Thursday, January 22, 2015

Meet Me in Paris: Breast Navigation Training + Certification in March!

image courtesy of Las-Vegas.travel
Our collaboration with the National Consortium of Breast Centers offers Breast Cancer Navigators validation of their skills through certification. Patient Navigation training from the PNI plus accredited certification through the NCBC takes standardized PN skillsets to a new level, offering employers greater confidence when hiring a graduate of this program
~ Dr. Harold P. Freeman
In our continued quest to train and certify breast navigators with The National Consortium of Breast Centers (NCBC), we at the HP Freeman PNI are pleased to announce a collaborative program at the 25th Annual Interdisciplinary Breast Center Conference in Las Vegas on March 2015. This program features HPFPNI training based on the Harold P. Freeman model of patient navigation on Tuesday, March 17, and a certification exam administered by NCBC on Wednesday, March 18. To apply, click here.

This collaboration will allow individuals to combine the compassionate practicality of navigation training with the validation attained through a three-hour test for accredited certification. This is the 2nd joint program with NCBC, our first highly successful and sold out course/certification having taken place in November 2014 in NYC.

What: 1-Day intensive course on Breast Cancer Patient Navigation (HPFPNI), PLUS a 3-hour exam for accreditation (NCBC)

When: March 17, 2015, 8am-4:45pm (course); March 18, 2015, 7:30am - 11:30am (exam)

Where: NCoBC 2015 25th Annual Interdisciplinary Breast Center Conference, Paris Las Vegas: For more info, click here.

How: Click here to REGISTER NOW for this Las Vegas special training session. Those who register for Navigator Certification at the conference are eligible to receive the $545 member rate for the conference. Anyone who signs up for the conference will get a $100 discount on the Patient Navigation course. 

The National Accreditation Program for Breast Centers (NAPBC) calls for the presence of a navigation program in all breast centers by January of 2015. With the deadline here, this partnership creates a path for navigators to prepare and validate their capabilities.

PLEASE SHARE THIS EXCITING OPPORTUNITY with others who also wish to make a difference, ensure hope, and affect change!

Sincérement,

Harold P. Freeman

Friday, January 2, 2015

Patient Navigation FAQ


 Following is an excerpt from the HPFPNI website.

What is patient navigation?
Patient navigation is a patient-centric healthcare service delivery model.It is a patient-centric concept that concentrates on the movement of patients along the continuum of medical care. It is a comprehensive term, to include all steps through this broad and diverse continuum, beginning in the community and continuing on through testing, diagnosis, and survivorship to the end of life. 


What is a Patient Navigator? And how do their job functions differ from those of Nurse Navigators?
Patient Navigators are people who take individual patients through the continuum of healthcare as it pertains to their specific disease, ensuring that any and all barriers to that care are resolved and that each stage of care is as quick and seamless as possible. Patient Navigators should be performing at the level they are trained for. Nurse Navigators should not be doing what laypeople can do, such as financial and logistical care, so that they can focus, rather, on the medical treatment of the individual. In Harlem right now we are seeing no need to assign nurses to financial tasks. They tend to concentrate on people with Cancer who need a high level of treatment. People can apply the principles of Patient Navigation no matter what capacity they work in, be it medical or administrative or social work. 


What is the difference between Patient Advocacy and Patient Navigation?
I'm reminded of Jay-Z's interpretation of the difference between rap and hip-hop. He aptly likens rap to "what you say" and hip-hop to "what you do." The comparison is similar here. Patient Advocacy, an extremely important segment of the patient-centric focus, is ultimately what you say. Patient Navigation, however, is what you do... It's the guiding force promoting the timely movement of the patient through a complex system of care. 


What are the different types (phases) of patient navigation?
Optimally, Patient Navigation should start where people live—in the community. Therefore, Community Navigation, if you will, is where it all begins. It's where testing is championed as information on guidelines for who should be tested for what, and when. 


The next phase would be one of Diagnostic Navigation. Once an individual goes in for testing, a suspicious finding would necessitate navigation to their biopsy (in the case of Cancer) and diagnosis.

Then comes Treatment Navigation where, upon diagnosis, the patient needs navigation through all of the treatment options and medical care. Which brings us finally to Survivorship Navigation. A good example would be with something like Diabetes, which is a chronic disease with no endpoint. Navigation will occur in well-defined areas for the duration of the patient's life, to include complications, economics, logistics, and so forth. 

I often give the example of a Mile Relay Team. It's a simple example, but it's one that works. Here you have four runners (navigators) and a coach (navigation). The main concerns here are: Did you improve the time? Did you pass the baton at exactly the right time? Were you right there to get the baton? Were you there to perform at your highest level while the baton was in your hand? 


Who is best suited to take this HPFPNI course?
All types of people go to and are sent to the HP Freeman Patient Navigation Institute to become champions within their own specialized group. Whether you're a layperson who wants to truly make a lifesaving difference in your community; a hospital administrator who wants to get a deep look at how patient navigation can be implemented within their hospital to ultimately save time and costs; or a nurse who wants to lend his/her medical background to the navigation momentum. They will all gain the knowledge they need to move forward with a great perspective on and knowledge of the fundamentals of Patient Navigation. 


What's the difference between certification and a certificate of completion?
When you go to the HP Freeman Patient Navigation Institute, you are coming to the place of origin. We give the broadest education on Patient Navigation... one that takes a genuine, deep look at navigation and its background, development, and applications to our communities and our current healthcare system. After successfully completing the course, you will receive a certificate of completion. This is not to be confused with certification, for which there currently exists no national standardization.*


Overall, what hand will Patient Navigation play in terms of the current systems of care?

Navigation has the great power of marrying... of integrating a fragmented healthcare system for the individual patient. Navigators work to connect the myriad specialists within the varied systems of care, such as primary care sites and tertiary care sites, so that each can do their job at their most efficient and highest level of training. Individuals not only require, but desire expediency and communication. There should be no barriers to the highest level of care and compassion for any and all patients, and navigation is powerful and smart enough to bridge the gaps and ensure quality of care throughout its continuum. This is something that will not change, and the future for Patient Navigation is limitless... Which brings us to: 


What is the future of Patient Navigation?
To look toward the future, perhaps it's a good idea we take a look at the past. Historically, the growth of tumor registrars and the American College of Surgeons (ACS) requirement in 1956 of cancer registry for approved cancer programs led to the establishment of a National Program of Cancer Registries and state laws making cancer a reportable disease. Just this summer, the ACS Commission on Cancer (COC) established new accreditation standards to include patient navigation process to address health care disparities and barriers to care. There are currently more than 1,500 CoC accredited hospitals in the US and Puerto Rico, representing only 30% of all institutions, but more than 79% of all new cancer cases diagnosed annually. The future is looking bright for Patient Navigation and its implementation in hospitals nationwide, ultimately driving hospitals in the future to hire more and more PNs. 


Give one HP Freeman PNI example as it pertains to real-life job opportunities (within a community, region, employment sphere) upon completion of coursework*:
The Institute has strong ties with the Cleveland Clinic. A Patient Navigation team from HPFPNI was invited to give a course at the Cleveland Clinic a few years back. Rian Rodriguez (Lead Lecturer) and I led that course for 30 trainees to coincide with the opening of their Stephanie Tubbs Jones Health Center (a new outpatient center). It was while I was there that I met up with the CEO of the Cleveland Clinic, Dr. Delos Cosgrove, at a first-class, Hollywood-type event broadcast live to 40,000 people worldwide—as far-reaching as Abu Dhabi. This speaks volumes to how seriously this world renowned hospital is taking the concept of Patient Navigation.  


The Institute has also combined forces with Accenture and is training hundreds of unemployed workers in Patient Navigation, supplying them with the skills to succeed in this area. Accenture has placed 100 of them in PN jobs in and around the Cleveland area, paying half of each of their salaries for one year. 

*Since the original interview for these FAQ's, the Harold P. Freeman Patient Navigation Institute has also collaborated with the National Consortium of Breast Centers (Fall '14), resulting in combined breast navigation courses/exams/certification. The first collaborative course took place in NYC in November '14, with another in March of this year. Click here for more information on the breast navigation certification schedule!



People need personal help to get through this life ~ Dr. Harold P. Freeman 


Apply Today!

The Harold P. Freeman Patient Navigation Institute is currently accepting student applications for its upcoming classes and online program. Classroom space is limited, so act today. Enrollment for the online classes takes place on the 15th and the 30th of each month. To check available dates and to apply, click here, or call 1-646-380-4060 to learn more.
What is patient navigation?
Patient navigation is a patient-centric healthcare service delivery model. It is a patient-centric concept that concentrates on the movement of patients along the continuum of medical care. It is a comprehensive term, to include all steps through this broad and diverse continuum, beginning in the community and continuing on through testing, diagnosis, and survivorship to the end of life. - See more at: http://www.hpfreemanpni.org/faq/#sthash.lVFk6Foz.dpuf
What is patient navigation?
Patient navigation is a patient-centric healthcare service delivery model. It is a patient-centric concept that concentrates on the movement of patients along the continuum of medical care. It is a comprehensive term, to include all steps through this broad and diverse continuum, beginning in the community and continuing on through testing, diagnosis, and survivorship to the end of life.
What is a Patient Navigator? And how do their job functions differ from those of Nurse Navigators?
Patient Navigators are people who take individual patients through the continuum of healthcare as it pertains to their specific disease, ensuring that any and all barriers to that care are resolved and that each stage of care is as quick and seamless as possible. Patient Navigators should be performing at the level they are trained for. Nurse Navigators should not be doing what laypeople can do, such as financial and logistical care, so that they can focus, rather, on the medical treatment of the individual. In Harlem right now we are seeing no need to assign nurses to financial tasks. They tend to concentrate on people with Cancer who need a high level of treatment. People can apply the principles of Patient Navigation no matter what capacity they work in, be it medical or administrative or social work.
What is the difference between Patient Advocacy and Patient Navigation?
I'm reminded of Jay-Z's interpretation of the difference between rap and hip-hop. He aptly likens rap to "what you say" and hip-hop to "what you do." The comparison is similar here. Patient Advocacy, an extremely important segment of the patient-centric focus, is ultimately what you say. Patient Navigation, however, is what you do... It's the guiding force promoting the timely movement of the patient through a complex system of care.
What are the different types (phases) of patient navigation?
Optimally, Patient Navigation should start where people live—in the community. Therefore, Community Navigation, if you will, is where it all begins. It's where testing is championed as information on guidelines for who should be tested for what, and when.
The next phase would be one of Diagnostic Navigation. Once an individual goes in for testing, a suspicious finding would necessitate navigation to their biopsy (in the case of Cancer) and diagnosis.
Then comes Treatment Navigation where, upon diagnosis, the patient needs navigation through all of the treatment options and medical care. Which brings us finally to Survivorship Navigation. A good example would be with something like Diabetes, which is a chronic disease with no endpoint. Navigation will occur in well-defined areas for the duration of the patient's life, to include complications, economics, logistics, and so forth.
I often give the example of a Mile Relay Team. It's a simple example, but it's one that works. Here you have four runners (navigators) and a coach (navigation). The main concerns here are: Did you improve the time? Did you pass the baton at exactly the right time? Were you right there to get the baton? Were you there to perform at your highest level while the baton was in your hand?
Who is best suited to take this HPFPNI course?
All types of people go to and are sent to the HP Freeman Patient Navigation Institute to become champions within their own specialized group. Whether you're a layperson who wants to truly make a lifesaving difference in your community; a hospital administrator who wants to get a deep look at how patient navigation can be implemented within their hospital to ultimately save time and costs; or a nurse who wants to lend his/her medical background to the navigation momentum. They will all gain the knowledge they need to move forward with a great perspective on and knowledge of the fundamentals of Patient Navigation.
What's the difference between certification and a certificate of completion?
When you go to the HP Freeman Patient Navigation Institute, you are coming to the place of origin. We give the broadest education on Patient Navigation... one that takes a genuine, deep look at navigation and its background, development, and applications to our communities and our current healthcare system. After successfully completing the course, you will receive a certificate of completion. This is not to be confused with certification, for which there currently exists no national standardization.
Overall, what hand will Patient Navigation play in terms of the current systems of care?
Navigation has the great power of marrying... of integrating a fragmented healthcare system for the individual patient. Navigators work to connect the myriad specialists within the varied systems of care, such as primary care sites and tertiary care sites, so that each can do their job at their most efficient and highest level of training. Individuals not only require, but desire expediency and communication. There should be no barriers to the highest level of care and compassion for any and all patients, and navigation is powerful and smart enough to bridge the gaps and ensure quality of care throughout its continuum. This is something that will not change, and the future for Patient Navigation is limitless... Which brings us to:
What is the future of Patient Navigation?
To look toward the future, perhaps it's a good idea we take a look at the past. Historically, the growth of tumor registrars and the American College of Surgeons (ACS) requirement in 1956 of cancer registry for approved cancer programs led to the establishment of a National Program of Cancer Registries and state laws making cancer a reportable disease. Just this summer, the ACS Commission on Cancer (COC) established new accreditation standards to include patient navigation process to address health care disparities and barriers to care. There are currently more than 1,500 CoC accredited hospitals in the US and Puerto Rico, representing only 30% of all institutions, but more than 79% of all new cancer cases diagnosed annually. The future is looking bright for Patient Navigation and its implementation in hospitals nationwide, ultimately driving hospitals in the future to hire more and more PNs.
Give one HP Freeman PNI example as it pertains to real-life job opportunities (within a community, region, employment sphere) upon completion of coursework:
The Institute has strong ties with the Cleveland Clinic. Just recently, a Patient Navigation team from HPFPNI was invited to give a course at the Cleveland Clinic. Rian Rodriguez (Lead Lecturer) and I led that course September 26-28 for 30 trainees to coincide with the opening of their Stephanie Tubbs Jones Health Center (a new outpatient center). It was while I was there that I met up with the CEO of the Cleveland Clinic, Dr. Delos Cosgrove, at a first-class, Hollywood-type event broadcast live to 40,000 people worldwide—as far-reaching as Abu Dhabi. This speaks volumes to how seriously this world renowned hospital is taking the concept of Patient Navigation.
The Institute has combined forces with Accenture and will train 400 unemployed workers in Patient Navigation, supplying them with the skills to succeed in this area. Accenture will ultimately place 100 of them in PN jobs in and around the Cleveland area, paying half of each of their salaries for one year.
People need personal help to get through this life ~ Dr. Harold P. Freeman
- See more at: http://www.hpfreemanpni.org/faq/#sthash.lVFk6Foz.dpuf

Monday, December 8, 2014

Patient Navigation Looks Ahead


December in the U.S. brings with it cooler temperatures, myriad folks trying to play catch-up, and time to give pause - to reflect on what brought us to where we are, and what the next year may have in store.

Regarding Patient Navigation, let's start in 1990, when the concept of Patient Navigation was founded and pioneered by Dr. Harold Freeman for the purpose of eliminating barriers to timely cancer screening, diagnosis, treatment, and supportive care. At this time, Dr. Freeman established the nation's first Patient Navigation program at Harlem Hospital Center in NYC. Since its inception, PN has grown. 

Since then, slowly but surely, Patient Navigation has been gaining momentum as a valued and successful component of chronic patient care. Articles are popping up exponentially touting the benefits of PN and enumerating stories of those whose lives were positively affected by the care of a Patient Navigator.

Fast-forward from its inception in 1990 to 2012, when the American College of Surgeons Commission on Cancer issued new standards, requiring cancer centers to provide patient navigation services by January 2015. As such, countless positions have been added to hospitals and care centers nationwide.

Take a look at this 'Patient Navigation Job Trends' chart from Indeed.com :


Patient Navigation is growing...

While definitions of PN may vary slightly from person to person, and PN programs can be implemented in different ways, and the responsibilities of Patient Navigators change slightly from hospital to community center to private office, from state to state, country to country... the news is the same. People with chronic diseases benefit tremendously from the care of a Patient Navigator; PN programs positively affect hospitals' bottom line; Patient Navigation saves lives.

January 1, 2015, is just a few weeks away. The CoC standards will be in full effect, and it is exciting to imagine where that will take Patient Navigation!

What are your thoughts on the future of Patient Navigation? Be it nurse navigators, lay navigators, care coordinators, etc., how do you see Patient Navigation growing and changing to fit the growing needs of the growing population living with chronic diseases? Let us know! Let's continue the conversation, just as Patient Navigation continues to gain strength heading into the New Year...
Just this month, the United Kingdom's House of Commons embraced patient navigation by launching the HP Freeman Patient Navigation program, enabling citizens of the UK to benefit from barrier-free diagnosis, treatment, and care for chronic diseases. Hospitals, community health centers, and government agencies are all beginning to recognize that reducing barriers and disparities in access to necessary resources and care is critical to saving lives. - See more at: http://www.hpfreemanpni.org/news/patient-navigation-crosses-the-pond.php?PHPSESSID=6450768feef1a0119865d2c2e5ece143#sthash.fVsMp4eL.dpuf

Just this month, the United Kingdom's House of Commons embraced patient navigation by launching the HP Freeman Patient Navigation program, enabling citizens of the UK to benefit from barrier-free diagnosis, treatment, and care for chronic diseases. Hospitals, community health centers, and government agencies are all beginning to recognize that reducing barriers and disparities in access to necessary resources and care is critical to saving lives. - See more at: http://www.hpfreemanpni.org/news/patient-navigation-crosses-the-pond.php?PHPSESSID=6450768feef1a0119865d2c2e5ece143#sthash.fVsMp4eL.dpuf
Just this month, the United Kingdom's House of Commons embraced patient navigation by launching the HP Freeman Patient Navigation program, enabling citizens of the UK to benefit from barrier-free diagnosis, treatment, and care for chronic diseases. Hospitals, community health centers, and government agencies are all beginning to recognize that reducing barriers and disparities in access to necessary resources and care is critical to saving lives. - See more at: http://www.hpfreemanpni.org/news/patient-navigation-crosses-the-pond.php?PHPSESSID=6450768feef1a0119865d2c2e5ece143#sthash.fVsMp4eL.dpuf

Tuesday, September 16, 2014

Breast Cancer PN PLUS Accredited Certification ~ THERE'S STILL TIME TO SIGN UP!




The Harold P. Freeman Patient Navigation Institute and The National Consortium of Breast Centers (NCBC), has just announced their first collaborative training session! By working together, HPFPNI and NCBC can now offer students Patient Navigation training PLUS a 3-hour test for accredited certification*. This is big!

WHEN: November 13 -14, 2014; 8:00am – 5:00pm
WHERE: Harold P. Freeman Patient Navigation Institute
55 Exchange Place, Suite 402
New York, New York 10005
REGISTER NOW! THERE ARE STILL TWO SLOTS LEFT!

The Power of Two!
The collaboration of these two highly regarded professional organizations will, for the very first time, allow an individual to combine the compassionate practicality of navigation training with the validation attained through accredited certification. HPFPNI will offer training based on the Harold P. Freeman model of Patient Navigation, and the National Consortium of Breast Centers will administer the certification exam.


What is The National Consortium of Breast Centers?
A nonprofit membership organization founded in 1986, the NCBC is dedicated to excellence in breast healthcare through education and cross-fertilization of knowledge and skills. It began as a small group of multidisciplinary breast health experts and has grown into an ever-increasing group of medical and allied health professionals who exchange information, network and learn from renowned clinicians and from each other. The focus continues to be on the development; implementation and expansion of breast center programs such as navigation, which promotes high quality cost efficient care in a patient-centric manner, while continuing to address and promote clinical excellence in all aspects of breast health care.


With the addition of private sector businesses and corporations as part of the NCBC membership, breast health professionals are kept informed about advances in equipment, technology, drugs and services available to them to improve patient quality care. Through  monthly newsletters, an annual interdisciplinary annual conference and networking throughout the year, NCBC members are kept informed of the ever-changing breast health care world both nationally and internationally.


*The National Consortium of Breast Centers developed a Certification Program for breast patient navigators in 2009 so that those who would move into navigator roles would be able to do so with standardized and validated skill sets.

A Shared Vision
The National Accreditation Program for Breast Centers (NAPBC) calls for the presence of a navigation program in all Breast Centers by January of 2015. With this deadline nearly here, our partnership creates a path for Breast Patient Navigators to prepare and validate their capabilities. 

The NCBC Breast Patient Navigation Certification Program offers six types of Breast Patient Navigator Certifications:


CERTIFIED NAVIGATORS BREAST (+ individual designation based on licensure)



  • CN-BI = Diagnostic Imaging/Treatment Techs (all technologist from diagnostics to treatments)
  • CN-BM = Management/Social Worker (all social workers and managers of navigators)
  • CN-BA = Advocate (all volunteers/lay navigators 
  • CN-BC = Clinical (all certified  medical assistants, technicians, licensed practical/vocational nurses)
  • CN-BP = Provider (all breast care diagnosticians, nurse practitioners, physicians, physician assts, breast care PhDs)
  • CN-BN = RN (All registered nurses from breast care, diagnostic imaging, treatment, survivorship, genetics)
Our Vision is to positively impact breast care and improve the experience, satisfaction, and outcomes of the breast cancer patient. We will achieve this by combining the highest quality training in Patient Navigation with the most respected testing and Certification program ~ HPFPNI & NCBC