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Strengthen Programs Patient Navigation - DR Sarah Stelzner
Strengthen Programs Patient Navigation - DR Sarah Stelzner
Strengthen Programs Patient Navigation - DR Sarah Stelzner
Introduction of Speaker
Sarah M. Stelzner, M.D., is the Assistant Clinical
Professor of Pediatrics for Indiana University School of Medicine. She brings her cultural heritage into her work. As a woman of Mexican Nicaraguan heritage who spent part of her childhood in Latin America, her ability to speak Spanish, and understand cultural differences, greatly enhances the trust and communication between her and her patients. Dr. Stelzner has used these skills while training in primary care at the University of California, San Francisco, serving patients in the Mission district at San Francisco General Hospital, and volunteering in the Haight-Ashbury Free Medical Clinic. In 1998 Stelzner joined the Indiana University School of Medicine faculty as a clinical assistant professor of pediatrics. She directs the child advocacy rotation for second-year residents, organizes a yearly multidisciplinary health education project in Calnali, Mexico, and serves a rapidly growing Hispanic community at Wishard Hospital and Eskenazi Health Center, Indianapolis.
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Program Director
Patrick Lamar Wooten, M.S., is director of Patient
Navigation and Community Health Programs at Wishard Health Services. In this position, he provides leadership in a broad range of patient care activities, including assisting in the improvement of patient relations between staff and patient/families by identifying and eliminating barriers to patient care and access. He also provides directorial oversight of the Wishard-Eskenazi Medical Center Community Health Center Social Workers, Healthy Families, Patient Navigation, and Prenatal Care Coordination Program. Patrick is a board member for the Central Indiana Affiliate of Susan G. Komen. He is also an active affiliate of IU Simon Cancer Center-IUSCC Health Disparities Advisory Committee and serves as a critical link between IUSCC and Wishard. by identifying effective strategies that focus on efforts of reducing cancer risks, early detection, accrual to clinical trials, and enhancing the survivorship and quality of life for cancer patients.
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Patrick L. Wooten, MS., HCM Director, Patient Navigation and Community Health Program
Learning Objectives
Wishard-Eskenazi Health Centers
Primary Care Network
Wishard Hospital
Barton Annex
Blackburn
Cottage Corner
Grassy Creek
Primary
North Arlington
38th Street
Eagledale
Pecar
Forest Manor
Westside
Care
Clinic
38th Street
Linwood
Patient Demographic
(2012 - All Locations - All Statuses Report)
Ethnicity American Indian or Alaskan Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander Count 14 160 5050 2072 47
213
200 3027 10783
Process Overview
PATIENT NAVIGATION WISHARD AMBULATORY CARE
Pt confirms appt.
Yes
No
PN informs patient of what to expect at first visit PN informs patient of items to bring to provide to registrar PN coaches patient on importance of keeping appointments PN instructs patient on use of TeleVox system PN provides patient with PNs contact information/cell number PN offers patient site tour on day of appointment or another day prior
No
Yes
PN remains available for patient/family for future scheduling or access needs (contact via PN cell number, or if patient presents on no show list in the future)
Navigator enters room & conducts urgent care survey/primary care needs assessment
Yes
No
Schedule return appointment via PHS and/or by contacting the CHC Schedule specialty visits/referrals designated by NP (if applicable) Provide patient with an appointment itinerary
Link patient to PCP based on resident geographic Schedule new MED/PEDS appointment via PHS and/or by contacting CHC Schedule specialty visits/referrals designated by NP (if applicable)
Yes
No
PN informs patient of what to expect at first visit PN informs patient of items to bring to provide to registrar PN coaches patient on importance of keeping appointments PN instructs patient on use of TeleVox system PN provides patient with PNs contact information/cell number PN offers patient site tour on day of appointment or another day prior
PN remains available for patient/family for future scheduling or access needs (contact via PN cell number, or if patient presents on no show list in the future)
Return on Investment
Wishard-Eskenazi Health Patient Navigation ROI Link: http://connect.iu.edu/p64u2s4h89k/?launcher=false&fcsConte nt=true&pbMode=normal ROI for Patient Navigation the benefit (return) of the program is divided by its cost the result is expressed as a percentage or a ratio
ROI =
Organization Chart
Director, Patient Navigation/Community Health Programs Office Coordinator East Office 1-FTE Bilingual Referral Specialist East Office 1-FTE RN, Team Leader - West Office .90-FTE Care Coordinator, BSW 1-FTE MSW, Team Leader- West Office 1-FTE Bilingual Care Coordinator, BSW 1-FTE Bilingual Community Health Worker 1-FTE RN, Team Leader- East Office 1-FTE Bilingual Care Coordinator, BSW 1-FTE Bilingual Community Health Worker 1-FTE MSW, Team Leader - East Office 1-FTE Community Health Worker 1-FTE Community Health Worker 1-FTE Bilingual Community Health Worker 1-FTE Community Health Worker 1-FTE
Prenatal Care Program Staff Office Coordinator: 1-FTEs Care Coordinators; 3-FTEs Referral Specialist: 1-FTE RN Team Leads: 1.90-FTEs MSW Team Leads: 2-FTEs Community Health Works:6-FTEs Total Program FTEs: 14.9
Other
White Grand Total
51
71 818
6%
9%
Healthy Families
History Intensive home visitation demonstration project initiated in Hawaii in 1985 Healthy Families America developed in 1992 by Prevent Child Abuse America Located in over 430 communities in 35 states Indiana has 49 sites providing services in all 92 counties 1 site designated for Wishard-Eskenazi Health patients
Success Stories
1.
2.
Eskenazi Health Center is a unique FQHC model called a public entity coapplicant model. The goal of the Wishard-Eskenazi Health Center Patient Navigation Program is to increase overall patient health outcomes and quality of life by helping patients:
Navigate: through the healthcare system and community resources Identify: barriers to care Connect: to programs and services to address those barriers
3.
Contact Information
Dr. Sarah M. Stelzner, MD Assistant Clinical Professor of Pediatric Indiana University School of Medicine Office (317) 278-3411 | Fax (317) 692-2372 sstelzne@iupui.edu
Patrick L. Wooten, MS., HCM Director, Patient Navigation & Community Health Programs CHC Social Workers | Healthy Families | Patient Navigation | Prenatal Care Coordination
Wishard-Eskenazi Health Center - Ambulatory Care 1001 W 10th Street, BA 403 | Indianapolis, IN 46201 Office (317) 630-6143 | Blackberry (317) 945-9392 | Fax (317) 287-3045 patrick.wooten@wishard.edu
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References
DC Cancer Consortium. (2012). Retrieved November 7, 2012 from http://dcpnavigatorrp.wikispaces.com/Patient+Navigation+History
Healthy Families America (2013). Retrieved February 14, 2013 from http://www.healthyfamiliesamerica.org/home/index.shtml Health and Hospital Corporation of Marion County DataMart. (2002). Retrieved October 7, 2012 from http://www.hhcorp.org/ Wishard Health Services. (2011). In About Us. Retrieved November 7, 2012 from: http://wishard.edu/about-us.html Wishard Health Services. (2013). In Patient Navigation. Retrieved February 10, 2013 from: http://wishard.edu/PatientNavigation.html
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