Upload
myles-greer
View
214
Download
0
Embed Size (px)
Citation preview
Health Literacy: How Well Does Your Patient
Understand Health Information?
FOCUS• FIND: 2010 Joslin chart audit revealed:
– Health literacy documentation lacking. – Poor understanding of health literacy term
• ORGANIZE a Team: All Joslin staff
• CLARIFY: Define “health literacy” for staff
• UNDERSTAND: Reviewed assessment process
• SELECT: An opportunity exists to…– Define health literacy for staff– Assess and document each patient’s health literacy– Tailor patient educational plans as needed
PDCAPLAN
• Research the term ‘health literacy’• Identify tool to assess health literacy• Update charting forms
DO• Research the term “health literacy”• Identify a tool to assess health literacy
1. How often are patient educational materials written in a way that is easy to read and are understandable?
2. How often are medical forms difficult to understand and fill out?3. How often do you have someone (like a family member, friend,
hospital/clinic worker, or caregiver) help you read education material?• Update charting forms – added health literacy as a learning barrier• Planned chart audits: at 1month, then quarterly
Health Services Research and Development Center of Excellence and the Epidemiologic Research and Information Center. (2004). VA Puget Sound Health Care System, Seattle: and the Department of Medicine, University of Washington
CHECKHow often are patient education materials written in a
way that is easy to read and are understandable?
21
62
5
0
10
20
30
40
50
60
70
Always Sometimes Never
How often are medical forms difficult to understand and fill out?
12
54
22
0
10
20
30
40
50
60
Always Sometimes Never
How often do you have someone help you read education materials?
10
24
54
0
10
20
30
40
50
60
Always Sometimes Never
Question 1
Question 2
Question 3
ACT
• Most patients selecting “sometimes”• Change to 5 point Likert scale
Restart PDCA cycle
PDCA – Cycle 2CHECK:
– Majority continued to select “sometimes” even with 5 point scale
ACT:– Reassess Health Literacy with new perspective:
Insert “Joslin” into questions– Queried patients at completion of program
Check-Cycle 3How Often are the Joslin educational materials
written in a way that is easy to read and are understandable?
26
11
3 105
1015202530
5 Alw
ays 4
3 Som
etim
es 2
1 Neve
r
April-Aug
How often did you need help to fill out the Joslin forms?
1 15
17
0
5
10
15
20
5 Alw
ays 4
3 Som
etim
es 2
1 Neve
r
April-Aug
Question 1
Question 2
Question 3How often did you have someone help you read the
Joslin education materials?
24
18
0
5
10
15
20
5 Alw
ays 4
3 Som
etim
es 2
1 Neve
r
April-Aug
ACT – Cycle 3
• Results demonstrate that majority of patients “always” found Joslin materials easy to read and understand
• Center will continue assessing health literacy on history forms– Will stop formally tracking data
References
Health Services Research and Development Center of Excellence and the Epidemiologic Research and Information Center (2004). VA Puget Sound Health Care System, Seattle: and the Department of Medicine, University of Washington.
Powers, B., Trinh, J, & Bosworth. (2010). Can this patient read and understand written health information? Journal of American Medical Association, 304(1), pp. 76-84.
Health People 2010. Retrieved from: http://www.healthypeople.gov/2020/default.aspx