healthy literacy missouri wisconsin health literacy summit april 1, 2009 madison, wisconsin arthur...
TRANSCRIPT
Healthy Literacy Missouri
Wisconsin Health Literacy Summit April 1, 2009
Madison, WisconsinArthur Culbert, Ph.D.
Senior Advisor to the Missouri Foundation for Health
Interim Executive DirectorHealth literacy Missouri
Wisconsin State Capitol Collapses
April Fools
In 1933 The Madison Capital-Times ran a picture on its front page showing the dome of the Wisconsin State Capitol collapsing. A headline announced, "Dome Topples Off Statehouse," while the subhead read, "Officials Say Legislature Generated Too much Hot Air."
Retirement
Today’s talk
• Nation wide efforts in health literacy
• Health Literacy Missouri (HLM)
• HLM Resource Inventory
Health Literacy
• Complex social determinant of health
• Public health issue
• Costs Dollars but Really cost lives
90 Million adults in America have trouble reading this drug label
Health Care Reform
National Agenda for Health Literacy
• Healthy People 2000• IOM Health Literacy Report, 2004• Surgeon General Workshop, 2006• HHS National Town Hall Meetings, 2007,08• Health Literacy Missouri, 2009• A Call to Action to Improve Health Literacy• Health Literacy Coalition
Mid West State Wide Health Literacy Initiatives
Minnesota Health Literacy Partnership
Iowa Center for Health Literacy
Wisconsin Literacy Inc.
Health Literacy Missouri
Health Literacy Missouri (HLM)
• MFH determined health literacy components in previous proposals (2002-2005)
• Awarded $2.1 million in 2007 as part of 5 years funding
• Open a Missouri wide health literacy center in 2009
HLM Partners
HLMVision and Mission
• Our mission is to improve the health of all Missourians and our vision is to become a national leader in health literacy.
• Develop health information– Accurate– Understandable– Accessible– Available to all
• Create systematic change in provider patient encounter based on health literacy
• DOES NOT BLAME VICTIM
HLMPhilosophy
HLMGuiding Principles
• Engage Community Partners
• Put Missourians First
• Innovate Strategically
ACP ‘Living with Diabetes’ Guide
• Guide Developed in 2006
• ‘Need-to-Know’ content only
• Photos and action plans
• Testimonials and examples
• Over 1 million copies distributed
•300,000 living with diabetes in Missouri
Cost of Low Health Literacy in Missouri
Hot spots of low literacy
MFH/HLM Activities
Field testing American College of Physicians Living with Diabetes Guide (ACP 2007 - )
Cosponsored with CDC town hall meeting on health literacy (May 2008)
Determined Economic cost (Vernon, 2008)Located ‘hot spots’ of low literacy using GIS
Mapping (lurie, 2009)Demonstration projects (2008 - )
Demonstration Projects
Engage the community in creative ways to advance health literacy
Demonstration Projects
Strategic Communications Local graphics are created for each region. Research has shown that including graphics with the release increase the chance of having it used.
Health Literacy Curriculum
• Target Population: ALL health professions students, and providers
• Continuum:– Health literacy training through Missouri AHEC
pre- health professional students– Raise awareness and provide best practices for
health professional students and providers
Health Literacy Surveillance
Attempt to survey & measure health literacy
– Missourians
– Health care providers
– Create baseline of health literacy levels
HLM Resource Inventory
• Identified 4,000+ health literacy resources
• Inventorying health literacy resources:• Easily accessible • Well organized• User friendly• HLM Rating• Meet User’s needs
To evaluate a resource…
1. Obtain the resource
2. Identify resources in the Resource Inventory database
3. Evaluate the resource on 3 dimensions:– Soundness of Approach– Easy to Use– Evidence-based
86-100%
50-85%
≤ 49%
HLM Rating
[insert photo of clinic manager]
What is the solution?
THE HEALTH LITERACY PROBLEM:
Diabetes patients don’t return for follow-up appointments
The doctors use words the patients don’t understand and the patients won’t ask them to explain because they think they ought to know or they have tried in the past and the doctor sometimes can’t explain it in understandable terms.
Doctors have a hard time bringing it down to an average person’s level of understanding.
““
PROFESSIONALS
•Create easy-to-use materials
•Find information on health topics
•Develop a policy
•Develop a program
•Teach others about health literacy
•Help patients access the health system
•Learn about cultural issues
•Get the facts about health literacy
•Get the facts about literacy
•Search the latest research
GENERAL PUBLIC
•Learn about a health topic
•Get information about insurance
•Protect my child’s health
•Take my medication
•Talk to my doctor
•Make treatment decisions
•Know my health risks
•Get the facts about reading ability
•Get the facts about health literacy
•Read about culture and health
•Find materials in other languages
HEALTHCARE PROVIDERS
•Get the facts about health literacy
•Find easy-to-use materials for patients
•Learn how to speak with my patients
•Learn about cultural issues
•Help patients access the health system
•Teach others about health literacy
•Get the facts about literacy
•Assess health literacy levels
•Assess literacy levels
•Search the latest research
PROFESSIONALS
•Create easy-to-use materials
•Find information on health topics
•Develop a policy
•Develop a program
•Teach others about health literacy
•Help patients access the health system
•Learn about cultural issues
•Get the facts about health literacy
•Get the facts about literacy
•Search the latest research
GENERAL PUBLIC
•Learn about a health topic
•Get information about insurance
•Protect my child’s health
•Take my medication
•Talk to my doctor
•Make treatment decisions
•Know my health risks
•Get the facts about reading ability
•Get the facts about health literacy
•Read about culture and health
•Find materials in other languages
HEALTHCARE PROVIDERS
•Get the facts about health literacy
•Find easy-to-use materials for patients
•Learn how to speak with my patients
•Learn about cultural issues
•Help patients access the health system
•Teach others about health literacy
•Get the facts about literacy
•Assess health literacy levels
•Assess literacy levels
•Search the latest research
Learn about our scoring system
• Insert info for AMA manual here. Will look similar to slide #12
• S of A = yellow• E of U = green• Ev-b = green
Next Steps for HLM
• Continue to develop and refine HLM’s niche in field of health literacy
• Form more partnerships and develop coalition
• Assist in the Call to Action for Health Literacy
I am hopeful that when we ask the question, “Can we overcome the health literacy issues of our great nation?” The answer is a resounding
Yes We Can!!