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Ask an Expert is a free question-and-answer service about breast cancer and breast health that is available on weekends. If you'd like to ask a question or comment, please visit us again on Saturday or Sunday. In the meantime, please search the existing topics using the search tool at the top of the page. It's quite possible that one of our many existing topics already addresses your question.

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AskedPublicly Submitted Question
7/14/2015Truly impressed with your work and accomplishments. We are embarking on the build of a new cancer insitute at Baptist Health South Florida - Miami Cancer Institute and part of my scope is developming survivorship and navigation programs. I am wondering if you have any national standards or metrics regarding nurse navigators to site disease new patient numbers? This will help us figure out how many to start the program, knowing what our mix of site disease volumes has been in last 3 years. Thank you in advance.
RepliedJHU's Breast Center Reply
7/14/2015I recommend that you join AONN+. Academy of oncology nurse and patient navigators. This organization, which I co-founded, provides guidance and direction as well as training on these specific issues. Where the navigation process begins and ends, as well as what are the barriers for patients in your area all factor into how many navigators you will need. For example, on average, a breast cancer nurse navigator who performed community outreach programs along with personally navigating from point of diagnosis to completion of treatment/death can usually navigator 250-300 newly diagnosed patients. A navigator caring for patients with pancreatic cancer however usually can manage 100 patients. If you see a lot of complex cancer patients who are underserved, then the volume that is manageable will be lower than for someone who sees a lot of early stage cancer patients who have insurance and transportation. go to for more information. Our next national conference is coming up the first week in oct 2015 in Atlanta. there is a track for administrators too.

Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.

The contents of this portion of the website cannot be used as a substitute for a consultation with your doctor or other healthcare provider. It also may not represent the opinions of other Johns Hopkins professionals. It is a free service performed on volunteer time and intended to provide feedback to questions posted by consumers however should not be used as a directive or instructions to now follow. Seeing your own medical provider is always important in getting your needs and questions addressed. In the majority of cases, a clinical examination, review of pathology slides and xrays, along with other medical information is needed to truly provide a consultative service. If you wish to receive a formal consultation with our physicians please call 443-997-8282 for surgical appointments and 410-955-8964 for medical or radiation oncology appts. For breast imaging, call 410-955-4100.


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