
- Referrals to revenue-generating services
- Referrals to revenue-generating services by PN
- Cancer Screening
- Social Support Referrals
- Social Support Referrals for survivors who have completed SCP
- Palliative Care Referral
Diagnosis & Treatments
- Diagnosis to First Oncology Consult
- Diagnostic Workup to Diagnosis
- Cancer Screening Follow-Up to Diagnostic Workup
- Completion of Diagnostic Workup
- Treatment Compliance
- Diagnosis to initial treatment
- Patient Transition from Point of Entry
Hospital
- 30-, 60-, 90-Day Readmission Rate
- Inpatient Oncology Unit Length of Stay
- Emergency Department Utilization
- Emergency admissions per Number of Chemotherapy Patients
Surveys
- Patient Experience / Patient Satisfaction with Care
- Patient Experience / Patient Satisfaction with Navigation Program
- Psychosocial Distress Screening
- Patient goals
- Survivorship Care Plan
- Transition from Treatment to Survivorship
PN Characteristics
- Navigation Knowledge at Time of Orientation
- Oncology Navigator Annual Core Competencies Review
Institute of Medicine and National Research Council. Ensuring Quality Cancer Care. Washington, DC: National Academies Press. 1999. https://doi.org/10.17226/6467 accessed August 26, 2020
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