Patient Navigator Program Tools

Summary prepared by the AETC Engagement in Care Workgroup

Description

  • Demographically-related peers or lay health workers function in a complementary capacity with clinic staff to assist patients access, and engage in, medical and supportive services while working to address patients' knowledge, communication and literacy gaps, and enhance health-promoting behaviors.

Strengths

  • Principles of patient navigation are rooted in community (lay) health worker and peer-based intervention strategies; 
  • methodology of patient navigation is well described in the non-HIV literature and has been incorporated into a number of disease prevention and management models, including those for cancer, diabetes, asthma, CVD, and maternal and child health. In the context of HIV, longitudinal data from a HRSA SPNS demonstration grant (Bradford, 2007) found improved engagement in care and viral load suppression associated with patient navigation. 
  • Patient navigation can be implemented by a clinic or in collaboration with community-based service organizations; can also be tailored to site-specific needs and resources.

Challenges

  • Limited prospective evaluations and/or cost-benefit analyses of patient navigation for any disease, particularly related to morbidity and mortality outcomes. 
  • Reimbursement sources may be limited. 
  • Patient navigator responsibilities that overlap with other clinic staff may create confusion and billing difficulties. 
  • Lack of standardized training programs for navigators.

Resources Required

  • Senior clinic leadership support. 
  • Full integration of patient navigation in to outcomes planning and strategies. 
  • Development of navigator training programs and mechanisms for ongoing evaluation of fidelity and outcomes. 
  • Coordination of staff and/or collaboration with community-based service organization to provide adequate training for patient navigators. 
  • Training of existing clinic staff.

Model Programs

Evidence

Tools

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