Group members met remotely via phone conference and represent a variety of cancer health settings which included Commission on Cancer (CoC) accredited programs, National Accreditation Program for Breast Centers (NAPBC), National Cancer Institute (NCI) designated National Comprehensive Cancer Center (NCCC) and Centers for Disease Control and Prevention (CDC) funded.
The Patient Navigation Special Interest Group is part of a larger project called the Generation and Translation of Evidence (GATE) Cancer Community of Practice. The goal of the Special Interest Groups is to convene health care professionals, researchers, and patients/caregivers to discuss and potentially collaborate on patient-centered outcomes research in the areas of survivorship and patient navigation.
A group interested in the topic of return on investment (ROI) related to patient navigation convened. The group consisted of oncology navigators, a financial counselor, nurses, and managers working in cancer centers across the United States and met on a regular basis via conference calls.
Initially, the group conducted a literature review to identify metrics and/or tools that could be used to measure and capture ROI in patient navigation. The Patient Navigation Barriers Outcome Tool™ (PN-BOT) developed by the George Washington Cancer Center was one tool identified and was evaluated by several members of the team.
Research indicates evidence of navigation services resulting in positive outcomes by way of improved coordination and timeliness of care; increased access to clinical trials, reduction and/ or elimination of barriers to care; and the delivery of ongoing support throughout the cancer trajectory. These services may demonstrate financial return only through downstream revenue sources since navigation services are not currently being reimbursed. Lack of reimbursement and revenue may lead to difficulty sustaining navigation services. Therefore it is imperative that research focuses on ways to demonstrate the value of patient navigation and its contribution to the organization’s return on investment.