Health Literacy What’s Done and What’s Left to Do Paul D. Smith, MD, Associate Professor UW...

Health Literacy

What’s Done andWhat’s Left to Do

Paul D. Smith, MD, Associate Professor

UW Department of Family Medicine

Paul.Smith@fammed.wisc.edu

Please complete evaluation

Orange form in packet

Drop off at registration desk

Topics today

Literacy VS health literacy

History of health literacy

What’s new

Where are we now?

What’s next

What is Literacy?

Literacy is a combination of skills:

Verbal

Listening

Writing

Reading

What is Health Literacy?

The Institute of Medicine 2004

“The degree to which individuals have the

capacity to obtain, process, and

understand basic information and

services needed to make appropriate

decisions regarding their health.”

Literacy VS Health Literacy

Almost everyone will have difficulty with

health literacy at some point.

Much harder for those that do not:

Read very well.

Speak English as their primary language.

Two Sides to the Equation

It’s all about effective communication

Verbal

Written

Multi-media

It has to be presented in a way that is

understandable to most people.

History - 1974

Health literacy first use in publication

Health Education as Social Policy

Simonds SK. Health education as social policy. Health Educ Monogr 1974;2:1-25.

History - 1990

Health literacy appears in medical literature

Start to see reports of correlation between

literacy and health outcomes

History - 1993

National Adult Literacy Survey (NALS)

First nationwide assessment of adult literacy

History - 1993

Rapid Estimate of Adult Literacy in Medicine

First tool for assessing health literacy

Davis T, Long S, Jackson R, Mayeaux E, George R, Murphy P, Crouch M. Rapid Estimate of Adult Literacy in Medicine: A Shortened Screening Instrument. Fam Med 1993; 25:391-5.

History - 1996

National Institute for Literacy

Health and Literacy listserv starts

http://www.nifl.gov/mailman/listinfo/Healthliteracy

History - 1999

American Medical Association

Ad Hoc Committee on Health Literacy Report

American Medical Association, Council on Scientific Affairs, Ad Hoc Committee on Health Literacy. Health literacy: report of the Council on Scientific Affairs. JAMA 1999 Feb 10;281(6):552-7.

History - 2000

Department of Health and Human Services

Healthy People 2010

Health literacy definition that is commonly used

U.S. Department of Health and Human Services. (2000). Healthy People 2010 (2nd ed.) [with Understanding and Improving Health (vol. 1) and Objectives for Improving Health (vol. 2)]. Washington, DC: U.S. Government Printing Office.

History - 2003

Paul Smith stumbles on issue

1st attempt at a health literacy grant

1st of many failures

History - 2003

National Assessment of Adult Literacy

2nd adult literacy assessment

National representative sample

Measured health literacy

12% of adults are proficient in health literacy

http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2006470 http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2006483

History - January 2004

Agency for Healthcare Research and Quality

Literacy and Health Outcomes

Comprehensive review of the literature

http://www.ahrq.gov/downloads/pub/evidence/pdf/literacy/literacy.pdf

History - April 2004

Institute of Medicine

A Prescription to End Confusion

Comprehensive evaluation and recommendations

http://www.nap.edu/catalog/10883.html

History - July 2004

First Wisconsin Health Literacy Summit

David Kindig, PhD

~50 attendees

Paul Smith’s first health literacy presentation.

History - 2005

Wisconsin Literacy, Inc.

First meeting of Health Literacy Committee

History - 2006

Wisconsin Hospital Association

Webcast presentations

Focus group project funded

American Academy of Family Physicians

Emotional response: stress, shame, fear

History - 2007

Health Literacy Summit 2

220 attendees

3 national speakers

Webcast presentations

Regional Health Literacy Committees created

History - 2008

Regional Initiatives

Needs analysis

Surveys

Brochures, PowerPoint

Wingspread Conference

History - 2009

Health Literacy Summit 3

238 attendees

Andrew Pleasant and other national speakers

Pre-conference meeting of state

representatives

History - 2009

Projects

Nursing health literacy curriculum

Improving Hospital Health Literacy Environment

Ask Me 3

What to do When Your Child is Sick project

History - 2009

Wisconsin Literacy Projects

Incorporate health literacy into tutor training

Reach parent learners with “What to Do..” book

Develop learner resources for medication safety

History - 2009

Joint Commission new regulations

Effective communication

Cultural Competence

Family-Centered care

Approved Requirements to Advance Effective Communication, Cultural Competence, and Patient- and Family-Centered Care Hospital Accreditation Program, The Joint Commission, November, 2009.

What’s new?

www.healthliteracywisconsin.org

Health literacy resources and links

Activities of Regional Health Literacy Committees

Health Literacy curricula

Health care providers

Adult literacy students

What’s new?

www.healthliteracymissouri.org

Health literacy materials library

Searchable database

Easy to read patient education materials

Published articles

Health literacy tools

Consumer Assessment of Healthcare Providers

and Systems Questions (CAHPS)

Health literacy supplement

www.cahps.ahrq.gov

Health Literacy Universal Precautions Toolkit

http://www.ahrq.gov/qual/literacy/

Universal precautions VS testing for health literacy

Informed Consent and Authorization Toolkit for

Minimal Risk Research

http://www.ahrq.gov/fund/informedconsent/

What’s new?

Department of Health and Human Services

Action Plan to Improve Health Literacy

Released May 27, 2010

http://www.health.gov/communication/HLActionPlan/

HHS Action Plan to Improve Health Literacy

Seven goals

1. Develop and disseminate health and

safety information that is accurate,

accessible, and actionable.

2. Promote changes in the health care

system that improve health information,

communication, informed decision

making, and access to health services.

3. Incorporate accurate, standards-based,

and developmentally appropriate health

and science information and curricula in

child care and education through the

university level.

4. Support and expand local efforts to

provide adult education, English language

instruction, and culturally and linguistically

appropriate health information services in

the community.

5. Build partnerships, develop guidance, and

change policies.

6. Increase basic research and the

development, implementation, and

evaluation of practices and interventions

to improve health literacy.

7. Increase the dissemination and use of

evidence-based health literacy practices

and interventions.

What’s New?

The Joint Commission

Advancing Effective Communication, Cultural

Competence, and Patient- and Family-Centered

Care – A Roadmap for Hospitals

http://www.jointcommission.org/PatientSafety/HLC/HLC_Develop_Culturally_Competent_Pt_Centered_Stds.htm

What’s New?

Medline Plus website redesign

http://www.nlm.nih.gov/medlineplus/

Easy to read materials

Interactive videos

Where are we now?

Higher level of awareness in WI and nationally

Many projects started around the state

More research being done

Not many definitive answers

Where are we now?

Discussions of:

Health literacy definition

Health literacy measurement

Health professional curricula

National health literacy advocacy organization

Where are we now?

82nd health literacy presentation

What’s Next?

More research and dissemination of results

AHRQ document rating system

More health literacy regional conferences

What’s Next?

Become part of the healthcare reform?

Response to Action Plan?

What’s Next In Wisconsin?

Publication of research results

Collaboration Guide for hospitals and literacy

organizations

Easy-to-Understand Writing Guide

County specific literacy information?

What’s Next In Wisconsin?

Health Literacy Summit IV

April 12 – 13, 2011

Conference grant application

Health materials development workshop

Wingspread Conference follow up

What Can You Do?

Learn more

Continue to raise awareness

Start small

Integrate health literacy into current efforts

Connect with collaborators

Want a copy?

Paul.smith@fammed.wisc.edu

Health literacy resources document

Questions?

Comments?

Health Literacy What’s Done and What’s Left to Do Paul D. Smith, MD, Associate Professor UW...

Documents

WHAT’S NEW, WHAT’S NEXT, WHAT’S UP AT STARS · WHAT’S NEW, WHAT’S NEXT, WHAT’S UP AT STARS IN THIS ISSUE: STARS’ finAnciAl picTuRe iS veRy poSiTive MeeT veRy iMpoRTAnT

What’s happening now? What’s coming?

SUBMISSIONS - fammed.wisc.edu

Concrete: What’s New, What’s Changed and What’s Coming

1. WHAT’S THE WEATHER LIKE ? What’s the weather the ...ekladata.com/AzywrO9guI1MipmoHel9SzwnpIc.pdf · WHAT’S THE WEATHER LIKE ? What’s the weather the weather? What’s the

What’s New (and What’s Not) - La Maison du 21e siècle What’s New (and What’s Not) With PVC What’s New (and What’s Not) With PVC Melissa Coffin, Operations Manager, Healthy

What’s New. What’s Now. What’s Next. - Spectra Energy

What’s current & What’s Next - GLMRITony Teo, Business Development Director January 2012 What’s current & What’s Next LNG FUEL

What’s old, what’s new, what’s borrowed and what’s blue?

The Anti-Inflammatory Lifestyle - fammed.wisc.edu · •Omit Trans-Fat Containing Foods Trans-fatty acids promote inflammation. Sometimes referred to as “hydrogenated oils”, foods

Totara LMS 9: What’s new, what’s next and what’s yet to come

Diabetes: What’s New? What’s Next?

Mentorship Toolkit - fammed.wisc.edu › files › webfm-uploads › documents › … · is a good match Choosing a mentor is about finding the right fit for you and for them. Be

Mesonet and Drought Update. What’s new? What’s new? What’s the current drought situation? What’s next?

WHAT’S NEW, WHAT’S NEXT, WHAT’S UP AT STARS · what’s new, what’s next, what’s up at stars in this issue: agriculture deaths in manitoba meet very important patients lorne

The SPARKS Project Motivation, Objectives and Results · The SPARKS Project Motivation, Objectives and Results Paul Smith paul.smith@ait.ac.at ... Motivation: New Cybersecurity Concerns

NHSN: What’s New, What’s Hot… What’s Not CDC Atlanta Conference

d2y1pz2y630308.cloudfront.net · Web viewgive to god what’s right give to god what’s right give to god what’s right not what’s left not what’s left not what’s left

Health Impact of Low Literacy & Partnering to Address Solutions Paul D. Smith, MD, Associate Professor UW Department of Family Medicine Paul.Smith@fammed.wisc.edu

WHAT’S DIFFERENT? WHAT’S NEW? AND WHAT’S NEXT IN …