2015-16 Cancer Network Annual Report

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Patient-Centered Care

A Guide for Your Journey

Care Coordination

The Care Coordination staff at Sentara includes a team of registered nurses, master’s-prepared social workers, LPNs and administrative support personnel who help patients and families to ensure they have appropriate resources available for transitioning from the hospital.

Care coordinators serve as gatekeepers and guiding lights. They work with physicians, the health care team and insurance companies to coordinate the plan of care and assure all prescribed treatment resources are provided, both in the hospital and upon discharge. They also help determine which care setting is appropriate for patients and what support is available through insurance, family and Sentara.

Centralization, automation and a patient-focused commitment make today’s care coordinator a vital bridge between patients’ good health and their financial stability.

Patient Navigation

The cancer patient navigator program at Sentara offers a single point of contact who is available to guide patients and survivors every step of the way. They provide patient education, information about community resources, emotional support and assistance overcoming obstacles to care.

Patient navigators:

  • Help patients and family members understand the diagnosis and treatment options.
  • Ensure patients have the information they need to actively participate in thier own care.
  • Support communication between patients and the medical team to ensure questions, concerns and clinical issues are addressed.
  • Serve as a medically knowledgeable resource committed to each patient’s individual cancer journey.
  • Connect patients with available resources in the community as needed.
  • Support patients during the transition to survivorship.