Va Health Literacy Research Presentation

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What is the Impact of Low VA Patient Literacy on VA Diabetes Patient Educational Initiatives? Department of Veterans Affairs Medical Center, North Chicago, IL USA

Salud y medicina Educación

“ What Are the Influences of Patient Literacy, HbA1c Understanding, and Socio-Demographic Variables on the Effectiveness, Attendance and Retention of VA Diabetes Patient Educational Initiatives? ” Department of Veterans Affairs Medical Center, North Chicago, IL USA Dr. Tariq Hassan, M.D. Veterans Affairs Medical Center, North Chicago, IL Dr. Barry Weiss, M.D. University of Arizona, Tucson Dr. George Lutz, Ph. D, Veterans Affairs Medical Center, North Chicago, IL Dr. Tom Muscarello, Ph. D, DePaul University David R. Donohue. M.A. Qualitative Technologies, Inc. and Northwestern University [email_address]

♦ North Chicago VA Medical Center North Chicago, IL USA, December 2007 ,[object Object],[object Object],[object Object]

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♦ Health Literacy: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Low Health Literacy Impacts a Patient’s Ability to Fully Engage in the Healthcare System A Large US Study Conducted on Health Literacy Found That… Source: Williams MV, Parker RM, Baker DW, et al. Inadequate Functional Health Literacy Among Patients at Two Public Hospitals. JAMA 1995 Dec 6; 274(21):1,677–82 33% Were unable to read basic health care materials 42% Could not comprehend directions for taking medication on an empty stomach 26% Were unable to understand information on an appointment slip 43% Did not understand the rights and responsibilities section of a Medicaid application 60% Did not understand a standard informed consent

National Adult Literacy Survey 2003 U.S. Department of Education ▲ 47 % of the adult U.S. population - approximately 87 million people - has only a basic or below basic literacy levels

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♦ Increased Hospitalizations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Increased Health Care Costs ♦ University of Connecticut Study 2007 ,[object Object],[object Object],[object Object],[object Object],[object Object]

♦ Increased Legal Risks ,[object Object],[object Object],[object Object]

Accreditation Issues 2008 Joint Commission on Accreditation of Healthcare Organizations ,[object Object],[object Object],[object Object],[object Object]

♦ NCVAMC Proposed Initiatives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

♦ Quality of Education Materials ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

♦ Goal for Patient Written Drug Information ,[object Object],[object Object],[object Object]

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Ask Me 3 – Creates Shared Responsibility for Clear Health Communication Patient Provider De-stigmatize and Reduce Embarrassment of Low Health Literacy Recognize Patient Coping Mechanisms ,[object Object],[object Object],[object Object]

What Is Ask Me 3 ,[object Object],[object Object],Context What Do I Need to Do? Treatment What Is My Main Problem? Diagnosis

Indian Health Service Technique ,[object Object],[object Object],How do I take the medication? What is the medication for?

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The issue of medical aliteracy has drawn both scholars and medical practitioners’ attention in the recent years. The negative cost of medical aliteracy has continued to constitute major threats to health related issue which has resulted in high mortality rate, high medical expenditure and medical underperformance among others. On this premise the study examined the influence of medical aliteracy among senior medical personnel. The study employed descriptive research design and Chi-Square to test the research hypotheses. A total number of 50 questionnaires were designed to collect information from the sampled population through a random sampling. From the result of the analysis it was revealed that factors such as ineffective supervision of medical personnel, low patient literacy level, lack of personnel-patients engagement could lead to medical aliteracy among senior medical personnel. Senior medical personnel have the knowledge of medical aliteracy and its implications on for medical personnel and the public. Medical aliteracy has an implication on health sector performance which includes increase in mortality rate, increase health expenditure, widening of the gap between patients – medical personnel communication among others. Perception of medical aliteracy has significant influence on medical personnel performance. The study concluded that, medical aliteracy is prevalent among medical personnel and patients and is associated with many poor medical outcomes in the health sector. It was however recommended that medical literacy training, schemes and programmes should be designed according to the needs of the different medical personnel and should therefore be included in medical professional training programs.

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Professor Don Nutbeam, Vice Chancellor of the University of Southampton in the UK, spoke to the HARC network in April 2010 to help us consider how to improve healthcare delivery for people with low health literacy. HARC stands for the Hospital Alliance for Research Collaboration. HARC is a collaborative network of researchers, health managers, clinicians and policy makers based in NSW, Australia managed by the Sax Institute. HARC Forums bring members of the HARC network together to discuss the latest research and analysis about important issues facing our hospitals. For more information visit saxinstitute.org.au.

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Patients and their families are given a multitude of information about their health and commonly must make important decisions from these facts. Obstacles that prevent easy delivery of health care information include literacy, culture, language, and physiological barriers. It is up to the nurse to assess and evaluate the patient's learning needs and readiness to learn because everyone learns differently.

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Logic Model Template Identified barriers and opportunities for change. What resources are available to assist with barriers? Set up focus group, interview key stake holders. Review case studies covering these issues. Project Assumptions Stakeholders are invested because: Integrated health systems are considered at least in part a solution to the challenge of sustainability. Project Outcomes/Goals Short: System compliance with federal, state, and local regulations and agencies. Medium: Expansion or change in services offered. Long: Increase in efficiency levels. Outputs Activities: Performance management and standardized care delivery. Goals: Establishing the relationship between health system inputs, budget elements and expenditure. The benefits that will be achieved because of the outcome. Acceptance of change project from key stakeholders, education completed, Policy changes accepted. Participants will gain ownership of change project. Staff Space Stakeholders Funding Educational Materials Inputs: Integrated health systems © 2016. Grand Canyon University. All Rights Reserved. Literature Review: Table of Evidence Student Name: Randy Mortley Describe the barrier/health care administration issue addressed in your Business Research Paper (two or three sentences): Criteria Article 1 Article 2 Article 3 Article 4 Article 5 Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article Amalberti, R., Auroy, Y., Berwick, D., & Barach, P. http://annals.org/aim/article/718374/five-system-barriers-achieving-ultrasafe-health-care Baidhya, SweetyMeeks, Jacquelynn http://eds.b.ebscohost.com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?sid=e25dd4f0-e624-4bd4-8a86-389aa3d210e2%40sessionmgr103&vid=2&hid=108 Riportella-Muller, R., Selby-Harrington, M. L., Richardson, L. A., Donat, P. L., Luchok, K. J., & Quade, D. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1381746/ Szczepura, A. http://pmj.bmj.com/content/81/953/141 Burg, M. A., Zebrack, B., Walsh, K., Maramaldi, P., Lim, J. W., Smolinski, K. M., & Lawson, K. https://www.ncbi.nlm.nih.gov/pubmed/20077318 Article Title and Year Published Annals of internal medicine (2005) Racial/Ethnic Disparities Related to Health Insurance Coverage, Access to Care and Ease in Health Care Services among Children in 2012 CCHAPS Data. Public Health Reports (1996) Postgraduate medical journal (2005) Social work in health care (2010) Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study Open dialogue is an essential practice in enhancing the health care administration among the human and animals. The aim of this study was to examine racial/ethnic disparities in unmet medical care, dental care and prescription medications and ease of using heath care services. Economic status of people has an impact to the administration of healthcare services. High pressure on social amenities particularly in hospitals is a barrier to the ...

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Health Literacy and Patient Empowerment Health literacy is the degree to which people possess the ability to comprehend and make use of health information about their bodies, conditions, and prescribed medical interventions. The concept of health literacy is of paramount importance as patients are beginning to play increasingly participatory roles in their own healthcare. One concern is the varying degrees of health literacy that patients possess. Some patients will have a high degree of health literacy while others only a minimal level. This has important implications as to how health information is presented at the individual as well as the public level. Select a chronic disease. Find three websites that provide patient information about the condition, its effects, and treatment. Note: Read articles that are peer-reviewed to establish authenticity of their data. Use the required readings and other scholarly sources to answer the following questions: What is the chronic disease that you have selected? Explain. Was it difficult to find quality information about it? Why or why not? What, according to you, is the health literacy level for each of the selected websites? Is it low, medium, or high? Explain your rating system for the three literacy levels. What are the factors that contribute to the literacy level for individuals? What attributes make these sites highly effective in clearly communicating the information necessary for understanding the condition, its effects, and treatment? Would you change or add anything? What is patient empowerment? How does it relate to health literacy? What are the issues involved in the patient or provider relationships when promoting patient empowerment? What, according to you, could be the three effective strategies to increase health literacy for specific populations? .

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Senior Citizens need to have comprehensive medical evaluations that are readily available to emergency providers. Electronic Medical Recording is ideal for having much needed information at the proper person's finger tips. The hesitancy of primary care physicians to employ EMR/EHR systems places a heavy burden on emergency departments in the United States. Senior citizens often have special needs that are not readily known by first responders and in a crisis situations, the care provided is based on standard of care and not special needs. Innovative alternatives to the current data taking, storage and retrieval process.

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Va Health Literacy Research Presentation

1. “ What Are the Influences of Patient Literacy, HbA1c Understanding, and Socio-Demographic Variables on the Effectiveness, Attendance and Retention of VA Diabetes Patient Educational Initiatives? ” Department of Veterans Affairs Medical Center, North Chicago, IL USA Dr. Tariq Hassan, M.D. Veterans Affairs Medical Center, North Chicago, IL Dr. Barry Weiss, M.D. University of Arizona, Tucson Dr. George Lutz, Ph. D, Veterans Affairs Medical Center, North Chicago, IL Dr. Tom Muscarello, Ph. D, DePaul University David R. Donohue. M.A. Qualitative Technologies, Inc. and Northwestern University [email_address]

5. Definitions

8. Low Health Literacy Impacts a Patient’s Ability to Fully Engage in the Healthcare System A Large US Study Conducted on Health Literacy Found That… Source: Williams MV, Parker RM, Baker DW, et al. Inadequate Functional Health Literacy Among Patients at Two Public Hospitals. JAMA 1995 Dec 6; 274(21):1,677–82 33% Were unable to read basic health care materials 42% Could not comprehend directions for taking medication on an empty stomach 26% Were unable to understand information on an appointment slip 43% Did not understand the rights and responsibilities section of a Medicaid application 60% Did not understand a standard informed consent

9. National Adult Literacy Survey 2003 U.S. Department of Education ▲ 47 % of the adult U.S. population - approximately 87 million people - has only a basic or below basic literacy levels

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Va Health Literacy Research Presentation

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