SLIDE 1
E L A I N E
HEALTH NAVIGATION AND TRANSPORTATION
Vivienne L. Gellert
President & Founder, Elaine
E L A I N E HEALTH NAVIGATION AND TRANSPORTATION Vivienne L. - - PowerPoint PPT Presentation
E L A I N E HEALTH NAVIGATION AND TRANSPORTATION Vivienne L. - - PowerPoint PPT Presentation
E L A I N E HEALTH NAVIGATION AND TRANSPORTATION Vivienne L. Gellert President & Founder, Elaine MY BACKGROUND NA NATIVE 2 2 PHYSI SICIAN PARENTS S 4 4 SI SIST STERS ERS PH PHOEN ENEC ECIAN PRE-MED S C O T T S D A L E S H E
SLIDE 2
SLIDE 3
MY BACKGROUND
NA NATIVE PH PHOEN ENEC ECIAN 2 2 PHYSI SICIAN PARENTS S 4 4 SI SIST STERS ERS
SLIDE 4
PRE-MED
Shadow E.R July 2014
M A R Y V A L E H O S P I T A L
Scribe July 2015
P H O E N I X B A P T I S T H O S P I T A L S C O T T S D A L E S H E A H O S P I T A L S C O T T S D A L E O S B O R N H O S P I T A L
SLIDE 5
M A R Y V A L E H O S P I TA L
Stabbings Gun Shot Wounds Reactionary Care due to lack of Preventative Care
SCRIBING
Homeless
SLIDE 6
Homeless
SLIDE 7
SLIDE 8
BAK·PAK
SLIDE 9
SMALL SUCCESS
SLIDE 10
Clients missing all appointments- prioritizing a mat to sleep on cafeteria floor Begin to Survey Needs of Human Services Campus (HSC)
OPPORTUNITY TO MAKE CHANGE
Overflow Shelter closes on HSC
If patients appointments were at 9:00am, and they had to be back by 1:00pm, why were they still not going to appointments?
SLIDE 11
N A V I G A T I O N T R A N S P O R T A T I O N
SLIDE 12
2 YEARS
SLIDE 13
ADD VIDEO TO THIS SLIDE
SLIDE 14
E L A I N E
P H I L O S O P H Y We believe no one should have to beg for their health. We believe in care beyond survival.
SLIDE 15
SERVICES PROVIDED BY ELAINE In-Person Appointment Assistance Elaine navigators help clients traverse complicated medical conditions and sit-in on medical appointments to ensure the client’s needs are communicated to the physician and the patient understands and acts on his/ her treatment plan. Health Literacy Elaine navigators translate medical guidance treatment goals and medication directions to patients. Transportation Elaine provides Non-Emergent Medical Transportation to medical appointments and services aimed at addressing SDOH . Advocacy Elaine clients have unique barriers to accessing services i.e. legal challenges, not meeting admission requirements, missing identification documents and incomplete enrollment assessments. Elaine Navigators advocate for clients through formal appeal processes, completing enrolment requirements and through direct supervision of completion. Housing Elaine navigators assist patients in finding appropriate housing placements through partnerships with community partners. Case Conferencing Elaine navigators lead interagency case conferencing meetings to ensure medical, behavioral and SDOH needs of the client are being met, and efforts are not being duplicated.
SLIDE 16
Patient Level
LEV LEVEL EL 1 LEV LEVEL EL 2 LEV LEVEL EL 3 LEV LEVEL EL 4
TRANSPORTATION ASSSISTANCE INTO APPOINTMENTS INTENSIVE NAVIGATION PATIENT IS IN HOUSING
Patient Level Defined
SLIDE 17
142
Patients Navigated
39
Patients Navigated
238
Hours of Navigation
552
Hours of Navigation
141
Transports
195
Transports
88
Medical Appointments Kept
228
Medical Appointments Kept
LEVEL 1 & 2 NAVIGATION LEVEL 3 NAVIGATION
Key Performance Indicators
SLIDE 18
To Total Appointments To Total Shows To Total No Shows
405 351 54
Key Performance Indicators Cont.
SLIDE 19 4 8 3 13 18 8 2 5 5 12 19 8 11 22 22 39 34 29 7 15 15 5 8 6 6 12 12 13 6 3 4 7 6 8 7 3 10 20 30 40 50 60 70 80 90 100 February March April May June July
Number of Appointments
Elaine Navigator Appointments Behavioral Health Labs/ Imaging Specialty Appointments PCP Appointments No Shows
APPOINTMENT BREAKUP
SLIDE 20
PATIENT VIGNETTE 1
AGE: 71 DIAGNOSIS: Prostate Cancer LIKES: Talking to people RISK FACTORS: Elderly, Dementia, History of Heroin use, Homeless
- Fall of 2018- patient was diagnosed with progressive prostate
cancer
- Strong history of medical non-compliance
- Dementia- Often loses or forgets to take medications
- Cancer treatment calls for an injection every 6 months- must take
intensive hormone therapy two weeks prior
SLIDE 21
AGE: 27 DIAGNOSIS: SMI & Epilepsy LIKES: Impractical Jokesters RISK FACTORS: SMI, Clinically diagnosed with cognitive ability of 3rd grader
- Limited cognitive ability
- Navigation- Navigator accompanies this patient to all
appointments
- Literacy- After the appointment the navigator will then sit down
with this patient to translate the plan and appointment in a comprehendible third grade level language
- Advocacy- Often times, patient will show up to appointment to be
told she won’t be seen
PATIENT VIGNETTE 2
SLIDE 22
SLIDE 23
SUSTAINABILITY & SCALE
NEXT UP FOR ELAINE…
SLIDE 24
“How We Walk With The Broken Speaks Louder Than How We Sit With The Great”
- BILL BENNOT