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Background The concept of patient navigation was founded in 1990 by Dr. Harold Freeman at Harlem Hospital Center in New York City. His program was an intervention to address late stage breast cancer presentations among minority and poor women in the Harlem community. Navigators were utilized to work with low income patients or with populations that did not tend to get the medical care they needed. Patient navigation focused on identifying and eliminating barriers to care that could result in delays by timely cancer screening, diagnosis, and treatment. Most navigators were non-healthcare 1

Breast Cancer Navigation, Our Experience at Avon Breast Center at Hopkins