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Related Concept Videos

Nursing Clinical Information System01:27

Nursing Clinical Information System

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Integrated Healthcare System01:20

Integrated Healthcare System

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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
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Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Cancer Survival Analysis01:21

Cancer Survival Analysis

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Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
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Implementing a System-Wide Comprehensive Cancer Navigation Program in a Rapidly Expanding Health System.

Julien T Hohenleitner1, Shruti Koti1, David Hyman1

  • 1Department of General Surgery, Northwell Health, New Hyde Park, NY.

JCO Oncology Practice
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Summary
This summary is machine-generated.

A new system-wide nurse navigation program improved cancer care access, significantly reducing wait times for initial oncology appointments. Patient satisfaction remained high across multiple specialties, demonstrating the program

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Area of Science:

  • Oncology
  • Healthcare Management
  • Patient Navigation

Background:

  • Multidisciplinary cancer care can lead to fragmented patient experiences, delays, and increased stress.
  • Existing nurse navigation programs are often limited to specific specialties.
  • A comprehensive, system-wide approach is needed to address these challenges.

Purpose of the Study:

  • To design, implement, and evaluate a comprehensive, system-wide nurse navigation program.
  • To assess the program's impact on access to care and patient satisfaction across multiple oncology service lines.

Main Methods:

  • A pilot nurse navigation program was launched in a 26-hospital system in 2022.
  • Nurse navigators coordinated patient care from diagnosis, including referrals, appointments, and psychosocial support.
  • Outcomes measured included time to initial oncology appointment (TTA) and patient satisfaction.

Main Results:

  • Over 7,000 patients entered navigation between 2023-2024.
  • TTA decreased significantly across breast, gynecologic, colorectal, and hepatobiliary/GI services (e.g., breast oncology TTA reduced from 22.8 to 6.8 days).
  • Patient satisfaction was consistently high, though areas for improvement in communication and program explanation were noted.

Conclusions:

  • A centralized, system-wide cancer navigation program is feasible and effective.
  • The program improved access to oncology care and maintained high patient satisfaction.
  • This scalable infrastructure enhances cancer care delivery in large health systems.