StandPoint Best Practices in Patient Ed

8/7/2019 StandPoint Best Practices in Patient Ed

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Best Practices in Patient Education:

Providers Point of View

April 14, 2010

SOURCES OF PATIENT EDUCATION TODAY

WEBINAR

Presented by

Kip Creel, President

StandPoint, Inc.


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informed decisions, proven results.

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PATIENT EDUCATION 2

1. What are the branding standards for patienteducation?

2. What are the sources of patient education used

most often in the provider practice?

3. What are the most effective formats for patienteducation?

4. What is the teachable moment and why is it

important?

5. What role does the Internet and EMR play in thedelivery of patient education?


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METHODOLOGY

Extensive literature search.

Four in-office observations. Two each in Atlanta, GA and Des Moines, IA.Specialties: Family practice, internal medicine, gastroenterology, and

neurology.

2-hour focus group of private practice nurses, nurse practitioners, and

physicians assistants in Atlanta, GA.

2-hour focus group of MDs in Chicago, IL. Specialties: internal medicine,

cardiology, gastroenterology, and neurology.

Survey among 150 private practice clinicians. Split equally among MDs and

Nurses / PAs and GP vs. specialists.

MDs vs. Nurses and Physicians Assistants

Clinicians in general practice vs. specialty

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SOURCES OF PATIENT EDUCATION TODAY

Multiple Responses Permitted

(n=153)

What are the current sources of patient education used most often in your

practice?

Patient accessible in-office brochures / pamphlets 67%

Materials from pharma and/or device companies 63%

Patient advocacy groups 54%

Staff-created 50%

Local hospital / health system 31%

Professional society 20%

Physician / Clinician is the gatekeeper.

Industry an important, respected source of patient education material

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POLLING QUESTION #1 5

Question 1: Who in your organization is involved in the creation of patient education materials?

a) Marketing / communications

b) Patient education department / resident expert / nurse educator

c) Agency or outside vendor that specializes in this

d) Other (please specify)


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BRANDING STANDARDS

Class CharacteristicsBrand

PermissionComments

High

incidence

conditions

-Lots of generics

-Multitude of

treatment options

-Established

brands

Corporate

level

Merck: We are a very large practice and they have even consulted with

me on designing specific patient education materials

Merck: They do a great job on their non-branded materials. It really

helps to build goodwill with the whole company.

Pfizer: They provide us great information on their medicines but also

information related to diet and exercise.

Lilly: They have a reputation for unbiased materials.

Portfolio

Marketers

SpecialtyPharma

-Company focused

on specific disease

or function

-Various treatment

options availableto patient

Corporate

level with

product

layering

Shire: Comprehensive information about ADHD. Information available for

the child, parent, teacher and physician. Shire provides doctors with

assessment scales to be used for the patient. There are materials

understandable to young children, adolescents and adults.

Biogen: Has educational materials for MS patients which providegeneral information about the different treatment options the company

provides.

(n=153)

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7/20informed decisions, proven results.

7BRANDING STANDARDS (continued)

Class CharacteristicsBrand

PermissionComments

Biologics

New

modalities

Devices

Low

incidence

conditions

Strong instructional

needsProduct level

Epipen: They have a DVD that details how and when to use the

product.

St. Jude Medical: Great information about their devices in written and

DVD forms and models provide for our use in the office.

Chantix: Options for smoking cessation as well as information about

their medications.MiniMed Insulin Pump: DVD and USB flash drives with product demos

and product information.

Elmiron (Interstitial Cystitis): Patient symptom check-lists/easy to use

diet information/patient magazine with great pictures, diagrams and true

patient stories. Patient counseling tools.

Cyberonics (Vagus Nerve Stimulation): Cyberonics holds informative

seminars for the potential patients and family members; they provide

DVD's with useful information; they also provide access to conference call

with patients who have already have the device.

(n=153)

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8ESSENTIAL COMPONENTS OF PATIENT EDUCATION

31%

22% 22%

12%

7%

3%

Information onDiseaseProcess

Compliance Lifestyle Acquisition TreatmentOptions

Side Effects

Mean (n=136)

Respondents indicated priorities by allocating 100 points across the items.

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When designing an ideal patient education piece, how much emphasis

should be placed on each of the following?



9POLLING QUESTION # 2 9

Question 2: As it relates to patient education, which of the following have you made available to

physicians and support staff?

a) Internet-based materials that can be downloaded

b) Printed materials

c) Educational sessions for patientsd) DVDs (other electronic media) for providers and patients

e) Other (please specify)



10WHATS IMPORTANT

Above Average

5th to 8th grade reading

levelLots of visuals and

illustrations

Printed handout

Short and concise

Slightly Above Average

Patient education andsamples in close proximity

Educational session for

clinician on best practices

in patient education

Educational session for

clinicians from those whohave achieved successful

outcomes in smoking

cessation, weight loss,

alcohol reduction

Average

On a tear pad

Blank space to write in lab

values / treatment plan

General information for family

practice

Detailed information for

specialist

If prescribingclear brand

reference

If not prescribingless evident

brand reference

Patient education from parent

companynot brand

Mfg document patient non-

compliance and notify provider

Sponsored educational

sessions for patients

Below Average

On a CD / DVD for patient

to take home

Reference card for clinician

(n=153)

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Understand and Support the Teachable Moment



11TEACHABLE MOMENT 11

Is the educational piece designed for initial diagnosis or later?

Seriousness of diagnosis

Degree of involvement of family members

Sensitivity / stigma associated with diagnosis

Teachable Moment Considerations:



12TEACHABLE MOMENT (TM) FLOWCHART 12

Condition

INITIAL

DIAGNOSIS

Ubiquitous Conditions

not life threatening

(elevated cholesterol,

HPB)

Lifestyle Changing

(Diabetes, RA, ADHD)

Life Threatening

(HIV/AIDS, cancers)

Sensitive / Stigma

Treatment

Options by

GP

-Paper-based/ write in lab

values

-Lifestyle

-Web supplementation

Efficacy

Tolerance

Compliance

GP or

Specialist

GP or

Specialist

GP or

Specialist

-Disease process

-Lifestyle-Treatment options

-Info resources for patient(dont hit with too much info at

once)

-Layer more

detailed info-DVDs for

family

-Monitor

lifestyle /

compliance

-Disease process

-Info resources for patient

-Treatment options(dont hit with too much info at

once

Web resources

DVDs(respect privacy)

-Detailedtherapy info

-Care

management

/counseling

Teacher Resources

Focus of

Future TMs



13PATIENT EDUCATION ON DEMAND

78% of those surveyed access the Internet at their desk

to find and print patient education.

28% of those surveyed access the Internet in exam

rooms to find and print patient education.

(n=153)

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14ELECTRONIC MEDICAL RECORD (EMR)

59%

41%

Yes No

Does all or a portion of your practice location

utilize an electronic medical record (EMR)?

(n=153)

A 2008 estimate from the CDC indicates

that 38% of all MDs have access to apartially or fully functional EMR

42%

47%

53%

Search function that allows forquick identification of patienteducation materials during a

patient encounter

Pre-packaged patient education

materials built into the EMR thatthe clinician can print out on

demand

Ability to electronically scan yourown patient education documents

into the EMR so they can beaccessed on demand

EMR Capabilities


(n=90)

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15POLLING QUESTION # 3 15

Question 3: Has your organization considered Electronic Medical Records as a future channel

for the dissemination of patient education materials during a patient encounter?

a) Yes

b) No

NON PERSONAL PROMOTIONAL MATERIALS



16NON-PERSONAL PROMOTIONAL MATERIALS

77% of those surveyed personally review and sort their own mail

(n=153)

83 % of physicians surveyed personally review and sort their own mail (n=100)

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NON PERSONAL PROMOTIONAL MATERIALS




29% of those surveyed recall material from a pharmaceutical or medical device company that prompted

them to take a specific action.

(n=153)

7%

11%

68%

Received an email

It was mailed to me

Materials left by a sales representative

Where did you acquire this information?

What specific action did you take?

25%

27%

32%

43%

Filed the material away for future reference

Contacted a sales rep

Shared the information with others on staff

Visited the companys website

What prompted you to take action?

14%

43%

59%

A new therapy that I had never heard about before

A new therapy applicable to one of my patients

Patient education material


(n=44)

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(n=44)


(n=44)

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NON PERSONAL PROMOTIONAL MATERIALS 18




How often do you receive information from pharmaceutical and medical device

companies that is not relevant to you or your patient population?

3%

20%

53%

25%

Never Rarely Sometimes Frequently

According to our study 78%

or private practice physicianoffices receive information

that is NOT relevant to their

patient population

(n=153)

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NON PERSONAL PROMOTIONAL MATERIALS 19



19NON-PERSONAL PROMOTIONAL MATERIALS 19

What are the typical reasons you discard materials you receive in the mail from pharmaceutical or medical device companies?

31%

32%

35%

47%

67%

I can always go to the Internet on my own to research new therapies

I dont have time to review these materials

I get most of the information I need about a therapy from medicaljournals

Already prescribing the therapy and dont need new information

The therapy is not applicable to me or my patient population


(n=153)

CONTACT STANDPOINT 20


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Kip Creel, [email protected]

CONTACT STANDPOINT

1722 Montreal Circle, Suite A

Tucker GA 30084

770.270.4800 Phone

www.standpointgroup.com

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http://www.standpointgroup.com/http://www.standpointgroup.com/http://www.standpointhealthcare.com/

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StandPoint Best Practices in Patient Ed