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 Jul 2024. 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. 

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