Principal Illness Navigation (PIN)
Centers for Medicare and Medicaid
Medicare Part B
Patient Navigation Software
CONNECT establishes cancer programs with a HIPAA-complaint process to digitally introduce patients to navigation services, obtain consent, and assess the patient’s psychosocial needs, all on the patient’s device. Navigators begin navigation services with patients with a completed assessment, allowing them to deliver a tailored list of referrals for reported causes of distress in their first encounter with the patient. The navigation process continues in CONNECT, with navigators’ workflows incorporating best practice navigation standards, a workflow that expedites care plan creation and tracks the patient follow-up care, and patients benefiting from an electronic messaging system for virtual navigation encounters. Users also benefit from a personal Dashboard that keeps them focused on time-sensitive tasks, appointments, and incoming patient communication. Reporting in CONNECT includes, but is not limited to, comprehensive navigation activity analysis, barriers to care and distress assessment analysis, education and referrals provided to patients, and care plan delivery. CONNECT can be used as a stand-alone solution or integrated with the program’s EHR. Nursenav’s standard bi-directional integration alerts the navigation team to newly diagnosed oncology patients in CONNECT, and the Navigation Summary in CONNECT posts to the patient’s record in the EHR.
Principal Illness Navigation (PIN)
Principal Illness Navigation (PIN)
Oncology programs can now effortlessly launch and manage Principal Illness Navigation services with CONNECT’s PIN workflow for Medicare Part B patients. CONNECT identifies qualified patients and provides navigators with an intuitive, step-by-step workflow that captures required data for PIN approval. Accumulated time for qualified encounters is tracked by patient and presented in user workflows, easing patient management and ensuring navigators are consistently engaging with patients on a monthly basis for services. CONNECT’s PIN reporting includes comprehensive data for billing professionals, and reports providing actionable insights at both provider and patient levels to optimize your cancer program’s navigation services. When interfaced with your program’s EMR, all navigation activities and identified PIN encounters become part of the patient’s medical record.
Digital Onboarding for Patient Navigation Services
Digital Onboarding for Patient Navigation Services
CONNECT’s digital onboarding process for patient navigation services is HIPPA-compliant and convenient for the patient. Patients receive a text with a secure link directing them to your program’s custom Patient Navigation Consent, introducing the patient to navigation services with the option to “agree” to or “opt out” of services. Upon submission, patients “agreeing” to services immediately receive a text with a secure link directing them to the program’s assessment for distress. Patients complete and submit their distress assessment on their device. The onboarding process in CONNECT automates and standardizes the process for cancer programs, saving navigators time and expediting the turnaround time for patients to receive referrals and resources for barriers to care and causes of distress.
Team Members
Team Members
Navigation team members and users of CONNECT include disease site navigators and may include other ancillary roles such as a social workers, financial counselors, dieticians and lay navigators.
User Dashboard
User Dashboard
Managing a large population of patients in varied phases of the continuum and acuity levels can be daunting. CONNECT's user Dashboard provides navigators the command center they need to be efficient in their role and ensure that patients are receiving a 'tailored' navigation process suited to their individualized needs.
Workflows
Workflows
Workflows keep the navigation team 'on task' and ensures all patients are benefiting from available services. Primary workflows include assessing the patient for distress and addressing reported causes, identifying and resolving barriers to care, and delivery of a Survivorship Care Plan.
Care Plans
Care Plans
Care Plans in CONNECT are customized with your facility logo and colors. Survivorship Care Plans are delivered to patients with a treatable cancer and includes their diagnosis, how the cancer was treated, and instructions for follow-up care. Care Plans are provided to patients with a high-risk condition for cancer.
Follow-up Care Alerts
Follow-up Care Alerts
CONNECT calculates the next calendar date for each follow-up care instruction in a Care Plan or Survivorship Care Plan. The next date for the clinical care, screening and surveillance instruction is posted on the CONNECT user's s Follow-Up Care Alert calendar when it is due.
Reporting
Reporting
CONNECT’s report suite features over 50 reports that are filterable by 14 criteria selections, providing administrators with a comprehensive analysis of the navigation program. Advanced Reporting in CONNECT supports custom report creation for data analysis and time measures.
Community-Based Organizations
Community-based organizations (CBOs) play a vital role in the health and well-being of a community by helping to address and resolve disparities. In recent years, CMS (Centers for Medicaid and Medicare) has encouraged healthcare organizations to engage with CBOs to improve patient outcomes by assisting patients with social determinants of health. The Resource Library in CONNECT is the program’s repository for community and national patient support organizations. Navigators quickly identify and provide each patient with a tailored list of referrals based on their psychosocial needs. Patient referrals are uniquely tracked, allowing programs to create a closed-loop system.
Our Partners
Breast Health Education Integration
EduCare’s COPE Library features over 365 breast health and breast cancer teaching topics in 15 categories customized with your program’s branding. This API integration between EduCare and CONNECT allows users to download or electronically deliver teaching topics to patients. Teaching titles provided to patients are linked with the encounter and noted on the Navigation Summary, ensuring the patient has been informed and educated to participate in their treatment decisions and recovery process.
CRStar Integration
For programs desiring to partner oncology navigation with the cancer registry, Nursenav and Electronic Registry Systems (ERS) have partnered and established an integration between our flagship solutions, CONNECT and CRStar. This integration benefits our mutual clients by receiving diagnosis and treatment data from CRStar into CONNECT after the abstraction is completed, expediting the time to create a Survivorship Care Plan. Clients also have the option of sending identified cancer cases in the suspense status to CONNECT, providing a patient referral stream for the navigation program.
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