PN Program Scope

Do your Patient Navigator’s serve patients with specific cancers, all cancers or other diseases?

How are patients referred to you or how do you identify patients for navigation?

From what sources do your navigators receive referrals?

Describe the patients served by your Navigators (gender, ethnic or racial group/s, insurance status, underserved, limited English proficient, etc.)

Does your program target any special patient population/s (e.g., uninsured, certain language or racial/ethnic groups)?

In what setting do your Navigators typically see patients/clients (e.g., home visits, community organizations)?
(Select all that apply)?

Cancer care facility

Other medical facility

Client home

Our organization's facility

Other community organization location

Other

How do you assess the needs of your clients (e.g., scheduled appointment/s, informal meeting/s, questionnaire/s, checklist/s)? Please provide a sample of any form you use.

What phases of the cancer care continuum do your Navigators address
(Select all that apply)?

What are the most common patient needs addressed by your Navigators (Select all that apply)?

Medical needs

Social/emotional support

Financial assistance

Logistical support

Family/caregiver support

Cultural

Religious/spiritual

Other

What resources, community based organizations, etc. do your Navigators refer patients/clients to frequently?