Community-Based Health Literacy Interventions Proceedings of a Workshop (2018) / Chapter Skim
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5 Where Do We Go from Here?
5 Where Do We Go from Here?
Pages 69-78
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From page 69... ...
Michael Villaire, chief executive officer of the Institute for Healthcare Advancement, moderated the session. The panelists were Maureen Daniels, director of Berkshire Health System's Wellness at Work program; William Elwood, OppNet facilitator and health scientist administrator in the National Institutes of Health Office of Behavioral and Social Sciences Research; Michele Erikson, execu tive director of Wisconsin Health Literacy; and Caroline Young, executive director of NashvilleHealth.
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From page 70... ...
Instead of thinking about the health system's agenda, the conversation is now about the community's agenda. Her organization is also starting to be more creative with its solutions, using community health workers instead of nurses as a more sustainable model in the community, one that relies more on people who live in the community.
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From page 71... ...
Elwood replied that if a program applies for a National Institutes of Health grant, any standing, community-oriented study section is going to look for a process evaluation plan and set of deliverables that the community partners can use to sustain the program if it proves to be effective and if the organization believes it worthwhile to continue the intervention. In the case of Elwood's office, dissemination and implementation research have grown in importance, and it recently partnered with AcademyHealth to establish an annual conference and training institute to help current and emerging researchers learn the science of diffusing, tailoring, and scaling interventions.2 For immediate action, Elwood recommended partnering with librarians to capitalize on their connections with community members and other community-based organizations who may promote health literacy without even knowing it.
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From page 72... ...
" Young replied that her organization, in fact, exists to form partnerships across the Nashville community, and she has had success when approaching potential partners with humility and openmindedness. For example, when she was trying to encourage the Nashville Chamber of Commerce to get involved in her organization's efforts, she explained that the health of the community is an economic development issue and that the community was not going to continue to be successful economically without healthy, productive w orkers.
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From page 73... ...
Daniels responded that her organization is a clinically-based health literacy program that is partnering with the community to implement the Life Enhancement Program that Pleasant discussed earlier in the workshop. The partnerships started with a formative research study conducted with the Canyon Ranch Institute and involved various community-based organizations.
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From page 74... ...
For example, English-as-a-second-language instruction can serve as a vehicle for helping people gain health information, and cooking demonstrations can teach numeracy skills and provide health information. Similarly, the portals of most mid- to large-sized health care systems can provide access to tremendous health education curricula, Elwood added.
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From page 75... ...
Erikson replied that there must be a level of passion and interest in the community, which means that health care organizations should look for champions who are already integrated into the community. "You know it is a good fit if you can already tell their level of investment," said Erikson.
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From page 76... ...
She applauded the ongoing accreditation and certification in health literacy initiative because she believes that embedding health literacy principles in the DNA of everyone coming into the health care field can help reach scalability efficiently. Elwood added that more research is needed on the cognitive and biological processes involved in the exposure to, perception of, and processing of health information to make health care decisions in order to increase the knowledge base on how to best disseminate evidence-based interventions on a large scale.
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From page 77... ...
Her advice was to be very deliberate in conversations with the business community, talk specifically about the social determinants of health, and to use data to remind them about the scope of any health care issues, including health literacy. She cites data, for example, showing that the infant mortality rate in the community is on par with that
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From page 78... ...
"We have talked today about the concept of speaking to people where they are at the time they are at." He also suggested that the field is about to reach a tipping point with respect to scaling health literacy interventions. Rosof concluded the discussion with a story about Donald Berwick, former administrator of the Centers for Medicare & Medicaid Services, who when addressing his daughter's medical school graduation class told the newly minted health care professionals to take off their white coats and stand among their patients, friends, and peers and just listen to them.
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