Patient Selection Criteria for Referral to Patient Navigator
| 1. Patients who were seeing multiple specialists |
| 2. Patients who were using internal resources frequently (high staff demands, frequent phone calls or visits) |
| 3. Patients requiring social services |
| 4. Patients needing a difficult or complex referral |
| 5. Patients who were homebound |
| 6. Patients who were having family communication issues |
| 7. Patients requiring mental health or pain management coordination |