Priester conference brach 4 6-12 with hyperlinks

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  • 1. Becoming a Health Literate Organization:Tools You Can Use from DHHS & Beyond Cindy Brach Center for Delivery, Organization, and Markets
  • 2. Overview Health Literacy Basics 10 Attributes of a Health Literate Organization Vision for the Future
  • 3. HealthLiteracyBasics
  • 4. Definition of Health LiteracyThe degree to which individuals havethe capacity to obtain, communicate,process, and understand basic healthinformation and services needed tomake appropriate health decisions. - Affordable Care Act
  • 5. Prevalence & Disparities Percentage of adults in each health literacy level, by race/ethnicity, 2003100% 12 2 4 7 3 14 1880% 41 31 45 Proficient 53 5960% 58 52 Intermediate 2540% 34 23 Basic20% 22 41 18 28 Below Basic 19 24 25 14 9 13 9 0% l N I te k ta AP nic l cia ac /A hi Source: NAAL To a AI W Bl a sp tir Hi ul M
  • 6. New Evidence Report Report found: More evidence of link between limited health literacy and poorer health outcomes Some evidence interventions can reduce disease severity, ER visits, and hospital admissions
  • 7. Health Literacy Equation X =Skills/Abilities x Difficulty/Complexity = Health Literacy
  • 8. Cycle of Crisis Care Koh et al. 2012
  • 9. National Action Plan to Improve Health Literacy Goal 1: Patient education materials Goal 2: Tools to implement system change Goal 3: Health education in school Goal 4: Adult Ed, ESOL Goal 5: Partnerships Goal 6: Fund research and build the field Goal 7: Dissemination
  • 10. Health Literate OrganizationsA health literate organizationmakes it easier for people tonavigate, understand, anduse information and servicesto take care of their health. Brach et al. 2012
  • 11. Attributes of HealthLiterate Organizations
  • 12. 10 attributesof a healthliteratehealth careorganization
  • 13. A Health Literate Organization1. Has leadership that makes health literacy integral to its mission, structure, and operations. Leadership: Makes clear and effective communication a priority Assigns responsibility for health literacy oversight Sets goals for health literacy improvement Allocates fiscal and human resources
  • 14. Attribute 2 A Health Literate Organization1. Integrates health literacy into planning, evaluation measures, patient safety, and quality improvement. Incorporates health literacy into all planning activities Conducts ongoing organizational assessments Measures the success in achieving the health literacy attributes and identifies areas for quality improvement
  • 15. CDC Health Literacy Planning ToolTool available fromCDCs health literacy site
  • 16. Pharmacy Health Literacy Assessment Tool 3 Parts: Assessment tour by objective auditor Pharmacy staff survey Pharmacy patient focus group guide Available from the AHRQ Pharmacy Health Lite Lit
  • 17. Measuring Patient Experiences: CAHPS Health Literacy CAHPS Item Set for Addressing Health Literacy - Supplement to Clinician/Group CAHPS Hospital CAHPS Supplement - coming soon Health Plan CAHPS Supplement - pilot testing
  • 18. National Benchmarking DataIn the last 12 months, how often did: This provider give you easy to understand instructions about what to do to take care of this illness or health condition? This provider ask you to describe how you were going to follow these instructions? Someone explain the purpose of a form before you signed it?
  • 19. Attribute 3 A Health Literate Organization Prepares the workforce to be health literate and monitors progress Hires diverse staff with health literacy expertise Sets and meets goals for training all staff and members of governing bodies Provides health literacy training and incorporates health literacy into orientations and other trainings Arranges for staff to take advantage of on- line health literacy training resources
  • 20. http://www.cdc.gov/healthliteracy/training/index.html
  • 21. Attribute 4 A Health Literate Organization Includes populations served in the design, implementation, and evaluation of health information and services Includes members of the population on governing bodies Establish advisory groups that involve individuals with limited health literacy, adult educators, and experts in health literacy Collaborate with community members in design and implementation of interventions and development and testing of materials.
  • 22. Attribute 5 A Health Literate Organization Meets needs of populations with a range of health literacy skills while avoiding stigmatization Adopts health literacy universal precautions, such as offering everyone help with literacy tasks Allocates resources proportionate to the concentration of individuals with limited health literacy
  • 23. Health Literacy Universal PrecautionsStructuring the delivery of care as ifeveryone may have limited healthliteracy You cant tell by looking Higher literacy skills understanding Health literacy is a state not a trait Everyone benefits from clear communication
  • 24. Health Literacy Universal Precautions Toolkit 20 Tools Quick Start Guide Path to Improvement Appendices Over 25 resources such as sample forms, PowerPoint presentations, and worksheets http://ahrq.gov/qual/literacy
  • 25. Attribute 6 A Health Literate Organization Uses health literacy strategies in interpersonal communications and confirms understanding at all points of contact Refrains from using medical jargon Confirms understanding (e.g. Teach-Back) Secures language assistance for speakers of languages other than English Limits to two to three messages at a time Encourages questions
  • 26. Reducing HealthLiteracy Demands
  • 27.