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Patient Education & Navigation Pilot Project
Lindley Wells, RN Disease Management Clinical Coordinator
LSU Bogalusa Medical Center
Identify Need
For a structured patient
education resource easily accessible to healthcare
providers in outpatient
clinic environment
Assessment: Current Process
Verbal Instructions by
Provider
Various Printed
Materials Clinic Specific
Micro Medex Online
Referral to Adult Learning Group Class
Referral for 1:1 Individual
Instruction
Clinical Barriers to Patient Education:
Time
AccessTool for
Document
Ability of
Patient
to wait
Anxiety Level
Ability to
return
Plan:•Develop Patient Education Booklet•Design Documentation Tool •Develop Patient Navigation Brochure•WILMA Staff Education•Orient Clinical Providers•Implementation Primary Med Clinics•Post Survey
Development: Patient Education Booklet
• Encompass multiple chronic disease processes•Utilizes self management tools•Encourages patient self regulation•Promotes annual immunizations•Promotes annual health screenings•Espanol•Low literacy•Cost efficient
Key Components:
Asthma Diabetes HIV CKD Heart
Failure
Healthy Weight HTN Men’s
Health
Women’s
Health
Immunizations
Breast Self
Exam
Testicular Self Exam
Tobacco Quit Now
PSA Support Group
How to
Use an
Inhaler? What is
my A1c?Are
screenings
confidentia
l?What is
a GFR?
My
Low
Salt
Diet?
Allows Provider to
Individualize Booklet to Patient’s Learning
Need
Provider Clinical
Color Copy
Your Healthcare Provider has requested that you read the following
sections of the
Patient Education Booklet:
____Asthma Care
____Diabetes Care
____Healthy Weight
____Heart Failure-CHF
____High Blood Pressure-HTN
____Kidney Disease
____Men’s Health Screenings
____Women’s Health Screenings
____General Health Screenings
Cost $1.54
Development: Patient Navigation Tool
•Patient Education Department•Patient Advocate•Medical Home Membership•LSU Patient Helpline•Appointment Scheduling Desks•Outpatient Clinic Supervisor•Medication Assistance Program •Outpatient Pharmacy•Laboratory & Radiology Services •Qualifications for Free Care•Directional Map
Outcomes:
Previously educated No previous education0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
39%
61%
Baseline Comparison of Education Status
Outcomes:
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
66%
Multiple Chronic Disease Educational Opportunities
Outcomes:
Diabetes Hypertension CKD CHF Cancer Screenings Asthma0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
74%69%
11%
2% 3% 6%
Disease Process Diversity of Educational Needs
Outcomes:
Extremely easy Somewhat easy Extremely difficult0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
96%
4%0%
Level of Understanding
Outcomes:
Extremely helpful Somewhat helpful Not helpful0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
96%
4%0%
Level of Helpfulness
Outcomes:
Yes No0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
100%
0%
Improvements in Overall Health
Outcomes:
Daily Weekly Monthly Less than Monthly Never0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
16%
44%
28%
16%
0%
Frequency of Reference
Outcomes:
Yes No0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
100%
0%
Recommendation to a Friend or Relative
Outcomes:
Booklet/Phamphlet Internet Text Message0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
89%
8%3%
Source Preference for Future Educational Materials
Questions: