AP-7291A237

Multiple myeloma, Older adult (65–74), Urban / suburban, Medicare (traditional)

CAR-T · Phase 1, Diagnosis & Referral · 0 days in stage · 11 barriers, 5 blocking

On track

Delivery

Navigation plan

3 tasks are on this plan, 3 still open. The engine suggests 35 in total from this patient's barriers, so 32 have no owner yet. Statuses persist here.

Completion criteria, in order

Three things that each have to be true before treatment can happen. Work here unblocks everything downstream, which is why it sits above the rest of the plan rather than inside it.

Step 1 · Reach a center

1 flag

referred and accepted for evaluation

In the way: Late referral / progression before treatment

Nothing on the plan clears this criterion yet.

Step 2 · Be accepted as a candidate

2 flags

the center recommends treatment

In the way: Caregiver & psychosocial clearance · Eligibility / patient-selection hurdles

Nothing on the plan clears this criterion yet.

Step 3 · Secure approval to proceed

2 flags

authorization and coverage in place

In the way: Single-case agreement / out-of-network · Insurance coverage & prior-authorization

Nothing on the plan clears this criterion yet.

Feasibility and support

Work that makes treatment possible and bearable rather than permitted. Regroup it along whichever axis matches how you are working today.

Refer & establish candidacy

2 tasks

Set up a single point of contact / intake coordinator with the center
Nurse navigatorReach: Treatment centerDue in 21 days
Not startedChange status for Set up a single point of contact / intake coordinator with the center
Use a standardized identification trigger (If they RECUR, refer)
Referring / community oncReach: Internal — no outside contactDue in 21 days
Not startedChange status for Use a standardized identification trigger (If they RECUR, refer)

Educate & engage the family

1 task

Apply ASTCT-NMDP ACCESS Initiative equity tools and navigation
Nurse navigatorReach: Internal — no outside contactDue in 21 days
Not startedChange status for Apply ASTCT-NMDP ACCESS Initiative equity tools and navigation

Every task traces back to a barrier that actually fired for this patient.

The plan is not separate authoring. It is the assessment projected forward.
That is what makes it maintainable at all.