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  • Certification Criteria

    • Provide a copy of your curriculum vitae demonstrating 1 year or 2000 hours of direct patient navigation in practice
    • Provide your job description reflecting your roles and responsibilities
    • Provide a reference letter signed by your employer verifying navigation experience

    Core Competencies for an Oncology Patient Navigator–Certified Generalist: Patient Care

    • Facilitate patient-centered care that is compassionate, appropriate, and effective for the treatment of cancer and the promotion of health
    • Assist patients in accessing cancer care and navigating healthcare systems. Assess barriers to care and engage patients and families in creating potential solutions to financial, practical, and social challenges
    • Identify appropriate and credible resources responsive to patient needs (practical, social, physical, emotional, spiritual), taking into consideration reading level, health literacy, culture, language, and amount of information desired. For physical concerns, emotional needs, or clinical information, refer to licensed clinicians
    • Educate patients and caregivers on the multidisciplinary nature of cancer treatment, the roles of team members, and what to expect from the healthcare system. Provide patients and caregivers evidence-based information, and refer to clinical staff to answer questions about clinical information, treatment choices, and potential outcomes
    • Empower patients to communicate their preferences and priorities for treatment to their healthcare team; facilitate shared decision-making in the patient's healthcare
    • Empower patients to participate in their wellness by providing self-management and health promotion resources and referrals
    • Follow up with patients to support adherence to an agreed-upon treatment plan through continued nonclinical barrier assessment and referrals to supportive resources in collaboration with the clinical team

    Knowledge for Practice

    • Demonstrate basic understanding of cancer, healthcare systems, and how patients access care and services across the cancer continuum to support and assist patients. NOTE: This domain refers to foundational knowledge applied across other domains
    • Demonstrate basic knowledge of medical and cancer terminology
    • Demonstrate familiarity with and know how to access and reference evidence-based information regarding cancer screening, diagnosis, treatment, and survivorship
    • Demonstrate basic knowledge of cancer, cancer treatment, and supportive care options, including risks and benefits of clinical trials and integrative therapies
    • Demonstrate basic knowledge of health system operations
    • Identify potential physical, psychological, social, and spiritual impacts of cancer and its treatment
    • Demonstrate general understanding of healthcare payment structure, financing, and where to refer patients for answers regarding insurance coverage and financial assistance

    Practice-Based Learning and Improvement

    • Improve patient navigation process through continual self-evaluation and quality improvement. Promote and advance the profession
    • Contribute to patient navigation program development, implementation, and evaluation
    • Use evaluation data (barriers to care, patient encounters, resource provision, population health disparities data, and quality indicators) to collaboratively improve navigation process and participate in quality improvement
    • Incorporate feedback on performance to improve daily work
    • Use information technology to maximize efficiency of patient navigator's time
    • Continually identify, analyze, and use new knowledge to mitigate barriers to care
    • Maintain comprehensive, timely, and legible records capturing ongoing patient barriers, patient interactions, barrier resolution, and other evaluation metrics, and report data to show value to administrators and funders
    • Promote navigation role, responsibilities, and value to patients, providers, and the larger community

    Interpersonal and Communication Skills

    • Demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals
    • Assess patient capacity to self-advocate; help patients optimize time with their doctors and treatment team (eg, prioritize questions, clarify information with treatment team)
    • Communicate effectively with patients, families, and the public to build trusting relationships across a broad range of socioeconomic and cultural backgrounds
    • Employ active listening and remain solutions-oriented in interactions with patients, families, and members of the healthcare team
    • Encourage active communication between patients/families and healthcare providers to optimize patient outcomes
    • Communicate effectively with navigator colleagues, health professionals, and health-related agencies to promote patient navigation services and leverage community resources to assist patients
    • Demonstrat empathy, integrity, honesty, and compassion in difficult conversations
    • Know and support National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care to advance health equity, improve quality, and reduce health disparities
    • Apply insight and understanding about emotions and human responses to emotions to create and maintain positive interpersonal interactions

    Professionalism

    • Demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles
    • Apply knowledge of the difference in roles between clinically licensed and nonlicensed professionals and act within professional boundaries
    • Build trust by being accessible, accurate, supportive, and acting within scope of practice
    • Use organization, time management, problem-solving, and critical thinking to assist patients efficiently and effectively
    • Demonstrate responsiveness to patient needs within scope of practice and professional boundaries
    • Know and support patient rights
    • Demonstrate sensitivity and responsiveness to a diverse patient population, including but not limited to, diversity in gender, age, culture, race, religion, abilities, and sexual orientation
    • Demonstrate a commitment to ethical principles pertaining to confidentiality, informed consent, business practices, and compliance with relevant laws, policies, and regulations (eg, HIPAA, agency abuse reporting rules, Duty to Warn, safety contracting)
    • Perform administrative duties accurately and efficiently

    Systems-Based Practice

    • Demonstrate an awareness of and responsiveness to the larger context and system of healthcare, as well as the ability to call effectively on other resources in the system to provide optimal healthcare
    • Support a smooth transition of patients across screening, diagnosis, active treatment, survivorship, and/or end-of-life care, working with the patient's clinical care team
    • Advocate for quality patient care and optimal patient care systems
    • Organize and prioritize resources to optimize access to care across the cancer continuum for the most vulnerable patients

    Interprofessional Collaboration

    • Demonstrate ability to engage in an interprofessional team in a manner that optimizes safe and effective patient- and population-centered care
    • Work with other health professionals to establish and maintain a climate of mutual respect, dignity, diversity, ethical integrity, and trust
    • Use knowledge of one's role and the roles of other health professionals to appropriately assess and address the needs of patients and populations served to optimize health and wellness
    • Participate in interprofessional teams to provide patient- and population-centered care that is safe, timely, efficient, effective, and equitable

    Personal and Professional Development

    • Demonstrate qualities required to sustain lifelong personal and professional growth
    • Set learning and improvement goals. Identify and perform learning activities that address one's gaps in knowledge, skills, attitudes, and abilities
    • Demonstrate healthy coping mechanisms to respond to stress; employ self-care strategies
    • Manage possible and actual conflicts between personal and professional responsibilities
    • Recognize that ambiguity is part of patient care and respond by utilizing appropriate resources in dealing with uncertainty
  • Testing Blueprint

    1. Patient Care – 20%
      1. Assist patients in accessing cancer care and navigating health care systems
        1. Assess barriers to care (financial, practical and social)
        2. Create potential solutions to barriers
      2. Identify appropriate and credible resources (practical, social, physical, emotional, spiritual).
        1. Patient-centered reading level, health literacy, culture, language and amount of information desired)
        2. For physical concerns, emotional needs or clinical information, refer to licensed clinicians
      3. Educate patients and caregivers on the multi-disciplinary nature of cancer treatment (roles and health care system)
        1. Provide evidence-based information
        2. Refer to clinical staff to answer questions about clinical information, treatment choices and potential outcomes
      4. Empower patients to communicate their preferences and priorities for treatment to their health care team
        1. Facilitate shared decision making
      5. Empower patients (self-management and health promotion resources and referrals)
      6. Support patient adherence to agreed-upon treatment plan (continued non-clinical barrier assessment, referrals to supportive resources, collaboration with the clinical team)

    2. Knowledge for Practice – 24%
      1. Basic knowledge of medical and cancer terminology
      2. Access and reference evidence-based information (cancer screening, diagnosis, treatment and survivorship)
      3. Basic knowledge of cancer, cancer treatment and supportive care options (clinical trials and integrative therapies)
      4. Basic knowledge of health system operations
      5. Physical, psychological, social and spiritual impacts of cancer and its treatment
      6. General understanding of health care payment structure and financing
        1. Referral sources regarding insurance coverage and financial assistance

    3. Practice-Based Learning and Improvement – 10%
      1. Patient navigation program development, implementation and evaluationg
      2. Collaboration to improve navigation process and participate in quality improvement
        1. Use barriers to care, patient encounters, resource provision, population health disparities data and quality indicators
      3. Performance feedback utilization
      4. Information technology (use and time efficiency)
      5. Continuous analysis of barriers to care
      6. Metric maintenance (records capturing ongoing patient barriers, patient interactions, barrier resolution and other evaluation data)
      7. Promote navigation role
        1. Value to patients, providers and the larger community

    4. Interpersonal and Communication Skills – 14%
      1. Assessment of patient capacity to self-advocate (prioritize questions, clarify information with treatment team)
      2. Communication skills involving patients, families and the public (range of socioeconomic and cultural backgrounds)
      3. Active listening (solutions-oriented)s
      4. Interactive communication (optimize patient outcomes)
      5. Team communication (leverage community resources to assist patients)
      6. Difficult conversations (empathy, integrity, honesty and compassion)
      7. Knowledge of National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care
      8. Understanding about emotions and human responses to emotions.
      9.  

    5. Professionalism – 14%/li>
      1. Knowledge application role differences (clinically licensed and non-licensed professionals)
        1. Professional boundaries
      2. Scope of practice (accessible, accurate, supportive)
      3. Efficient and effective use of organization, time management, problem-solving and critical thinking.
      4. Responsiveness to patient needs (within scope of practice and professional boundaries).
      5. Knowledge of patient rights
      6. Sensitivity and responsiveness to a diverse patient population (gender, age, culture, race, religion, abilities and sexual orientation

    6. Systems-Based Practice – 3%
      1. Transition of patients (screening, diagnosis, active treatment, survivorship and/or end-of-life care)
        1. Work within the patient's clinical care team
      2. Patient advocate (quality patient care and optimal patient care systems)
      3. Organization and prioritization of resources

    7. Interprofessional Collaboration – 8%
      1. Positive working climate - mutual respect, dignity, diversity, ethical integrity and trust
      2. Role knowledge (personal and team)
        1. Patient and populations needs to optimize health and wellness
      3. Inter-professional team participation (safe, timely, efficient, effective and equitable)

    8. Personal and Professional Development – 7%
      1. Identify gaps in knowledge (skills, attitudes and abilities)
        1. Perform learning activities that address gaps
      2. Healthy coping mechanisms to respond to stress (self-care strategies)
      3. Personal and professional responsibilities conflict management
      4. Ambiguity recognition
        1. Response by utilizing appropriate resources in dealing with uncertainty
        2. Demonstrate a commitment to ethical principles pertaining to confidentiality, informed consent, business practices and compliance with relevant laws, policies and regulations (e.g. HIPAA, agency abuse reporting rules, Duty to Warn, safety contracting)
        3. Perform administrative duties accurately and efficiently
  • Recommended Study Materials

    General Resources

    Blaseg KD, Daugherty P, Gamblin KA. Oncology Nurse Navigation: Delivering Patient- Centered Care Across the Continuum. Pittsburgh, PA: Oncology Nursing Society; 2014. ISBN‐10:1935864351.

    Shockney LD. Team-Based Oncology Care: The Pivotal Role of Oncology Navigation. Cham, Switzerland: Springer International Publishing AG. 2018. ISBN 978-3-319-69037-7.

    Oncology Patient Navigator Training: The Fundamentals.

    Through a series of self-paced modules, the training walks participants through:
    • An overview of patient navigation and core competencies
    • The basics of healthcare
    • The basics of patient navigation
    • Enhancing communication
    • Professionalism
    • Enhancing practice

    The Guide for Patient Navigators provides a supplement to the Oncology Patient Navigator Training as you move through the course.

    Patient Care

    Facilitate patient-centered care that is compassionate, appropriate, and effective for the treatment of cancer and the promotion of health.

    • Assist patients in accessing cancer care and navigating healthcare systems. Assess barriers to care and engage patients and families in creating potential solutions to financial, practical, and social challenges
    • Identify appropriate and credible resources responsive to patient needs (practical, social, physical, emotional, spiritual), taking into consideration reading level, health literacy, culture, language, and amount of information desired. For physical concerns, emotional needs, or clinical information, refer to licensed clinicians
    • Educate patients and caregivers on the multidisciplinary nature of cancer treatment, the roles of team members, and what to expect from the healthcare system. Provide patients and caregivers evidence-based information and refer to clinical staff to answer questions about clinical information, treatment choices, and potential outcomes
    • Empower patients to communicate their preferences and priorities for treatment to their healthcare team; facilitate shared decision-making in the patient's healthcare
    • Empower patients to participate in their wellness by providing self-management and health promotion resources and referrals
    • Follow up with patients to support adherence to agreed-upon treatment plan through continued nonclinical barrier assessment and referrals to supportive resources in collaboration with the clinical team.

    Resources

    US Department of Health & Human Services. Social Determinants of Health. n.d. https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health

    Freeman HP, Rodriguez RL. History and principles of patient navigation. Cancer. 2011;117 (15 Suppl):3539‐3542. doi: 10.1002/cncr.26262.

    Health Affairs. Achieving Equity in Health. 2011. www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=53

    National Cancer Institute. Cancer Health Disparities Definitions. 2015. https://www.cancer.gov/about-cancer/understanding/disparities

    National Cancer Institute. Cancer Health Disparities. n.d.www.cancer.gov/cancertopics/disparities

    Patient Navigation Research Program (PNRP). 2015. https://www.cancer.gov/about-nci/organization/crchd/disparities-research/pnrp

    Paskett ED, Harrop PH, Wells KJ. Patient navigation: an update on the state of the science. CA Cancer J Clin. 2011;61(4):237‐249. doi: 10.3322/caac.20111.

    Pratt‐Chapman ML, Kapp H, Willis A, Bires J. Catalyzing patient‐centered care: starting where you are and sharing what you know. Oncol Issues. 2014;30‐39.

    Pratt-Chapman ML, Willis A, Masselink L. Core competencies for oncology patient navigators. Journal of Oncology Navigation & Survivorship. 2015;6(2).

    Pratt‐Chapman ML, Willis LA, Masselink L. Core Competencies for Non‐Clinically Licensed Patient Navigators. Washington, DC: The George Washington University Cancer Institute Center for the Advancement of Cancer Survivorship, Navigation and Policy; 2014.

    Vargas RB, Ryan GW, Jackson CA, et al. Characteristics of the original patient navigation programs to reduce disparities in the diagnosis and treatment of breast cancer. Cancer. 2008;113(2):426‐433. doi: 10.1002/cncr.23547.

    Wells KJ, Battaglia TA, Dudley DJ, et al. Patient navigation: state of the art, or is it science. Cancer. 2008;113(8):1999‐2010. doi: 10.1002/cncr.23815.

    Willis A, Reed E, Pratt‐Chapman M, et al. Development of a framework for patient navigation: delineating roles across navigator types. Journal of Oncology Navigation & Survivorship. 2013;4(6):20‐26.

    World Health Organization. Health Impact Assessment: The Determinants of Health. n.d. www.who.int/hia/evidence/doh/en/

    Community Toolbox. Chapter 3. Assessing Community Needs and Resources: Section 8. Identifying Community Assets and Resources. n.d. http://ctb.ku.edu/en/tableof‐contents/assessment/assessing‐community‐needs‐and‐resources/identify‐communityassets/main

    Knowledge for Practice

    Demonstrate basic understanding of cancer, healthcare systems, and how patients access care and services across the cancer continuum to support and assist patients. NOTE: This domain refers to foundational knowledge applied across other domains.

    • Demonstrate basic knowledge of medical and cancer terminology
    • Demonstrate familiarity with and know-how to access and reference evidence-based information regarding cancer screening, diagnosis, treatment, and survivorship
    • Demonstrate basic knowledge of cancer, cancer treatment, and supportive care options, including risks and benefits of clinical trials and integrative therapies
    • Demonstrate basic knowledge of health system operations
    • Identify potential physical, psychological, social, and spiritual impacts of cancer and its treatment
    • Demonstrate general understanding of healthcare payment structure, financing, and where to refer patients for answers regarding insurance coverage and financial assistance

    Resources

    Penguin Prof Pages. [ThePenguinProf]. 2011. Medical Terminology www.youtube.com/watch?v=3fiEszFPRE8&feature=youtu.be

    National Cancer Institute. Dictionary of Cancer Terms. n.d. www.cancer.gov/dictionary

    Medicine.net's Cancer 101: A Visual Guide to Understanding Cancer. www.medicinenet.com/cancer_101_pictures_slideshow/article.htm

    National Cancer Institute's What Is Cancer? www.cancer.gov/about-cancer/understanding/what-is-cancer

    National Cancer Institute's Cancer Treatment. www.cancer.gov/about-cancer/treatment

    American Cancer Society. What Is Cancer? 2015. www.cancer.org/cancer/cancerbasics/what‐is‐cancer

    National Cancer Institute. BRCA1 & BRCA2: Cancer Risk & Genetic Testing. 2014. https://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet

    National Cancer Institute. Cancer Causes and Risk Factors. 2015. www.cancer.gov/cancertopics/causes

    National Cancer Institute. Cancer Prevention Overview PDQ®. www.cancer.gov/cancertopics/pdq/prevention/overview/patient/page3

    National Cancer Institute. Cancer Staging. 2015. www.cancer.gov/cancertopics/factsheet/detection/staging

    National Cancer Institute. Genetic Testing for Hereditary Cancer Syndromes. 2013. https://www.cancer.gov/about-cancer/causes-prevention/genetics/genetic-testing-fact-sheet

    National Cancer Institute. Screening. www.cancer.gov/about-cancer/screening

    National Cancer Institute. Cancer Prevention Overview PDQ. www.ncbi.nlm.nih.gov/books/NBK65987/

    National Cancer Institute. Clinical Trials. n.d. www.cancer.gov/clinicaltrials

    American Society of Clinical Oncology. Deciding to Participate in a Clinical Trial. 2013. www.cancer.net/navigating‐cancer‐care/how‐cancer‐treated/clinicaltrials/deciding‐participate‐clinical‐trial

    American Cancer Society. Cancer Treatment & Survivorship Facts & Figures. https://www.cancer.org/research/cancer-facts-statistics/survivor-facts-figures.html

    Cancer.Net. ASCO Cancer Treatment Summaries and Survivorship Care Plans. www.cancer.net/survivorship/follow‐care‐after‐cancer‐treatment/asco‐cancertreatment‐summaries‐and‐survivorship‐care‐plans

    Cancer.Net. Side Effects. 2015. www.cancer.net/navigating-cancer-care/side-effects

    LIVESTRONG Foundation. [livestrongarmy]. 2013. Dating and Sex: A Video Series for Young Adults with Cancer [Video file]. www.youtube.com/watch?v=IkUIXLQRcoM&index=25&list=PL88EAB22E9D8ACD85.

    Mayo Clinic. Cancer Survivors: Late Effects of Cancer Treatment. 2014. /www.mayoclinic.org/diseases-conditions/cancer/in-depth/cancer-survivor/art-20045524

    National Cancer Institute. End‐of‐Life Care for People Who Have Cancer. 2015.  www.cancer.gov/about-cancer/advanced-cancer/care-choices/care-fact-sheet

    Pfizer Oncology. Breast Cancer: A Story Half Told: A Call‐to‐Action to Expand the Conversation   to Include Metastatic Breast Cancer. 2014. www.pfizer.com/files/news/Statement_ofNeed.pdf

    Patient Navigation Training Collaborative's Introduction to the Healthcare System. http://patientnavigatortraining.org/

    Wadle R. Urgent Care Vs. Primary Care Physicians: What's the Difference? 2012. patch.com/michigan/birmingham/bp--urgent-care-vs-primary-care-physicians-whats-the-difference

    American Cancer Society. The Health Care Law: How It Can Help People  With Cancer and Their Families. www.cancer.org/treatment/finding-and-paying-for-treatment/understanding-health-insurance/health-insurance-laws/the-health-care-law.html

    Centers for Medicare & Medicaid Services. 2015 Poverty Guidelines. www.medicaid.gov/medicaid‐chip‐program‐information/bytopics/eligibility/ downloads/2015‐federal‐poverty‐level‐charts.pdf

    Centers for Medicare & Medicaid Services. Type of Plan and Provider Network. www.healthcare.gov/choose‐a‐plan/plan‐types/

    US Office of Personnel Management. Healthcare Plan Information: Plan Types. n.d. www.opm.gov/healthcare‐insurance/healthcare/plan‐information/plan‐types/

    Practice-Based Learning and Improvement

    Improve patient navigation process through continual self-evaluation and quality improvement. Promote and advance the profession.

    • Contribute to patient navigation program development, implementation, and evaluation
    • Use evaluation data (barriers to care, patient encounters, resource provision, population health disparities data, and quality indicators) to collaboratively improve navigation process and participate in quality improvement
    • Incorporate feedback on performance to improve daily work
    • Use information technology to maximize efficiency of patient navigator's time
    • Continually identify, analyze, and use new knowledge to mitigate barriers to care
    • Maintain comprehensive, timely, and legible records capturing ongoing patient barriers, patient interactions, barrier resolution, and other evaluation metrics, and report data to show value to administrators and funders
    • Promote navigation role, responsibilities, and value to patients, providers, and the larger community

    Resources

    Willis A, Reed E, Pratt-Chapman M, et al. Development of a framework for patient navigation:  delineating roles across navigator types. Journal of Oncology Navigation & Survivorship. 2013;4(6):20-26.

    Willis A, Pratt‐Chapman M, Reed E, Hatcher E. Best practices in patient navigation and cancer survivorship: moving toward quality patient‐centered care.  Journal of Oncology Navigation & Survivorship. 2014;5(2).

    Association of Community Cancer Centers' (ACCC) Patient Navigation Tools. www.accc-cancer.org/home/learn/Patient-Centered-Care/patient-navigation

    Agency for Healthcare Research and Quality. Care Coordination Measures Atlas: Chapter 2: What is Care Coordination. 2014. www.ahrq.gov/professionals/prevention‐chroniccare/improve/coordination/atlas2014/chapter2.html

    Bone LR, Edington K, Rosenberg J, et al. Building a navigation system to reduce cancer disparities among urban black older adults. Prog Community Health Partnersh. 2013;7(2):209‐218. doi: 10.1353/cpr.2013.0018.

    Community Toolbox. Chapter 23: Modifying Access, Barriers, and Opportunities. Section 6: Using Outreach to Increase Access. 2014. http://ctb.ku.edu/en/table‐of‐contents/implement/access‐barriersopportunities/outreach‐to‐increase‐access/main

    Pratt‐Chapman M, Willis A, Masselink L. Core competencies for oncology patient navigators. Journal of Oncology Navigation & Survivorship. 2015;6(2).

    Vargas RB, Ryan GW, Jackson CA, et al. Characteristics of the original patient navigation programs to reduce disparities in the diagnosis and treatment of breast cancer. Cancer. 2008;113(2):426‐433. doi: 10.1002/cncr.23547.

    Kansas Cancer Partnership's Cancer Patient Navigation Program Toolkit. keepitsacred.itcmi.org/wp-content/uploads/sites/5/2017/12/Cancer_Patient_Navigation_Toolkit.pdf

    Cancer Survival Toolbox. n.d. Weighing the Pros and Cons [Audio file]. www.canceradvocacy.org/resources/cancer‐survival‐toolbox/basic‐skills/making‐decisions/

    Cancer.Net. Coping with Uncertainty. 2012. www.cancer.net/coping‐andemotions/managing‐emotions/coping‐uncertainty

    Jacobsen J, Jackson VA. A communication approach for oncologists: understanding patient coping and communicating about bad news, palliative care, and hospice. J Natl Compr Canc Netw. 2009;7(4):475-480.

    National Institute of Mental Health. Depression. n.d. www.nimh.nih.gov/health/topics/depression/index.shtml

    National Institute of Mental Health. Generalized Anxiety Disorder. n.d. www.nimh.nih.gov/health/topics/generalized‐anxiety‐disorder‐gad/index.shtml

    SkillsYouNeed. Building Rapport. n.d. www.skillsyouneed.com/ips/rapport.html

    Interpersonal and Communication Skills

    Demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals.

    • Assess patient capacity to self-advocate; help patients optimize time with their doctors and treatment team (eg, prioritize questions, clarify information with treatment team)
    • Communicate effectively with patients, families, and the public to build trusting relationships across a broad range of socioeconomic and cultural backgrounds
    • Employ active listening and remain solutions-oriented in interactions with patients, families, and members of the healthcare team
    • Encourage active communication between patients/families and healthcare providers to optimize patient outcomes
    • Communicate effectively with navigator colleagues, health professionals, and health- related agencies to promote patient navigation services and leverage community resources to assist patients
    • Demonstrate empathy, integrity, honesty, and compassion in difficult conversations
    • Know and support National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care to advance health equity, improve quality, and reduce health disparities
    • Apply insight and understanding about emotions and human responses to emotions to create and maintain positive interpersonal interactions

    Resources

    Balogh EP, Ganz PA, Murphy SB, et al. Patient‐centered cancer treatment planning: improving the quality of oncology care. Summary of an Institute of Medicine workshop. Oncologist.  2011;16(12):1800‐1805. doi: 10.1634/theoncologist.2011‐0252.

    Beagley L. Educating patients: understanding barriers, learning styles, and teaching techniques. J Perianesth Nurs. 2011;26(5):331‐337. doi: 10.1016/j.jopan.2011.06.002.

    Butterworth SW. Influencing patient adherence to treatment guidelines. J Manag Care Pharm. 2008;14(6 Suppl B):21‐24.

    Cornett S. Assessing and addressing health literacy. Online J Issues Nurs. 2009;14(3):Manuscript 2. doi: 10.3912/OJIN.Vol14No03Man02.

    Coulter A, Parsons S, Askham J. Where are the patients in decision‐making about their own care. 2008. www.who.int/management/general/decisionmaking/WhereArePatientsinDecisionMaking.pdf

    Fraenkel L, McGraw S. What are the essential elements to enable patient participation in medical decision making. J Gen Intern Med. 2007;22(5):614-619. doi: 10.1007/s11606‐007-0149‐9.

    Inott T, Kennedy BB. Assessing learning styles: practical tips for patient education. Nurs Clin North Am. 2011;46(3):313‐320, vi. doi: 10.1016/j.cnur.2011.05.006.

    McCorkle R, Ercolano E, Lazenby M, et al. Self‐management: enabling and empowering patients living with cancer as a chronic illness. CA Cancer J Clin. 2011;61(1):50‐62. doi: 10.3322/caac.20093.

    National Council on Interpreting in Health Care. What's in a Word? A Guide to Understanding Interpreting and Translation in Health Care. 2010. www.ncihc.org/assets/documents/publications/Whats_in_a_Word_Guide.pdf

    US Department of Health & Human Services. Health Literacy Basics. n.d. www.health.gov/communication/literacy/quickguide/factsbasic.htm

    US Department of Health & Human Services. Improve the Usability of Health Information. n.d. www.health.gov/communication/literacy/quickguide/healthinfo.htm

    National Cancer Institute. Communication in Cancer Care PDQ®. 2013. www.cancer.gov/cancertopics/pdq/supportivecare/communication/patient

    Epstein RM, Street RL Jr. Patient‐Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering. Bethesda, MD: National Cancer Institute. NIH Publication No. 07‐6225. 2007. http://appliedresearch.cancer.gov/areas/pcc/communication/pcc_monograph.pdf

    Ausmed Education. How to Advocate for Your Patient. 2014. www.ausmed.com.au/blog/entry/how‐to‐advocate‐for‐your‐patient

    Center for Advancing Health. A New Definition of Patient Engagement: What Is Engagement and Why Is It Important? 2010. www.cfah.org/file/CFAH_Engagement_Behavior_Framework_current.pdf

    Hagan TL, Donovan HS. Self‐advocacy and cancer: a concept analysis. J Adv Nurs. 2013;69(10):2348-2359.

    Kaur JS. How should we "empower" cancer patients? Cancer. 2014;120(20):3108‐3110. doi: 10.1002/cncr.28852.

    Blair IV, Steiner JF, Havranek EP. Unconscious (implicit) bias and health disparities: where do wego from here? Permanente J. 2011;15(2):71‐78.

    Cleveland Clinic. 2013. Empathy: The Human Connection to Patient Care [Video file]. http://health.clevelandclinic.org/2013/03/empathy‐exploring‐human‐connection‐video/

    Devine PG, Forscher PS, Austin AJ, Cox WT. Long‐term reduction in implicit race bias: a prejudice habit‐breaking intervention. J Exp Soc Psychol. 2012;48(6):1267-1278.

    Kwintessential. Ten Tips for Cross Cultural Communication. 2014. www.kwintessential.co.uk/cultural‐services/articles/ten‐tips‐cross‐culturalcommunication.html

    Leavitt R. Developing Cultural Competence in a Multicultural World. American Physical Therapy Association. 2011. www.apta.org/Courses/Text/DevelopingCulturalCompetence/

    National Coalition for Cancer Survivorship. Cancer Survival Toolbox. n.d. www.canceradvocacy.org/resources/cancer‐survival‐toolbox/

    US Department of Health & Human Services. Office of Minority Health. Think Cultural Health. CLAS & the CLAS Standards. n.d. www.thinkculturalhealth.hhs.gov/content/clas.asp

    Professionalism

    Demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles.

    • Apply knowledge of the difference in roles between clinically licensed and nonlicensed professionals and act within professional boundaries
    • Build trust by being accessible, accurate, supportive, and acting within scope of practice
    • Use organization, time management, problem solving, and critical thinking to assist patients efficiently and effectively
    • Demonstrate responsiveness to patient needs within scope of practice and professional boundaries
    • Know and support patient rights
    • Demonstrate sensitivity and responsiveness to a diverse patient population, including, but not limited to, diversity in gender, age, culture, race, religion, abilities, and sexual orientation
    • Demonstrate a commitment to ethical principles pertaining to confidentiality, informed consent, business practices, and compliance with relevant laws, policies, and regulations (eg, HIPAA, agency abuse reporting rules, Duty to Warn, safety contracting)
    • Perform administrative duties accurately and efficiently

    Resources

    Strom‐Gottfried K. Straight Talk About Professional Ethics. 2nd ed. Chapter 5. Chicago, IL: Lyceum Books. 2014:136‐155. ISBN‐10: 1935871463.

    Watson Caring Science Institute. Caring Science Theory and Research. 2010. http://watsoncaringscience.org/about‐us/caring‐science‐definitions‐processes‐theory/

    Wells KJ, Battaglia TA, Dudley DJ, et al. Patient navigation: state of the art or is it science? Cancer. 2008;113(8):1999‐2010. doi: 10.1002/cncr.23815.

    Pratt‐Chapman ML, Willis LA, Masselink L. Core competencies for oncology patient navigators. Journal of Oncology Navigation & Survivorship. 2015;6(2).

    Pratt‐Chapman ML, Willis LA, Masselink L. Core Competencies for Non‐Clinically Licensed Patient Navigators. Washington, DC: The George Washington University Cancer Institute Center for the Advancement of Cancer Survivorship, Navigation and Policy; 2014.

    National Conference of State Legislatures. Mental Health Professionals' Duty to Warn. 2013. www.ncsl.org/research/health/mental‐health‐professionals‐duty‐towarn.aspx

    Santa Clara University. Ethical Decision Making: A Framework for Ethical Decision Making. 2009. www.scu.edu/ethics/practicing/decision/

    Center for Public Health Practice and Colorado School of Public Health. Patient Navigation. 2014. www.publichealthpractice.org/training‐category/patientnavigation

    Garvey KA, Penn JV, Campbell AL, et al. Contracting for safety with patients: clinical practice and forensic implications. J Am Acad Psychiatry Law. 2009;37(3):363‐370.

    Daum K. 8 Things Really Efficient People Do. 2013. www.inc.com/kevindaum/8‐things‐really‐efficient‐people‐do.html.

    Hou SI, Roberson K. A systematic review on US‐based community health navigator (CHN) interventions for cancer screening promotion‐‐comparing community‐ versus clinic‐based navigator models. J Cancer Educ. 2015;30(1):173‐186. doi: 10.1007/s13187‐014‐0723‐x.

    Swinscoe A. Five Ways to Become More Agile and Responsive to Your Customers' Needs. 2014.  www.forbes.com/sites/adrianswinscoe/2014/03/18/five‐ways‐tobecome‐more‐agile‐and‐responsive‐to‐your‐customers‐needs/

    Systems-Based Practice

    Demonstrate an awareness of and responsiveness to the larger context and system of healthcare, as well as the ability to call effectively on other resources in the system to provide optimal healthcare.

    • Support a smooth transition of patients across screening, diagnosis, active treatment, survivorship, and/or end-of-life care, working with the patient's clinical care team
    • Advocate for quality patient care and optimal patient care systems
    • Organize and prioritize resources to optimize access to care across the cancer continuum for the most vulnerable patients

    Resources

    Clements D, Dault M, Priest A. Effective teamwork in healthcare: research and reality. Healthc Pap. 2007;7 Spec No:26‐34.

    Lee JI, Cutugno C, Pickering SP, et al. The patient care circle: a descriptive framework for understanding care transitions. J Hosp Med. 2013;8(11):619‐626. doi: 10.1002/jhm.2084.

    Marcus LJ. A culture of conflict: lessons from renegotiating health care. J Health Care Law & Policy. 2002;5(20):447‐478.

    Marcus LJ, Barry CD, McNulty EJ. The walk in the woods: a step‐by‐step method for facilitating interest‐based negotiation and conflict resolution.  Negotiation J. 2012;28(3):337‐349.

    Interprofessional Collaboration

    Demonstrate ability to engage in an interprofessional team in a manner that optimizes safe, effective patient- and population-centered care.

    • Work with other health professionals to establish and maintain a climate of mutual respect, dignity, diversity, ethical integrity, and trust
    • Use knowledge of one's role and the roles of other health professionals to appropriately assess and address the needs of patients and populations served to optimize health and wellness
    • Participate in interprofessional teams to provide patient- and population-centered care that is safe, timely, efficient, effective, and equitable

    Resources

    Mitchell R, Parker V, Giles M, White N. Review: toward realizing the potential of diversity in composition of interprofessional health care teams: an examination of the cognitive and psychosocial dynamics of interprofessional collaboration. Med Care Res Rev. 2010;67(1):3‐26. doi: 10.1177/1077558709338478.

    O'Daniel M, Rosenstein A. 2008. Chapter 33. Professional Communication and Team Collaboration. In: Hughes RG, ed. Patient Safety and Quality: An Evidence‐Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality. http://www.ncbi.nlm.nih.gov/books/NBK2637/.

    Roth LM, Markova T. Essentials for great teams: trust, diversity, communication ... and joy. J Am Board Fam Med. 2012;25(2):146‐148. doi: 10.3122/jabfm.2012.02.110330.

    Personal and Professional Development

    Demonstrate qualities required to sustain lifelong personal and professional growth.

    • Set learning and improvement goals. Identify and perform learning activities that address one's gaps in knowledge, skills, attitudes, and abilities
    • Demonstrate healthy coping mechanisms to respond to stress; employ self-care strategies
    • Manage possible and actual conflicts between personal and professional responsibilities
    • Recognize that ambiguity is part of patient care and respond by utilizing appropriate resources in dealing with uncertainty

    Resources

    Academy of Oncology Nurse & Patient Navigators Standardized Metrics Source. https://aonnonline.org/metrics-source-document/

    American Society for Quality. Plan‐Do‐Check‐Act (PDCA) Cycle. n.d. http://asq.org/learn‐about‐quality/project‐planning‐tools/overview/pdca‐cycle.html

    Carroll JK, Humiston SG, Meldrum SC, et al. Patients' experiences with navigation for cancer care. Patient Educ Couns. 2010;80(2):241‐247. doi: 10.1016/j.pec.2009.10.024.

    Commission on Cancer. American College of Surgeons. Accreditation Committee Clarifications  for Standards 3.1 Patient Navigation Process and 3.2 Psychosocial Distress Screening. 2014. www.facs.org/publications/newsletters/coc‐source/specialsource/standard3132.

    National Institutes of Health. PROMIS. n.d. www.nihpromis.org/patients/measures?AspxAutoDetectCookieSupport=1.

    Wilcox B, Bruce SD. Patient navigation: a "win‐win" for all involved. Oncol Nurs Forum.  2010;37(1):21‐25. doi: 10.1188/10.ONF.21‐25.

    Cantillon P, Sargeant J. Giving feedback in clinical settings. BMJ. 2008;337:a1961. doi: 10.1136/bmj.a1961.

    Grant A. Take Charge of Your Professional Development. 2011. http://money.usnews.com/money/careers/articles/2011/08/17/take‐charge‐of‐your‐professionaldevelopment.

    The George Washington University Human Resources. Dealing with Ambiguity. n.d. https://ode.hr.gwu.edu/dealing‐ambiguity.

    UC Berkeley. Goal‐Setting: Developing a Vision & Goals for Your Career Plan. n.d. http://hrweb.berkeley.edu/learning/career‐development/goal‐setting/career‐plan‐vision

    The George Washington University Oncology Patient Navigator Training: The Fundamentals. http://gwcehp.learnercommunity.com/cancer-institute

    Shockney LD. Team-Based Oncology Care: The Pivotal Role of Oncology Navigation. Cham, Switzerland: Springer International Publishing AG. 2018. ISBN 978-3-319-69037-7.

  • Maintaining Certification

    Your OPN-CG℠ is valid for 3 years from the date of testing. To maintain your Oncology Patient Navigator–Certified Generalist℠ (OPN-CG℠) credential, you must document participation in 24 continuing education hours every 36 months.

    Continuing education hours must consist of education in the following knowledge domains:

    • Patient Care   
    • Professionalism
    • Knowledge for Practice
    • System-Based Practice
    • Practice-Based Learning and Improvement  
    • Interprofessional Collaboration
    • Interpersonal and Communication Skills      
    • Personal and Professional Development

    Additional requirements:

    • Must maintain direct navigation experience
    • Must pay renewal fee at time of recertification:
      • Member: $150
      • Nonmember: $300 (includes a free one-year membership)

    Documentation of continuing education hours must be submitted every 3 years. Thank you for your patience as we establish a portal where your credits will be uploaded.

  • Candidate Handbook

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