Physician Executive Council Primer on TeachBack Setting the
Physician Executive Council Primer on Teach-Back Setting the Foundation for Patient-Centered Communication at [Organization Name] Customize bracketed text with your organization’s information
2 An Effective Patient Education Technique What is Teach-Back? A communication technique used to confirm that a patient understands what you have explained to them and has internalized any next steps, by asking the patient to repeat key information back to you in his or her own words Demonstrated Care Plan Improvements 80% 77% 15 Asthmatic patients using inhaler correctly after teach back Self-care questions correctly answered during follow-up Percentage point increase in mean percent recall of postdischarge instructions © 2020 Advisory Board • All Rights Reserved • advisory. com Source: Brega AA, et. al. , “Health Literacy Universal Precautions Toolkit, ” AHRQ, 2, No. 15 -0023 -EF (2015); Cochrane GM, et al. , “Compliance in Asthma, ” Respir Med, 93, (1999): 763– 769; Slater B, et al. , “Does the Teach-Back Method Increase Patient Recall of Discharge Instructions in the Emergency Department? , ” Annals of Emergency Medicine, 62, no. 4 (2013); White M. , et. al. , “Is “Teach-Back" Associated with Knowledge Retention and Hospital Readmission in Hospitalized Heart Failure Patients? ” J Cardiovasc Nurs. (2013); Physician Executive Council analysis.
3 Effectiveness Depends on Language and Frequency Tips for Effective Teach-Back Rule of Thumb Common Language 1. Replace yes/no questions with open-ended questions “Do you have any questions? ” 2. Avoid complex, clinical language “You need to achieve your goal BP of 100/70. ” “This will help keep you healthy enough to attend the wedding. ” 3. Use open, specific, nonjudgmental language “No, that’s not what I explained to you. ” “I must not have been clear while explaining. I’ll try again. ” 4. Have patients model selfadministered procedures “Do you know how to use your at-home BP monitor? ” “Would you mind modeling how to use your BP monitor now? ” 5. Repeat teach-back until patient demonstrates understanding N/A “Try showing me again. ” or “Walk me through again the first thing you are going to do when you get home. ” © 2020 Advisory Board • All Rights Reserved • advisory. com Teach-Back Language “We went over a lot today. Can you explain what you remember back to me, in your own words? ” Source: “ 10 Elements of Competence for Using Teach-Back Effectively, ” Always Use Teach -Back! http: //www. teachbacktraining. org/home; Physician Executive Council analysis.
4 Prioritize Teach-Back for Treatment Explanations Who can benefit from Teach-Back What to prioritize for Teach-Back When to use Teach-Back • Ideally used with every patient, every time, by all members of the care team • Treatment or care plan processes Can typically be accomplished in a few minutes at the end of visit • Alternatively, prioritize highrisk patients or those with more complex care plans • Clinical trial participation © 2020 Advisory Board • All Rights Reserved • advisory. com • Major medical decisions Source: “The SHARE Approach-Using the Teach-Back Technique: A Reference Guide for Health Care clinicians, AHRQ, http: //www. ahrq. gov/professionals/education/curriculumtools/shareddecisionmaking/tools/tool-6/index. html; Physician Executive Council analysis.
5 Teach-Back Discussion Questions 1 How often do I typically use teach-back with patients? Do I currently prioritize teach-back with certain patients over others? 2 Am I concerned about having time to incorporate teach-back into my routine? What are some strategies I can use to prioritize teachback without sacrificing other important appointment components? 3 What are some go-to, open-ended phrases or questions I can use to encourage patient learning? © 2020 Advisory Board • All Rights Reserved • advisory. com Source: Physician Executive Council analysis.
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