Patient Navigators at Via Christi Health

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New models of care: Medical home and patient navigator benefit patients

Two new models of care can benefit patients and help reduce expensive and avoidable hospitalizations and emergency room visits. The American Hospital Association defines a "medical home" as a team-based model of care led by a personal physician who provides continuous and coordinated care throughout a patient's lifetime to maximize health outcomes. The medical home model can help reduce avoidable hospitalizations and emergency room visits by, for example, identifying and managing chronic conditions such as diabetes and high blood pressure.

Ashli Benjamin, PA, of Via Christi Clinic, is a patient navigator. Her job is to support the primary care physician's office as a medical home.

"I track all patient appointments, admissions, emergency room and immediate care visits, as well as hospital outpatient services including some home health and skilled nursing care," she explains. "My main goal is to ensure that patients have an established relationship with their primary care physician, and, through medical records and good communication between all arms of our Via Christi care facilities, to make sure the physician has all the information possible to best care for that patient."



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