1. 2.c.i Community-Based Health Navigation (NAV)1

2. What is patient “Navigation?”
Navigation is actively helping someone maneuver the system, including both medical and social services, with the goal of providing provide bridge support and education until the patient has the confidence to self-manage his or her health efficiently and effectively
Navigators will have access to language services and low- literacy educational materials
Navigation services can be provided via phone, web, or in-person

3. Examples of Navigation
IS NOT NAVIGATION:
IS NAVIGATION:
Identifying a specialist who accepts Medicaid and scheduling the appointment with that specialist for the patient
Arranging a pickup and drop-off for a medical appointment
Explaining the importance of a procedure or wellness initiative and the patient DOES schedule the appointment.
Giving patients the name of a specialist who per their website accepts Medicaid
Giving patients a phone number to the transportation company
Leaving a message for a patient informing them they are due for a well visit
Explaining the importance of a particular procedure/or wellness initiative to a patient but the patient does NOT schedule the appointment
Investigating a patient complaint and/or listening and apologizing for a negative patient experience

4. Reporting Requirements
Partners must send the following information to Refuah CHC:
Community navigator job description, training materials, dates of training, and interval performance reviews
Narrative describing navigator recruitment from the pool of local community residents and narrative describing navigator placement decisions based on needs
Organization’s protocols for caseloads and discharge processes for patients being followed longitudinally
Submit a list of navigators and their locations including service type (in person, telephone, web) along with a brief Roster of evaluated NAV Patients including Patient CIN, DOB, type and date that navigation services were performed
Screenshot of electronic tracking tool

5. Reporting and Auditing
Patient engagement
Each unique patient will be counted towards NAV engagement only once per DSRIP year.
After completing NAV each month partners will be expected to upload reports by the end of month to Refuah CHC’s secure file sharing platform (e.g. box.com). NO PATIENT DATA CONTAINING Protected Health Information (PHI) SHOULD EVER BE ED WITHOUT ENCRYPTION!
Compliance Audits
NAV Partners may be audited to ensure integrity of data reported to the PPS
Compliance will reach out to NAV Partner and request a random subset of reported patient documentation
Audits will ask Partner to securely send screenshots of EHR, or other tracking tool, that demonstrates reported patients were properly navigated

6. NAV Documentation Partner Example