Oncology Care Metrics: Patient. Clinical. Business.

Oncology Care MetricsAs healthcare systems have evolved over the decades, standardized evidence-based metrics have been created to measure navigation programmatic success. To fully support the continuation and even expansion of successful patient navigation services, cancer programs must collect and monitor quality oncology care metrics.

Last year, the Navigations Metrics Team identified metrics to support the AONN+ Certification Domains. These metrics and their outcomes will be useful for programs to formulate development needs, identify barriers to care and reevaluate quality-of-care delivery, health outcomes and measure overall the impact cancer care navigation programs have with patients from initial diagnosis to survivorship and end of life.

National Standardized Evidence-Based Navigation Metrics

While navigation programs are diverse, with each program being developed to meet the specific needs of the populations they serve, these metrics were created in a way  that every organization can use them as a baseline to prove efficacy and sustainability of their program. The metrics fall under three different categories: patient experience, clinical outcome, business performance.

Patient Experience (PE)

According to the Journal of Oncology, PE is increasingly emerging as a more enhanced method for measuring navigation success. Asking patients about their experience, for example, increases our level of understanding about satisfaction for the patient and their family.

Clinical Outcomes (CO)

CO metrics are much more familiar to healthcare providers as clinicians have historically measured success through patient clinical outcomes.

Business Performance (ROI)

Although business performance metrics are much less familiar for navigation programs, this category has become increasingly more important as cancer program administrators increasingly research the ROI for navigation services.

Standardized Oncology Care Metrics

  1. Treatment Compliance– Percentage of patients who adhere to institutional treatment pathways quarterly
  2. Barriers to Care- Specific barriers to care identified by navigator monthly
  3. Interventions- Referrals offered to navigated patients monthly
  4. Clinical Trial Education– Number of patients educated on clinical trials monthly
  5. Clinical Trial Referrals– Number of patients referred to clinical trial department monthly
  6. Patient Education- Number of patient education encounters monthly
  7. Multidisciplinary Communication– Referrals to revenue-generating services
  8. Diagnosis to Initial Treatment– Number of business days from diagnosis to initial treatment modality
  9. Diagnosis to First Oncology Consult– Number of business days from diagnosis to initial oncology consult
  10. Patient Experience- Patient satisfaction survey results per month
  11. Patient Satisfaction with Care– Monitor one major goal of current navigation program as defined by cancer committee
  12. Patient Transition from Point of Entry– Percentage of navigated analytic cases transitioned from institutional point of entry to initial treatment monthly
  13. Diagnostic Workup to Diagnosis– Number of business days from date of abnormal finding to pathology report
  14. Readmission Rate– Number of patients readmitted to hospital at 30-, 60-, 90 days
  15. Navigation Operational Budget– Operating expenses by line item
  16. Navigation Caseload- Number of new cases, open cases and closed cases monthly
  17. Referrals to Revenue-Generating Services- Number of referrals to revenue-generating services monthly

Find the full list here: https://www.aonnonline.org/metrics-source-document  

Each of these outcome metrics are designed to prove that navigation directly impacts patient care, leading to better outcomes. Data and metrics reporting assist in measuring patient outmigration and retention, downstream revenue within a system, reduction in hospital readmissions and no-show rates, and an increase in screening procedures and referrals to revenue-generating services within a cancer program.

Tracking Oncology Care Metrics with OncoNav

For many organizations, tracking navigation program data can be a challenge. At OncoNav, our user-friendly and fully customizable software makes it easy to generate the metrics needed without adding to the patient navigator’s already full workload.

Our support team is comprised of nurse navigators and oncology professionals with decades of experience in the industry. We offer on-call customer support service Monday through Friday from 8 a.m. to 7 p.m. ET at (888) 369-1791 or by email at support@onco-nav.com.

Find out how OncoNav can be a beneficial and valuable resource for your facility today schedule your free demonstration today