Patient Navigators

Navigating our Family to Achieve Optimal Health Outcomes

Healthcare providers frequently report they are asked by friends and family members to assist in resolving complex medical issues, or to navigate them to valuable resources. 

 

Patients often wish they had someone to assist in resolving the same complex issues and unfortunately sometimes the patient falls through the "cracks" in an often fragmented system.

 

In a published Correlational Design Study, 329 high risk for readmission patients were studied for over a year and half, and their medication non-adherence was reviewed by a Nurse Researcher.  The number one reason for failure to comply to medications was due to socioeconomic issues, with transportation barriers being the biggest. Nurse Navigators were implemented to follow these high risk patients with medication non-adherence, connect them to important resources, provide healthcare education, and support them throughout their healthcare journey. After a year and half the Nurse Navigators were able to successfully reduce readmission rates and improve medication compliance in these high risk patients.  Incidentally, the patient and staff satisfaction increased during the period the nurse navigators were implemented. 

 

Match Healthcare Design and Innovation Patient Navigators partner with patients based on individualized specific medical needs, and specialize in those at greatest risk for hospital readmission and ER return visits. The partnership is a collaboration with the patient, and his/her healthcare team, family or community resources. 

Each patient with Stroke, Diabetes, Heart Failure, Chronic Obstructive Pulmonary Disease, and Joint Surgery are partnered with a disease specific clinical expert who will walk the patient throughout the healthcare system, communicating with healthcare providers, reviewing medications, identifying and troubleshooting societal needs and language barriers.  Our Navigators work with Insurance agencies, pharmacies, specialist and medical supply companies to help our patients comply with important treatment plans to get healthy and stay healthy.  Each patient has an individualized plan for improved health outcomes that is tracked, trended, with responses and outcomes closely monitored and documented over a 6 month period. . 

 

Our Navigators can also assist with:

  • Appointment scheduling & connection to the Patient Portal

  • Explaining Test or Procedures and why the doctor ordered the procedure.

  • Work with Insurance Companies to ensure coverage & resolve billing issues for a test or procedure.

  • Connect to community resources such as public utilities,  home health, skilled nursing facilities. 

  • Connect patients to reliable and affordable transportation to and from appointments.

  • Understanding and resolving medical billing issues, appeals denials and reviews utilization patterns. 

  • Reviewing medical records, and clarify understanding.

  • Ensuring the right treatment, in the right time with the right provider.

Nurse and Patient Navigation is a proven strategy to reduce avoidable readmission, improve patient satisfaction and quality outcomes.

Email or call today to speak with a Registered Nurse

info@matchhealthcare.com

352-651-2892

©2018 by MatchHealthcare.com

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