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4 Reaction Panel 2
Pages 31-40

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From page 31...
... Its patient population, Hoverman said, is fairly heterogeneous -- many are well educated, but there are also a number of disadvantaged patients, including a number of people with chronic psychiatric illness and mental retardation and a large number of Medicare patients. Most of the attributes described in the commissioned paper are doable, she said, although they are probably not doable in a small private practice, and more than 40 percent of physicians practice in small groups.
From page 32...
... Over the years the practice has struggled with employees who are frustrated by patients who did not understand their benefits or the terms of their health plans. "Making health care plans and insurance products more transparent and comprehensible" -- one of the attributes mentioned in the paper -- is a huge priority for the practice as it would save significant time and energy for both patients and the practice.
From page 33...
... Ultimately, the focus needs to be on providing patientcentered care, and that means meeting the health literacy needs of the patients served, Hoverman concluded. PHARMACY PRACTICE Darren Townzen, R.Ph., M.B.A.
From page 34...
... Patients can access their prescriptions through Walmart's web site, but this technology is not being used. And Walmart employees rarely use their own personal health records, even though all were provided with them.
From page 35...
... Isham said that for his health plan, decisions must fit into a chain of logic and rationale that allows taking advantage of the resources that already exist for the purpose of meeting the identified needs. Choices need to facilitate superior patient experiences as well as having a value proposition for the health plans, both medical and dental.
From page 36...
... There is tremendous potential for such organizations to address the issues of health literacy. Such organizations can challenge those in the more conventional health care system to be more creative.
From page 37...
... Are the innovations being 1 "A Quality Improvement Organization (QIO) consists of groups of doctors and health care experts to check on and improve the care given to people with Medicare." Many QIOs also contract with private companies to conduct reviews of care.
From page 38...
... Schillinger said that return on investment can also be calculated in terms of provider satisfaction, provider retention, and prevention of burnout. The cost of training, recruiting, and hiring needs to be quantified and included in the assessment of a health literate health care organization.
From page 39...
... Concerning patients with limited English proficiency, Townzen said that printed monographs can be provided only in English, Spanish, and Canadian French. The software does not exist to provide the prescription label in all the languages needed.


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