Program or Project:
Patient Navigation Services
Percentage of time over term member will spend with this program:
In collaboration with providers and staff of the health center, the member will identify high-risk, chronically ill patients with both physical and mental conditions and connect them with self-management and health promotion programs, including Diabetes Class, Smoking Cessation, Healthy Homes Initiative and Chronic Care/Care Management services.
The member will be encouraged to participate in these programs to offer their leadership and support. This could include additional involvement with the PA Chronic Care Initiative, fitness and nutrition efforts, prenatal and parent support groups, smoking cessation classes, or community outreach for increased access to care. Specific involvement would be based on the member’s interest and programming needs.
The member will connect at least 25 patients with individual or group self-management and health promotion programs.
NHC performance measure(s) this activity falls under (if any). :
Access to Care: Patient Navigation Services; Disease Health Management; Nutrition & Physical Education Activities