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Facilitating Patient Understanding of Discharge Instructions: Workshop Summary (2014)

Chapter: Appendix A: Workshop Agenda

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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18834.
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Appendix A


Workshop Agenda

Institute of Medicine
Roundtable on Health Literacy

Discharge Instructions and After-Visit Summaries: A Workshop
March 17, 2014

The objective of the workshop is to provide information that will facilitate development of clearer, more understandable discharge instructions for both inpatient and outpatient facilities.

OPEN SESSION

ROOM 100
8:30–8:45 Welcome, Workshop Overview, and Introduction of First Panel

George Isham, Roundtable Chair
8:45–10:15 PANEL 1: Background

8:45–9:05  Why Were Rules and Regulations for Discharge Instructions Developed, and What Are the Implications of These Policies?

Josh Seidman, Ph.D.
Independent Consultant
Brookings Accountable Care
Organization Learning Network
Page 50 Cite
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18834.
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9:05–9:25  An Overview of What We Know About Current After-Visit Summaries and Hospital Discharge Summaries Instruction Materials

Alex Federman, M.D., M.P.H.
Associate Professor of Medicine
Icahn School of Medicine at Mount Sinai

9:25–9:40  The Link Between Discharge and After-Visit Summary Constructed in a Health Literate Manner and Improved Outcomes

Darren DeWalt, M.D., M.P.H.
Associate Professor of Medicine
University of North Carolina at Chapel Hill

9:40–10:15  Discussion
10:15–10:30 BREAK
10:30–12:15

PANEL 2:  Inpatient Discharge Summaries

10:30–10:35  Panel Introductions
      George Isham

10:35–10:55  Presentation: Key Elements and Formatting for Discharge Instructions

Mark Williams, M.D., FACP
Director, Center for Health Services
Research
UK Healthcare

10:55–11:40  Reactions

10:55–11:10  Benard Dreyer, M.D.
                     Professor of Pediatrics
                     New York University School
                     of Medicine
Page 51 Cite
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18834.
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11:10–11:25  Avniel Shetreat-Klein, M.D.,
                     Ph.D.
                     Assistant Professor
                     Associate Medical
                     Information Officer—Epic
                     Operations
                     Mount Sinai Medical Center

11:25–11:40 Man Wai Ng, D.S.S.,
                     M.P.H.
                     Harvard School of Dental
                     Medicine

11:40–12:15  Discussion
12:15–1:30 LUNCH

1:30–3:15  PANEL 3: Outpatient After-Visit Summary

1:30–1:35  Panel Introductions George Isham

1:35–1:55  Presentation: Key Elements and Formatting for Outpatient After-Visit Summaries

John M. Byrne, D.O.
Associate Professor of Medicine
Loma Linda University School of Medicine

1:55–2:40  Reactions

1:55–2:10  Rachel Solotaroff, M.D.,
                 M.C.R.
                 Medical Director, Central
                 City Concern Portland, Oregon

2:10–2:25  Ruth Parker, M.D.
                 Professor of Medicine
                 Emory University School of
                 Medicine
Page 52 Cite
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18834.
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2:25–2:40  Alice M. Horowitz, Ph.D.
                 Research Associate
                 Professor
                 University of Maryland
                 School of Public Health

2:40–3:15  Discussion
3:15–3:30 BREAK
3:30–4:45 Approaches

3:30–3:35  Introductions
                 George Isham

3:35–3:55  Project RED (Re-Engineered Discharge)

Michael Paasche-Orlow, M.D., M.A.,
M.P.H.
Associate Professor of Medicine
Boston University School of Medicine

3:55–4:15  Discharge Instructions: Patient Values and Challenges

Charles Lee, M.D.
President and Founder
Polyglot Systems, Inc.
4:15–4:45 Discussion
4:45–5:15 Discussion and Roundtable Member Reflections on the Day
5:15–5:30 Audience Comments and Questions
5:30 ADJOURN
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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18834.
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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18834.
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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18834.
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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18834.
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The Roundtable on Health Literacy brings together leaders from academia, industry, government, foundations, and associations and representatives of patient and consumer interests who work to improve health literacy. To achieve its mission, the roundtable discusses challenges facing health literacy practice and research and identifies approaches to promote health literacy through mechanisms and partnerships in both the public and private sectors.

To explore the aspects of health literacy that impact the ability of patients to understand and follow discharge instructions and to learn from examples of how discharge instructions can be written to improve patient understanding of-and hence compliance with-discharge instructions, the Roundtable on Health Literacy held a public workshop. The workshop featured presentations and discussions that examined the implications of health literacy for discharge instructions for both ambulatory and inpatient facilities. Facilitating Patient Understanding of Discharge Instructions summarizes the presentations and discussions of the workshop. This report gives an overview of the impact of discharge instructions on outcomes, and discusses the specifics of inpatient discharge summaries and outpatient after-visit summaries. The report also contains case studies illustrating different approaches to improving discharge instructions.

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