patient advocate overview brochure
TRANSCRIPT
Client: Patient Advocate Project: Corporate Branding Collateral: Logo Stage: One Date: 28 March 2014
PATIENT ADVOCATEMANAGING YOUR EMPLOYEE’S HEALTH
©2014 Caravelle Creative Ltd
A new approach to managing your employee’s health
The model is designed to work on the relationship
between employer, employee and healthcare
providers and ultimately will be the most
comprehensive model available in the UK. It
creates a valuable bridge between public and
private health programmes and services, providing
individuals with greater choice to get well, whilst
importantly providing significant and measureable
benefits and savings to the employer.
Our approach can best be described as an
affordable membership service to companies
and individuals providing case management and
guidance to people who require assistance following
referral/diagnosis for management and treatment
options from their GP or consultant. In certain
circumstances, private sector treatment is available
through the NHS, Choose and Book facility.
Patient Advocate provides nurse led case
management services to speed up the delivery of
healthcare to uninsured employees using either
NHS or private healthcare providers. The service is
primarily delivered through contact via telephone
and email although on occasion staff may be
required to attend patient’s homes and employer’s
offices. The business uses the NHS “Choose and
Book” arrangement which allows NHS patients to
receive care Nationwide in either NHS or private
hospitals. The nurse led team will call doctors,
consultants and hospitals to find a provider who
can promptly meet the patient’s clinical and
personal needs. Appealing to both the insured and
uninsured employees, the business aims to reduce
the employee’s absence from work, improve the
wellbeing of the workforce increasing productivity
and reducing the cost of both absence and care.
Chronic conditions such as cancer, cardiac and
mental health are often best delivered through the
NHS, and it is therefore, of great appeal to offer a
service that case manages and fast-tracks members
through their treatment options, directing
members to the most appropriate providers in
both the public and private arenas.
The Patient Advocate proposition is not an
insurance product. It can work on its own or in
parallel with private medical insurance that is
already in place, offering employers direct and
indirect cost savings over existing models. This is
achieved by:
Overview
Patient Advocate provides a completely new and affordable corporate healthcare management model, focused on employees outside the scope of companies’ private medical insurance arrangements. Additionally the service can help by reducing the spiralling costs of existing private medical insurance (PMI) premiums, as well as offering a valuable case management service to employees and individuals who elect to use the NHS.
� Reducing the costs of insured or self-funded healthcare by smarter
use of the NHS and its Choose and Book initiative.
� Shortening the process from commencement of care to return
to work, thus reducing the impact of employee absence and
productivity.
� Providing an affordable medical case management for the entire
workforce, not just those traditionally offered medical benefits.
� Reducing sickness and absenteeism by nurse led case management
intervention.
� Providing integrated data and reporting to employers.
� Offering employees managed health provision and personal
support when necessary - even for those events normally outside
conventional corporate health benefits through our experienced
nurse led case management team.
� Unique comprehensive case management by our team of specially trained case
management nurses 24 hour Personal Support by telephone or face to face in any
setting, dependent on need and individual preferences.
� Covering all medical conditions within the NHS framework including Cancer, Cardiac &
mental health.
� Identifying and arranging treatment options available through the NHS and its Choose
and Book service as well as any other cover an individual may have (Cash Plan or PMI).
� Profiling of hospitals according to personal requirements.
� Early intervention services for serious conditions such as Cancer and Heart conditions,
with ongoing monitoring of the treatments being administered to make sure that the
right outcomes are being achieved.
� Monitoring of Cancer and Cardiac cases accessed through the NHS ‘2 week rule’ and
treated within the NHS.
� Patient Advocate is a service, which provides personal case management support when
needed through our nurse led team.
� NHS treatments are always free at the point of need therefore there is no eligibility to
be treated privately, other than through NHS Choose & Book.
� Patient Advocate case managers are fully qualified registered nurses with experience
within primary, secondary and tertiary patient care.
� Knowledge of the NHS, Choose and Book and private access to healthcare is at
the centre of Patient Advocate services. When an individual needs treatment,
understanding medical terminology and assessing the quality of provision, PMI terms,
cost implications and potential delays, can be a daunting task. A Case Manager will
help an individual navigate the healthcare system providing useful and supportive
information based on which an individual can make informed decisions.
� Certain medical conditions are not covered privately through NHS Choose & Book,
therefore case management intervention can support those individuals optimize their
care pathway within the NHS.
A Summary of What We Provide
Who are Patient Advocate?
Patient Advocate is a company that firmly believes in a better way forward to achieving high
quality standards of personalised care. We work with the private and public healthcare sectors
as well as other groups to deliver a wide range of services for which Case Management forms an
integral part.
What is Case Management?
Simply stated, Case Management is a process employed by clinical professionals to assist
individuals in navigating today’s complicated healthcare maze. The goal of case management
is to help facilitate patient centric, safe, timely and appropriate medical care, to optimize ideal
treatment outcomes.
Who are the Patient Advocate Case Managers?
Patient Advocate Case Management are registered nurses who have extensive experience in
providing case management services to individuals, supported by consultants that specialise in
the required field of medicine.
What does a Case Manager do?
A Case Manager acts as a liaison between the patient, the doctor and any other providers
together with the insurer and employer in order to identify what services might be required. A
Case Manager can help to coordinate all services and resources necessary to promote a return
to the best level of well-being. Case Managers usually work via the phone, however, home and
workplace assessments are employed if appropriate.
Case Managers can help the patient and their family to navigate through the healthcare system
by providing resources that may support a healthier and productive lifestyle.
Case Managers are there to help the patient and their family cope with the medical, social,
emotional and vocational problems related to a patient’s injury or illness.
Case Managers can assist a patient in acquiring the care they need. Whilst they do not make
decisions for the patient, they are able to provide the support, assistance and knowledge
that allow the patient to make an informed decision regarding any treatment that might be
required. They can also help in obtaining answers to questions a patient might have about
treatment and rehabilitation.
Frequently Asked Questions about Case Management and Choose and Book
How does Case Management work?
Where appropriate, Patient Advocate will
engage a Case Manager to work with a
patient in order to facilitate a return to the
best state of health and wellbeing, and work
as is appropriate. They will make contact to
arrange a first contact assessment, and at
this initial stage will explain their role and
the Case Management process. Only after
the patient is satisfied that they have a full
understanding of how Patient Advocate can
assist them achieve the best outcome and
treatment options available to them, through
the use of individual case management do
Patient Advocate obtain a full signed consent
from the patient.
The Nurse Case Managers make a detailed
initial needs assessment, taking into
consideration the health, social care,
educational and employment needs using
communication and available resources to
promote quality cost effective outcomes.
When immediate needs have been
collaboratively discussed, a care plan or
pathway is designed to document the
assessment, planning, implementation and
co-ordination of the case management
interventions. Further monitoring and
evaluation is vital to ensure that achievable
outcomes are set and met along the
way. The care pathway is reevaluated at
regular intervals to ensure that the patient
is compliant and consensual with a full
understanding of their care, whilst any change
to care is considered should that benefit the
patient and outcome long term.
Patient Advocate Limited
1 Farnham Road, Guildford, Surrey United Kingdom GU2 4RG
t +44 (0)1483 608392 f +44 (0)1483 549067 e [email protected] www.patientadv.com