Breast Health Patient Navigator
Program
Patient
Navigation
How Patient Navigation
Evolved
The program grew out of the 1989
American Cancer Society’s national
hearings on cancer and the poor, which
noted:
Patient
Navigation
 Gaps in service that lead to fragmentation
of care;
 Delayed and/or missed appointments;
 Substantial barriers to care, including lack
of knowledge of available financial
(insurance) assistance; and
 Lack of social support.
Breast Health Patient
Navigator Roles
Guide patients through the health care
system.
Coordinate services.
Assist with increasing women’s access
to care.
Facilitate appropriate insurance
applications.
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Breast Health Patient
Navigator Roles
Assist with increasing access to
community and social support services.
Work with community groups to
increase breast health awareness and
provide breast health education.
Patient
Navigation
Patient Navigators Make a
Difference
Assist with identifying, applying, and
using appropriate social services.
Help patients identify and obtain
financial help for their health care needs.
Help patients arrive on time and
prepared for scheduled appointments.
Help reduce patients’ fear and anxiety.
Patient
Navigation
Breast Health Patient
Navigator Job Functions
Connect patients with resources and
support systems.
Facilitate interaction and
communications with health care staff
and providers.
Streamline appointments and paperwork.
Track interventions and outcomes.
Implement outreach strategies.
Patient
Navigation
Functions Patient Navigators
Do NOT Perform
Physical assessment, diagnosis, or
treatment.
Ordering of care, treatments, or
medications.
Direct patient care.
Physical, occupational, or speech
therapy.
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Navigation
Breast Health
Patient Navigator
Program Benefits
Improved patient care.
Decreased fragmentation of care.
Improved patient satisfaction.
More efficient delivery of care.
Patient
Navigation
Breast Health
Patient Navigator
Program Benefits
Fewer delayed or missed appointments.
Enhanced access for vulnerable
populations to breast health services.
Financial savings.
Patient
Navigation
Results Achieved in One
Health Care Organization
99% of all clinic patients are scheduled
for follow-up appointments.
20% increase in patient attendance at
the breast cancer support group.
Increased patient satisfaction.
Improved length of stay due to
decreased delays in obtaining
rehabilitation consults.
Patient
Navigation
Developing a Breast Health
Patient Navigator Program
Define program goals, objectives, and
timeframes.
Formulate a patient navigator role
description.
Develop tools:
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Navigation
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intake form;
tracking system/follow-up log;
decision tree/algorithm; and
brochures describing the program.
Developing a Breast Health
Patient Navigator Program
 Identify other departments involved in
caring for these patients.
Identify potential costs.
Identify program evaluation methods.
Formulate outreach strategies.
Patient
Navigation
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Breast Health Patient Navigation Program