Portage County Health Literacy Coalition


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Presentation given at the 4th Wisconsin Health Information Outreach Summit (Health Literacy) on August 11, 2010

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  • Presentation for the 4th Wisconsin Health Information Outreach Summit – Health LiteracyAugust 11, 2010Panel Discussion of health literacy initiatives1:45 – 2:05 Portage County: Tricia Lee, Kristin Duckart, St. Michael’s Hospital, Ministry, and Sarah Halstead, Portage County Literacy Council2:05 – 2:25 Marathon County: Kitty Switlick, Kay Palmer, Lori Scheller, Jan Kraus, Aspirus, and Bernie Corsten, Marathon County Literacy2:25 – 2:45 Wood County: Eva Scheppa, Family Health Center/Marshfield Clinic and Doug Seubert, Literacy Council of Wood County
  • 2008 – Literacy Council and Saint Michael’s FoundationGroup began to meet in fall of 2008, after PCLC had funding from FoundationMet more regularly in 2009Added “members”
  • By June of 2009 this is what our coalition looked like
  • Since 2008 health literacy incorporated into English Language classesTutors also trained to work on this with ELL and ABE students one on onePharmacist visit, field trip to Audiology Dept. at UW, hospital tour, nurse visit
  • Thanks to a grant from the Saint Michael’s Foundation, PCLC has been incorporating health literacy components into its ELL classes and tutors have been trained to use this with learners.
  • Fall 2009 – one student was hospitalized and stopped coming to classAll students knew the words “high blood pressure”None knew what it meantHad questions
  • We began incorporating nutrition lessons to compliment health literacy lessonsNow using Staying Healthy book (WI Literacy grant)Student reported feeling better after eating fruit again
  • A recent visit to the hospitalComparing words learned in class to those on the sign
  • Traditional Hmong celebration because student is well againFamily came from all over the countryFruit/Vegetable tray served(white strings were tied to wrists with the wish for continued good health)
  • …add notes here….
  • Over 500 guests were served, dental services, haircuts, oil changes, clothing, food, eye exams, basic medical attention
  • (Less than one year)Recruit additional appropriate members to coalitionPatient educatorsHealth science and health promotion studentsHealth insurance providersMid State Technical CollegeHospital Billing/business office representativesAging and Disability Resource CenterCAP ServicesEducate team members regarding health literacy and research strategiesAsk Me 3AHRQ Questions are the answerIdentify strategies that will lead to success, create work plan and determine how results will be measuredPursue new opportunities to educate public on health literacy topics
  • Dr. John Vernon of the Department of Health Policy and Management researched the cost to the state of Wisconsin due to low health literacy. According to the 2003 National Assessment of Adult Literacy (NAALS) only 12% of the surveyed adults were judged to have proficient health literacy. Individuals with limited health literacy reported poorer health and were less likely to use preventive care. (Nielsen-Bohlman, Panzer and Kindig, 2004)Individuals with low levels of health literacy were more likely to be hospitalized and have bad disease outcomes. (Baker, et. al., 2002)Inpatient spending increased by approximately $993 for patients with limited health literacy (Howard, 2004)Adults with low literacy have average per capita medical expenditures that are approximately twice (196%) as much as the average cost for the entire population.Low-functional literacy may have been responsible for an additional $32 billion to $58 billion in healthcare spending in 2001. A substantial pat of these expenditures is financed by Medicaid and Medicare. (Friedland, 2002)Estimated anual cost of low health literacy to the U.S. Economy was $106 billion to $238 billion (Vernon et. al., 2007)1.6 million adults in Wisconsin have Basic or Below Basic Health Literacy.Cost to Portage County is more than $1,000 for every person in our county each year! 68,940,866 / 68,744
  • www.pfizerhealthliteracy.com
  • Portage County Health Literacy Coalition

    1. 1. Portage County <br />Health Literacy Coalition<br />
    2. 2. Beginnings…<br />
    3. 3. As of June 2009<br />
    4. 4. Mission<br />To improve health outcomes in our community by educating and encouraging patients and health care providers to communicate effectively with each other regarding health care.<br />
    5. 5. English classes - PCLC<br />
    6. 6. “While English class may conjure up the memory of diagramming sentences or spelling bees for some of us, for our adult learners this spring it included strapping their teacher to a backboard and learning what happens when you call 911 as they simulated a car crash with volunteer EMT’s at the library…”<br />An excerpt from PCLC June 2009 newsletter<br />
    7. 7. “High Blood Pressure”<br />“How do you catch it?”<br />“The doctor gave him pills to take, but they didn’t work. Why does he have to keep taking them?” <br />
    8. 8. Lifestylechanges…<br />
    9. 9.
    10. 10. A celebration of HEALTH<br />
    11. 11. Aging & Disability Resource Center Workshops<br />
    12. 12. Touched Twice Clinic <br />Woodlands Church, Plover<br />Fall 2009<br />Health Ambassadors assisted low-income participants by practicing the <br />“Ask Me 3” questions<br />
    13. 13. Presentations offered to employers<br />How to Talk to Health Care Professionals<br /><ul><li>One hour workshop
    14. 14. Used curriculum from MSTC
    15. 15. Participants had various educational levels
    16. 16. Covered “Ask Me 3” questions
    17. 17. Most showed improvement (pre- & post-tests scores)</li></li></ul><li>Short Term Goals (< 1 year)<br />Recruit additional appropriate members to coalition<br />Educate team members regarding health literacy and research strategies<br />Identify strategies that will lead to success, create work plan and determine how results will be measured<br />Pursue new opportunities to educate public on health literacy topics<br />
    18. 18. Mid-Term Goals (2-5 years)<br />Providers will be educated on and sensitive to health literacy issues in their patients, which will help to create an environment accepting of asking questions. <br />Patients will begin using new communications skills in provider interactions.<br />On-going funding sources for the coalition will be established.<br />Networking will occur with other groups around health literacy (Wisconsin Literacy)<br />
    19. 19. Long-term Goals (5+ years)<br />Patients will become advocates of their own care.<br />Health care providers will be able to effectively communicate with patients of all levels of literacy.<br />Continued networking and collaboration with groups within and outside of our community with regard to health literacy.<br />
    20. 20. Future ideas…<br />Marketing message:<br />How would you describe a health situation that:<br />
    21. 21. Threatens every person <br />in the US, regardless of age, race, education or income level.<br />
    22. 22. Is estimated to cost <br />tens of billions of dollars per year<br />
    23. 23. Can’t be detected by a physical exam, a blood test, or a state-of-the-art diagnostic imaging system<br />
    24. 24. Is not yet a top priority for public policy and government decision makers<br />
    25. 25. Would you call it a public health emergency?<br />
    26. 26. This is NOT a fictional scenario<br />
    27. 27. It exists<br />
    28. 28. It exists<br />…and it is called….<br />
    29. 29. Low Health Literacy<br />
    30. 30. If you’d like more information:<br />Contact:<br />Sarah Halstead<br />Portage County Literacy Council<br />pclc@pocolit.org<br />Tricia Lee<br />Saint Michael’s Foundation<br />Tricia.Lee@ministryhealth.org<br />