Transcript Patient Navigators

Patient Navigation Center
Presented by AACI’s Patient Navigation Team
Evanthia Antonakopoulou
Steve Choy
Anna Ng
Elisa Orona
Wednesday, August 7, 2013
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© 2011 Asian Americans for Community Involvement
Who is AACI?
• Asian Americans for Community Involvement (www.aaci.org)
• 40 year old service, education and advocacy non-profit
serving Santa Clara County, California
• 9 programs, 165 staff, 13,800 users, 35,000 visits (2012)
• ‘a lookalike health center with lots of out-of-scope services’
• We build customer-facing safety net programs in first
generation communities
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© 2011 Asian Americans for Community Involvement
What Are We Up To?
• As health care reform drives providers toward better
health, better care and lower cost, we are building
patient centered health homes that integrate our
behavioral health, clinical and enabling services
• Reinventing enabling services using two proven
technologies
• Reinvention’s 3 year ROI – 1.3X
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© 2011 Asian Americans for Community Involvement
Innovation
• Proven interventions: community health workers and
career advancement academies
• Disruption at the low end, not the high end: integrated
primary care, not inpatient care coordination
• Patient, not provider focus: visit enhancement, not case
management
• Technology tricks (we’re in Silicon Valley….)
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© 2011 Asian Americans for Community Involvement
How We Roll
• Clinician refers patient for specialty/lab/radiology consult
• Software matches patient language/time needs, texts
appropriate patient navigator (PN)
• PN meets patient, accompanies her to referral service, checks
in, interprets/explains, checks out
• App records non-clinical activities.
• After checkout, clinical supervisor reviews before posting.
Instant electronic payment.
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© 2011 Asian Americans for Community Involvement
Where Are We Now?
• July 2012 CMS award
• January 2013 – first cohort enrolled at San Jose City
College
• September 2013 – second City College cohort; first
Cañada College cohort
• September 2014 – cohorts at City College, Cañada and
Skyline
• FY 2013-14 tasks – workflow redesign, internship
placement, job counseling
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© 2011 Asian Americans for Community Involvement
What is Patient Navigation?
Two goals
1. Community empowerment through education
2. Great customer service
Strategy
Improve the health outcomes in vulnerable
populations by eliminating barriers to timely
diagnosis and treatment of cancer and other
chronic diseases.
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© 2011 Asian Americans for Community Involvement
History of Patient Navigation
The Harlem Model
Freeman, H. P. & Rodriguez, R. L. (2011). History and principles of patient navigation. Cancer, 117(15), 3539-3542.
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© 2011 Asian Americans for Community Involvement
Model of Patient Navigation
Smith Center for Healing and the Arts . (n.d.). Our integrative navigation model. Retrieved from
http://www.smithcenter.org/integrative-patient-navigation/our-integrative-navigation-model.html
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© 2011 Asian Americans for Community Involvement
AACI’s Flavor of Patient Navigation
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Asian and Hispanic community members
Educated/trained at local community colleges
Cohort-based, contextual education
Career ladders
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© 2011 Asian Americans for Community Involvement
Expectations of a Patient Navigator
1. Navigate the health care system
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Coordinate referral appointments
Provide checklists and reminders
2. Accompany patients to referral visits
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Improve communication
Anticipate and overcome cultural differences
Help patient identify resources
Assist patient in developing a self-care plan
Document activities accurately and efficiently
Participate on the healthcare team
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© 2011 Asian Americans for Community Involvement
Questions?
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© 2011 Asian Americans for Community Involvement