health literacy what’s done and what’s left to do
DESCRIPTION
Health Literacy What’s Done and What’s Left to Do. Paul D. Smith, MD, Associate Professor UW Department of Family Medicine [email protected]. Please complete evaluation. Orange form in packet Drop off at registration desk. Topics today. Literacy VS health literacy - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/1.jpg)
Health Literacy
What’s Done andWhat’s Left to Do
Paul D. Smith, MD, Associate Professor
UW Department of Family Medicine
![Page 2: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/2.jpg)
Please complete evaluation
Orange form in packet
Drop off at registration desk
![Page 3: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/3.jpg)
Topics today
Literacy VS health literacy
History of health literacy
What’s new
Where are we now?
What’s next
![Page 4: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/4.jpg)
What is Literacy?
Literacy is a combination of skills:
Verbal
Listening
Writing
Reading
![Page 5: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/5.jpg)
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.”
![Page 6: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/6.jpg)
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.
![Page 7: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/7.jpg)
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.
![Page 8: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/8.jpg)
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.
![Page 9: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/9.jpg)
History - 1990
Health literacy appears in medical literature
Start to see reports of correlation between
literacy and health outcomes
![Page 10: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/10.jpg)
History - 1993
National Adult Literacy Survey (NALS)
First nationwide assessment of adult literacy
![Page 11: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/11.jpg)
History - 1993
Rapid Estimate of Adult Literacy in Medicine
REALM
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.
![Page 12: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/12.jpg)
History - 1996
National Institute for Literacy
Health and Literacy listserv starts
http://www.nifl.gov/mailman/listinfo/Healthliteracy
![Page 13: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/13.jpg)
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.
![Page 14: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/14.jpg)
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.
![Page 15: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/15.jpg)
History - 2003
Paul Smith stumbles on issue
1st attempt at a health literacy grant
1st of many failures
![Page 16: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/16.jpg)
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
![Page 17: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/17.jpg)
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
![Page 18: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/18.jpg)
History - April 2004
Institute of Medicine
A Prescription to End Confusion
Comprehensive evaluation and recommendations
http://www.nap.edu/catalog/10883.html
![Page 19: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/19.jpg)
History - July 2004
First Wisconsin Health Literacy Summit
David Kindig, PhD
~50 attendees
Paul Smith’s first health literacy presentation.
![Page 20: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/20.jpg)
History - 2005
Wisconsin Literacy, Inc.
First meeting of Health Literacy Committee
![Page 21: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/21.jpg)
History - 2006
Wisconsin Hospital Association
Webcast presentations
Focus group project funded
American Academy of Family Physicians
Emotional response: stress, shame, fear
![Page 22: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/22.jpg)
History - 2007
Health Literacy Summit 2
220 attendees
3 national speakers
Webcast presentations
Regional Health Literacy Committees created
![Page 23: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/23.jpg)
History - 2008
Regional Initiatives
Needs analysis
Surveys
Brochures, PowerPoint
Wingspread Conference
![Page 24: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/24.jpg)
History - 2009
Health Literacy Summit 3
238 attendees
Andrew Pleasant and other national speakers
Pre-conference meeting of state
representatives
![Page 25: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/25.jpg)
History - 2009
Projects
Nursing health literacy curriculum
Improving Hospital Health Literacy Environment
Ask Me 3
What to do When Your Child is Sick project
![Page 26: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/26.jpg)
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
![Page 27: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/27.jpg)
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.
![Page 28: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/28.jpg)
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
![Page 29: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/29.jpg)
What’s new?
www.healthliteracymissouri.org
Health literacy materials library
Searchable database
Easy to read patient education materials
Published articles
Health literacy tools
![Page 30: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/30.jpg)
Agency for Healthcare Research and Quality
Consumer Assessment of Healthcare Providers
and Systems Questions (CAHPS)
Health literacy supplement
www.cahps.ahrq.gov
![Page 31: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/31.jpg)
Agency for Healthcare Research and Quality
Health Literacy Universal Precautions Toolkit
http://www.ahrq.gov/qual/literacy/
Universal precautions VS testing for health literacy
![Page 32: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/32.jpg)
Agency for Healthcare Research and Quality
Informed Consent and Authorization Toolkit for
Minimal Risk Research
http://www.ahrq.gov/fund/informedconsent/
![Page 33: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/33.jpg)
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/
![Page 34: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/34.jpg)
HHS Action Plan to Improve Health Literacy
Seven goals
1. Develop and disseminate health and
safety information that is accurate,
accessible, and actionable.
![Page 35: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/35.jpg)
HHS Action Plan to Improve Health Literacy
2. Promote changes in the health care
system that improve health information,
communication, informed decision
making, and access to health services.
![Page 36: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/36.jpg)
HHS Action Plan to Improve Health Literacy
3. Incorporate accurate, standards-based,
and developmentally appropriate health
and science information and curricula in
child care and education through the
university level.
![Page 37: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/37.jpg)
HHS Action Plan to Improve Health Literacy
4. Support and expand local efforts to
provide adult education, English language
instruction, and culturally and linguistically
appropriate health information services in
the community.
![Page 38: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/38.jpg)
HHS Action Plan to Improve Health Literacy
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.
![Page 39: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/39.jpg)
HHS Action Plan to Improve Health Literacy
7. Increase the dissemination and use of
evidence-based health literacy practices
and interventions.
![Page 40: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/40.jpg)
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
![Page 41: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/41.jpg)
What’s New?
Medline Plus website redesign
http://www.nlm.nih.gov/medlineplus/
Easy to read materials
Interactive videos
![Page 42: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/42.jpg)
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
![Page 43: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/43.jpg)
Where are we now?
Discussions of:
Health literacy definition
Health literacy measurement
Health professional curricula
National health literacy advocacy organization
![Page 44: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/44.jpg)
Where are we now?
82nd health literacy presentation
![Page 45: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/45.jpg)
What’s Next?
More research and dissemination of results
AHRQ document rating system
More health literacy regional conferences
![Page 46: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/46.jpg)
What’s Next?
Become part of the healthcare reform?
Response to Action Plan?
![Page 47: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/47.jpg)
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?
![Page 48: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/48.jpg)
What’s Next In Wisconsin?
Health Literacy Summit IV
April 12 – 13, 2011
Conference grant application
Health materials development workshop
Wingspread Conference follow up
![Page 49: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/49.jpg)
What Can You Do?
Learn more
Continue to raise awareness
Start small
Integrate health literacy into current efforts
Connect with collaborators
![Page 51: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/51.jpg)
Questions?
Comments?
![Page 52: Health Literacy What’s Done and What’s Left to Do](https://reader035.vdocuments.net/reader035/viewer/2022062217/568145df550346895db2e187/html5/thumbnails/52.jpg)