The NAVIGATE
Consortium

How the Consortium works

Member sites deliver multidisciplinary team-based care from one shared standard rather than one method. The Clinical Care Pathways define what must be assessed and treated; clinicians chart with whichever validated fertility-awareness system fits their training and their patient: Chart Neo, Creighton, FEMM, Sympto-Thermal, and others. Medical care and surgery sit inside the same pathway, and member sites include restorative surgeons trained at the field's founding institutions, performing excision of endometriosis, ovarian wedge resection, and microsurgical tubal repair, so conditions are treated at their root rather than managed indefinitely.

Here is what the Consortium builds, in order.

1. Root-cause Clinical Care Pathways

   Standardized diagnostic and treatment pathways for the target conditions, written with the pilot sites and published openly, so a woman receives the same rigorous root-cause workup at any member site.

2. Cycle-timed EMR/EHR Templates

   The Clinical Care Pathways encoded into the medical record itself: the prompts, the orders, and the observations that make up the workup, timed to the patient's own cycle and carried into each pilot site's own system, so the standard shows up where care is actually documented.

3. Shared outcomes through the Data Commons

   Because the templates are structured, outcomes are captured once as part of ordinary care, standardized without anyone re-keying them, and pooled into a shared registry that member surgeons publish from. The NAVIGATE Data Commons below describes that layer and the terms it runs on.

4. The Restorative Care Curriculum

   Competency-based training that gives a whole care team one shared clinical language: physicians and surgeons, nurses, dietitians, midwives, cycle-charting educators, and patient navigators. Curriculum and education standards are strengthened by international research and education expertise; RRM Academy operates delivery, from production and enrollment to continuing education, open to clinicians nationwide.

5. Patient navigation

   Every patient who enters the network is offered a trained human navigator, drawn from the Consortium's cycle-charting educators and certified cycle coaches. Navigators teach a woman to read her own cycle, coordinate her care across the disciplines the model requires, and stay with her between visits and across pathway transitions, so the coordination work does not fall on the patient.

6. A quarterly improvement cycle

   Every quarter the Advisory Council reviews the Clinical Care Pathways against what member sites are seeing. The pathways are versioned living documents: member clinicians propose evidence-backed revisions, and accepted contributions carry the contributor's name into the next version. Each year the Consortium recognizes member sites, in tiers, for faithful implementation, complete data, and ideas that move the field forward.

7. Independent evaluation

   An evaluator from outside the Consortium studies results across every site: time to a root-cause diagnosis, symptoms and function, and what patients say about their own care. The people delivering the model do not grade it.

8. An open toolkit

   A free implementation guide and the EMR/EHR templates themselves, published for any health system that wants to run the Clinical Care Pathways, membership or no membership.

9. Getting it into the field

   Webinars, conference talks, and peer-reviewed publication, so the results reach both the literature and the clinicians who can use them.