Our complex healthcare system can be challenging to navigate under the best of circumstances and these challenges are compounded for those who are uninsured, undocumented, living in poverty or have limited English proficiency. In 2008, NewYork-Presbyterian Hospital initiated an emergency-department (ED)-based Patient Navigator Program to support, educate and empower patients to effectively navigate the healthcare system and receive appropriate and continuous care.
Located in 7 emergency departments (ED) of NewYork-Presbyterian Hospital, Patient Navigators offer peer-based, culturally relevant education and support to underserved patients. They link patients to health insurance/financial assistance, and schedule primary care and specialty appointments. In addition, Patient Navigators provide appointment reminders and follow-up calls to ensure that patients receive the care that they need.
Through their culturally sensitive, peer-based approach, Patient Navigators empower patients and their caregivers to better understand and access the health and social resources they need.
From December 2008 to June 2020, Patient Navigators supported over 217,000 patients in seven NYP ED settings. Seventy-six percent of the nearly 133,000 patients for whom an appointment was scheduled attended the scheduled appointment and 94% of the nearly 72,000 patients without a primary care provider had an appointment with a new provider upon discharge. These outcomes suggest that an ED-based Patient Navigator Program is an effective approach to connect patients with the clinical and social services they need and, ultimately, to better manage their health.
In 2018, with a generous gift from Pilar Crespi Robert and Stephen Robert, the Patient Navigator Program expanded to support patients at NYP Brooklyn Methodist Hospital, NYP Queens Hospital and added two additional Patient Navigators at NYP Lower Manhattan Hospital.
Monica Milagros Moreyra
Program Manager, Center for Community Health Navigation, NewYork-Presbyterian/Columbia University Irving Medical Center, NewYork-Presbyterian The Allen Hospital, and NewYork-Presbyterian Morgan Stanley Children's Hospital
Patient Navigator Program
Donna Tso, MPA
Program Manager, NewYork-Presbyterian/Weill Cornell Medical Center, NewYork-Presbyterian/Lower Manhattan Medical Center
Patient Navigator Program
Evelyn España, MHA
Program Manager, Robert Center for Community Health Navigation at NewYork-Presbyterian Brooklyn Methodist Hospital
Patient Navigator Program, Adult CHW Program
Henley Vargas, MSW
Program Manager, Robert Center for Community Health Navigation at NewYork-Presbyterian Queens Hospital
Patient Navigator Program, Adult CHW Program, Pediatric CHW Program