Evidence map›Paper›PMID 35699611›Full record

ArticleCancer2022

Development of a workflow process mapping protocol to inform the implementation of regional patient navigation programs in breast oncology.

Nicole L Casanova, Amy M LeClair, Victoria Xiao, Katelyn R Mullikin, Stephenie C Lemon, Karen M Freund, Jennifer S Haas, Rachel A Freedman, Tracy A Battaglia, Translating Research Into Practice (TRIP) Consortium

Open access · greenAbstract read
In one paragraph

Article in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Challenges and recommendations for advancing respite care for families of children and youth with special health care needs: A qualitative exploration.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  5. Article
  6. Assessment of patient navigation programs for breast cancer patients across the city of Boston.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Nicole L CasanovaUniversity of Washington School of Public Health, Seattle, Washington.ORCID 0000-0001-6757-6221
Amy M LeClairInstitute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, Massachusetts.
Victoria XiaoWomen's Health Unit, Section of General Internal Medicine, Boston Medical Center, Boston, Massachusetts.
Katelyn R MullikinWomen's Health Unit, Section of General Internal Medicine, Boston Medical Center, Boston, Massachusetts.
Stephenie C LemonUniversity of Massachusetts Medical School, Worcester, Massachusetts.
Karen M FreundInstitute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, Massachusetts.ORCID 0000-0002-9049-5574
Jennifer S HaasDepartment of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Rachel A FreedmanDana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0003-0460-674X
Tracy A BattagliaWomen's Health Unit, Section of General Internal Medicine, Boston Medical Center, Boston, Massachusetts.
Translating Research Into Practice (TRIP) Consortium
Boston Medical Center · USTufts Medical Center · USBoston University · USDana-Farber Cancer Institute · USMassachusetts General Hospital · USUniversity of Massachusetts Chan Medical School · US

Funding

Project-005UL1TR001430 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BAIR-MERRITT, MEGAN H, CENTER, DAVID M. · 2015 to 2024
$52.3M
Tufts Clinical and Translational Science Institute (Pilot Supplement)UL1TR002544 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2018 to 2022
$50.2M
University of Massachusetts Center for Clinical Science and Translational SupplementUL1TR001453 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUZURIAGA, KATHERINE F · 2015 to 2024
$39.0M
Harvard Clinical and Translational Science Center (UL1)UL1TR000170 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2012 to 2013
$31.4M
Translating Research Into Practice: A Regional Collaborative to Reduce Disparities in Breast Cancer CareU01TR002070 · NCATS · BOSTON MEDICAL CENTER · PI BATTAGLIA, TRACY ANN, FREUND, KAREN · 2017 to 2021
$8.7M
Prevention And Control of Cancer: Training for Change in Individuals and SystemsT32CA172009 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LEMON, STEPHENIE C., OCKENE, JUDITH K · 2019 to 2023
$1.5M
NCATS NIH HHS U01 TR002070NCATS NIH HHS UL1 TR000170NCATS NIH HHS UL1 TR001430NCATS NIH HHS UL1 TR001453NCATS NIH HHS UL1 TR002544NCI NIH HHS T32 CA172009
6 · The paper itself

Abstract

backgroundImplementing city-wide patient navigation processes that support patients across the continuum of cancer care is impeded by a lack of standardized tools to integrate workflows and reduce gaps in care. The authors present an actionable workflow process mapping protocol for navigation process planning and improvement based on methods developed for the Translating Research Into Practice study.

methodsKey stakeholders at each study site were identified through existing community partnerships, and data on each site's navigation processes were collected using mixed methods through a series of team meetings. The authors used Health Quality Ontario's Quality Improvement Guide, service design principles, and key stakeholder input to map the collected data onto a template structured according to the case-management model.

resultsData collection and process mapping exercises resulted in a 10-step protocol that includes: 1) workflow mapping procedures to guide data collection on the series of activities performed by health care personnel that comprise a patient's navigation experience, 2) a site survey to assess program characteristics, 3) a semistructured interview guide to assess care coordination workflows, 4) a site-level swim lane workflow process mapping template, and 5) a regional high-level process mapping template to aggregate data from multiple site-level process maps.

conclusionsThis iterative, participatory approach to data collection and process mapping can be used by improvement teams to streamline care coordination, ultimately improving the design and delivery of an evidence-based navigation model that spans multiple treatment modalities and multiple health systems in a metropolitan area. This protocol is presented as an actionable toolkit so the work may be replicated to support other quality-improvement initiatives and efforts to design truly patient-centered breast cancer treatment experiences. LAY SUMMARY: Evidence-based patient navigation in breast cancer care requires the integration of services through each phase of cancer treatment. The Translating Research Into Practice study aims to implement patient navigation for patients with breast cancer who are at risk for delays and are seeking care across 6 health systems in Boston, Massachusetts. The authors designed a 10-step protocol outlining procedures and tools that support a systematic assessment for health systems that want to implement breast cancer patient navigation services for patients who are at risk for treatment delays.

Indexed as

Breast NeoplasmsPatient NavigationFemaleHealth PersonnelHumansPatient CareWorkflowbreast cancerhealth equityimplementation sciencepatient navigationquality improvement

Identifiers

PMID35699611
PMCPMC9201987
OpenAlexW4282831547

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.