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Table 2 Supervisor Survey. Instructions: Please think about your work in the past week related to TRIP or TRIP patients. A list of your current TRIP patients will be included with this survey. To the best of your knowledge please enter the amount of time (in 15 minute increments, i.e. 15, 30, 60, 90, etc.) you spend on the following activities per day. Enter “0” if you did not perform that activity. Please round up your estimates to the nearest 15 minutes

From: Using community-engaged methods to develop a study protocol for a cost analysis of a multi-site patient navigation intervention for breast cancer care

 

Day

Activities

1

2

3

4

5

6

7

8

9

10

Date (mm/dd/yyyy)

          

Administrative tasks

Time (Minutes)

1. Documentation on behalf of TRIP patients

          

Direct patient contact or navigation

Time (Minutes)

2. Direct navigation of TRIP patients

          

Navigating on behalf of patient without direct patient contact

Time (Minutes)

3. Communication related to TRIP patients

          

TRIP supervision activities

Time (Minutes)

4. Patient enrollment (e.g. identifying TRIP patients)

          

5. Administrative Supervision (e.g. managing navigator time, reviewing navigator workflow, preparing navigator feedback)

          

6. Clinical Supervision (e.g. meeting with navigators to discuss patient cases, clinic-related activities)

          

7. Quality Assurance (e.g. monitoring data in Aunt Bertha/REDCap/Excel trackers/EHR)

          

8. Trainings (including travel time to and from off-site trainings)

          

9. Meetings (including travel time to and from off-site meetings)

          

10. Cost Survey (time spent filling out this cost survey)

          

11. Other

          

# of Patients Navigated

Number of TRIP patients

12. Number of TRIP patients navigated (include whether you worked with that patient directly, or did navigation work on their behalf)

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