1. © 2011 Asian Americans for Community Involvement Wednesday, August 7, 2013 Patient Navigation Center Page1 Presented by AACI’s Patient Navigation Team Evanthia Antonakopoulou Steve Choy Anna Ng Elisa Orona

2. © 2011 Asian Americans for Community Involvement Page2 Asian Americans for Community Involvement (www.aaci.org)www.aaci.org 40 year old service, education and advocacy non-profit serving Santa Clara County, California 9 programs, 165 staff, 13,800 users, 35,000 visits (2012) ‘a lookalike health center with lots of out-of-scope services’ We build customer-facing safety net programs in first generation communities Who is AACI?

3. © 2011 Asian Americans for Community Involvement Page3 As health care reform drives providers toward better health, better care and lower cost, we are building patient centered health homes that integrate our behavioral health, clinical and enabling services Reinventing enabling services using two proven technologies Reinvention’s 3 year ROI – 1.3X What Are We Up To?

4. © 2011 Asian Americans for Community Involvement Page4 Proven interventions: community health workers and career advancement academies Disruption at the low end, not the high end: integrated primary care, not inpatient care coordination Patient, not provider focus: visit enhancement, not case management Technology tricks (we’re in Silicon Valley….) Innovation

5. © 2011 Asian Americans for Community Involvement Page5 Clinician refers patient for specialty/lab/radiology consult Software matches patient language/time needs, texts appropriate patient navigator (PN) PN meets patient, accompanies her to referral service, checks in, interprets/explains, checks out App records non-clinical activities. After checkout, clinical supervisor reviews before posting. Instant electronic payment. How We Roll

6. © 2011 Asian Americans for Community Involvement Page6 July 2012 CMS award January 2013 – first cohort enrolled at San Jose City College September 2013 – second City College cohort; first Cañada College cohort September 2014 – cohorts at City College, Cañada and Skyline FY 2013-14 tasks – workflow redesign, internship placement, job counseling Where Are We Now?

7. © 2011 Asian Americans for Community Involvement Page7 Two goals 1.Community empowerment through education 2.Great customer service Strategy Improve the health outcomes in vulnerable populations by eliminating barriers to timely diagnosis and treatment of cancer and other chronic diseases. What is Patient Navigation?

8. © 2011 Asian Americans for Community Involvement Page8 History of Patient Navigation The Harlem Model Freeman, H. P. & Rodriguez, R. L. (2011). History and principles of patient navigation. Cancer, 117(15), 3539-3542.

9. © 2011 Asian Americans for Community Involvement Page9 Model of Patient Navigation Smith Center for Healing and the Arts. (n.d.). Our integrative navigation model. Retrieved from http://www.smithcenter.org/integrative-patient-navigation/our-integrative-navigation-model.html

10. © 2011 Asian Americans for Community Involvement Page10 Asian and Hispanic community members Educated/trained at local community colleges Cohort-based, contextual education Career ladders AACI’s Flavor of Patient Navigation

11. © 2011 Asian Americans for Community Involvement Page11 1.Navigate the health care system Coordinate referral appointments Provide checklists and reminders 2.Accompany patients to referral visits Improve communication Anticipate and overcome cultural differences Help patient identify resources Assist patient in developing a self-care plan Document activities accurately and efficiently Participate on the healthcare team Expectations of a Patient Navigator

12. © 2011 Asian Americans for Community Involvement Page12 Questions?