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
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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
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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
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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.
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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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