| Sumario: | Background: Role delineation provides a critical framework for team-based oncology support services. The Sidney Kimmel Cancer Center (SKCC)-Jefferson Health is part of an 18-hospital, academic health system spanning 2 states and the largest in the Philadelphia region. It comprises 4 Advanced Cancer Care Hubs (ACHs) with a main National Cancer Institute--designated center in Philadelphia. Within this expansive enterprise, 4 oncology navigation teams functioned independently. To streamline workflows and maximize efficiencies, we adopted the 2022 Oncology Nursing Society (ONS) Oncology Navigation Standards of Professional Practice (ONSPP). Objective: To conduct a process evaluation of our mixed-navigation model using the ONSPP as a framework. Methods: The enterprise director of navigation (EDN) presented the ONSPP to the enterprise team. In-person, 3-hour, "deep-dive" sessions were held at each ACH to explore application of these standards--based on direct feedback from the navigation teams--and to elevate our current navigation model. All navigation teams participated in these sessions. Posters were created, printed, and distributed to each site. Categories included clinical and nonclinical tasks. Each team brainstormed daily tasks and categorized them during the session. A summary was provided by the EDN and plan-do-study-act models were created for each hub to track changes. Next steps include meeting with stakeholders, reviewing current processes, and determining changes needed. Tasks were transcribed and coded as clinical, nonclinical, and non-navigation by the EDN. Spreadsheets were shared with ACH leadership. Results: Four enterprise-wide areas of priority were identified: (1) establish a standardized process for medical record retrieval; (2) formalize standards for tumor board management; (3) create aligned metrics; and (4) explore alternative staffing models. Conclusion: Role delineation is a crucial component to understanding and implementing consistent navigation services. This structured approach provided time and a safe space for navigators to "think critically" about their daily work and identify opportunities for change using the ONSPP as a framework. These deep-dive exercises resulted in a constructive mapping of core actions to fully develop a navigation model across a large health system. Disclosure: This poster was presented at the 48th Oncology Nursing Society Congress; April 26-30, 2023; San Antonio, TX.
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