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IMPROVING HEALTH LITERACY Molly Toon DNP, RN, CPNP-PC
[email protected] 806 743 6687
3601 4th St. STOP 6264 Lubbock, TX 79430
Healthcare information can overwhelm even persons with advanced literacy skill especially in an unfamiliar setting and stressed by healthcare issues. To improve health literacy, it is necessary for healthcare providers and organizations to be health literacy competent and to apply that knowledge as healthcare information is presented to patients and families. The field of health literacy has proven the benefits of understandable instructions. Identifying methods to ensure information is understood is the logical next goal. Knowledge obtained from this project informs the process of improving communication and building health literacy skills for inter-professional providers and for patients/families.
A B S T R A C T
P R O J E C T S I T E A N D T E A M
G A P A N A LY S I S P R E / P O S T: P E D I I D T E A M
P U R P O S E O F T H E P R O J E C T To i m p r o v e t h e e d u c a t i o n o f p a t i e n t s a n d f a m i l i e s e n a b l i n g t h e m t o u n d e r s t a n d a n d p a r t i c i p a t e i n t h e i r p l a n o f c a r e
R E S U LT S P R E / P O S T: PAT I E N T / FA M I LY B R I E F F E E D B A C K F O R M
Academic-based Pediatric Infectious Diseases (Pedi ID) Clinic • Limited hours Tues-
Thurs AM • 2 sites
Participants • Pedi ID Team (8) • Pedi ID Patients &
families • 169 Patient Encounters
Health Literacy Team • Physician-Content
expert • Pediatric Nurse
Practitioner-Facilitator • Clinic Nurse-Tactical
Assistance
F R A M E W O R K
Agency for Healthcare Research and Quality (AHRQ) Health Literacy Universal Precautions Toolkit • Evidence-based resource
• Provides tools and guidance
• Supports national standards
I M P R O V I N G W R I T T E N C O M M U N I C AT I O N
BASELINE ESTABLISHED
I M P R O V I N G S P O K E N C O M M U N I C AT I O N
0
20
40
60
80
100
120
Staff can write easy-to-read
Gets pt. feedback Assess if easy-to-read Concise;plain language Other languages Forms easy to fill out
Improving Written Communication
Pre Post Goal
0
20
40
60
80
100
120
Meets regularly (p=0.0490)
Re-assess and updates
Plan & collect data (p=0.0105)
Educated about literacy
Agreed to support Understand H.L. universal
precautions
Implement & test changes (p=0.0490)
Preparation for Practice Change Pre Post Goal
0
20
40
60
80
100
120
All speak plain lang./mod.pace All listen no interrupt p=0.0490 <5 points & repeat Clinicians discuss materials Teach-back own words Offer help with forms
Improving Spoken Communication Pre Post Goal
Collected Surveys
85/169 survey return
Goal Met
Success Continue
Materials Created;
Education
50% increase
Goal Met
Success Continue
Staff Education
Self evals
Improving
Success Continue
SetGoalImplement
ImprovementMeasureChange
ReviseorContinue