National Prevention Summit Prevention Preparedness and Promotion October

National Prevention Summit: Prevention, Preparedness, and Promotion October 27, 2006

The Scope of the Problem is Vast Many Patients are at Risk for Not Understanding More than 89 Million Consumers are Impacted by Low Health Literacy – the Ability to Read, Understand, and Act on Health Information Adult Literacy in the US – Patients “at Risk” for Not Understanding l 93 million adults can only perform basic literacy skills¹ l 11 million adults are non-literate in English¹ l 7. 8 million seniors can only perform the most simple and concrete literacy skills¹ (Below Basic) ¹ 2003 National Assessment of Adult Literacy (NAAL) 2

Low Health Literacy Negatively Impacts Health Outcomes l Adults with low health literacy: – Are often less likely to comply with prescribed treatment and self-care regimens 1 – Make more medication or treatment errors 1 – Fail to seek preventive care 1 – Are at a higher risk for hospitalization than people with adequate literacy skills 2 – Remain in hospital nearly 2 days longer 3 – Lack the skills needed to negotiate the health care system 1 l People with low health literacy AND diabetes: – Were found to be less likely to have effective glycemic control 4 – Were more likely to report vision problems caused by their diabetes 4 1 2 3 4 Weiss, BD. 20 Common Problems in Primary Care. Mc. Graw Hill. December 1999 Baker DW, Parker RM, Williams MV, Clark WS. Health Literacy and the Risk of Hospital Admission. Journal of General Internal Medicine. 1998; (13): 791– 798 Kirsch IS, Jugebut A, Jenkins L, Kolstad A. Adult Literacy in America: A First Look at the Results of the National Adult Literacy Survey. Washington, DC: Department of Education 1993 Schillinger D, Grumbach K, Piette J, Wang F, Osmond D, Daher C, Palacios J, Sullivan GD, Bindman AB. Association of Health Literacy With Diabetes Outcomes. JAMA. July 24/31 2002 (288) No 4 3

Low Health Literacy Impacts Resource Utilization l Adults with low literacy: – Averaged 6% more hospital visits 1* – Stayed in the hospital nearly 2 days longer than adults with higher literacy skills 1* – Had fewer doctor visits, but used significantly more hospital resources 2 – Had annual health care costs 4 times higher than those with higher health literacy 3 * Among adults who stayed overnight in a hospital 1 Kirsch IS, Jugebut A, Jenkins L, Kolstad A. Adult Literacy in America: A First Look at the Results of the National Adult Literacy Survey. Washington, DC: Department of Education 1993 2 Baker DW, Parker RM, Williams MV, Clark WS. Health Literacy and the Risk of Hospital Admission. Journal of General Internal Medicine. 1998; (13): 791 -798 4 3 Weiss, BD. 20 Common Problems in Primary Care. Mc. Graw Hill. December 1999

The Creation of the Partnership for Clear Health Communication The Partnership for Clear Health Communication (PCHC) is a national, nonprofit coalition of over 400 organizations working to build awareness and advance solutions to improve health literacy and positively impact health outcomes. 5

Partnership for Clear Health Communication l Purpose – Advance the Health Literacy issue, gain critical mass, leverage credibility and drive through the grass roots l Who – Nationally recognized organizations with local membership experienced in building and leading coalitions, representing a broad range of constituencies l What – Develop and execute a prioritized and coordinated Action Agenda Shared Interest in Improving Health Outcomes 6

Action Agenda Increase awareness of the importance of clear health communication Provide training, targeted education, coaching and materials to people who have the most patient interface Advocate for clear health communication and increased health literacy resources 7

Sample of PCHC Members PCHC has expanded to include over 400 members l American Academy of Family l American College of Nurse l American Academy of Pediatrics l American Public Health Association l American Academy of Physician l National Council on the Aging Physicians Foundation Assistants l American Cancer Society Practitioners l National Association of Community Health Centers l American Diabetes Association l Pfizer l American Geriatrics Society l March of Dimes Foundation for Health in Aging l National Council of La Raza l National Health Council l American Pharmacist Association l Aetna Health 8

Moving from Medical Model to Patient-Centered Model The Medical Model l Focuses on the disease, symptoms, treatment l Appropriate for physicians l Not appropriate for most consumers A Patient-Centered Model l Focuses on the patient’s perspective l Covers what patients want and need to know l Acknowledges their readiness to learn 9

The Partnership for Clear Health Communication’s First Solution l Addresses the highest priority Action Agenda items – Awareness, targeted education and materials l Creates a compelling solution and Call to Action for patients and providers l Is designed to promote clear communication between patients and providers to improve health outcomes l Was developed with health literacy experts, then tested and validated 10

What Is Ask Me 3? l Promotes three simple, but essential, questions and answers for every healthcare interaction: What Is My Main Problem? What Do I Need to Do? Diagnosis Treatment Why Is It Important for Me to Do This? Context 11

Ask Me 3 – Creates Shared Responsibility for Clear Health Communication Patient Provider De-stigmatize and Recognize Reduce Embarrassment Patient Coping of Low Health Literacy Mechanisms l Provides a consistent approach to patient-provider dialogue l Allows patients to get information they need to manage their health l Time-efficient for providers to reinforce healthcare instructions 12

Ask Me 3 – Program Materials Available in English and Spanish Organizational Brochure Website Provider Brochure Posters Patient Brochure 13

Ask Me 3 Dissemination Sample of Organizations Who Have Received Materials Practitioners Lynchburg Family Practice Hospitals & Community Health Winnoski Family Health E. Boston Health Center American Diabetes Association Lechtworth Family Medicine All Saints Health. Care American Cancer Society HCH Family Practice Jackson Health System Catholic Charities Ronald A. Cole, MD Boston Medical Center The Senior Alliance Prince George’s County Health Department American Geriatrics Society Robert T. Hartman, MD Advocacy/ VHA Groups Academia Pharmacy New Mexico State University Medicine Shoppe Arizona Department of Education Ohio State University Student National Pharmaceutical Association MCPHS School of Pharmacy Texas Tech Bause’s Super Drug Store Duke Kmart Pharmacy UW Medical School Anchor Pharmacy MATERIALS DISSEMINATED SINCE 2003: Over 1 Million 14

More Information on PCHC l To find out more about PCHC, our programs, resources and members, please visit www. p 4 chc. org and www. Ask. Me 3. org 15