Certified Professional Patient Navigator CPPN Competency Review Certified Professional Patient Navigator CPPN

What is a Patient Navigator?

Patient Navigator - Definition A patient navigator is a member of a healthcare team, working with clinical and non-clinical professionals and others to optimize health outcomes as they guide patients, care providers, and families through a complex health care continuum. 

Navigator – Advocate – CHW Community Health Worker Employed by Hospital/Practice Employed by Patient Employed by Facility/Public Health Educ. – Experience – Assoc Degree Educ. - Experience – Any degree Educ. – Experience –Any degree Scope – Defined by employer & national standards Scope – Self Defined Scope – Defined by Employer and state standards when developed Prep –Schools and courses Prep – inhouse training, limited training vendors

Professional Knowledge Requirements Healthcare System Communications Skills Clinical Terminology/Assessment/Treatment Inter-professional Collaboration and Team Work Legal and Ethical issues in Helping Professions Social and Cultural Issues Community Resource Identification & Use Research and Program Evaluation

Patient Navigator Code of Ethics Honest Disclosure Protect Privacy Foster Self-Care Competent Services Professional Boundaries Avoidance of Discrimination Continuous Learning Research-Based Practice

Domains - Core Competencies Professional knowledge about patient navigation Patient Services – Facilitate patient centered care Evidence-Based Delivery – Improve the delivery of healthcare Interpersonal Communications & Collaboration – patients & staff System-Based Practice – Know the healthcare delivery system

Core 1 – Professional Knowledge Scope of Practice Roles of Healthcare Team Members Critical thinking and problem-solving Patient Rights Emotional Intelligence Ethical standards Self-Care Accuracy & Responsiveness

Core 2 – Patient Services Overcome barriers to effective care Identify resources for patients – Insurance & Finances EMR – EHR use and maintenance Patient education Explain diagnostic tests and medications Affordable Care Act & Others Follow-up with patient outcomes and satisfaction

Core 3 – Evidence-Based Delivery Gather, assess, and report data to improve practice Assess patient navigation outcomes Effectively use technology to help patients Know basic medical terminology, procedures, illnesses Explain clinical trials and evidence-based treatment Awareness of emerging technologies

Core 4 – Communication & Collaboration Employ active listening and solutions-based Health team and patient communications Establishing rapport Overcome social-cultural barriers Characteristics of Health Care teams Understand human emotional responses HIPPA Know and apply CLAS standards

Core 5 – Systems-Based Practice Support care transitions Advocate for quality patient care Understand Healthcare Facility options Collaborative relations with teams and resources Assist self-advocacy Build connections to improve patient outcomes

Scope of Practice (1 of 4) 1. Voice of the patient within healthcare / transitional settings. 2. Facilitate communications - patient, family members, and healthcare providers. 3. Ensure cultural sensitivity toward a patient’s origin, gender identity, race or ethnic identity, socioeconomic status, and religion. 4. Arrange interpretive language services when needed.

Scope of Practice (2 of 4) 5. Address caregiver/family and patient concerns 6. Organize and manage patient schedules and to facilitate timely services. 7. Help patients and caregivers understand health condition diagnoses, needs, treatments, and social/emotional impacts. 9. Educate patients on their rights and assist them in participating in care decisions.

Scope of Practice (3 of 4) 9. Recognize and report issues that arise during treatment that may impact outcomes. 10. Help patients understand costs, deal with insurance challenges, and access available financial assistance for their care. 11. Collect data on patient/caregiver experiences and outcomes. 12. Work effectively with internal and community resources to improve patient care.

Scope of Practice (4 of 4) 13. Ensure continuation of care and links to community resources. 14. Arrange/ensure transportation to post-release appointments. 15. Help establish access to needed prescription and assistive devices. 16. Function well with health care teams and other medical providers.

Other Topic Areas Health Insurance and Financing Public Health Responsibilities Medical Terminology Medications Chronic Diseases Healthcare Law and Ethics Communications and Collaboration Heath Information Technology Mental Health Healthcare Delivery Healthcare Institutions Diagnostic Tools Emerging Trends in Healthcare PCERI Ethics PCERI Competencies

For Further Information Patient Centered Education and Research Institute, Inc. 9312 Old Six Mile Lane Suite 101 Louisville, KY 40299 www.patient-institute.org office@patient-institute.org 270-883-2775 501(c)3 Organization