Shirley H. Lee, CRNP-FNP, MPH, presented “Improving Outcomes and Revenue with Patient Navigation” during the 30th Annual Perspectives in Urology: Point-Counterpoint, on March 10, 2023, at Humphreys Half Moon Inn, San Diego, California.
How to cite: Lee, Shirley H. “Improving Outcomes and Revenue with Patient Navigation.” March 10, 2023. Accessed Oct 2026. https://grandroundsinurology.com/improving-outcomes-and-revenue-with-patient-navigation/
Improving Outcomes and Revenue with Patient Navigation – Summary
Shirley H. Lee, CRNP-FNP, MPH, explains how patient navigators positively impact patient visits, prostate cancer identification, and revenue. She begins by highlighting the patient navigator’s aim to support patients throughout all aspects of their healthcare journey. She turns to the American Cancer Society to pinpoint the need for patient navigators.
She then focuses on 2022 patient navigator outcomes from Genesis Healthcare Partners. Notable outcomes included more emergency room visits averted, better identification of cancer and cancer progression, and increased patient satisfaction. She reviews a prostate cancer case study and finds that patient navigators can collaborate with office staff and providers to coordinate care, thereby helping patients and generating $270,000 in chronic care model (CCM) revenue. She notes that patient navigators can align with CCM, as in the case of clinical staff who perform billable non-face-to-face care coordination.
She then analyzes urology group participation and eligible diagnoses. She introduces a CCM case study, examining a practice with 500 Medicare patients, and explaining how practices can financially support the work of patient navigators. Lee discusses how patient navigators can impact ancillary services. She also utilizes a prostate cancer case study to illustrate how patient navigators can guide patients through appointments and treatments. She closes with a three-step patient navigator guide tailored to prostate cancer, encouraging practitioners to implement a patient navigator system and improve patient care.
About the 30th Annual Perspectives in Urology: Point Counterpoint conference: Presented by Program Chair and Grand Rounds in Urology Editor-in-Chief E. David Crawford, MD, this conference brought together leading experts in urology, medical oncology, and radiation oncology to discuss and debate the latest topics in genitourinary cancers, primarily prostate cancer and bladder cancer. This interactive conference offered topical lectures, pro/con debates, interesting-case presentations, interactive panel discussions, and interactive audience and faculty networking.
ABOUT THE AUTHOR
Shirley H. Lee, CRNP-FNP, MPH, is Co-Founder and Vice President of Clinical Strategy at Preveta, an AI-powered care navigation platform focused on oncology and specialty care. She is a family nurse practitioner and healthcare leader with extensive experience in urology, oncology, chronic care management, patient navigation, and value-based care. Her work focuses on developing clinical workflows and technology-enabled care models designed to identify gaps in care, improve patient engagement, and help practices deliver timely, coordinated treatment.
Prior to focusing on Preveta, Lee held clinical and program leadership roles in large urology practices, including work with Unio Specialty Care, Genesis Healthcare Partners, and Skyline Urology. She has led chronic care management and oncology care initiatives and has particular expertise in prostate cancer navigation, clinical pathways, and improving outcomes through longitudinal care coordination.
Lee earned her graduate nursing education from the Johns Hopkins University School of Nursing and a Master of Public Health from the Johns Hopkins Bloomberg School of Public Health.
