by Changing Patient

Education

Synergy Broadcast Systems 16115 Dooley Road Addison, TX 75001 800-601-6991 * 972-980-6991 http://synergybroadcast.com

How to Reduce Hospital Readmissions...

Annual Cost of Medicare Readmissions

$26Billion

$17 B or 65% of Total

ReadmissionsConsidered Avoidable

Unless you do something to change this, Uncle Sam, will make you pay financially with penalties. Many hospitals have already been hit.

● 14% of in-patients will be re-admitted within one month of discharge.*

● 49% will be re-admitted within one year.*

The trends...

What’s the problem?

Why do so many come back?

Why do patients come back so fast?

Parts of healthcare appear broken...

50% of patients do not

understand the information they receive

while in the hospital.*

60% of patients do not

understand the information they are

given about an upcoming treatment or procedure.*

In a related study...

80% forgot what they were told, and

50% of the remembered data was recalled incorrectly.*

Patients Simply Don’t Understand...

75%of these readmissions could be prevented with

additional patient education*

Research shows that...

The Problem:

In spite of the

evidence and

advances in learning

and technology most

patient education is

still conducted like it

was 1950.

In the old medical model the

doctor had all the information

and told the patient what to take

and assumed that when the

correct relevant information was

provided behavior would change. provided behavior would change.

Health care is evolving...from the older medical model to one that is patient and family centered...but the patient must be included in the process for this to work.

The challenge is no longer finding the perfect medicine but

rather convincing the patient to take their medicine as

prescribed. It's no longer providing discharge instructions but

educating the patient so they understand the need to follow

through on behavior changes to avoid repeating the habits

that brought them back to the hospital.

Today’s environment is much different...

Today’s nurse must add

new people skills.

Besides a nurse and teacher

today’s nurse must also be a

facilitator and coach.

These skills play a key role in the

patient's long term success or

failure.

Facilitator

Teacher Coach

Nurse

Teacher

Facilitator

As a facilitator, the nurse must find ways to make it easier for the patient to understand their situation:

● Incorporate video and other tools into the patient’s overall education plan.

● Mix up the teaching methods and tools to keep learning fresh.

● Individualize teaching for each patient.

● Multiple options help the patient learn.

● Involve family to strengthen the circle of knowledge.

As a Coach,

the goal is to prepare the patient

for life after discharge

Coaching means understanding the patient’s beliefs and what they value and using this information as motivation to help them understand the importance of following through on behavior change.

It’s also helping the patient find the confidence, through learning, to adopt new habits and make lifestyle changes they can stick with to avoid coming back.

Old ModelDischarge instructions:

● List of do’s and don’ts● Medication reminders● Instructions to see your doctor

in a few weeks.● Problem: Does not work.

● Patient Assessment begins at admitting.● Assess often to determine patient’s knowledge.● Learn how they like to learn.● Involve and individualize for the patient.● Use teach back to determine progress.● Use video to deliver information in simple terms.● Establish what to look for and follow up after. ● Coach to develop the confidence and skills needed for self-

care after discharge.● Discharge instructions become reminders.

Patient Education Models: Old vs. New

New Model

Steps to Success

1. Make sure patient education is a priority for every

department including Administration.

2. Introduce a simple and easy to follow patient education

process and train everyone.

3. Train your staff. Don’t assume that because one has a

medical degree they know how to teach or relate to those

with little or no knowledge of how the body works.

4. Provide staff with an education support tool they can use

with every patient - video.

5. Train staff on how to use video to help patients learn.

6. Monitor on a regular basis to keep staff engaged.

Why Video? ● It uses sight, sound and music to tell a story.

● Utilizes animations instead of graphic medical images.

● Helps explain complex medical topics in plain language.

● Conveys emotion to illustrate the benefits of changing behavior versus

the consequences of continuing unhealthy habits.

● Helps overcome education barriers.

● Bridges language gaps.

● Helps model proper behavior to present realistic examples to follow.

● Delivers its message consistently when staff will often forget some

details.

● Is universally accepted as a great way to learn and share information.

● Saves the nurse’s time and expands their impact with patients.

Video can be delivered in many ways but video on demand to the patient’s room is the easiest and most cost effective method.

● It uses your existing televisions and cable TV system.● Uses your existing phone system with Caller ID to make it easy. ● There's a web interface for staff.● It’s available 24 hours per day 365 days a year. ● Patients can watch when they are ready and able to learn (aka the

“teachable moment”).● Nurses customize the viewing experience with specific videos for

each patient’s situation.● Patients and their families can easily re-watch programs at any time.

How

Video on

Demand

Helps

Facilitate

Education

“Retention is improved through words and pictures rather than

through words alone.”Mayer, R. (2001). Multi-Media Learning.

Cambridge University Press.

Video on Demand Helps Your Facility:● Adds hundreds of hours of

educational content for your patients● Ensures consistency of message● Improves patient engagement● Helps patients formulate questions● Improves documentation with

electronic automation● Sets your hospital apart from others

“Most health care is self-care. Professionals provide only a small fraction of all health care.

After saving lives, the most important thing we provide is patient and family education. It promotes and supports the behavioral changes that improve health outcomes.”

Fran London, MS, RN author, No Time to Teach. What’s the greatest gift you can give your patients?

Help them understand.

Educate and prepare them for life after discharge.

Want More Information?

1. Want to learn how to use video in patient education?

Download our e-paper on How to Flip Patient Education

for Better Results.

2. For more information on video on demand please visit

our website.

3. Click here for a free budgetary quote.

Call Us at:

800-601-6991

Inadequate Functional Health Literacy Among Patients, JAMA, Dec 6 1995, Vol 274 No. 21

http://jama.ama-assn.org/cgi/content/abstract/274/21/1677.

Patients Memory for Medical Information Roy P. Kassells

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC539473/?tool=pubmed

Hospital Readmissions as a Measure of Quality of Healthcare Advantages

and Limitations, Jochanon Benbassar, MD, Mark Taragin, MD, MPH. 2000;

160: 1074 – 108.

http://archinte.ama-assn.org/cgi/content/abstract/160/8/1074

*Sources:

About Synergy Broadcast Systems

Synergy Broadcast Systems has been providing hospitals with turnkey video solutions for over 25 years.

Our solutions include Video on Demand, Patient Education Systems, Patient Education Channels, Relaxation Channels, Welcome Channels and Web Streaming.

Synergy Broadcast Systems16115 Dooley Road, Addison, TX 75001

972-980-6991 800-601-6991972-980-6994 Fax

http://synergybroadcast.com

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