How Can Health Care Organizations Become More Health Literate? Workshop Summary (2012) / Chapter Skim
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6 Reaction Panel 4
6 Reaction Panel 4
Pages 47-62
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From page 47... ...
, launched the national Speak UpTM campaign.1 Other efforts have included the following: 1 "In March 2002, The Joint Commission, together with the Centers for Medicare and Medicaid Services, launched a national campaign to urge patients to take a role in prevent ing health care errors by becoming active, involved, and informed participants on the health 47
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From page 48... ...
• Advancing Effective Communication, Cultural Competence, and Patient and Family-Centered Care: A Roadmap for Hospitals (2010) • Health Equity Advisory Group -- internal to the Joint Commission and supported by a grant from the California Endowment More recently, the Joint Commission has expanded its scope from health literacy to include effective communication, cultural competencies, and patient- and family-centered care.
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From page 49... ...
There is also a requirement that the hospital provide language interpretation and translation services. The Joint Commission has published a document titled Advancing Effective Communication, Cultural Competence, and Patient- and FamilyCentered Care: A Roadmap for Hospitals.
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It is the vision of the Joint Commission that all people, regardless of their level of education, their ability to read, or their ability to understand English should always experience the safest, highest-quality, best-value health care across all settings. That statement is relevant to what makes an organization health literate, McKee said.
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From page 51... ...
The organization is also concerned about population health for the 50,000 lives covered under its health plan. If the consumers of care are not health literate, it will cost both the company and the patient money.
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There are major challenges to implementing policies and programs aimed at becoming a more health literate organization, Neuberger said. There are no immediate financial incentives for health care organizations.
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Neuberger concluded by saying that employers are incentivized and can be partners in working with health care organizations to become more health literate. Employers are willing to pay for better outcomes and better care.
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Longer-term infrastructure requirements include "Leveraging health information technology," "Providing personal health records," and, again, "Enhancing health care sys tem navigability." In an earlier presentation, Darren Townzen had offered a surprising but informative piece of information when he said that even when personal health records are available, they are not necessarily used. What can be done to make them usable?
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What will encourage corporations and the health care system to embrace the idea of improving health literacy? From the perspective of the CMS, this requires an evidence base.
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Perhaps some of the attributes could be integrated into the patient safety data formats offered by the Agency for Healthcare Research and Quality. Other projects include improving health literacy as a key component.
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SOURCE: Ling, 2011. addresses cultural competency and improving health literacy through better communication with Medicare beneficiaries in minority and underserved populations.
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Operational health literacy definitions and action items would help tremendously. Roundtable member Cindy Brach said that employers are important players in encouraging health literate practices and that their purchasing power offers them levels by which change can be encouraged.
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From page 59... ...
Having a data source would make it easier for CMS to achieve health literacy objectives through the survey process or the quality measurement, reporting, and improvement programs. Brach said that the Agency for Healthcare Research and Quality has developed a health literacy supplement to the Consumer Assessment of Health Providers Survey.3 And the agency is about to finalize an HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
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From page 60... ...
McKee said she would examine how these sentinel reviews could include a process that helps identify opportunities with the organizations to address systemic literacy defects. Roundtable member Yolanda Partida asked Ling whether she thought there was an opportunity for CMS to create incentives for health promo tion and health preservation.
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From page 61... ...
Roundtable member Paul Schyve noted that the workshop discussion on how organizations can become health literate involved three different kinds of influences: the role of extrinsic requirements (such as those from regulators or accreditors) , the role of intrinsic motivation, and the role of incentives.
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