Benchmark- Create a Workflow Part 1: Analysis of Current State Oncology navigators are designed to make it easier for all oncology clinicians to see their documentation. Cancer patients’ navigation programs have also reported increased access to and utilization of cancer care among underserved and poor individuals. The Oncology Navigators contain basic information and contact methods, patient health questionnaire, patient’s information from other healthcare providers, and etiquette and standard clinic procedures. There is mounting evidence of the value of Oncology Navigators, however, they are not universally understood or provided. Various health institutions have created an Oncology Navigator Recommended Design Document that could be used at Universal Health. Both Oncology South and Oncology North have position navigators that offer discrete data reports and the electronic documentation used has forms and Free-text notes that are shared by all types of navigators (Braun et al., 2012). However, there is a need for understanding the unique data requirements for the navigators and in-take forms that offer prior authorization thus forming a foundation for the development of appropriate discrete fields or using existing data fields such as ICD10 to help organize and sort data. Some of the improvements that are needed in these navigator forms as they get integrated into the HER should include a notice for privacy practices that involves acknowledging patients’ privacy rights and privacy practices. Since information obtained from these forms may be used for research, special allocations should be included where patients give consents for research and publications (FileHold, 2021). Further improvements that need to be made should include education and outreach, screening performed, cancer staging, and diagnosis, survivorship, and end-of-life programs given to the patient. Part 2: Proposed Future Workflow Part 3: Rationale The users of the future workflow would include oncology nurses, oncology clinicians, oncology pharmacist, and other relevant healthcare professionals that work in cancer centers. In the current state of the Oncology North Intake form and Oncology South, there is a lack of guidance on how the clinicians, physicians, nurses, and pharmacists should utilize the workflow, and practice policies are not instituted to support patient safety when the system is being used (Shulman et al., 2008). Within the proposed improvements, the workflow will be organized to accommodate effective ordering, preparation of the patient, and administration of chemotherapy. The proposed workflow puts into account the cancer care continuum which is the phases through which an individual move to prevent and control cancer. The workflow thus provides a continuum that is depicted linearly from prevention to end of life, however, the phases may overlap and repeat. Inclusion of counseling and rehabilitation to cancer patients would be an ideal adjustmen ...

1. Benchmark- Create a Workflow
Part 1: Analysis of Current State
Oncology navigators are designed to make it easier for all
oncology clinicians to see their documentation. Cancer patients’
navigation programs have also reported increased access to and
utilization of cancer care among underserved and poor
individuals. The Oncology Navigators contain basic information
and contact methods, patient health questionnaire, patient’s
information from other healthcare providers, and etiquette and
standard clinic procedures.
There is mounting evidence of the value of Oncology
Navigators, however, they are not universally understood or
provided. Various health institutions have created an Oncology
Navigator Recommended Design Document that could be used
at Universal Health. Both Oncology South and Oncology North
have position navigators that offer discrete data reports and the
electronic documentation used has forms and Free-text notes
that are shared by all types of navigators (Braun et al., 2012).
However, there is a need for understanding the unique data
requirements for the navigators and in-take forms that offer
prior authorization thus forming a foundation for the
development of appropriate discrete fields or using existing data
fields such as ICD10 to help organize and sort data.
Some of the improvements that are needed in these
navigator forms as they get integrated into the HER should
include a notice for privacy practices that involves
acknowledging patients’ privacy rights and privacy practices.
Since information obtained from these forms may be used for
research, special allocations should be included where patients
give consents for research and publications (FileHold, 2021).
Further improvements that need to be made should include
education and outreach, screening performed, cancer staging,
and diagnosis, survivorship, and end-of-life programs given to
the patient.

2. Part 2: Proposed Future Workflow
Part 3: Rationale
The users of the future workflow would include oncology
nurses, oncology clinicians, oncology pharmacist, and other
relevant healthcare professionals that work in cancer centers. In
the current state of the Oncology North Intake form and
Oncology South, there is a lack of guidance on how the
clinicians, physicians, nurses, and pharmacists should utilize
the workflow, and practice policies are not instituted to support
patient safety when the system is being used (Shulman et al.,
2008). Within the proposed improvements, the workflow will be
organized to accommodate effective ordering, preparation of the
patient, and administration of chemotherapy. The proposed
workflow puts into account the cancer care continuum which is
the phases through which an individual move to prevent and
control cancer.
The workflow thus provides a continuum that is depicted
linearly from prevention to end of life, however, the phases may
overlap and repeat. Inclusion of counseling and rehabilitation to
cancer patients would be an ideal adjustment to the Oncology
North and South and should be singled out as a phase of the
cancer care continuum (Pebanco, 2021). The future workflow
will follow a string of phrases that involves education and
outreach, screening, diagnosis and staging, treatment,
survivorship, and end of life.
The future workflow used hand-in-hand with electronic
documentation ensures that every phase of the electronic
documentation is handled independently, and order introduced
into the processes in a more transparent, robust, and dynamic
fashion making it a key part of the document lifecycle. The
workflow would streamline the approval and review process of
the documents as they proceed through each phase and the EHR
developed will improve collaboration among the various

3. healthcare providers involved in the care for oncology patients.
The workflow will allow the EHR system to be more flexible
and allow users to make their workflow processes either be
more straightforward or possess the required complexity. The
future workflow will allow the EHR documents/system to be
triggered/ initiated as multiple or single documents (Helmlinger
et al., 2019). The multiple documents in the workflow may
possess both main documents and supplementary documents in
which case the main documents are the ones being approved
while the supplemental documents only assist in the review
process.
The workflow will massively assist in patient care and improve
the outcome of oncology patients’ treatments. The phases in the
workflow will ensure that the navigators take steps to ensure
that cancer information is more understandable to the patients
so that they can actively and fully participate in the treatment
and care process thus improve patients'/clients’ satisfaction
with care. The future workflow navigators will also allow the
oncology clients to learn about the available oncology services
and allow care to be more accessible to patients by assisting
clients to make and keep appointments, complete the forms, find
transportation, and comprehend instructions. It ensures the
oncology clients understand the process of care that brings
holistic outcomes thus improved survivorship. Detailed
information records will be available within the workflow EHR
to support medical research upon clients’ provision of consent
for the use of their medical information. Patients’ trust in the
confidentiality of the information provided will be elevated by
the creation of a phase that provides dictates of information
security and privacy (Helmlinger et al., 2019).
The future of the workflow is expected to change to meet the
upcoming innovations and the evolution of cancer care and to
allow the preparation and inclusion of value-based care in the
future. The continuous development of new evidence and
technologies will expand oncology services to a broad number
of cancer patients and may introduce more complex strategies

4. and programming tactics that may eventually necessitate a new
era of workflow in oncology care. The future state workflow
was developed by evaluating the current and discovering
deficiencies then developing the flow diagram in Microsoft
word to indicate the phases. The improvement plan for future
state work was based on analysis of evidence that is constantly
being developed on cancer and establishing strategies of
evaluating existing workflow at every given time (Helmlinger et
al., 2019).
References
Braun, K. L., Kagawa-Singer, M., Holden, A. E.,
Burhansstipanov, L., Tran, J. H., Seals, B. F., Corbie-Smith, G.,
Tsark, J. U., Harjo, L., Foo, M. A., & Ramirez, A. G. (2012).
Cancer patient navigator tasks across the cancer care
continuum. Journal of Health Care for the Poor and
Underserved, 23(1), 398-
413. https://doi.org/10.1353/hpu.2012.0029
FileHold. (2016, November 30). Document Workflow for
Review and Approval. FileHold.
Retrieved from
https://www.filehold.com/features/optional/workflow
Grand Canyon University. HCI-670 Oncology North Intake
Form.pdf

5. Grand Canyon University. HCI-670 Oncology South Intake
Form.pdf
Grand Canyon University. HCI-670 Case Study.docx
Helmlinger, G., Sokolov, V., Peskov, K., Hallow, K. M.,
Kosinsky, Y., Voronova, V., Chu, L., Yakovleva, T., Azarov, I.,
Kaschek, D., Dolgun, A., Schmidt, H., Boulton, D. W., &
Penland, R. C. (2019). Quantitative systems pharmacology: An
exemplar model‐ building workflow with applications in
cardiovascular, metabolic, and oncology drug
development. CPT: Pharmacometrics & Systems
Pharmacology, 8(6), 380-
395. https://doi.org/10.1002/psp4.12426
Pebanco, G. (2021, May 7). Development of a comprehensive
nurse navigation intake form. Journal of Oncology Navigation
& Survivorship. https://www.jons-
online.com/issues/2020/november-2020-vol-11-no-11/3211-
development-of-a-comprehensive-nurse-navigation-intake-form
Shulman, L. N., Miller, R. S., Ambinder, E. P., Yu, P. P., &
Cox, J. V. (2008). Principles of safe practice using an oncology
EHR system for chemotherapy ordering, preparation, and
administration, Part 1 of 2. Journal of Oncology Practice, 4(4),
203-206. https://doi.org/10.1200/jop.0847501