Missouri Health Literacy Enhancement

1. Missouri Health Literacy Enhancement February 22, 2007

2. Team Kathryn DeForest � Senior Program Officer Cynthia Hayes � Program Officer Amy Stringer Hessel � Program Officer Alyse Sabina � Program Associate Temekka Cannon � Program Assistant Donna Shoff � Grants Manager Betsy Schilling � Operations Specialist

3. Definition Health Literacy is �the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.� (Healthy People 2010)

4. Data Low health literacy Affects approximately � of the people living in the U.S. Costs the nation as much as $58 billion/year May be a factor in the reduced health state of many Missourians

5. History 2005 MFH Strategic Planning Committee ID�d health literacy components in previous proposals from 2002-2005 Recommendations of research by IOM & Community Preventive Services Task Force Reports in health literature concerning human & financial impact of poor health literacy

6. History External Advisors Dr. David Kindig Chair of IOM committee 2002 - 2004 Emeritus Professor of Population Health Sciences & Emeritus Vice-Chancellor for Health Sciences at the University of Wisconsin � Madison School of Medicine & Public Health Dr. Ruth Parker IOM committee Faculty at Emory U SOM in Atlanta Dr. Terry Davis IOM committee Faculty of Louisiana State U Assisted LA in constructing state Health Literacy plan

7. History Tier 1 - Resource Center TA to direct service providers Curriculum development Plan dissemination of programs throughout the service area Tier 2 � Community Grants Direct service providers

8. History RFA released May 2006 4 applications received/3 reviewed St. Louis Regional Health Commission University of Missouri-Columbia Missouri State University External reviewers Dr. David Kindig-U of Wisconsin Jean Krause � ACP Foundation Ed Bryant - Pfizer

9. Conclusions Staff recommended and BOD accepted approach where MFH will take a leadership role in convening a planning effort among the applicants Goal: Reduce duplication among applications Build on strengths of each organization Funding to be awarded during the 2007 grant making year

10. Present MHLE Coordinating Council Responsible for convening a collaborative effort focused on health literacy strategic planning and allocating activities based on individual institutional strengths 2 representatives from each of the 3 stakeholder groups and 3 MFH representatives Led by facilitator to promote open dialogue among council members & secure consensus of priorities resulting in a framework for the implementation of the MHLE PAG

11. Council Goal Complete an inventory of the strengths of each applicant organization Complete a strategic plan for health literacy in the service region Complete an implementation plan specifying roles of each organization

12. Council Charge MHLE Coordinating Council Charge The Coordinating Council (CC) will be responsible for convening a collaborative effort focused on health literacy strategic planning and allocating activities based on individual institutional strengths. Expectations Hold monthly meetings for the first 6 months Determine resources and structure needed to maintain operations of the CC Provide definition of health literacy elements that should be promoted Work together with each other and MFH to determine best methods of addressing each health literacy element across all regions, emphasizing collaboration and minimizing duplication of efforts Approve recommendations from the CC�s subcommittees Develop a strategic plan for improving health literacy in Missouri Be able to identify each stakeholders� role and responsibility in implementing the proposed plan Promote use of the strategic plan to revise applications or develop an alternative application MFH will incorporate the CC�s work and recommendations into its future health literacy programs Logistics: The CC will include 2 representatives from each of the three stakeholder groups MFH will hold 3 voting seats MFH will cover the costs of the CC, including consultant costs. Subcommittees Number and focus of subcommittees will be determined by the CC and will be formed within the first quarter (by the second CC meeting) CC members will volunteer to serve on subcommittees based on expertise (one representative/organization) Subcommittees may approve ideas/motions and present them to the Coordinating Council for its consideration in plan development.

13. Questions ???