proje ject echo and cancer patient navigators in maine
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Proje ject ECHO and Cancer Patient Navigators in Maine NNECOS Financial Advocacy and Navigation Symposium October 18, 2019 Maine Cancer Foundation Funder and convener Public charity Backbone and funding support for Maines Impact


  1. Proje ject ECHO and Cancer Patient Navigators in Maine NNECOS Financial Advocacy and Navigation Symposium October 18, 2019

  2. Maine Cancer Foundation • Funder and convener • Public charity • Backbone and funding support for Maine’s Impact Cancer Network – Maine’s statewide cancer coalition

  3. Maine Patient Navigator Landscape • Maine navigators serve: Maine San Diego • Rural Mainers • New Mainers Population 1.3 Million 1.4 Million • Senior Mainers • Migrant workers Area 35,385 sq miles 372 sq miles • Types of navigators # of Moose 60-70,000 0 • Community health workers • Clinical navigators • Financial advocates

  4. 2018 MCF Patient Navigator Summit • September 20, 2018 • 60 attendees met in Augusta • Patient navigators expressed strong desire to stay connected statewide • Project ECHO model introduced as a possible tool

  5. Project ECHO • Extension. For Community. Healthcare. Outcomes. • Created in 2003 • Currently 650 Project ECHOs in 37+ countries • Connects groups of providers with specialists in collaborative sessions • Sessions included didactic component as well as case based learning • Empowers providers to provide better care to more people where they live • https://echo.unm.edu/

  6. Project ECHO – Getting Started • MD Anderson recognized as a Project ECHO oncology superhub • Provide required training, instruction, and support • MD Anderson is 1 of 14 Superhubs worldwide and the first focused on oncology • Training • 1.5 days • Offered twice a year • Houston, TX • Following training, become recognized Project ECHO hub

  7. Project ECHO Requirements • Training and certification for hub organization • Staffing at hub to manage technology and facilitate sessions • Zoom • Videoconferencing equipment • Spoke sites • Collaborative Enthusiasm!

  8. MCF’s Cancer Patient Navigator ECHO • Launched in May 2019 • MCF serves as hub • Sessions held 1x/mo on same day at same time

  9. MCF Project ECHO Monthly Topics • Navigation work flows • Financial Toxicity • Transportation • Prevention and Screening • Palliative Care • Survivorship • Immunotherapy • Metrics • Genetics

  10. Evaluation • Progress Measurement • Attendance • Pre-Assessment • Post-Assessment • Final Evaluation • Incentives • Support from Project ECHO New York State Health Foundation Evaluation Tool Superhub and ECHO colleagues

  11. MCF Project ECHO Plus/Deltas • Successes • Consistent attendance (avg. 20 spokes per session) • Positive feedback via surveys • Navigators recruiting colleagues • Maine navigators coming together for shared learning • Challenges • Diverse navigator audience • Topics are of interest but not practiced by all navigators attending session • Difficulty recruiting case studies • Facilitator is not a patient navigator

  12. MCF Project ECHO Future • Patient Navigator ECHO • Provide opportunities for navigators to come together in person • MCF staff travel to spoke sites for each session • Ensure topics are relevant for navigators • In Maine • Fund additional Project ECHO sites • Northern New England Project ECHO

  13. MCF Project ECHO Contacts • Aysha Sheikh, Director of Programming, Maine Cancer Foundation, aysha@mainecancer.org • Heather Drake, Program Manager, Maine Cancer Foundation, heather@mainecancer.org • Katelyn Michaud, Program Manager, Maine Cancer Foundation, katelyn@mainecancer.org. • To learn more about how to become a Project ECHO partner with MD Anderson Cancer Center: https://www.mdanderson.org/education-training/global- outreach/project-echo.html

  14. NNECOS Patient Navigator Resources • New Patient Navigator Resources Page http://nnecos.org/patient-navigation-resources • NNECOS will regularly update • Please send resources to: Lori Aubrey, NNECOS Executive Director laubrey@nnecos.org

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