Cities for Life Patient Navigator Training. Overview. What is a Patient Navigator? The Patient Motivational Interviewing The Practice Organizing Issues to Consider. Purpose of Patient Navigator. The patient navigator’s purpose is to decrease health disparities and barriers.
According to the Consumer Bill of Rights and Responsibilities, patients have a right to:
A few things that patient navigators should avoid:
DO NOT provide healthcare services such as:
DO NOT offer opinions or judgments about:
Patient navigators are healthcare representatives, not healthcare providers. Even if you are a health care professional, do not provide direct care to patients or offer opinions about medical care.
How do I use MI?
The OARS Technique: OARS is a brief way to remember the basic approach used in motivational interviewing.
O – OPEN ENDED QUESTIONS
A – AFFIRMATIONS
R – REFLECTIONS
S – SUMMARY
Ex. “Tell me about any concerns you have.”
Ex. “It sounds like you have a lot to deal with right now, I can see why it would be hard to feel like you have the time to make a change.”
Ex. “It sounds like you are very busy right now, you want to make changes and you’ve tried in the past but haven’t been successful. It’s frustrating for you because you don’t want to end up with heart problems like your mom.”
It sounds like you are feeling...
It sounds like you are not happy with...
It sounds like you are a bit uncomfortable with...
So you are saying that you are having trouble...
So you are saying that you are conflicted about...
As you become more familiar, truncate...
You’re not ready to...
You’re having a problem with...
You’re feeling that...
It’s been difficult for you...
You’re struggling with...
Ex. “We’ve talked about your concerns about your weight today and the challenges you face with your busy schedule and being the primary care giver for your father. Even small changes can be beneficial. Let’s talk about some that may work for you.”
Patient navigators manage and track a large amount of information such as:
Find a system that works for you to organize patient information, coordinate care, or track “to do” items. Some tools that can keep you on track are:
Patient Flow Chart
Practice-based Research Network
Community Resource Website
Resource flow to help practices to optimize referrals
Community-based Diabetes Management/
Healthy Lifestyle Programs
5. Patient guided by navigator participates in identified diabetes community programs
Commun-ity based Diabetes Manage-ment/
Healthy Lifestyle Programs
4. Navigator runs a query based on assessment and matches referred patient to community-based resource
2. PHYSICIAN refer patient w/ pre-diabetes or type 2 diabetes to patient navigator
1. PATIENTS go to a participating practice to receive care
3. PATIENT NAVIGATOR assesses physician referral, patient needs and options
6. Navigator monitors patient’s progress and sends report back to physician