LogicModelv4-1

PNDP Logic Model (Conceptual Framework)
Planned Work
Inputs

Activities

Outputs

Patient Navigators
• # / type PNs recruited &

employed
HRSA Funds

Infrastructure/System
• PN Recruitment
• PN Employment
• PN Training
• PN Assignment

PNDP Resources
•Grantee institution
infrastructure(resources,
staff, expertise, settingprimary, secondary,
or tertiary care)
•Grantee Partners

PN 6 Duties/Services

12/16/08

Intended Results

• qualifications
• job descriptions & duties
• type PN assignment
• caseload
• coverage area
• type/# PN services provided
•PN training
• # trained
• type training
• curriculum & supporting
materials

Short-Term
Outcomes (<2 yr)
Patient Navigators
•Competent & culturally
sensitive
• Increased knowledge of
community & health care
system
• PNs w/ increased knowledge
of Federal, State & local
non-medical resources
• Increased knowledge of
chronic disease care &
needed services

Navigated Patients
• # navigated
• Patient socio-demographics
• Type/stage disease

Intermediate
Outcomes
(2-5 yrs)

• Qualified PN Staff retained
• Program able to recruit
qualified PNs

Quality Improvement
through
•Increased access to
institution/community
services to meet medical
& non-medical needs of
patients experiencing
health disparities

Navigated Patients
1) Coordinate health care
services

2) Facilitate/collaborate w/
community orgs

3) Facilitate CT participation

4) Barrier resolution incl.
Proactive

5) Health insurance
ombudsman

6) Conduct outreach

# completing screening/
treatment (compliance)
• Dropout rate/loss to
follow-up
• #/type community orgs
• # patients referred
• #/type CTs id’ed for patients
• # patients notified

• #/type barriers
• type PN activities to reduce
barriers

•Increase access to care
•Increased compliance w/
screening/ treatment
recommendations

• Coordination of care
among & between
medical, social service, &
CBO personnel

• Reduced &/or
eliminated health
disparities
• Improved diseasespecific outcomes
• Decreased morbidity
& mortality due to
chronic disease

• Increased kept screening
/treatment appointments
•Reduced barriers to care
• Increased access to health
care coverage
•Decreased hospitalizations /
ER visits
• Increased knowledge about
clinical trials
•Increased use of
prevention behaviors
• Increased screening rates

• # patients uninsured/underinsured who get coverage

Long-term
Outcomes

• Decreased time from
screening to diagnosis
• Decreased time from
diagnosis to treatment
• Increased # patients
completing
recommended screening
or treatment
•Eligible patients
participate in clinical
trials

• Increased awareness of
community providers &
agencies/CBOs

• #/type outreach activities

Contextual & External Factors
Grantee institutional setting & organization; chronic disease prevention, screening & treatment programs in Grantee community; unexpected positive and negative events during demonstration project
(e.g., changes in Medicare/Medicaid funding; natural disaster; other navigation programs)