Care Navigators

Care Navigators Links


The Michigan Care Management Resource Center (MiCMRC) website offers information, free training & webinars (including some with CE credits), and many other resources for care management teams (including this amazing Care Manager Activity Tracking Worksheet). 

Scientific Articles

Recent Articles (Added 12/21):

Li Y, Fang J, Li M, Luo B. Effect of nurse-led hospital-to-home transitional care interventions on mortality and psychosocial outcomes in adults with heart failure: a meta-analysis [published online ahead of print, 2021 Nov 18]. Eur J Cardiovasc Nurse. 2021;zvab105. doi:10.1093/eurjcn/zvab105. Abstract.

Prior Articles:

Balaban RB, Zhang F, Vialle-Valentin CE, et al. Impact of a Patient Navigator Program on Hospital-Based and Outpatient Utilization Over 180 Days in a Safety-Net Health System. J Gen Intern Med. 2017. doi:10.1007/s11606-017-4074-2. Abstract.

Bashir B, Schneider D, Naglak MC, Churilla TM, Adelsberger M. Evaluation of Prediction Strategy and Care Coordination for COPD Readmissions. Hospital Practice. 2016;44(3):123-128. doi:10.1080/21548331.2016.1210472. Abstract.

Dajczman E, Robitaille C, Ernst P, Hirsch AM, Wolkove N, Small D, Bianco J, Stern H, Palayew M. Integrated Interdisciplinary Care for Patients with Chronic Obstructive Pulmonary Disease Reduces Emergency Department Visits and Admissions: A Quality Assurance Study. Canadian Respiratory Journal: Journal of the Canadian Thoracic Society. 2013;20(5):351-356. AbstractArticle

Dall TM, Askarinam Wagner RC, Zhang Y, Yang W, Arday DR, Gantt CJ. Outcomes and Lessons Learned from Evaluating TRICARE’s Disease Management Programs. American Journal of Managed Care. 2010;16(6):438-446. Abstract.

Di Palo KE, Patel K, Assafin M, Piña IL. Implementation of a patient navigator program to reduce 30-day heart failure readmission rate. Prog Cardiovasc Dis. 2017 Sept-Oct;60(2):259-266. Abstract.

George PP, Heng BH, Lim TK, Abisheganaden J, Ng AW, Verma A, Lim FS. Evaluation of a Disease Management Program for COPD Using Propensity Matched Control Group. Journal of Thoracic Disease. 2016;8(7):1661-1671. doi:10.21037/jtd.2016.06.05. AbstractArticle.

Gunadi S, Upfield S, Pham ND, Yea J, Schmiedeberg MB, Stahmer GD. Development of a Collaborative Transitions-of-Care Program for Heart Failure Patients. American Journal of Health-System Pharmacy. 2015;72(13):1147-1152. doi:10.2146/ajhp140563. Abstract.

Hansen VB, Maindal HT. Cardiac Rehabilitation with a Nurse Case Manager (GoHeart) Across Local and Regional Health Authorities Improves Risk Factors, Self-Care and Psychosocial Outcomes. A One-Year Follow-up Study. JRSM Cardiovascular Disease. 2014;3. doi:10.1177/2048004014555922. AbstractArticle.

Luo Z, Chen Q, Annis AM, Piatt G, Green LA, Tao M, Holtrop JS. A Comparison of Health Plan- and Provider-Delivered Chronic Care Management Models on Patient Clinical Outcomes. Journal of General Internal Medicine. 2016;31(7):762-770. doi:10.1007/s11606-016-3617-2. Abstract.

O’Malley AS, Reschovsky JD, Saiontz-Martinez C. Interspecialty Communication Supported by Health Information Technology Associated with Lower Hospitalization Rates for Ambulatory Care-Sensitive Conditions. Journal of the American Board of Family Medicine. 2015;28(3):404-417. doi:10.3122/jabfm.2015.03.130325. Abstract. Article.

Radhakrishnan K, Jones TL, Weems D, Knight TW, Rice WH. Seamless Transitions:  Achieving Patient Safety Through Communication and Collaboration. Journal of Patient Safety. 2015. doi:10.1097/PTS.0000000000000168. Abstract.

Reed PH, Hulton LJ. Community Health Workers in Collaboration with Case Managers to Improve Quality of Life for Patients with Heart Failure. Prof Case Manag. 2017;22(3):144-148. doi:10.1097/NCM.0000000000000222. PubMed record.

Takeda A, Taylor SJ, Taylor RS, Khan F, Krum H, Underwood M. Clinical Service Organisation for Heart Failure. Cochrane Database of Systematic Reviews. 2012;(9). doi:10.1002/14651858.CD002752.pub3. Abstract.