Ask Me 3A Program to Empower One Patient at a Time

by Improving Health Literacy and Communication

HTN diabetes CHF COPD

KIDNEY FAILURECHFCAD

• 23% of those adults 65 years old or older are below basic health literacy levels.

• 39% of those over 75 years old are at below basic level of health literacy.

• When compromised by stress or illness, even these few health literate are challenged by more health care information and taskshttps://health.gov/communication/literacy/issuebrief

1. What is my main problem?

2. What do I need to do?

3. Why is it so important for me to do this?

Clear Communication

Improved Health Literacy

Improved Quality of Life

Increased Patient and Provider Satisfaction

Improved Safety

Decreased Cost

Reduced Hospitalizations

Ask Me 3

Implementation DetailsVideo https://www.youtube.com/watch?v=B3EB-icaNKQ

Brief PPT presentation

Ask Me 3 Pad

Teach back with role playing

OVERWHELMED EMPOWERED

References• AHRQ Health Literacy Universal Precautions Toolkit. (2015). Agency for Healthcare Research and Quality,

Rockville, MD. Retrieved from http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/index.html

• American Association for Retired Persons. (2009). Chronic Care: A Call to Action for Health Reform. Retrieved from http://assets.aarp.org/rgcenter/health/beyond_50_hcr.pdf

• America's Health Literacy: Why We Need Accessible Health Information. (2008). Retrieved from http://health.gov/communication/literacy/issuebrief/

• Cegala, D. J., Post, D. M., & Mcclure, L. (2001). The Effects of Patient Communication Skills Training on the Discourse of Older Patients During a Primary Care Interview. Journal of the American Geriatrics Society, 49(11), 1505-1511. doi:10.1046/j.1532-5415.2001.4911244.x

• Institute of Medicine. Best care at lower cost: the path to continuously learning health care in America. Washington, DC: The National Academies Press, 2013

References• Kickbusch, I., Pelikan, J. M., Apfel, F., & Tsouros, A. D. (2013). Health literacy: The solid facts. World Health

Organization

• National Patient Safety Foundation. (2016). Ask Me 3: Good Questions for Your Good Health. Retrieved from http://www.npsf.org/?page=askme3

• Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072-2078

• Registered Nurses' Association of Ontario, (2012a). Facilitating client centred learning. Retrieved March 02, 2016, from http://rnao.ca/bpg/guidelines/facilitating-client-centred-learning

• Tran, A. N., Haidet, P., Street, R. L., O’Malley, K. J., Martin, F., & Ashton, C. M. (2002). Empowering communication: A community-based intervention for patients. Patient Education and Counseling, 52(1), 113-121. doi:10.1016/s0738-3991(03)00002-8

• U.S. Department of Health and Human Services. (2016). Quick Guide to Health Literacy. Retrieved from http://health.gov/communication/literacy/quickguide/factsliteracy.htm