Lighting the way for employees navigating complicated health systems

Employees who feel ill-equipped to navigate on their own benefit greatly from a nurse advocate who can ask the right questions, help them understand options, know their rights and, ultimately, get the care they deserve.

 

In this age of the Great Resignation, employee benefits are becoming even more important as a differentiator in the marketplace. The battle for talent is real and, when all is said and done, working with trusted brokers to provide employees with comprehensive benefits can set an employer apart.

While demographics are key in determining the right benefit mix, employees of all ages recognize the need for quality care; and in a complicated environment like the American health care system, employees who feel ill-equipped to navigate on their own benefit greatly from a nurse advocate who can ask the right questions, help them understand options, know their rights and, ultimately, get the care they deserve.

Breaking it down

Here are my top five reasons why providing a nurse advocate as an employee benefit is a win-win-win when it comes to helping employees navigating the highly matrixed American health care system.

Here are a few great examples of advocacy in action.

In one recent situation, a patient diagnosed with prostate cancer was preparing for the first part of the treatment process. These initial steps, which include finding the right specialists and oncologists, are a critical part of the treatment journey. In this case, the patient’s primary care physician referred him to a local resource, but he was unhappy with the care. But with the help of a nurse advocate, the patient got a second opinion at a nationally renowned academic medical center with specific expertise, and transferred his care to the consulting specialist.  He had surgery there and is now doing well and expected to make a full recovery.

Another story from the field involves an employee undergoing an appendectomy, which turned into four months in the hospital with complications and an eventual sepsis diagnosis. The patient thankfully survived — something that would not have happened without her nurse advocate by her side (literally) —  to support her and her family and get them both through an unexpected, life-threatening health care emergency.

Helping clients stand up and out

One of the nation’s largest providers of on- and off-campus student housing relies on nurse advocates to help fulfill its promise to customers. According to Helen Marshall, executive vice president of Human Resources, “Parents of college students expect that our team will take care of their children; to do that, we need to look after our employees like family, as well.”

“Nurse advocates don’t just provide information or a list of providers; they look after patients, schedule appointments, research treatment options,” Marshall says. “All that work is done before our employees set foot in a doctor’s office. In addition, the nurse will then go with them to see the physician.”

This “unique benefit” is gaining traction and becoming more available and accessible every day. Nurse advocates are a welcomed support system for enrolled employees and their families in many industries. They are a trusted source for everything from an initial diagnosis and developing treatment plans, to liaising with doctors and insurance companies, to helping schedule appointments and providing patients and their family members help along the way.

The value a nurse advocate brings reminds me of a quote from Florence Nightingale, “The very first requirement in a hospital is that it should DO THE SICK NO HARM.” In my opinion, she wasn’t stating the obvious, rather a core principle that health care professionals need to be reminded of each day; and nurses are most often the ones doing the reminding.

Betty Long, RN, MHA, is the President/CEO and Founder of Guardian Nurses Healthcare Advocates and a nationally recognized expert and speaker on patient advocacy. As a registered nurse since 1986, she has experience in clinical, management, and consulting capacities. In addition, she has a long history of healthcare advocacy with special expertise in critical care, long-term care, and geriatric care management.