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Navigation for Healthcare Needs
Quality Life Forum ​Advocacy and Empowerment Series
November, 2021 

Healthcare is the most complex system to understand and navigate. Think of healthcare navigation as the map to guide your healthcare journey. Healthcare navigation helps your specific health needs, whether it is to find a doctor, about a treatment, cost of a procedure, using health insurance network and patient portals, plus much more.

For many people, getting proper health care may feel like maneuvering through a maze and are not well-versed in the process, even with health insurance coverage. It becomes much harder for those without it.  The healthcare system can be intimidating, especially for lay people with no background in the medical field. Too often, people get lost - do not know where to go, how to proceed, or what to expect when experiencing a healthcare issue; to the worse, mistakes happen.  These decisions are too important – may even be life or death.

Navigation is a powerful tool for healthcare. There are different types of navigations for healthcare provider, consumer, employer, and insurance.  Focusing on your health care needs, self-navigation, independent navigation, and case specific navigation are instrumental in patient-centered care.

Self-navigation

You should self-navigate the healthcare starting from the your health insurance system, which provide your network access, health providers, medical facilities, benefit coverage, claim processing, and more. Insurance system navigation is most practical for your health needs and cost effectiveness. [In case you don’t have a health insurance, best to start with state health department and community health clinics system.]

Primary care physician selection is important. The key selection factors are professional license and board certification, experiences, hospital affiliation, also consider personal factors of gender, age, language, clinic location & travel distance, office staff, and operation hours/back-up. Recommendations from community and on-line reviews are helpful. Don’t blindly trust medical advertising. If you are not satisfied with the PCP after your visit(s), you can always change and re-select one, knowing that the delivery of Healthcare Quality by healthcare providers has direct impact on your overall wellbeing and medical outcomes.

It is also important to master basic digital technology in patient portal self-navigation. Patient portals are healthcare-related online applications that allow you to interact and communicate with your healthcare providers, such as physicians, labs, and hospitals. You can access your e-chart and test results electronically when it became available. Patient portals have privacy and security safeguards in place to protect your health information. To make sure that your private health information is safe from unauthorized access, patient portals are hosted on a secure connection and accessed via an encrypted, password-protected login.

It is best to self-navigate your insurance website and your patient portal for your privacy protection. Keep your log in information secure and change passwords as needed.

Independent Navigator

A patient navigator is someone whose primary responsibility is to provide personalized guidance to patients as they move through the health care system. The primary role of a patient navigator is to foster patient autonomy and provide patients with information that enhances their ability to make appropriate health care choices and/or receive medical care with an enhanced sense of confidence about risks, benefits and responsibilities, according to the American Medical Association. 

Independent Health Navigation/coaching provide patient-centered services, helping navigate through complex health care systems, removing barriers and bridging the gap between medical services. Health Navigator/coach works with you closely to solve specific problems, direct you to reliable resources and manage information without biased motives. 

Health literacy is essential in case-specific navigation, using trustworthy website for information source with precise key words, knowing what to look, where to find, time frame, and how to interpret available data.

Why you need independent health navigation/coaching
  1. When you have specific health needs, independent health navigation and coaching provide  client-centered and unbiased service for the best of your interest; who listen to your views and concerns,
  2. Find quality health care providers (Doctors, hospitals) with cost effectiveness; help you explore your options and rights without pressuring you
  3. Understand your diagnosis, treatment plans and what to expect; provide information to help you make informed decisions.
  4. Help you to find relevant clinical trials, enrollment eligibility, and contact the sponsor on your behalf, if necessary.
  5. Educating about health care and empower self-care
  6. Building cognitive and behavioral skills that promote healthy lifestyles and improve health outcomes

Client-centered Services may include the following key functions, based on client-specific needs:

Research
  • Health providers
  • Medical, laboratory, diagnostic imaging facilities
  • Diagnoses, test and treatment options
  • Clinical trials
  • Second opinions
  • Disease management for chronic conditions
  • Dietary and nutritional support

Advocacy
  • Assist in preparing for a medical appointments, including medical history, developing a list of the client’s questions and concerns
  • Facilitate informed decision-making and connecting the patient and family to resources as needed
  • Help client better understanding of medical bills and dealing with issues from billing or insurance claim process when necessary
  • Remove barriers and cultivate behavior changes toward health outcome
  • Work with client in developing proactive prevention strategies and practical action plans

Education
  • To educate, inform and guide client to improve the consumers’ understanding and reduce consumer frustration of the healthcare maze
  • Help client and families to understand medical information, including informed consent, HIPAA, advance directives, or other medical information sheet.
  • Working with client to develop personalized self-care plan with follow-up
  • Healthcare consumer rights and health literacy
  • Coach clients and families in self-care for wellness, based on individual needs

Quality Life Forum health navigation program

Quality Life Forum offer independent health navigation program for those who needs help. Go to coaching programs to learn more.

QLF navigation program focus on what matters most for healthcare consumers:
  • Meet personalized needs and expectations from health providers
  • Cost-effectiveness and quality care choices
  • Convenience driven access and care delivery
  • Digital connections and interactions

Feel free reaching out to Qualitylifeform@outlook.com for your health needs today; your wellbeing takes the top priority.

© All rights reserved

Disclaimer: This information is for educational and informational purposes only. It is not medical advice. Consult your healthcare professional for personal conditions.


References:
https://welkinhealth.com/healthcare-navigation/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3878938/

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  • Home
  • Forum
    • Mind and Body
    • Feeling well
    • Feeling ill
  • Coaching
    • Coaching Programs >
      • Loneliness Breakthrough
      • Therapeutic Lifestyle Changes
      • Time-Restricted Feeding for Healthy Aging
      • Patient-centered Health Navigation Program
      • Customized program
      • A Special Health Coaching Package
    • Self-Care >
      • 2021 Aug The Milestone of Age 65
      • 2021 March Make a Self-Care Plan for Your Golden Years
      • 2018 Jan The Golden Keys for the Golden Years
      • 2018 July Golden Mindset
      • 2019 Jan Empty Nest
      • 2018 Feb loneliness Breakthrough
      • 2016 Feb Wellness Mindset
      • 2023 Jan Setting and Meeting Your Goals
      • 2019 Sept Time for change
      • 2020 Oct Process and Results
      • 2021 Sept Aging Brain
      • 2019 May Cognitive Health
      • 2021 Oct Muscle Memory and Cognition
      • 2020 July Listening to your body
      • 2019 March Body Image and Self-Care After Midlife
      • 2020 Nov Moderation
      • 2022 Aug Knowing When Doing More Is Harm Than Good
      • 2021 Nov Gratitude Power for Wellbeing
      • 2019 Dec Dealing with Difficult Emotions in Holiday Season
      • 2022 Dec Holiday Homecoming
    • Healthy Living >
      • 2022 Jan Health: the Cornerstone for Quality of Life
      • 2017 April Longevity and Quality of Life
      • Blog Are You Motivated for a Healthy Life Style?
      • 2018 June TLC Transformation
      • 2022 July Daily Routine for Healthy Aging
      • 2017 June Sleep Well
      • 2021 May Simplify Life for healthy aging
      • 2019 Aug Downsizing in the Golden Years
      • 2017 Sept Music Learning for older adults
    • Healthy Eating >
      • 2022 Sept Your Decision Power for Food Choices and Eating Behavior
      • 2022 Oct Hydration for Healthy Aging
      • 2018 Aug Nourish Your Body for Healthy Living
      • 2017 Oct Better to Eat Meat or Plant Food
      • 2020 Jan The Key Role of Protein in Healthy Aging
      • 2020 Feb Healthy Fat for Healthy Aging
      • 2020 March Healthy Aging Energy Source Carbohydrate
      • 2017 July Intermittent Fasting
      • 2020 Sept Time-Restricted Feeding Is A Healthy Lifestyle Choice
      • 2022 Nov Go green for health: A Green Tea Invitation
      • 2019 June Dietary Supplements Are Not Drugs
      • 2015 Nov Blog The Value of Vitamin and Dietary Supplements
    • Golden Age Fitness >
      • 2019 April Exercise is Medicine
      • 2017 March Exercise for Blood Sugar Regulation
      • 2017 Jan Willness Attitude and Winterizing Fitness
      • 2016 Apr Balance Training
      • 2016 Mar Get Active
      • 2018 Sept Keep Life in Motion
      • 2020 Aug Keep Fit for Your Age
      • 2023 Feb Benefits of Swimming for Healthy Aging
    • Age-related Health Challenges >
      • 2018 March Regulate Blood Pressure
      • 2018 May Blood Sugar Self-Management
      • 2018 April Lowering Cholesterol
      • 2017 Nov Immunity and Aging
      • 2016 June Vitamin D Deficiency
      • 2022 May Aging Skin and Sun Safety
      • 2022 Feb Aging Eye Facts
      • 2017 May How to Reduce Aging Eye Fatigue
      • 2022 Mar Age-Related Hearing Loss
      • 2022 April Aging and Oral Health
      • 2017 Feb Live with Thyroid Nodules
      • 2021 July Range of Motion Recovery from Frozen Shoulder
      • 2019 Nov Osteoporosis in Women
      • 2019 Feb Food Safety and H. pylori Infection
      • 2019 July GERD
      • 2016 Oct Significant Health Indicators
      • 2018 Oct Tough Fight for the Belly Fat
      • 2016 July Weight Management
      • 2018 Nov Dealing with chronic stress
      • 2021 June Managing Chronic Insomnia
      • 2017 Aug Facing a life-threatening illness
      • 2016 May Emotional Healing
    • Advocacy and Empowerment >
      • 2018 Dec The Most Valuable Gift
      • 2020 Dec Invest In yourself
      • 2016 Aug Health Literacy
      • 2016 Sept Prevention
      • 2022 June Making Transition From A Patient To An Educated Healthcare Customer
      • 2019 Oct Action is what counts
      • 2021 Nov Navigation for Healthcare Needs
      • 2016 Nov Gratitude for life
    • COVID 19 Pandemic >
      • 2020 May Hope endures
      • 2020 June Breathing and Blessing
      • 2020 April Transform Pandemic Fear to Self-Care
      • 2021 Jan Hew Year Brings New Hope
      • 2021 Feb Pandemic Winter Blues
      • 2021 April Are You Fully Vaccinated?
  • Health Product Guide
    • Choices for Healthy Living
    • Vitamins and minerals
    • Digestive Health
    • Heart Health
    • Eye Health
    • Joint Health
  • About
  • Contact
  • Blogs
    • Blog Travel album of Switzerland
    • Blog A Mourning Dove Story