#AskHealthLit #Priesterhealth 2013


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#AskHealthLit #Priesterhealth 2013

  1. 1. • Extension professionals engage communities in public healthpolicy through public policy related education and training ofcitizens on health insurance and healthcare affordability issues• All eXtension Communities of Practice, the individual educatorsworking within them, eXtension IT personnel, and eXtensionAdministrators and stakeholders (including ECOP, JCEP, USDA,and NIFA) learn from the findings of this application of the AaE asboth a tool for needs assessment and for consumer education forspecific, time-intensive public education• Employees and administrators of the University of Maryland andother institutions and people in communities begin to understandExtensions valid role in educating people in health insurance• The term Health Insurance Literacy gains national recognitionamong academics• The University of Maryland’s involvement in the Ask an Expertsystem, eXtension.org and in social media increases• New knowledge is generated, disseminated and applied includingconsumer health insurance information needs and adaptive use ofnew technologies• Visibility of and engagement with the Ask an Expert application.increases• Capacity to determine consumer needs for information on healthinsurance increases• Capacity to provide answers to health insurance related questionsfrom consumers increases• People begin to understand the ramifications of the ACA on them,their families, and their household budgets• People recognize and connect with eXtension as an unbiasedsource of information, answers and education in health insuranceliteracy and the ACA• Concrete answers to real questions people have about the ACA andtheir health insurance choices are answered factually and in atimely way and the answers are valued by the askers• Individual belief in one’s ability to execute ACA health insurancedecisions (self-efficacy) increases• People plan for selections during open enrollment that areinformed, affordable and agreeable for themselves and familymembers• Log of five YouTube video scripts and associated urls• Log of 50 AaE FAQs created• Page views, likes, comments, and shares gleaned from YouTube,data.extension.org, Google Analytics, Facebook, Twitter, Klout,and other media metrics will inform the number of viewers, totalreach, engaged users, and virality of each video and AaE FAQ andorganically generated publicly answered question which in turnwill tell us what people dont know or understand that they seek,react to or share• Comments on web pages and any secondary media coverage willsignal recognition of the term/concept of Health Insurance Literacyand the validity of Extension and eXtension as a provider ofHealth Insurance Literacy education• Ask an Expert post-answer-received feedback loop will indicateself-reported value, time relevance, and overall satisfaction of theindividual asker• Locations, comments and additional questions posed within thepublicly available web-based questions and answers bank willfurther inform reach, virality and Extension/eXtension validity inthe perception of secondary engaged users• eXtension Fellowship quarterly reports and aggregated final reportwill articulate impacts, lessons learned and implications for futureprogramming• Peer reviewed published scholarship will indicate peer recognitionof the organizational and individual impacts achieved in thisprojectHealth Insurance Literacy – Ask an ExpertSITUATION• Background: Extension professionals are tasked witheducating the public---individuals, families andcommunities---on a number of public policy issuesincluding health policy. In the October, 2012 issue of theJournal of Extension*, Dr. Bonnie Braun of TheUniversity of Maryland challenged the nationwideExtension system to respond to the opportunity toprovide Health Insurance Literacy education. She notedthat with passage of the Affordable Care Act (ACA) andwith the fall 2013 date for open enrollment in mosthealth insurance plans and state exchanges, Extensionhas an opportunity to meet educational needs of over 180million adults and their families.• Justification: Fall 2013 is a massive teachable moment.People across the nation who have not had healthinsurance and millions more who have will need tounderstand specifics about the process of openenrollment, how to make informed choices and predictout-of-pocket healthcare expenses and what healthinsurance purchases and usage means for their health,lifestyle, and finances going forward.• Methods: In 2011, the University of Maryland Extension(UME), in partnership with Consumer’s Union and theAmerican Institutes for Research, began an effort todefine and measure Health Insurance Literacy. In 2012,the UME Health Smart Impact Team received funding tolaunch a state Health Insurance Literacy initiative. Thiswork has expanded to a multi-state initiative withExtension partners creating, testing and readying todeliver a theory and research-based educational responsein 2013. The team also plans to dovetail with existingand emerging technologies available througheXtension.org both for needs assessment and forconsumer education - gathering information fromconsumers and teaching them about changes and choicesin health insurance. To be timely and relevant we mustreach out to consumers quickly, capture their needs andconvert our findings into answers that can be deliveredusing multiple technologies and media.• Adaptive Use of Existing Technology: The environmentof eXtension.org is a catalyst for transformation of theCooperative Extension System of the Land GrantUniversities nationwide. The Ask an Expert feature ofeXtension.org allows real people in communities one-to-one question and answers with Extension Faculty andvolunteers from across the nation. As 2013 eXtensionFellow, Megan ONeil is working with a team frommultiple states and counties of faculty and administratorsto tailor Ask an Expert to address peoples questions onwhat the Affordable Care Act means for them and howhealth insurance is changing in the United States. Thegoal is to help people make informed choices and predictout-of-pocket healthcare expenses. Through thisinitiative, Ask an Expert will be a premier resource foranswering questions that lead people to become healthinsurance literate and to make smart choices forthemselves and their families at this opportune momentof epic change in our American healthcare system.* See Dr. Braun’s call to action athttp://www.joe.org/joe/2012october/comm1.phpTable 1. Sample Size byPositionN(141)%Extensionagents/educators41 29Extensionspecialists31 22EFNEP/FSNEcoordinators34 24Administrators26 18Other 9 7O’Neil, M. 1 with contributors: Braun, B. 2, Stone, H. M. 31 University of Maryland Extension, Snow Hill, MD, 2 University of Maryland, CollegePark, MD, 3 Nova Southeastern University (PhD candidate), Fort Lauderdale, FLENGAGEMENTMultiple avenues of public engagement to ensure that we arehearing and responding to diverse needs and different learningstyles – extending knowledge and connecting people 24/7/365 5 Videos 50 FAQs generated by pilot testing curricula and monitoringsocial media Tweet Chats Google+ Hangouts Webinars Social Media: Facebook, Twitter, Blog, Pinterest, YouTube eXtension.org, coalition and campus-based websitesTIMELINE• November 2012eXtension 2013 Fellowship proposal is co-written andsubmitted by University of Maryland Extension Educator,Megan O’Neil who works on the ground in a multi-countyregion in rural Maryland and in two other virtualcommunities at eXtension.org.• January 2013The proposal Health Insurance Literacy – Ask an Expertis successful and a team from multiple states and counties,faculty and administrators to tailor Ask an Expert to addresspeoples questions on what the Affordable Care Act meansfor them and how health insurance is changing in theUnited States. The primary goal is to help people makeinformed choices and predict out-of-pocket healthcareexpenses.• February 2013The community Health Insurance Literacy Ask is createdat eXtension.org.• March 2013“Experts” (future question answerers) are mined fromexisting eXtension.org communities and from professionaldevelopment presentations ongoing and are invited to jointhe community of Ask Experts. Joiners in turn invitecolleagues whom they know are interested in this educationand outreach. The community of experts available toanswer questions grows from 1 to 25 representing 22 states.Ask related bitmarks and Facebook, Twitter, Blog andPinterest accounts are established.• April 2013Joiners to the community of question answerers begin toshare resources from reputable sources to self-educateabout intricacies of the law and ramifications on employers,individuals, families and communities and begin tointegrate Ask social media profiles into their own networks.They continue to refer colleagues.ANTICIPATEDORGANIZATION OUTCOMESFor additional information please contact:Megan O’Neil, MPS, CFCS-HDFSThe University of Maryland ExtensionHealth Insurance Literacy – Ask an Expert Projectoneil@umd.eduActively Engaging People blahNEXT Join us! bit.ly/joinaskhealthlitMore Faculty experts are needed! When you join theeXtension network, you bring your unique education,skills and experience to a wide community of interestedusers. Collaborate with colleagues and consumers toexpand your work. Learn with peers what the AffordableCare Act really means for real people in real time andextend your knowledge world wide. Like us! facebook.com/askhealthlit Follow us!https://twitter.com/askhealthlit Engage with us!blogs.extension.org/askhealthlit Pin us!http://pinterest.com/askhealthlit Use us! bit.ly/askhealthlitbit.ly/askhealthlitActively Engaging PeopleActively Engaging PeopleComing Soon to Your Community:October 1, 2013 Open Enrollment!EVALUATION INDICATORSANTICIPATEDINDIVIDUAL OUTCOMES