Patient Centered Healthcare

1. Patient Centered Healthcare VHCF Nurse Practitioner Roundtable April 16, 2010

2. Agenda • Why Krames: who we are; what we do • Brief demonstration • Type 2 diabetes patient feedback • Nurses and Certified Educators feedback • Questions & answers

3. Why Krames Patient Education Interface? • Premier provider of patient education for over 35 years, Krames is a trusted supplier and partner to: • 300,000 nurses and physicians in hospitals and private practice • 86% of US hospitals • 80% of VA hospitals • Numerous employers of all sizes, including Fortune 500 corporations • Federal, state and local government agencies • Leading health plans • Major pharmaceutical companies

4. What Krames Offers • 3,000 HealthSheets on conditions, procedures, and wellness topics in Spanish and English • 2,000 medication information sheets in Spanish and English • 450 videos, 122 in Spanish • 27,000 highly illustrated images (anatomical, procedural, lifestyle) • 5th-- to 8th-grade reading level • Print-on-demand in clinic with patient customization • On-line health information access for patient and family • Interactive patient self-care, behavior change resources

5. Brief Demonstration https://www.kramesondemand.com/Login.aspx?URL=/index.aspx& http://www.myvirtualpaper.com/doc/BMH_Family_Medicine_Registry/GTGDB_01/2009042402/

6. Patient Feedback – Type 2 Diabetes “This tool is extremely valuable. When I was diagnosed with Type 2 diabetes, I did not get what I needed from the doctor. This would have been ideal for me.” “This is valuable information that one needs to know for long-term survival.” “ I just learned something new reading this and I have had diabetes for a while.” “I really like the quizzes at the end of each chapter – you think you know (the answer) but this helps confirm you know the correct information.” “The audio is helpful especially when I have trouble with my eyes. “ “I did not get a lot of this when I was diagnosed. …it tells you what you are doing and why you are doing it.”

7. A Recent Survey of Hospital Nurses Krames patient education enhances healthcare provider workflow and time spent with patients • Outcomes reported by Hospital Nurses included: • Increase patient confidence in following self-care instructions • Improve compliance with healthcare provider instructions • Improve adherence to medication instructions • Involve patients in their recovery • Support informed decisions • Reduce hospital admission rates

8. What Nurses Are Saying about Krames “The Krames On-Demand solution has proven to be a very valuable resource for bringing value to our patients by extending the communication with our patients between sick visits.” Eileen Stellefson Myers, MPH, RD, LDN, FADA “You not only save the time it would take a nurse to cover all the information, but you also give us something the patients can share with their families.” Alice Vrsan, RN, MSN, Del E. Webb Memorial Hospital “I have used Krames publications for more than 10 years—they provide 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.” Karen Esposito, RN, CDE, Hospital Corporation of America “Krames On-Demand is a valuable resource for our Nurse Practitioners and Physician Assistants. The Krames On-Demand site is user friendly, and the educational materials are comprehensive.The handouts provide the patients with the information about their condition and reinforce the treatment discussed during the visit.” Sharon Marti, Vice President of Operations, The Little Clinic, LLC

9. Questions, Insights, Dialogue For more information contact: Judy NanceManager, Professional SocietiesVitality Communications407 Norwalk St.Greensboro, NC 27407 Phone - 336-547-8970 ext 3361Mobile - 336-324-7158judy.nance@vitality.com