Pulse check: Video trends in patient education

Research suggests 40 to 60% of parents make errors in dosing their children’s medicine. Mistaking tsp for tablespoon (tbsp.) can mean giving a dose that is 3 times too big.

What if people could see the skill, such as dosing a medicine, being modeled the correct way? How might this reduce errors and improve patient safety?

Photo of Cindy Carson, National Director of Marketing and Business Development at Milner-Fenwick.

Cindy Carson, National Director of Marketing and Business Development at Milner-Fenwick discussed with us the benefits of video-based patient education.

Videos can do this.  With the explosive growth of online content videos (456.6 million watched in 2012), SurroundHealth recently spoke with Cindy Carson, National Director of Marketing and Business Development at Milner-Fenwick about converging trends in healthcare and how they are impacting video-based patient education.

In today’s digital world, video is expected and a preferred way to learn. 

Patients now expect visual modes of communication that they can access where and when they want.  Video allows us as educators to combine multiple learning modes. People have different styles of learning and video helps us combine different elements – kinetics, audio, visual, and graphic elements –  to make sure that, regardless of learning style, we’re able to get the information across in a way that patients find relevant and can understand.

When done right, video can help bridge communication gaps caused by low health literacy skills

Limited health literacy skills in our country contribute an estimated $106-$236 billion annually to the U.S. healthcare spending. Some of that expense comes from patients struggling to understand discharge directions, to take their medications the proper way, and with other various fundamental skills required to recover and stay healthy.  Video transcends some of those issues, including English-as-a-second-language.  Videos, when scripted at a 6th grade language level, can explain and show the skills being discussed.  Visually, videos can clarify complicated medical terms and break down information into understandable, bite-size pieces.

SmartPhones, iPads and EHR:  Extending patient education videos beyond closed circuit TVs in hospitals

We’ve certainly seen a push for access to educational videos beyond the hospital walls and reaching patients at all points of need through a variety of mobile devices. With our app, HealthClips Rx, providers can select and prescribe video-based health education. Not having to rely on active Wi-Fi connection also helps providers get around a common obstacle within hospitals – Wi Fi “dead zones.”  An exciting trend is the ability to create an interactive platform that reports back into an EMR.  Down the road, we can analyze massive amounts of data and look at what education is working or needs to be revised.  If patients have questions about the same point in content, we can go back and rework that.  Tracking will also help validate the impact that the education is having by tying health outcomes to the educational content patients have been exposed to.

“Now, through technology, we can leverage the heck out of the patient education videos and get them to people any way that they want or need them.”

Connecting video-based education with telehealth and remote monitoring

We are watching the telehealth and remote monitoring trends where patients in rural areas have access to physicians through Web communications that are video-based. Patients can talk back and forth with their doctors about treatment options.  Video-based education can be funneled right into these interactive systems so that that a patient in a remote situation has access to the same education as the patient who would come to the doctor’s office.

Patient-centric care + Technology + Need to reduce preventable hospital readmission = Expanded use of patient education videos

I look at today’s trends in video-based health education as being three-fold.  Technology is one of the forces. The other is patient-centric care and that is driving a lot of what we do here not just in the video scripting but in the delivery and in the content development area.  We are developing care pathways of education, based on national guideline recommendations and a team of expert consultants, to meet the needs of patient education and support. The third driving force is the Affordable Care Act and the different penalties that have come up around preventable hospital readmission rates and the incentives for Meaningful Use. Hospitals are being compelled hospitals to rethink their education models of how and what they’re delivering.

Milner-Fenwick recently published a report related to these regulatory goals, The Right Patient Education Tools: Strategies to Improve Health Outcomes and Meet Regulatory Goals.

This blog was contributed by Susan Collins, MS, CHES, RD, SurroundHealth Community Leader.

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Why Community Pharmacists are an Important and Evolving Role in Healthcare

Many professional healthcare roles are changing along with the healthcare landscape, and the role of community pharmacists is definitely one to give some attention to. At the American Pharmacist Association (APhA) Conference SurroundHealth recently attended, we saw a strong interest from the pharmacists in SurroundHealth and the patient education focused content we provide. It became obvious through speaking with many of the attendees, that historically pharmacists haven’t been given as much consideration in healthcare as other professions. Our Community Director, Dominika Murphy who represented SurroundHealth at the conference said,

“It was eye-opening to speak with so many pharmacists and hear their frustrations around not being recognized as a provider, and not having the ability to get reimbursement from insurance companies the way many other providers do. Especially since in many instances they have more frequent contact with patients than some other providers, and with medication adherence being such a huge problem in the US. It was evident how energized they were with the opportunities that healthcare reform will bring to this profession. “

Their Changing Role

A recent SurroundHealth article contributed by member Ijeoma Chimezie, PharmD, discussed the vital role of community pharmacists and how their roles are changing to encompass patient education. Chimezie mentions that the traditional role of pharmacists in primarily distributive and dispensive roles is changing and that she should be identified as “public health advocates.” Chimezie also stressed that “Community pharmacists play an integral role in addressing the unmet public health needs, through their knowledge, accessibility and ability to disseminate healthy lifestyle resources to the general public.” It’s important to recognize that as a patient-facing professional, community pharmacists have great insights into best practices for patient care and communication.

Community Pharmacists and the Affordable Care Act (ACA)

Another push for pharmacists to become educators comes from the Affordable Care Act, as they will be actively working to optimize medication adherence and reduce health costs. Specific pharmacists delivered services mentioned in the article were medication therapy management (MTM) and medication reconciliation. These services are set to enhance medication adherence and ensure better transition care between providers.

For more articles from SurroundHealth related to the changing role of community pharmacists, check out:

 Pharmacy and Public Health: what comes to mind?

ACA and MTM: Changing Community Pharmacy Practice

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3 Types of Barriers to Medication Adherence

You might think you know the barriers to patients taking their medication, but are you sure? Dr. R. James Dudl, MD, recently shared with us a list of the three types of barriers to medication adherence.

Dr. Dudl, Diabetes Lead at the Kaiser Permanente Care Management Institute, has 35 years experience in diabetes care. He’ll be speaking at an upcoming SurroundHealth health literacy webinar sponsored by the National Communication Association. The medication adherence barriers he’s listed are:

1) Patient-Related Barriers

Photo of Dr. R. James Dudl, Kaiser Permanente Care Management Institute

Dr. R. James Dudl, Diabetes Lead at the Kaiser Permanente Care Management Institute, talks about three types of barriers to medication adherence.

  • Forgetfulness
  • Lack of knowledge
  • Value of therapy
  • Cultural/ethnic
  • Denial
  • Financial
  • Health literacy
  • Social support

2) Medication-Related Barriers

  • Complex regimens
  • Side effects
  • Taking multiple medications
  • Length of therapy

3) Provider-Related Barriers

  • Poor relationship and / or poor communication with healthcare provider
  • Disparity between provider and patient around cultural / religious beliefs
  • Lack of feedback and ongoing reinforcement from the provider
  • Providers / pharmacists emphasizing negative aspects of the medication (side effects with minimal solutions) instead of the benefits

Dr. Dudl will be speaking on April 24, 2013, about how to overcome these barriers by using the “Ask-Educate-Ask” method. This approach combines the teach-back method (for improved comprehension) and motivational interviewing (for busting through barriers to adherence).

Registration is free, and attendees can receive free CEUs (approved for RD/CHES/MCHES). In addition, an archive will be available for all members of SurroundHealth. Register now.

This blog post was written by Sarah Scalet, Content Director for SurroundHealth.

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Growing our connection and reach

March was a busy month for SurroundHealth, and we just wanted to recap and share with you some of our favorite moments and milestones throughout the month, as well as give a heads-up of what to expect in April.

We love talking to our members

American_Pharmacists_Association_LogoEarlier in March, we attended the American Pharmacists Association (APhA) conference in Los Angeles. We had a great time connecting with all the pharmacists there and were thrilled to welcome 600 new pharmacists into our community.

Membership Milestone

SurroundHealth now has over 4,000 members! We are so honored to have such a well-blended mix of health professionals to learn and share with. If you’re looking for expertise in another practice area or to make a professional connection, check out or list of members.

Webinar highlights

We recently hosted two of our biggest webinars yet! We had over 500 registered for our

latest webinar, and as always loved hearing all the questions during the webinar and the feedback afterwards. Here’s a little bit of information about the webinars, both of which could be viewed on the archive within SurroundHealth.

How to Engage Patients From Multicultural Backgrounds

Hear the highlights of an extensive survey about how healthcare providers are meeting the needs of diverse patient populations. Get practical tips from a panel of experts who’ve created programs to reach patients from a variety of cultural backgrounds. And come away with a better ability to offer the best possible care.

Health Literacy – Understanding the Problem and Developing Clear Solutions

National Communication AssociationThis National Communication Association-sponsored webinar helps providers in Patient-Centered Medical Home (PCMH) settings and other kinds of practices understand importance of creating patient-centered, clear health communication for all individuals. It also teaches specific practices that can help reduce health literacy barriers, including information about the 3 levels of health literacy skills.

Upcoming health literacy webinar: Skills for Moving from ‘Mission Impossible?’ to ‘Mission Accomplished’, April 24- 1PM EST. Also offering CEUs (approved for CHES/RD). Register for free.

Some popular articles on SurroundHealth

We had lots of new articles come through in March—here are some of the most popular ones contributed by our members:

Motivational Interviewing Skills & Techniques

  • Anne Jani, MPH, gives examples, tools and tips about motivational interviewing, an approach used to help a patient make a positive behavior change.

Using Insulin Early For Tighter A1c Control

  • Joanne Rinker RD, CDE, discusses new research about the importance of insulin therapy and how to overcome patient resistance.

Different Applications of the Health Belief Model

  • Maidel Del La Cruz, a student, explores six main constructs that influence people’s decisions about whether to take action on their health

See, Hear, Do: How Videos Improve Patient Education

  • Video can’t replace personal interaction, but it can definitely supplement the patient education you normally provide during office visits, according to this article by our very own Dominika Murphy, MPH, CHES.

For more articles and information about webinars, visit us on SurroundHealth!

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Healthy Literacy Webinar Offers Tips on Creating a Patient-Centered Practice

Health literacy is more than just the ability to read health information. It encompasses many different areas of a patient’s healthcare experience, from before they even enter the examination room.

That’s a key takeaway from our National Communication Association-sponsored webinar, “Health Literacy: Understanding the Problem and Developing Clear Solutions.” We had a terrific turn out and were lucky enough to have two of our very own HealthEd family members present and share their expertise on health literacy and how to create a patient-centered practice.

SH_HealthLiteracyWebinar

Photographed prepping for the webinar: Ken Thorlton, SVP & Creative Director, Rita Williams, MA, CHES, Director of Health Education, and Dominika Murphy, MPH, CHES, SurroundHealth Community Director.

Ken Thorlton, SVP & Creative Director, and Rita Williams, MA, CHES, Director of Health Education, focused on assessing five key areas within your healthcare environment:

  • Navigation
  • Print Communication
  • Oral Exchange
  • Technology
  • Policies and procedures

One of the key areas that they emphasized was Navigation (which includes things like telephone communication and the entrance and lobby). They provided examples of resources to help assess practice needs, such as:

  • Telephone Assessment. Provides you with a sense of the first impression people may have of your healthcare facility.
  • The Walking Interview. Helps you gain insight into the physical characteristics of your healthcare facility that you may not otherwise notice.

(Some of these assessment resources can be found on the archive within SurroundHealth.)

Since it’s well known that many people have a hard time locating or navigating through healthcare facilities, Thorlton and William also emphasized the importance of having simple and clear maps and signs throughout the facility, especially in the entrance and lobby. Finally, remember that placement can make a big difference. Guidance from clearly-marked staff to help visitors would also be a plus in creating a patient-centered practice.

SH_HealthLiteracyWebinar_Maps

Thorlton and Williams stressed the importance of using clear fonts and graphics on maps & signs around your healthcare facility to help navigate patients.

Here are some tips Thorlton and Williams gave on Maps & Signs:

  • Maps can be posted at various locations
  • Include a key (also identifying where you are) and be color-coded with facility as appropriate (i.e colors on the walls or floors)
  • Use consistent symbols, graphics, and words for your signs
  • Use common words and graphics

A final note was a reminder to develop an action plan that is specific to your institution, taking into account your priorities as well as costs and considerations. It is unlikely that any institution can eliminate ALL health literacy barriers, but you should address what you can based on what is feasible at the time.



Tips on Clear Communication

As far as actually developing these patient assets, Thorlton and Williams described Clear By Design, HealthEd’s 7 basic principles for crafting materials that are clear and easy to use. The first few from that list:

1)      Provide content that solves problems. Limit the number of concepts to be learned and focus on behaviors rather than facts.

2)      Write for easy reading. Use active voice, common words, and make sure to define new terms.

3)      Design for easy reading. Use adequate white space, appropriate type style and size, and provide consistency from page to page.

(Clear by Design principles and resources can be found on the archive within SurroundHealth.)

For more health literacy information from the webinar, check out the full recording on SurroundHealth.

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Infographic: How to Address 3 Levels of Health Literacy Skills

We’re so excited about our upcoming webinars on health literacy that we wanted to offer a sneak peek. This infographic on health literacy skills — “Health Literacy: Moving Beyond the Core” — will be part of the first of our two free webinars sponsored by the National Communication Association.

Image

A HealthEd infographic on health literacy skills that will be part of an upcoming SurroundHealth webinar

Two subject-matter experts from our parent company HealthEd will discuss how to evaluate and assess a medical practice environment for health literacy. The speakers are Ken Thorlton, HealthEd’s SVP and creative director, and Rita Williams, MA, CHES, director of health education.

This infographic shows the three levels that patients need to move through in order to improve their skills and take charge of their health.

Level 1: Core Health Literacy — Communication of health information results in an individual benefit.

Level 2: Engaged Health Literacy — Individuals are better able to act independently through increased knowledge, motivation, and self-confident.

Level 3: Influential Health Literacy — Individuals gain greater control over their life and events.

We hope you’ll register to join us at the free healthcare webinar on March 27. Afterwards, the webinar will be available for SurroundHealth members in our archives.

In addition to earning CEUs (approved for CHES/MCHES/RD), attendees will receive a high-resolution version of the infographic that they can use for internal training on improving health literacy skills.

Photo of Sarah Scalet, Content Director for SurroundHealth

This blog was written by Sarah Scalet, Content Director for SurroundHealth.

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Healthcare Providers Split on Whether to Start With English When Creating Materials in Other Languages

When creating education materials and programs in other languages, should healthcare providers start with an English language version, and then translate it into the languages spoken by their patients?

That’s a question that divided attendees at our free healthcare webinar, “How to Engage Patients from Multicultural Backgrounds.”

More than 200 healthcare providers attended last week’s webinar—most of them healthcare extenders, or non-MD patient-focused healthcare professionals, such as dietitians, health educators, pharmacists, social workers, and nurses. During the webinar, we asked attendees to answer an on-screen poll: “In translating education materials, one should first start with an English version, then translate to the appropriate languages.”

The results? 52% said false, and 48% said true.

“I guess you’re both right,” said panelist Zul Surani, who works on community outreach and partnerships at the University of Southern California’s Norris Comprehensive Cancer Center. However, Surani drew a distinction between simply translating materials, and truly adapting them to meet the cultural needs of the community in question.

“In terms of developing materials and translating materials, at the heart of [our] approach is the community,” Surani said. “The community’s knowledge, attitudes, health literacy level—all of those things inform the development of materials. A lot of what we do with materials and programs is adaptation versus actual translation. In some cases we do have to translate materials, but our community partners always review what we’ve developed, so that we’re able to be more responsive and effective.”

The involvement of community partners is considered a best practice for developing culturally competent materials. However, healthcare providers are often unable to take this step.

In a recent HealthEd Academy research report highlighted at the webinar, only 39% of respondents said that they “often” or “sometimes” involve community partners or key stakeholders in the development of patient education materials. 28% said they never do.

A key takeaway of both the report and webinar is that involving community workers is one of the biggest opportunities for healthcare extenders to improve how well they reach patients from diverse backgrounds, and also make them feel more comfortable once they enter the healthcare provider’s office.

To learn more, view a full recording of the webinar on SurroundHealth.

s_scalet

This blog was authored by Sarah Scalet, who is the Content Director for SurroundHealth.

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