CANCER
NAVIGATOR

CancerNavigator@goinvo.com

Licensed by GoInvo under Creative Commons Attribution v4.

Initial Suspicion
Diagnostic Tests
Consent, Share Data
PCP Consultation
Diagnostics
Results, Dx, Consult
Select Facility
Assemble Care Team
Patient Forms
Tracking Costs
New Patient Ingest
Results, Dx, Consult Rd 2
Build Care Plan
Treatment
Trials, Research
Remission
Payment
Transition to Adult Care
Routine Checkups
Palliative Care
End of Life
Start
2 weeks
5 min
72 hours
3 days
1 week
1 week
24 hours
15 min
30 min
1 hr
2 days
1 week+
1 month+
1 week+
1 month+
1 day - mo+
18 y.o.
1 per month
Undefined
End
Patient & Family Patient experiences continued symptoms.
Patient & Family Patient & family consent to health record access and release.
Patient & family visit PCP.
Patient & family go to appointment to receive testing.
Patient & family obtain access to test results.
Patient & family selects facility, doctor, and availability.
Patient can request a change at any time.
Patient & Family Patient sets up preferred payment schedule.
Patient prepares for the appointment by reading through literacy module and going through checklist of questions to ask.
Patient meets clinician and discusses next steps.
Patient & family discuss treatment options with clinician, coordinator, and peers.
Patient & family request a second opinion.
If eligible, patient consider options for clinical trial.
Patient finishes treatment and reviews post-treatment procedures with clinician.
Patient follows payment plan accordingly.
Patient schedules initial appointment with adult LTFU or PCP. Patient begins to take on more active role in each routine visit with less parental involvement.
Patient continues routine check-ups, diagnostics, and testing.
Patient and family selects type of palliative care with recommendation with clinician.
Patient prepares for end of life.
Clinicians PCP suspects cancer based on test results and refers patient & family to patient navigator.
Clinicians PCP explains results and orders further testing.
Clinicians conduct testing.
PCP suspects cancer based on test results and refers patient & family to patient navigator.
Clinicians Clinician accepts and schedules appointment within 72 hours of request.
Oncologist communicates treatment plan to patient and family, taking into consideration culturally appropriate care.
If patient qualifies, clinician recommends options for receiving treatment through clinical trials.
Clinician plans post-treatment check-ins and creates remission care plan.
Patient finishes treatment and reviews post-treatment procedures with clinician.
Clinicians PCP refers patient to adult oncologist and long term followup clinic (LTFU).
LTFU clinician will review patient medical history then schedule long-term routine checkups and testing.
Clinician works with patient and family to determine type of care.
Hospital Admin Book appointment time for patient and clinician.
Hospital Admin Admin works with coordinator to share records and create a patient facility account.
Reach out to care team on behalf of patient to ensure they are up to speed.
Hospital Admin Admin helps patient and family select payment plan and schedule.
Hospital Admin Admin ensures successful payment transaction and manages hospital bills with insurance companies.
Digital Navigation Tool
Mobile application for facility referral, record sharing, and care logistics
Digital Navigation Tool Generates list of recommended testing based on symptoms and routine test results.
Concierge connects patients to oncology options for official diagnosis.
Request consent for patient health record access and release.
Digital Navigation Tool Diagnostics engine automatically receives symptoms and test results.
Generate a list of local and nearby testing centers.
Care team information and roles shown on app, with ability to change care team.
Patient fill out questionnaire electronically on app. Available in different languages.
Digital Navigation Tool Navigator schedules appointment with oncologist.
App shows medical summary, transcription from the meeting, and a to-do list.
Patient navigator explains treatment plan details, risks, and lifestyle changes.
Patient navigator aids patient & family through the treatment details and provides resources for support with life changes.
Generates list of clinical trials that the patient is eligible for
Digital Navigation Tool Facilitate sharing of records and scheduling appointment.
Appointment reminders and details about the visit.
Support telehealth care and additional resources the patient needs.
Facilitate transfer or deletion of records to loved one.
Patient Navigator
Designated patient advocate who arranges logistics, emotional support, & resources on eligibility
Patient Navigator Coordinator ensures records are shared successfully.
Patient Navigator Meets with clinician to understand diagnosis and reaches out to patient & family.
With patient & family, coordinator discuss SDOH needs and care preferences.
On-call services available for patient questions or urgent needs.
Patient Navigator Coordinator helps ensure patient understands and explain anything that was confusing in the appointment.
Coordinator discusses next steps with patient.
Connect oncologist with other clinicians for a second opinion.
On-call services available for patient questions or urgent needs.
Patient Navigator Develop wellness reintegration plan (schooling, mental health, physical health, socialization, counseling).
Patient Navigator Coordinator helps patient find facility, share records, schedule appointment.
Navigator reminds patient of any recommended annual screening and testing.
Financial Navigator
A service that breaks down costs transparency, determine eligibility for financial aid
Financial Navigator Identify facilities and clinicians based on health insurance coverage.
Financial Navigator Diagnosis and testing costs are made transparent.
Financial Navigator Break down estimated treatment costs and financial assistance programs that patient may be eligible for.
Financial Navigator Work on generating a list of requirements for prior authorization and getting insurance approval for patient.
Financial Navigator Manage treatment payment plan. Medical itemized costs managed by an advocacy group with medical billing experience to ensure treatments are fully reimbursed by their medical insurance.
Support for obtaining individual health insurance (required by age of 26).
SDOH Accommodations
Free transportation and lodging as needed for patients traveling for care
SDOH Accom. If traveling or relocating for care, navigator provides patient and family with resources for housing and transportation.
SDOH Accom. Break down estimated treatment costs and financial aid that patient may be eligible for
SDOH Accom. If traveling or relocating for care, Patient navigator provides patient and family with resources for housing and transportation.
Patient Education
Resources to help patients further their understanding of their health
Patient Education Patient literacy resources with patient & family about treatment.
Patient Education Instructions avoid medical jargon and English slang for easier comprehension.
Patient Education Instructions avoid medical jargon and English slang for easier comprehension.
Patient Education Patient modules on survivorship and transition to adult care including: knowledge of cancer history, treatment exposures.long term risks. recommended surveillance
Standard Health Record
A longitudinal, shareable electronic health record
Standard Health Record Request consent for patient health record access and release.
Health records electronically shared to provider before appointment.
Patient history health records are retrieved.
Health records updated with new diagnosis information. Send official diagnosis data to state cancer registry
Standard Health Record Patient questionnaire uploaded.
Record autofills electronic patient questionnaire, which patient then confirms.
Patient ingest forms uploaded.
Medical summaries uploaded.
Standard Health Record Continually update health records after each check-in and treatment session. Send official treatment data to state cancer registry
Send official treatment data to state cancer registry
Send official treatment data to state cancer registry
Send official treatment data to state cancer registry
Once patient reaches 18yo, patient must give written permission for family or anyone else to see their medical records.
Medical summaries are uploaded.
Prepare legal documents for advance directives, living will, healthcare proxy
Medical documents are transferred to loved ones. Decide if you want to do a body donation upon passing.