The only choice for enterprise-wide patient education.

Patient Centered Care: Investing in a Patient Education SolutionApril 1, 2010

Agenda

• Krames: Who we are; What we doKrames: Who we are; What we do• What we can do for you• Patient-Centered Care and Patient EducationPatient-Centered Care and Patient Education• The Case for a Patient Education Investment• The Krames Difference Content• The Krames Difference – Content• Return on Investment• Overview of Krames Solutions• Overview of Krames Solutions

Krames Background

• Leading patient education for 35 yearsg p y• Who we reach:

– Over 40 million patients– 86% of hospitals– 80% of VA hospitals

1 500 corporations– 1,500 corporations– 300,000 physicians and nurses– 150 managed care companiesg p– Major pharmaceutical companies– 10 International Distributors

What Krames Offers

• Point-of-care Patient Education

• Patient-facing Health EducationEducation

• Multimedia Formats• Flexible Deployment Optionse b e ep oy e Op o s• Content Integration• A solution that fits your

needs• A solution that fits your

budgetbudget• Peace of mind

What Krames Can Do for You

• Improve relationshipsp p• Support shared decision making• Improve outcomes and compliancep p• Help patients manage their health• Promote your organizationPromote your organization• Support your Brand • Support your Systems InvestmentsSupport your Systems Investments• Reduce Risk• Save Time & Money• Save Time & Money• Cut Costs

Patient-Centered Care

Care that is truly patient-centered considers patients’ cultural t diti th i l f d l th i f iltraditions, their personal preferences and values, their family situations, and their lifestyles.

It makes the patient and their loved ones an integral part of theIt makes the patient and their loved ones an integral part of the care team who collaborate with health care professionals in making clinical decisions.

Patient-centered care puts responsibility for important aspects of self-care and monitoring in patients’ hands — along with the tools and support they need to carry out that responsibility.

When care is patient centered, unneeded and unwanted services can be reduced.

Institute for healthcare improvement

Patient-Centered Care

• Patient engagementg g• Information Sharing• Participationp• Collaboration• RespectRespect • Disease management• MotivationalMotivational• Action-Oriented• Entire continuum of care• Entire continuum of care

The case for investing in patient education

The healthcare industry now spends an unnecessary $73 billion per year in hospital stays and doctors visits simply because patients don’t understand whathospital stays and doctors visits simply because patients don t understand what their doctor is explaining or how to properly take prescribed medication.1

Patients remember approximately 10 percent of what they read, 25 percent of what they hear 45 percent of what they see 65 percent of what they hear andwhat they hear, 45 percent of what they see, 65 percent of what they hear and see, 70 percent of what they say and write, and 90 percent of what they say as they perform a task.2

Of those online, 86% are concerned about the reliability of the information they find at 25,000+ health-related websites, and 75% cite their doctor’s direction as the most important source for guidance to quality health content.3

“Krames provides patients with clear, easy-to-understand information. The graphics are excellent. They pinpoint all the need-to-know aspects of a patient’s disease state. Thank you, Krames, for making education easier.” 41 Center on an Aging Society2 Bateman, W.B., Kramer, E.J., & Glassman, K. S. (Eds.). New York: Springer Publishing Co., 363 Pew Internet and American Life Project and Cyberdialogue4 Karen Esposito, RN, CDE, HCA

The case for investing in patient education

• Evaluation your sources– Self-Producing

• Clinical time

Evaluation your sources

• ROI• Liability Risk• Marketing Resources• Marketing Resources

– Online Websites• Conflicting information• Questionable sources• Higher reading levels• Loss of personalization• Loss of personalization

Health Literacy

• Poor health literacy results in $69 billion inPoor health literacy results in $69 billion in health care costs annually.1

• 53% of adults have intermediate health literacy.% y• 14% have below basic health literacy• 27% to 30% of adults receiving Medicare and27% to 30% of adults receiving Medicare and

Medicaid have below average health literacy• Adults age 65 and older have lower literacy than du ts age 65 a d o de a e o e te acy t a

younger adults2

1. Safeer RS & Keenan J (2005). Health Literacy: the gap between physicians and patients. American Family Physician. August 1; 72,3:464.

2. The Health Literacy of America’s Adults. Results from the 2003 National Assessment of Adult Literacy Executive Summary. US Department of Education. National Center for Education Statistics. NCES 2006-483.5.

Health Literacy

• 20% of the American public cannot read above % pGrade 5.3

• Most adults read between the 8th and 9th grade l llevel.

• Most healthcare materials have been written at or above the 10th grade level 1or above the 10th-grade level.1

• Visual presentations have been shown to be 43% more persuasive than unaided 3% o e pe suas e t a u a dedpresentations4

1. Horner SD & Surratt D (2000). Improving readability of patient education materials. Journal of Community Health Nursing. 17; 1 11.17.

2. Persuasion and the Role of Visual Presentation Support:The UM/3M Study. D. R. Vogel, 0. W. Dickson, and J. A. Lehman. Management Information Systems Research Center. Working Paper Series, June 1986

Litigation / Malpractice Protection

• 1 in 6 physicians is subject to malpractice claims p y j peach year– Higher for high-risk specialties (neurosurgery, etc)1

• Failure to obtain informed consent is among top ten reasons for claims3

– Failure to disclose risks or alternative treatments– Failure to disclose risks or alternative treatments

1. The Medical Malpractice Insurance Crisis.  The Doctors Company. http://www.thedoctors.com/KnowledgeCenter/References/CON_ID_001180.  

2 Cohen T H and K A Hughes (2007 March) Medical Malpractice Insurance Claims in Seven States 2000–2004 NCJ 2163392. Cohen, T. H. and K. A. Hughes (2007, March). Medical Malpractice Insurance Claims in Seven States, 2000 2004. NCJ 216339. Washington, DC: U.S. Department of Justice, Bureau of Justice Statistics.

3. Glabman M. Top ten hospital malpractice claims [and how to minimize them]. Trustee.  2004; 57(2):12‐16

Litigation / Malpractice Protection

• 45% are unable to recall major risks1

• 44% don’t know nature of the operation2

• 60% do not understand or read the consent form3

• Patient recall after consultation is only 43%; this drops toPatient recall after consultation is only 43%; this drops to 38% 4 to 6 weeks later.4

• Good communication is key to effective informed consent practice

1. Patients as partners. Joint Commission Resources, Inc, Meghan McGreevey, Jcr, 20062 Byrne D J Napier A & Cuschieri A (1988) How informed is signed consent? British Medical Journal (Clinical Research Edition) 296(6625):839‐2. Byrne, D. J., Napier, A., & Cuschieri, A. (1988). How informed is signed consent? British Medical Journal (Clinical Research Edition), 296(6625):839

840. 3. Parker, R. (2000). Health literacy: A challenge for American patients and their health care providers. Health Promotion International, 15(4), 277‐283. 4. Herz DA, Looman JE, Lewis SK. Informed consent: is it a myth? Neurosurgery. 1992;30:453-8

Promotion

• Website contentWebsite content– Desired by patients– Improves preparationp p p– Improves compliance– Promotes your facility– Generates referrals

• Content Makes a Difference– Patient engagement– Better communication

Better experience– Better experience– Loyalty and Referrals

Additional Factors Influencing Patient Education

• Focus on preventativeFocus on preventative care– ARRA provides

$1 Billion in funding for prevention and wellness programs10wellness programs

Additional Factors Influencing Patient Education

• Increased adoption of healthcare ITp– $19 Billion in financial incentives to aid in the adoption

of HIT10

• Focus on greener operations across the entire facility

I i d f l t i l ti– Increasing need for an electronic solution

A Complete Multimedia Education Solution

Krames Difference: A Higher Standard of Content

• Content developed in-housep• Extensive Development Process• Health Literacy Awareness

– 5th to 8th grade reading levels– Suitability Assessment of Materials– Comprehensive yet digestibleComprehensive yet digestible

• Highly Illustrated• Peer Reviewed• Award-Winning

Krames Text

• Focuses on key informationinformation

• Main point receives primary position and most space

• Uses simple, concrete wordswords

• Breaks information into small, logical pieces

• Provides step-by-step instructions

• Gives practical tips to• Gives practical tips to improve daily lives

Krames Difference: A Higher Standard of Content

Krames unique approach to educational art highlights and promotes key education points while being less likely topromotes key education points while being less likely to distract attention away from the key health message.

Anatomical Art Lifestyle Art Procedural Art

Krames Artwork

Krames award-winning artwork, over 27,000 images, creates unique art-text synergy that makes Krames patient education more

effective and easier to comprehend.

Krames Difference: A Higher Standard of Content

Quality saves you money

• Krames content gives you all of this:

• Physicians, nurses and other healthcare professionals for

Krames content gives you all of this:

pexpert consultation and review

• Writers and designers trained in the principles of health literacy and behavior changeand behavior change

• Illustrators, including at least one who specializes in medical illustrationM di l dit hi ti t• Medical editors, graphic artists, and production managers

• A project manager to coordinate schedules and build consensus

Customer Surveys

Customer Surveys

Krames customer survey

Krames customer survey

• It makes it easier for patients to understand because pthey can look at the pictures as I explain.

• It helps create a dialog and provides for a better question and answer period by bringing up otherquestion and answer period by bringing up other questions they may not have considered

• A home reference…helps patients remember what p pthey’ve been told.

• Saves time by shortening the time spent answering basic common questionsbasic, common questions.

• Increases the comfort level and satisfaction of patients and shows you care.p y

• Makes my life easier.

Krames patient survey

Krames Electronic Patient Education Solutions

• Improve patient experience• Decision support• Break down language barriers• Break down language barriers• Streamline workflow• Support informed consent• Improve quality of care• Enhance perception• Build loyalty and trusty y• Cut costs• Help mitigate risk

• 3000 HealthSheets on Conditions, Procedures, and Wellness

• 2000 Drug Information Sheetsg• 3,000 additional after-care

instructions• Every handout in English and• Every handout in English and

Spanish• Hundreds of topics in 8

dditi l ladditional languages• Highly Illustrated• 5th to 8th grade reading level• Written to support health

literacy

• Simple interface • Quickly search or

browse for content• Manage content in g

folders to save time and standardize care

• Personalize sheets for the patient

• Facility logo on every printout

• Editing tool• Web-based, hosted by

Krames• Optional EMR Interface

Krames HealthSheets: Largest

• 3 085 English

Patient Education Library

• 10 Armenian• 3,085 English• 3,085 Spanish• 387 Russian

10 Armenian• 10 Hmong• 10 Farsi• 387 Russian

• 387 Chinese387 Vi t

• 10 Farsi• 10 Tagalog• 10 Korean• 387 Vietnamese • 10 Korean

• Drive web traffic• Reach a diverse audience• Support your brand• Build loyalty• Extend your reach

G f• Generate referrals• Improve competitive edge• Ensure consistency and• Ensure consistency and

standardization• Support informed consentpp

• Hundreds of streaming idvideos

• 3,000 Education topics• 2,000 Drug g

Information pages• Interactive Disease

Management tools• All content in English

and Spanish• Attractive, intuitive ,

interface• Customization options• Easy implementationEasy implementation

Video and illustrated articles on dozens of the most commonly searched health topics, including:

• Pregnancy

Cancer

• Herpes

HIV• Cancer

• Flu

• Depression

• HIV

• Anxiety

• Strokep

• Diabetes

• Addiction

• Cholesterol

• Hypertension

*Pew Internet and American Life Project and Cyberdialogue

• Same great benefits ofSame great benefits of Krames On-Demand or Krames Online

• Save even more time• Support systems pp y

investment• Flexible delivery

options• Content for EMR, HIS,

Intranet, Internet

• 3,000 Healthsheets,• 3,000 After-Care

instructions• 400+ Videos• XML, HTML, RTF

CPT ICD 9• CPT, ICD-9• MeSH• Tools for viewing editingTools for viewing, editing,

and managing content

• Save hours of clinical time• Connect with a wider

audience• Decision support• Decision support

– Dozens of procedural videos

• Support informed consent• Improve communication• Improve the perception of

your facilityyour facility• Enhance your patient safety

initiatives

• Enhance your website• Engage a wider audience• Engage a wider audience • Help patients prepare • Make a positive, lastingMake a positive, lasting

impression • Build loyalty • Generate referrals• Reach diverse audience

• Streaming video for point of care or your website

• Available in all streaming formatsFlexible package options• Flexible package options

• Pre-digitized formats for CCTV• DVDDVD• Over 430 videos to choose from• Multi-lingualg• Largest and most current video

library availableP t 360 id it• Put over 360 videos on your site with Krames Online!

• Largest & Youngest Libraryg g y– 30 – 40 new annually– 30 – 40 updates annually

• Right Length– 3 – 15 minutes (avg. 6 min)– Syncs with learning/retention

abilities• Evidence-based and peer-• Evidence-based and peer-

reviewed• Multiple Formats

– Windows Media– Quick Time– .mpeg1, .mpeg2, .mpeg4– Flash

Krames Video Solutions: Largest

• 252 English

Patient Education Library

• 5 Mandarin• 252 English• 112 Spanish• 25 Polish

5 Mandarin• 5 Cantonese• 5 Japanese• 25 Polish

• 10 Arabic• 5 Japanese• 5 Russian• 4 Vietnamese• 4 Vietnamese

• Standardized, automated i f d t l tiinformed consent solution

• Easy, intuitive interface for consent form preparation

• Seamlessly integrates form preparation with patient education on procedures

• Trusted, high-quality content from Krames

• Web-based – easy access ith h IT b dwith no heavy IT burden

• Reduce exposure to pmalpractice litigation

• Simplify & standardize consent form preparationconsent form preparation and documentation

• Enhance communication and ease patient fearsand ease patient fears

• Cut costs by employing an affordable, standardized

l tisolution• Provide consent forms

that facilitate communication.

• 200 illustrated patient education topics on key200 illustrated patient education topics on key procedures

• Many medical specialty areas coveredy p yOrthopaedic Surgery

AnesthesiaCardiac Surgery

OtolaryngologyPulmonologyRadiologyThoracic Surgery

GastroenterologyGeneral SurgeryGynecologic Surgery Thoracic Surgery

UrologyVascular Surgery

SurgeryHematologyNeurosurgeryObstetricsObstetrics

• Unique interactive kb kworkbooks

– Asthma– Heart Disease

H t F il– Heart Failure– Diabetes– COPD

• Multimedia format• Multimedia format• Comprehensive content• Easy to use

• Support disease management programs and communityprograms and community outreach efforts

• Build a relationship with the patient

• Promote lifestyle changes• Effectively engage patients• Accommodate diverse learning

stylesstyles• Support your brand and

differentiate your organization • Demonstrate your commitment y

to preventative care• Show your patients you care

about their health

Patients remember approximately 10 percent of what they read, 25 percent of what they hear, 45 percent of what they see, 65 percent of what they hear and see, 70 percent of what

2

Multimedia format includes:Online viewing

they say and write, and 90 percent of what they say as they perform a task.2

– Online viewing– Online viewing with audio– Printable pdfs (support

t l l t k )tools, logs, trackers)– Videos– Narrated Animation

Sequences (of physiology and disease process)

– End-of-chapter quizzes

• Specialty-specific patient education for websiteseducation for websites

• Packages of Page Turning Booklets (flash) and videos

• Orthopedics Package – 54 booklets, 37 videos

• Cardiology Package – 47Cardiology Package 47 booklets, 22 videos

• Fast, Easy Setupff• Affordable

• Coming Soon – General Surgeryg y

• Base Package – 10 booklets, 5 videos

• Promote your practice, y p ,clinic, or surgery center

• Support shared decision kimaking

• Increase Patient SatisfactionSatisfaction

• Drive Referrals• Access a robust patient

education library from your website

Krames helps support patient-centered care

• Improve relationshipsp p• Support shared decision making• Improve outcomes and compliancep p• Help patients manage their health• Promote your organizationPromote your organization• Support your Brand • Support your Systems InvestmentsSupport your Systems Investments• Reduce Risk• Save Time & Money• Save Time & Money• Cut Costs

Thank You!