The only choice for
   enterprise-wide patient education.




Patient Centered Care: Investing in a Patient Education Solu...
Agenda


•   Krames: Who we are; What we do
•   What we can do for you
•   Patient-Centered Care and Patient Education
•  ...
Krames Background


• Leading p
        g patient education for 35 y
                                   years
• Who we rea...
What Krames Offers


• Point-of-care Patient
  Education
• Patient-facing Health
  Education
• Multimedia Formats
• Flexib...
What Krames Can Do for You


•   Improve relationships
      p                p
•   Support shared decision making
•   Imp...
Patient-Centered Care


Care that is truly patient-centered considers patients’ cultural
traditions, th i personal prefere...
Patient-Centered Care


•   Patient engagement
               g g
•   Information Sharing
•          p
    Participation
•...
The case for investing in patient education

The healthcare industry now spends an unnecessary $73 billion per year in
hos...
The case for investing in patient education


• Evaluation your sources
  – Self-Producing
     •   Clinical time
     •  ...
Health Literacy


• Poor health literacy results in $69 billion in
  health care costs annually.1
• 53% of adults have int...
Health Literacy


• 20% of the American p
     %                 public cannot read above
  Grade 5.3
• Most adults read b...
Litigation / Malpractice Protection


• 1 in 6 physicians is subject to malpractice claims
         p y              j    ...
Litigation / Malpractice Protection


•    45% are unable to recall major risks1
•    44% don’t know nature of the operati...
Promotion


• Website content
  –   Desired by patients
  –   Improves p p
        p      preparation
  –   Improves compl...
Additional Factors Influencing Patient Education



• Focus on preventative
  care
   – ARRA provides
     $1 Billion in f...
Additional Factors Influencing Patient Education



• Increased adoption of healthcare IT
               p
   – $19 Billio...
A Complete Multimedia Education Solution
Krames Difference: A Higher Standard of Content



• Content developed in-house
                 p
• Extensive Development...
Krames Text

• Focuses on key
  information
• Main point receives
  primary position and most
  space
• Uses simple, concr...
Krames Difference: A Higher Standard of Content

Krames unique approach to educational art highlights and
promotes key edu...
Krames Artwork

            Krames award-winning artwork, over 27,000 images, creates
         unique art-text synergy tha...
Krames Difference: A Higher Standard of Content
Quality saves you money


• Krames content gives you all of this:
•   Physicians, nurses and other
    healthcare professi...
Customer Surveys
Customer Surveys
Krames customer survey
Krames customer survey


• It makes it easier for patients to understand because
                         p
  they can loo...
Krames patient survey
Krames Electronic Patient Education Solutions
•   Improve patient experience
•   Decision support
•   Break down language barriers
•   Streamline workflow
•   Support i...
• 3000 HealthSheets on
  Conditions, Procedures, and
  Wellness
• 2000 Drug Information Sheets
             g
• 3,000 addi...
• Simple interface
• Quickly search or
  browse for content
• Manage content in
         g
  folders to save time
  and st...
Krames HealthSheets: Largest
        Patient Education Library

•   3,085
    3 085 English     •   10 Armenian
•   3,085 ...
• Drive web traffic
• Reach a diverse audience
• Support your brand
• Build loyalty
• Extend your reach
• Generate referra...
• Hundreds of streaming
  videos
    id
• 3,000 Education topics
• 2,000 Drug g
  Information pages
• Interactive Disease
...
Video and illustrated articles on dozens of the
most commonly searched health topics, including:

  • Pregnancy       • He...
• Same great benefits of
  Krames On-Demand
  or Krames Online
• Save even more time
• Support systems
     pp      y
  in...
• 3,000 Healthsheets
    ,
• 3,000 After-Care
  instructions
• 400+ Videos
• XML, HTML, RTF
• CPT ICD-9
  CPT, ICD 9
• MeS...
• Save hours of clinical time
• Connect with a wider
  audience
• Decision support
   – Dozens of procedural videos
• Supp...
• Enhance your website
• Engage a wider audience
• Help patients prepare
• Make a positive, lasting
  impression
• Build l...
• Streaming video for point of care
  or your website
• Available in all streaming formats
• Flexible package options
• Pr...
•   Largest & Youngest Library
       g           g         y
     – 30 – 40 new annually
     – 30 – 40 updates annually
...
Krames Video Solutions: Largest
       Patient Education Library

•   252 English      •   5 Mandarin
•   112 Spanish     ...
• Standardized, automated
  informed consent solution
  i f     d          t l ti
• Easy, intuitive interface for
  consen...
• Reduce exposure to
               p
  malpractice litigation
• Simplify & standardize
  consent form preparation
  and d...
• 200 illustrated patient education topics on key
  procedures
• Many medical specialty areas covered
      y            p...
• Unique interactive
  workbooks
     kb k
   –   Asthma
   –   Heart Disease
   –   Heart Failure
       H t F il
   –   ...
•   Support disease management
    programs and community
    outreach efforts
•   Build a relationship with the
    patie...
Patients remember approximately 10 percent of what they read, 25 percent of what they
hear, 45 percent of what they see, 6...
• Specialty-specific patient
  education for websites
• Packages of Page Turning
  Booklets (flash) and videos
• Orthopedi...
• Promote your practice,
             y    p       ,
  clinic, or surgery center
• Support shared decision
  making
      ...
Krames helps support patient-centered care


•   Improve relationships
      p                p
•   Support shared decisio...
Thank You!
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Patient Centered Care: Investing in a Patient Education Solution

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Krames Patient Education is the only choice for enterprise-wide patient education. In this presentation, practices will learn who Krames Patient Education is and What we can do for you.

We will review Patient-Centered Care and Patient Education; The Case for a Patient Education Investment, The Krames Differencet; Return on Investment; and Krames Solutions.

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Patient Centered Care: Investing in a Patient Education Solution

  1. 1. The only choice for enterprise-wide patient education. Patient Centered Care: Investing in a Patient Education Solution April 1, 2010
  2. 2. Agenda • Krames: Who we are; What we do • What we can do for you • Patient-Centered Care and Patient Education • The Case for a Patient Education Investment • The Krames Difference – Content • Return on Investment • Overview of Krames Solutions
  3. 3. Krames Background • Leading p g patient education for 35 y years • Who we reach: – Over 40 million patients – 86% of hospitals – 80% of VA hospitals – 1,500 1 500 corporations – 300,000 physicians and nurses – 150 managed care companies g p – Major pharmaceutical companies – 10 International Distributors
  4. 4. What Krames Offers • Point-of-care Patient Education • Patient-facing Health Education • Multimedia Formats • Flexible Deployment Op o s e b e ep oy e Options • Content Integration • A solution that fits your needs • A solution that fits your budget • Peace of mind
  5. 5. What Krames Can Do for You • Improve relationships p p • Support shared decision making • Improve outcomes and compliance p p • Help patients manage their health • Promote your organization • Support your Brand • Support your Systems Investments • Reduce Risk • Save Time & Money • Cut Costs
  6. 6. Patient-Centered Care Care that is truly patient-centered considers patients’ cultural traditions, th i personal preferences and values, th i family t diti their l f d l their f il situations, and their lifestyles. It makes the patient and their loved ones an integral part of the care team who collaborate with health care professionals in making clinical decisions. Patient-centered care puts responsibility for important aspects of self-care and monitoring in patients’ hands — along with the tools and support they need to carry out that responsibility. When care is patient centered, unneeded and unwanted services can be reduced. Institute for healthcare improvement
  7. 7. Patient-Centered Care • Patient engagement g g • Information Sharing • p Participation • Collaboration • Respect • Disease management • Motivational • Action-Oriented • Entire continuum of care
  8. 8. The case for investing in patient education The healthcare industry now spends an unnecessary $73 billion per year in hospital stays and doctors visits simply because patients don t understand what don’t their doctor is explaining or how to properly take prescribed medication.1 Patients remember approximately 10 percent of what they read, 25 percent of what they hear 45 percent of what they see 65 percent of what they hear and hear, see, see, 70 percent of what they say and write, and 90 percent of what they say as they perform a task.2 Of those online, 86% are concerned about the reliability of the information they find at 25,000+ health-related websites, and 75% cite their doctor’s direction as the most important source for guidance to quality health content.3 “Krames provides patients with clear, easy-to-understand information. The graphics are excellent. They pinpoint all the need-to-know aspects of a patient’s disease state. Thank you, Krames, for making education easier.” 4 1 Center on an Aging Society 2 Bateman, W.B., Kramer, E.J., & Glassman, K. S. (Eds.). New York: Springer Publishing Co., 36 3 Pew Internet and American Life Project and Cyberdialogue 4 Karen Esposito, RN, CDE, HCA
  9. 9. The case for investing in patient education • Evaluation your sources – Self-Producing • Clinical time • ROI • Liability Risk • Marketing Resources – Online Websites • Conflicting information • Questionable sources • Higher reading levels • Loss of personalization
  10. 10. Health Literacy • Poor health literacy results in $69 billion in health care costs annually.1 • 53% of adults have intermediate health literacy. % y • 14% have below basic health literacy • 27% to 30% of adults receiving Medicare and Medicaid have below average health literacy • Adults age 65 a d o de have lower literacy t a du ts and older a e o e te acy than younger adults2 1. Safeer RS & Keenan J (2005). Health Literacy: the gap between physicians and patients. American Family Physician. August 1; 72,3:464. 2. The Health Literacy of America’s Adults. Results from the 2003 National Assessment of Adult Literacy Executive Summary. US Department of Education. National Center for Education Statistics. NCES 2006-483.5.
  11. 11. Health Literacy • 20% of the American p % public cannot read above Grade 5.3 • Most adults read between the 8th and 9th grade level. l l • Most healthcare materials have been written at or above the 10th-grade level 1 grade level. • Visual presentations have been shown to be 43% more pe suas e t a u a ded 3% o e persuasive than unaided presentations4 1. Horner SD & Surratt D (2000). Improving readability of patient education materials. Journal of Community Health Nursing. 17; 1.17. 11 2. Persuasion and the Role of Visual Presentation Support:The UM/3M Study. D. R. Vogel, 0. W. Dickson, and J. A. Lehman. Management Information Systems Research Center. Working Paper Series, June 1986
  12. 12. Litigation / Malpractice Protection • 1 in 6 physicians is subject to malpractice claims p y j p each year – Higher for high-risk specialties (neurosurgery, etc)1 • Failure to obtain informed consent is among top ten reasons for claims3 – Failure to disclose risks or alternative treatments 1. The Medical Malpractice Insurance Crisis.  The Doctors Company.  http://www.thedoctors.com/KnowledgeCenter/References/CON_ID_001180.   2. Cohen, T. H. and K. A. Hughes (2007, March). Medical Malpractice Insurance Claims in Seven States, 2000 2004. NCJ 216339.  2 Cohen T H and K A Hughes (2007 March) Medical Malpractice Insurance Claims in Seven States 2000–2004 NCJ 216339 Washington, DC: U.S. Department of Justice, Bureau of Justice Statistics. 3. Glabman M. Top ten hospital malpractice claims [and how to minimize them]. Trustee.  2004; 57(2):12‐16
  13. 13. Litigation / Malpractice Protection • 45% are unable to recall major risks1 • 44% don’t know nature of the operation2 • 60% do not understand or read the consent form3 • Patient recall after consultation is only 43%; this drops to 38% 4 to 6 weeks later.4 • Good communication is key to effective informed consent practice 1. Patients as partners. Joint Commission Resources, Inc, Meghan McGreevey, Jcr, 2006 2. 2 Byrne, D. J., Napier, A., & Cuschieri, A. (1988). How informed is signed consent? British Medical Journal (Clinical Research Edition), 296(6625):839 Byrne D J Napier A & Cuschieri A (1988) How informed is signed consent? British Medical Journal (Clinical Research Edition) 296(6625):839‐ 840.  3. Parker, R. (2000). Health literacy: A challenge for American patients and their health care providers. Health Promotion International, 15(4), 277‐283.  4. Herz DA, Looman JE, Lewis SK. Informed consent: is it a myth? Neurosurgery. 1992;30:453-8
  14. 14. Promotion • Website content – Desired by patients – Improves p p p preparation – Improves compliance – Promotes your facility – Generates referrals • Content Makes a Difference – Patient engagement – Better communication – Better experience – Loyalty and Referrals
  15. 15. Additional Factors Influencing Patient Education • Focus on preventative care – ARRA provides $1 Billion in funding for prevention and wellness programs10
  16. 16. Additional Factors Influencing Patient Education • Increased adoption of healthcare IT p – $19 Billion in financial incentives to aid in the adoption of HIT10 • Focus on greener operations across the entire facility –I Increasing need f an electronic solution i d for l t i l ti
  17. 17. A Complete Multimedia Education Solution
  18. 18. Krames Difference: A Higher Standard of Content • Content developed in-house p • Extensive Development Process • Health Literacy Awareness – 5th to 8th grade reading levels – Suitability Assessment of Materials – Comprehensive yet digestible • Highly Illustrated • Peer Reviewed • Award-Winning
  19. 19. Krames Text • Focuses on key information • Main point receives primary position and most space • Uses simple, concrete words • Breaks information into small, logical pieces • Provides step-by-step instructions • Gives practical tips to improve daily lives
  20. 20. Krames Difference: A Higher Standard of Content Krames unique approach to educational art highlights and promotes key education points while being less likely to distract attention away from the key health message. Anatomical Art Lifestyle Art Procedural Art
  21. 21. Krames Artwork Krames award-winning artwork, over 27,000 images, creates unique art-text synergy that makes Krames patient education more effective and easier to comprehend.
  22. 22. Krames Difference: A Higher Standard of Content
  23. 23. Quality saves you money • Krames content gives you all of this: • Physicians, nurses and other healthcare professionals for p expert consultation and review • Writers and designers trained in the principles of health literacy and behavior change • Illustrators, including at least one who specializes in medical illustration • Medical dit M di l editors, graphic artists, hi ti t and production managers • A project manager to coordinate schedules and build consensus
  24. 24. Customer Surveys
  25. 25. Customer Surveys
  26. 26. Krames customer survey
  27. 27. Krames customer survey • It makes it easier for patients to understand because p they can look at the pictures as I explain. • It helps create a dialog and provides for a better question and answer period by bringing up other questions they may not have considered • A home reference…helps p p patients remember what they’ve been told. • Saves time by shortening the time spent answering basic, basic common questions questions. • Increases the comfort level and satisfaction of p patients and shows y care. you • Makes my life easier.
  28. 28. Krames patient survey
  29. 29. Krames Electronic Patient Education Solutions
  30. 30. • Improve patient experience • Decision support • Break down language barriers • Streamline workflow • Support informed consent • Improve quality of care • Enhance perception • Build loyalty and trust y y • Cut costs • Help mitigate risk
  31. 31. • 3000 HealthSheets on Conditions, Procedures, and Wellness • 2000 Drug Information Sheets g • 3,000 additional after-care instructions • Every handout in English and Spanish • Hundreds of topics in 8 additional l dditi l languages • Highly Illustrated • 5th to 8th grade reading level • Written to support health literacy
  32. 32. • Simple interface • Quickly search or browse for content • Manage content in g folders to save time and standardize care • Personalize sheets for the patient • Facility logo on every printout • Editing tool • Web-based, hosted by Krames • Optional EMR Interface
  33. 33. Krames HealthSheets: Largest Patient Education Library • 3,085 3 085 English • 10 Armenian • 3,085 Spanish • 10 Hmong • 387 Russian • 10 Farsi • 387 Chinese • 10 Tagalog • 387 Vi t Vietnamese • 10 Korean
  34. 34. • Drive web traffic • Reach a diverse audience • Support your brand • Build loyalty • Extend your reach • Generate referrals G f • Improve competitive edge • Ensure consistency and standardization • Support informed consent pp
  35. 35. • Hundreds of streaming videos id • 3,000 Education topics • 2,000 Drug g Information pages • Interactive Disease Management tools • All content in English and Spanish • Attractive, intuitive , interface • Customization options • Easy implementation
  36. 36. Video and illustrated articles on dozens of the most commonly searched health topics, including: • Pregnancy • Herpes • Cancer • HIV • Flu • Anxiety • Depression p • Stroke • Diabetes • Cholesterol • Addiction • Hypertension *Pew Internet and American Life Project and Cyberdialogue
  37. 37. • Same great benefits of Krames On-Demand or Krames Online • Save even more time • Support systems pp y investment • Flexible delivery options • Content for EMR, HIS, Intranet, Internet
  38. 38. • 3,000 Healthsheets , • 3,000 After-Care instructions • 400+ Videos • XML, HTML, RTF • CPT ICD-9 CPT, ICD 9 • MeSH • Tools for viewing, editing viewing editing, and managing content
  39. 39. • Save hours of clinical time • Connect with a wider audience • Decision support – Dozens of procedural videos • Support informed consent • Improve communication • Improve the perception of your facility • Enhance your patient safety initiatives
  40. 40. • Enhance your website • Engage a wider audience • Help patients prepare • Make a positive, lasting impression • Build loyalty • Generate referrals • Reach diverse audience
  41. 41. • Streaming video for point of care or your website • Available in all streaming formats • Flexible package options • Pre-digitized formats for CCTV • DVD • Over 430 videos to choose from • Multi-lingual g • Largest and most current video library available • P t over 360 videos on your site Put id it with Krames Online!
  42. 42. • Largest & Youngest Library g g y – 30 – 40 new annually – 30 – 40 updates annually • Right Length – 3 – 15 minutes (avg. 6 min) – Syncs with learning/retention abilities • Evidence-based and peer- reviewed • Multiple Formats – Windows Media – Quick Time – .mpeg1, .mpeg2, .mpeg4 – Flash
  43. 43. Krames Video Solutions: Largest Patient Education Library • 252 English • 5 Mandarin • 112 Spanish • 5 Cantonese • 25 Polish • 5 Japanese • 10 Arabic • 5 Russian • 4 Vietnamese
  44. 44. • Standardized, automated informed consent solution i f d t l ti • Easy, intuitive interface for consent form preparation • Seamlessly integrates form preparation with patient education on procedures • Trusted, high-quality content from Krames • Web-based – easy access with no h ith heavy IT b dburden
  45. 45. • Reduce exposure to p malpractice litigation • Simplify & standardize consent form preparation and documentation • Enhance communication and ease patient fears • Cut costs by employing an affordable, standardized solution l ti • Provide consent forms that facilitate communication.
  46. 46. • 200 illustrated patient education topics on key procedures • Many medical specialty areas covered y p y Anesthesia Orthopaedic Cardiac Surgery Surgery Gastroenterology Otolaryngology General Surgery Pulmonology Gynecologic Radiology Surgery Thoracic Surgery Hematology Urology Neurosurgery Vascular Surgery Obstetrics
  47. 47. • Unique interactive workbooks kb k – Asthma – Heart Disease – Heart Failure H t F il – Diabetes – COPD • Multimedia format • Comprehensive content • Easy to use
  48. 48. • Support disease management programs and community outreach efforts • Build a relationship with the patient • Promote lifestyle changes • Effectively engage patients • Accommodate diverse learning styles • Support your brand and differentiate your organization • Demonstrate your commitment y to preventative care • Show your patients you care about their health
  49. 49. Patients remember approximately 10 percent of what they read, 25 percent of what they hear, 45 percent of what they see, 65 percent of what they hear and see, 70 percent of what they say and write, and 90 percent of what they say as they perform a task.2 Multimedia format includes: – Online viewing – Online viewing with audio – Printable pdfs (support tools, l t l logs, t k ) trackers) – Videos – Narrated Animation Sequences (of physiology and disease process) – End-of-chapter quizzes
  50. 50. • Specialty-specific patient education for websites • Packages of Page Turning Booklets (flash) and videos • Orthopedics Package – 54 booklets, 37 videos • Cardiology Package – 47 booklets, 22 videos • Fast, Easy Setup • Affordable ff • Coming Soon – General g y Surgery • Base Package – 10 booklets, 5 videos
  51. 51. • Promote your practice, y p , clinic, or surgery center • Support shared decision making ki • Increase Patient Satisfaction • Drive Referrals • Access a robust patient education library from your website
  52. 52. Krames helps support patient-centered care • Improve relationships p p • Support shared decision making • Improve outcomes and compliance p p • Help patients manage their health • Promote your organization • Support your Brand • Support your Systems Investments • Reduce Risk • Save Time & Money • Cut Costs
  53. 53. Thank You!
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