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Honorary Medical Staff Health Literacy Presentation

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shannon wendricks

on 20 April 2014

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Transcript of Honorary Medical Staff Health Literacy Presentation

Health Literacy Defined
The degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions.

This is not defined by race, gender, age or socioeconomic class
Better Understanding is the Key to Better Outcomes
According to the Institute of Medicine
imply put,
"Health Literacy is an individual's ability to understand and use healthcare information to make decisions about their health and follow instructions for treatment."
the Ganser Fellows 2013

Yes,
"Medicalese"
really is a
foreign
language!
Health Literacy is not simply the ability to read, speak or understand English
Impact on Health Care?
Nationally
Not including cost of patients with chronic diseases
50% of the U.S. population in 2010 had a chronic disease
Increased Health literacy demands
Increased readmission rates
90% of patient with chronic illnesses, readmitted to the hospital within 30 days after discharge, are readmitted due to POOR UNDERSTANDING OF THE EDUCATION THEY RECEIVED!

$510 Billion annual impact
The Good News
Teach Back
Plain Language
Health care providers are being taught to encourage their patients to leave every health care encounter knowing the answer to 3 basic questions:
Health Literacy at Meriter

Objective:
Identify opportunities for improvement in the way RNs educate their patients
Collaborate with the 2013 Ganser Fellowship Program in structuring their Summer Project

Health Literacy initiative - May 2013
1. Researched
The history & goals of the National Health Literacy Initiative
2. Observed
30 hours of Nurse/Patient Interactions on 2 inpatient units
Presence of positive interactions and use of health literacy tools
Activities that marginalized the patient
3. Surveyed
Nurse self-assessment of interactions
Using structured interview format
4. Interpreted Finds
5. Developed best practice model for patient centered education

Culture Change
Realization that in order to make the culture change, a Health Literacy Initiative must be
Multi-disciplinary
Enterprise wide
Involve administration, providers and all clinicians.
Along with the national guidelines and requirements for Health Literacy there are a few tools currently being introduced to health care providers to improve the way in which they communicate with their patients.

Health Literacy - The National Vision
Health Literacy, as a national initiative, has a vision that every person or family member who receives medical care in this country leaves each encounter with the information they need to follow the treatment plan they’ve been given as well as the ability to make good decisions about themselves or their family.

Steps to Developing a Health Literate Organization
1) Identify Advocates – Ambulatory and Inpatient
2) Get Buy In/Commitment from Administration with Prioritization of Organizational Need – Ambulatory and Inpatient
3) Build Awareness among Providers – Demonstrate Need
4) Create an Enterprise-wide Plan – with support of admin and providers
5) Vet Plan with Patient Education Committee
6) Implement Plan – typically in stages of Clinicians, Settings and Time
7) Monitor Progress – using Performance improvement measures
8) Institutionalize Plan – Culture change
9) Ongoing Evaluation and Improvement of Plan

Health Literacy at Meriter, a Work in Progress
Less is More...
It's the ability to understand instructions on
prescription bottles
appointment slips
medical education brochures
doctor's directions
consent forms
It's the ability to negotiate complex health care systems.
Requirements:
Joint Commission
Affordable Care Act
Center for Medicare and Medicaid

Cost:
$73 billion annual impact
Teach Back
Ask Me 3
Plain Language
Close the gap of communication between clinician and patient with the teach-back (show-me) method.

60-80% of medical information is forgotten immediately
50% of information retained is incorrect
Get rid of the medical jargon
Continue awareness campaign
Plain language rewrites
Enterprise wide, multi-disciplinary Patient Education Committee
Continue with the Health Literacy Project Team
Continue collaboration through Wisconsin Literacy Council
Full transcript