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Patient - PPT Presentation

Centered Care Unit 4 Supporting Patient Driven Care Coordination Lecture c Information Driven Patient Education This material Comp 25 Unit 4 was developed by Columbia University funded by the Department of Health and Human Services Office of the Nationa ID: 619427

health patient care information patient health information care education technology driven literacy view ready http patients internet supporting coordination

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Slide1

Patient – Centered Care

Unit 4: Supporting Patient – Driven Care Coordination

Lecture c – Information – Driven Patient Education

This material (Comp

25

Unit 4

)

was developed by Columbia University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 90WT0004.

This work is licensed under the Creative Commons Attribution-

NonCommercial

-

ShareAlike

4.0 International License. To view a copy of this license, visit

http://creativecommons.org/licenses/by-nc-sa/4.0

/

.Slide2

Supporting Patient – Driven Care Coordination Learning Objectives

Objective 1: Explain the importance of patient – driven care coordination

Objective 2: List ways a patient can use technology to drive care decisionsObjective 3: Describe the concept of patient – initiated

information

exchange

2Slide3

Definition

Patient education includes materials and activities that provide information to patients to improve their health behaviors and health status. An educated patient is better prepared to participate in their care, prevent errors, improve their outcomes, and impact the length of health care interventions.

3Slide4

Introduction

How can we help patients to be full partners in their health care? A knowledgeable and educated patient is better prepared to participate in shared decision – makingFor more information on shared decision – making, see component 25 unit 7

Patient education delivered during a hospital stay or a clinic visit is not retainedPatients who understand their hospital discharge instructions are 30% less likely to be readmitted to the hospital

4Slide5

What do patients want?

Information available on demandInformation that is sent proactivelyInformation that is personalInformation that is interactiveEmotional support that is available along with the information

5Slide6

Vision

Patient empowerment through knowledgeInteractive technology that allows the patient to control acquisition of knowledge Education and information that is delivered at a place and time when patient is ready to learn6Slide7

Technology

TelevisionVideosInternet Email Health education apps EHR driven patient educationPatient portals

7Slide8

Television

Patient information delivered by television is found in many inpatient settingsThese systems allow patients and families to select and view health education of their choosing during an inpatient stay

8Slide9

Television (Cont’d – 1)

Patient – driven; learn when ready and ableMay not absorb information due to health statusMay not include all topics neededInformation is not customized to the patient

Relies on memory9Slide10

Video / DVD

Flexible use:Hospital, clinic, or home – basedView and review information when patient is ready to learnRelies on memoryMinimally interactive

Not customized to patient needsMust have video or DVD player technology

10Slide11

Internet

There is a wealth of health information on the Internet Information can be used either independently by the patient to research their health condition or the patient can be linked or directed to health information on the Internet by their health care provider

11Slide12

Internet (Cont’d – 1)

Patient can view and review when they are ready to learnWeb sites may be interactive and can measure and reinforce learningMust have Internet access and viewing device

12Slide13

Email

Vendors are working on email – based products that will allow care providers to send health information or links to resources to patients based on specified criteriaCan be automatedPatient can view when they are ready to learn

Greater personalization of information Provider can track patient learning activityPatient must have email address and device to view information

13Slide14

Health education a

pps and gamesMore physicians and health care providers are prescribing or recommending health apps to patients as an educational and behavioral change technology

Mobile technology; patient can learn at any time or placeInteractive elements to measure, reinforce, and practice learningNot yet widely adopted by physicians, but use is growing

Patient must have mobile technology and

Internet

connection to

use

14Slide15

EHR – driven e

ducationEducation is ordered in EHR and sent to patient viewing device in hospitalPatient views when they are ready to learnCompletion of education flows back into EHR, where caregivers can assess understanding and reinforce educationRequires specific vendor technology,

but is not offered by all vendors15Slide16

Patient portals

Episode – specific information is available when the patient is ready to learnInformation can be shared with family and friendsPortal may provide links to large health information databasesPatients and family can browse and research health information

16Slide17

Barriers

Many technologies exist or are emerging to support the goal of interactive and on – demand patient educationThere are barriers that decrease the ability of the patient to manage their own health education needs Health literacyLanguage

CultureHealth care cultureEnvironmental culture Technology

17Slide18

Health literacy

“The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (Institute of Medicine, 2004)Skills to navigate the health care systemSkills to communicate with health care providers

Majority of U.S. population possesses intermediate level of health literacy

18Slide19

Language

Limited English proficiency impacts comprehension of patient health informationLower English literacy correlates with decreased adherence to health promotion behaviors from providers19Slide20

Culture

Information – driven patient education can only be successful if cultural factors support acquisition and use of health informationHealth careTransition to partnership

– based care modelEmpowered patientEnvironmentTechnology must be presentTechnology must support the patient in health behavior change efforts

20Slide21

Technology

Equipment needed to view videos, DVD, and TV – based interventionsInternet connection is needed for emerging patient education toolsEmail address is required for interaction with health care providersPatients need to be able to understand and use technology

21Slide22

Unit 4

: Supporting Patient – Driven Care Coordination, Summary – Lecture c, Information – Driven Patient Education

A knowledgeable and educated patient is better prepared to participate in shared decision – makingTechnology can be used to improve the delivery of health information so that the patient can view information at the time and place where they are readiest to learnAlthough barriers such as health literacy, limited English proficiency, and culture exist, there are many types of technology that have been designed to empower the patient to gain the knowledge needed to successfully manage their own health

22Slide23

Supporting Patient – Driven Care Coordination References – Lecture c

ReferencesArmenakis, A, & Kiefer, C. Social and cultural factors related to

health, Part A: recognizing the impact. Presentation presented at Global Health Education Consortium; 2007.The Beryl Institute. (2011). Patient satisfaction and patient education increase when hospitals offer interactive technology.

Enhancing the Patient Experience through the Use of Interactive Technology

. Available at:

http://www.theberylinstitute.org/news/60203/Patient-Satisfaction-and-Patient-Education-Increase-When-Hospitals-Offer-Interactive-Technology.htm

.

Cassano

, C. (2015). Technology and patient education. Available

from:

http://

nursing.advanceweb.com/Features/Articles/Technology-Patient-Education.aspx

Frydman

,

G.

(2014). Some underlying principles

of

patient-driven healthcare. Patient-Driven

Care.

Available

from:

http://

www.patientdriven.org/2014/03/some-underlying-principles-of-patient-driven-healthcare/

Institute of Medicine. (2004). Health literacy

:

a prescription

to

end confusion. Available

from:

http://

nationalacademies.org/hmd/reports/2004/health-literacy-a-prescription-to-end-confusion.aspx

23Slide24

Supporting Patient – Driven Care Coordination References – Lecture c (Cont’d

– 1)ReferencesU.S. Department of Health and Human Services. Health literacy - fact sheet

: health literacy basics. Available from: http://health.gov/communication/literacy/quickguide/factsbasic.htm

U.S. Department of Health and Human Services.

Health literacy

-

fact sheet

:

health literacy

and

health

o

utcomes.

Available from:

http://

health.gov/communication/literacy/quickguide/factsliteracy.htm

24Slide25

Unit 4: Supporting Patient

– Driven Care Coordination, Lecture c – Information-Driven Patient EducationThis material was developed by Columbia University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 90WT0004.

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