Patient Education Resources

1. Patient Education Resources Nancy Clark Director, Medical Informatics Education , MD Informatics Director, Campus Patient Education Resources

2. Objectives • Teach medical students to educate patients • Recognize when and why a patient education materials would be needed • Identify the appropriateness of various patient ed materials • Find a patient education handout online • Determine the reading level of handout • Identify web sites, social media sites and mobile apps that support patient’s educational needs Patient Education Resources

3. Handouts • Worksheet • PowerPoint • Patient Ed Handout • Evaluation • Please complete your pre-workshop evaluation Patient Education Resources

4. Teach medical students to educate patients Patient Education Resources

5. Competency: Counsel and educate patients and their families (Patient Care) • Assess a patient’s health literacy: understanding of instructions, explanations of health problems, risk, treatment options, and ability to perform skills (i.e. self-injections, use of nebulizers, use of blood glucose monitor) • Provide effective one-on-one instruction to educate a patient. • Document patient education activities. Patient Education Resources

6. Observable Behaviors to Reinforce • Asks open ended questions (not Yes or No) to assess patient’s education needs and understanding of information/instructions provided • Avoids use of medical terminology, acronyms, and defines terms used • Documents patient ed provided in SOAPnote Patient Education Resources

7. Teach Students: Document Pt Ed • Assessment: • Document assessed patient education need • Plan: • Document patient education provided • “Patient was given handout #24…and reviewed…” • “…mobile app was recommended to help…” • “…website was recommended to patient for more information on… Patient Education Resources

8. Competency: Use information technology to support patient education (Patient Care) • Use appropriate applications at the point of care to supplement verbal instructions. • Assess a patient’s access to and ability to find and use technology to gain health information. • Select appropriate methods/materials to further educate the patient: handouts, models, videos, web sites, mobile apps, social media, support groups. Patient Education Resources

9. Why Patient Ed Resources? • Memory (Memory Test) • Anxiety • Hearing • Demand management • Communication • Complexity https://www.youtube.com/watch?v=nvwR74XpKUM Patient Education Resources

10. Health Literacy According to the National Assessment of Adult Literacy: • Only 12% of adults have Proficient health literacy.  • 9 out of 10 adults may lack the skills needed to manage their health and prevent disease.  • 14% of adults (30 million people) have Below Basic health literacy.  Patient Education Resources

11. Health Literacy Excerpt from “Health literacy and patient safety: Help patients understand,“ AMA Foundation (23 minutes), (YouTube), URL: http://www.youtube.com/watch?v=cGtTZ_vxjyA http://www.youtube.com/watch?v=BgTuD7l7LG8 4 min excerpt Patient Education Resources

12. Please complete the Worksheet We will use your topics as we look at the resources Patient Education Resources

13. FSU Patient Education Resources Patient Education Resources

14. Strategy • Pick one topic that is commonly seen in your office that would benefit from a handout, a video/animation, web or a social media site. • Use that topic to compare all the different resources we visit • Suggestions: Asthma, ADHD, Breast Feeding, Carotid artery surgery Patient Education Resources

15. Suggestion: Look for Printer Friendly View Handouts Sample Ferri’s Netter handout Patient Education Resources

16. Typical Office Handouts • Prescription refill requests • Referral requests • How to help your doctor run on time • The role of midlevel providers • Doctors' availability after hours • Procedures for school physical appointments Patient Education Resources

17. Others • Medication Schedule • Wound Care Instructions • Community Resources • Immunization Schedule/Record • Disease management • More… Patient Education Resources

18. Handout Considerations • Reading level • 5thto 7th Grade • Language/Ethnicity/Cultural • Design • Large font (over 40) • 1-2 pages best • Illustrations • helpful Patient Education Resources

19. Considerations • Content • Accurate, objective, up-to-date, less is more. • Demand-management value • When to call physician or go to ER • When NOT to call • Source • unbiased • Generation • 15 yr olds versus 75 yr olds Patient Education Resources

20. Questions • Does your EMR have patient education handouts built in? • Are they easy to read? • Do you agree with the content/instructions in the handouts? • Do they address the educational needs of your patients? Patient Education Resources

21. Patient Education Reference Center • New Resource from EBSCO Patient Education Resources

22. Patient Education Reference Center • 6000+ handouts • Diseases & Conditions • Discharge Instructions – good demand mgmt • Procedures and Lab Tests • Drugs – include overdose instructions • Reading Level 3rd-7th grade • Customizable – Add patient’s name and clinic information Patient Education Resources

23. Printing from PERC Patient Education Resources

24. ClinicalKey Patient Education Resources

25. Email Option Considerations • Many resources have print and email option: PERC, ClinicalKey, Epocrates…. • You type in email address of To: and From:, and they send thru their system • Some pull up your email program (Outlook) • Those using their system collect data and provide to vendors for promotional and other purposes. NOT private. Patient Education Resources

26. Suggestions for Emailing Handouts • Do not use resources email service • Save the file on your computer or shared drive • Use secured Patient Portal or email system to send URL or PDF files to patient • Use caution – think HIPAA Patient Education Resources

27. Patient Education Resources

28. PDF Handouts • Any PDF can be saved to the computer • File inserted into most EMRs • Or Print good handout to PDF Patient Education Resources

29. Epocrates Online ($) • Drug handouts are under each drug • Provided by Cerner Multum, Inc. • High reading level • Curated disease handouts under Patient Resources (New) Patient Education Resources

30. MedlinePlus Drug Handouts Patient Education Resources

31. Pediatric Care Online Patient Education Resources

32. Access Medicine • McKesson Handouts: • Adult, Pediatric, Medicines and Acute Adviser Modules (4000+ handouts) • Languages: • All in English and Spanish • Select handouts in other languages like French • Adult and Peds only • 5th-8th grade reading level Patient Education Resources

33. How to Use Handout • Train Staff/Students • Sit next to patient • Review with patient • Provide pen/marker • Point with finger to items • Communicate priorities (most important point) • Check for understanding (health literacy and reading literacy) ADA Recommendations for Diabetic Educators Patient Education Resources

34. Websites for Patient Ed Patient Education Resources

35. Why Use Websites • Same reasons as handouts • Can be used during encounter to illustrate concepts, provide visuals • Added value: • Animations • Videos • Audio • Continued self education post encounter Patient Education Resources

36. Considerations • Open access to internet in office (hospitals are notorious for blocking internet access) • Place set up so patient can see the computer screen easily • Hearing of patient –headphones handy? • Vision of patient – big screens • Access to internet by patient at home Patient Education Resources

37. Patients Do Use the Internet • According to Pew, 80% of internet users (79% adults) or 59% adults look for health information online • The quality, reliability, applicability to patient varies widely • Guide the 59% who do to best sites – else give handout • Adults with chronic disease less likely than healthy adults to have access to the internet “Health Topics" (Pew Internet Project:). Available at: http://www.pewinternet.org/fact-sheets/health-fact-sheet/ Patient Education Resources

38. What are they looking up? 66%: Disease or medical problem 56%: Medical treatment or procedure 44%: Doctors or other health professionals (Social Media) 36%: Hospitals or other medical facilities 33%: Health insurance, including private insurance, Medicare or Medicaid 29%: Food safety or recalls 24%: Drug safety or recalls Pew Patient Education Resources

39. Finding Reliable Information • Let students teach patients to evaluate information found on web • Where did the information come from? • Who wrote it? Is it opinion or fact? • How current is the information? • Who is responsible for the content? • Helpful Handout at Familydoctor.org http://familydoctor.org/familydoctor/en/healthcare-management/self-care/health-information-on-the-web-finding-reliable-information.html Patient Education Resources

40. FamilyDoctor.org • From the AAFP • Excellent site to recommend to patients • Articles in English and Spanish (button top right of screen) • Print whole article for a handout • Effort to keep reading level below 6th grade Patient Education Resources

41. Google Knowledge Graphs • Google search results • Appears in box at top • Mostly people, history… • Added drugs from NLM database • Patient level of info Patient Education Resources

42. YouTube.com Videos • Healthcare organizations, medical schools, individual physicians posting patient ed videos. • Ads occasionally. • Some animations for sale. Samples on YouTube • Reviewed by users. Patient Education Resources

43. Example Patient Ed Animations. Posted by FSUCoM. https://www.youtube.com/user/FSUMedMedia Patient Education Resources

44. Healthfinder.gov (free) • DHHS curated web sites on health topics • Organized links to free online resources Patient Education Resources

45. Medline Plus from NLM (free) • NLM curated web sites on health topics Patient Education Resources

46. MedlinePlus Drug Handouts Patient Education Resources

47. Medline Plus Resources Patient Education Resources

48. Medline Plus Videos Patient Education Resources

49. Prevention, Public Health and Population Resources • Travelers' Health CDC • Healthy People 2010 (DHHS) • Immunizationed.org • National Center for Farm Workers Health Patient asks if they need shots to go on a ‘Nile Cruise’ in Egypt. Patient Education Resources

50. Specialty Organization Sites • AAFP sponsored website for patient education: www.familydoctor.org • AAP sponsored website for patient education: www.healthychildren.org • Topics reading level ~9th & soon there will also be a version completely in Spanish. • ACOG.org Patient Education Pamphlets under Publications, reading level 6-7th • AACAP.org adolescent psych, nice resources. Patient Education Resources