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 Maine’s Impact Cancer Network – Maine’s statewide cancer coalition
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
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
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/
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
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!
MCF’s Cancer Patient Navigator ECHO • Launched in May 2019 • MCF serves as hub • Sessions held 1x/mo on same day at same time
MCF Project ECHO Monthly Topics • Navigation work flows • Financial Toxicity • Transportation • Prevention and Screening • Palliative Care • Survivorship • Immunotherapy • Metrics • Genetics
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
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
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
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
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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