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[Fritzi Schlicker]

On June 23, 1931, Post began an around-the-world flight to try to bring prestige to the United States by shattering the previous 21-day record set by the German airship Graf Zepplin. Post lacked training in most navigational techniques and selected Harold Gatty as his navigator. The Tasmanian-born Gatty was the chief instructor for the Weems System of Navigation and regarded by many as the most capable air navigator in the nation. Gatty utilized the tools and techniques of the Weems System for the flight, including his prototype drift meter, which became highly successful in later forms. Gatty occupied the main cabin, and Post had a hatch installed in the cabin ceiling behind the wing spar, so Gatty could make his celestial observations.

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On July 15, 1933, Post left New York. Closely following his former route but making only 11 stops, he circled the world in 7 days, 18 hours, and 49 minutes. Post knew no more about navigation in 1933 than in 1931, so his decision to go solo without a navigator was far riskier. Fortunately, both the radio compass and autopilot worked flawlessly, and he completed the flight with minimal trouble.

Marie brings over three decades of experience to her work as a nurse navigator at Greater Boston Urology. She's served as the director of operations for home care, most recently at Amedisys. Marie has also worked in director roles for a variety of other healthcare organizations, including Aveanna Healthcare, Bayada Home Health Care, Benchmark Senior Living, and Sunrise Senior Living.

As an oncology patient navigator for Signature Healthcare at Brockton Hospital, Marie developed and implemented a caregiver support group. In addition to her diligent advocacy for patients, she's a firm believer in providing support to caregivers.

The Winnie Mae was purchased for twenty-two thousand dollars in June 1930 by oilman Florence C. ("F. C.") Hall of Chickasha and was named for his daughter. Two months later Wiley Post, Hall's personal pilot, utilized the plane to win a Los Angeles-to-Chicago air race. In June 1931 Post, accompanied by navigator Harold Gatty, piloted the Winnie Mae around the world in a record eight days, fifteen hours, and fifty-one minutes. Post subsequently acquired the airplane from Hall and flew it solo around the world in July 1933. His time was seven days, eighteen hours, and forty-nine and one-half minutes.

MNsure-certified navigators are trained experts at local, trusted community organizations. You can use a navigator to help you fill out your application and enroll in coverage. They can also help with coverage renewals, report changes to your account and provide enrollment follow-up. Services from MNsure-certified navigators are always free.

This brief explains the need for kinship navigator programs, describes their essential elements, and provides jurisdictional examples (including outcomes). For information regarding developing and funding kinship navigator programs, see the companion brief: How are kinship navigator programs developed and funded?2

Kinship navigator programs offer information, referral, and follow-up services to kin caregivers to connect them with benefits and services that they or the children need. For example, kinship navigators can help caregivers apply for public benefits such as Temporary Assistance for Needy Families (TANF) cash assistance, the Supplemental Nutrition Assistance Program (SNAP), and Medicaid coverage for the child or children. Kinship navigator programs also help agencies and providers tune into the needs of families headed by relatives and provide education about the systems they must navigate for support. In some cases, kinship navigators assume multiple roles. Kinship navigators in Allegheny County, Pa., for example, assist in crisis family placements as well as family finding. While some kinship navigator programs are available for all kin caregiver families, others are only for caregivers of children who have child welfare agency involvement.

Research shows that kin caregivers find kinship navigator programs to be helpful both for themselves and for the children in their care, providing information, resources, and mutual support and decreasing isolation. Satisfaction among kin caregivers participating in such programs is high.

Most states operate kinship navigator programs. As of May 2023, four programs have been rated on the Title IV-E Prevention Services Clearinghouse as promising or supported by research evidence, and five programs have been rated on the California Evidence-based Clearinghouse as promising or supported by research evidence.3 Additional programs are under review. Although most programs listed on the clearinghouses are attached to a particular state, they are not intended to be state-specific programs. Information about the programs (particularly information provided in program manuals) can be used to support program implementation and operation beyond the jurisdiction in which the program was first developed. Some jurisdictional examples of longstanding, comprehensive kinship navigator programs include:

In 1930, the record for flying around the world was not held by a fixed-wing aircraft, but by the Graf Zeppelin, piloted by Hugo Eckener in 1929 with a time of 21 days. On June 23, 1931, Post and the Australian navigator Harold Gatty left Roosevelt Field on Long Island, New York, in the Winnie Mae with a flight plan that would take them around the world, stopping at Harbour Grace, Flintshire, Hanover twice, Berlin, Moscow, Novosibirsk, Irkutsk, Blagoveshchensk, Khabarovsk, Nome (where his propeller had to be repaired), Fairbanks (where the propeller was replaced), Edmonton, and Cleveland before returning to Roosevelt Field. They arrived back on July 1, after traveling 15,474 miles (24,903 km) in the record time of 8 days and 15 hours and 51 minutes, in the first successful aerial circumnavigation by a single-engined monoplane. The reception they received rivaled Charles Lindbergh's everywhere they went. They had lunch at the White House on July 7, rode in a ticker-tape parade the next day in New York City, and were honored at a banquet given by the Aeronautical Chamber of Commerce of America at the Hotel Astor. After the flight, Post acquired the Winnie Mae from F.C. Hall, and he and Gatty published an account of their journey titled Around the World in Eight Days, with an introduction by Will Rogers.[8]

In 1933, he repeated his flight around the world, this time using the auto-pilot and compass in place of his navigator and becoming the first to accomplish the feat alone. He departed from Floyd Bennett Field and continued on to Berlin where repairs were attempted to his autopilot, stopped at Königsberg to replace some forgotten maps,[citation needed] Moscow for more repairs to his autopilot, Novosibirsk, Irkutsk for final repairs to the autopilot,[citation needed] Rukhlovo, Khabarovsk, Flat where his propeller had to be replaced, Fairbanks, Edmonton, and back to Floyd Bennett Field. Fifty thousand people greeted him on his return on July 22 after 7 days, 18 hours, 49 minutes.[9][10]

Background: The profession of patient navigation is rapidly growing: community health workers (CHWs), patient navigators, and clinically licensed navigators (ie, nurse and social work navigators) play critical roles in the continuum of care. As navigators become more integral to the healthcare system, their roles need to be more clearly defined. This project sought to develop a framework to describe the similarities and differences across navigator types with a focus on clarifying the unique roles and responsibilities of patient navigators.

Methods: Leveraging expertise from project partners representing each of the navigator types, the framework was developed in 3 phases: a literature and internet review, mapping of review findings to functional area domains in a draft comprehensive framework, and creation of a simplified framework that delineated the similarities and differences for each domain across the 3 navigator types.

Results: A consensus-based finalized framework was developed that includes 12 functional area domains and indicates areas of commonality and distinction among CHWs, patient navigators, and clinically licensed navigators.

Methods

To create the framework, we used a collaborative approach that included a steering committee composed of 18 individuals with navigation expertise. Participants included representatives from the Academy of Oncology Nurse & Patient Navigators (AONN+), Association of Community Cancer Centers (ACCC), National Association of Social Workers (NASW), AOSW, and ONS. Patient navigators and CHWs from MAC Inc. (Maintaining Active Citizens), City of Hope, Nueva Vida, Moffitt Cancer Center, Capital City Area Health Education Center, and the University of South Florida were also integral to the effort.

Framework development took place in 3 phases: a literature and internet review, mapping of content to functional area domains in a draft comprehensive framework, and creation of a simplified framework that delineated the similarities and differences for each functional area domain across the 3 navigator types. In phase 1, we conducted a literature review and online search to identify published and/or public patient navigation training curricula, CHW certification competencies, and journal articles on the roles, responsibilities, tasks, competencies and/or activities of the 3 navigator types.

In phase 2, we created a framework outline that included the 3 patient navigator types and functional area domains for each. The common domains across navigation types were mapped vertically while the differing roles, responsibilities, tasks, competencies, or activities of CHWs, patient navigators, and clinically licensed navigators were included to the right of each domain. Functional area domains were established based on domains found in the literature and internet review. One researcher mapped the information identified in phase 1 to the framework. For example, one of the competencies identified by Minnesota for CHWs is the ability to define their scope of practice.1 This was mapped to the framework by identifying the functional area domain (Professional Roles and Responsibilities) and entering the competency statement into the box for CHWs. When this draft comprehensive framework was complete, 3 additional researchers with patient navigation expertise reviewed the framework to attain consensus on the mapping process. The 4 researchers collaboratively reorganized the content by combining similar competencies, moving content to different domains, and collapsing several domains.

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