1. Teach-back: A Health Literacy Tool to Ensure Patient Understanding Presentation created by The Iowa Health System Health Literacy Collaborative
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14. Teach-Back: Closing the Loop Schillinger D, Piette J, Grumbach K, Wang F, Wilson C, Daher C, Leong-Grotz K, Castro C, Bindman A. Closing the Loop Physician Communication With Diabetic Patients Who Have Low Health Literacy. Arch Intern Med/Vol 163, Jan 13, 2003
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Editor's Notes
Segue from last year’s seminar on transparency & disclosure. HL is the natural next step. Warm-UP: - Poll audience on their background and “specialty” -- claims, underwriting, risk management, consulting; clinical? behavioral health, hospital, physician office/clinic, LTC, etc. If provider, their provider role - doctor, nurse, etc. Quality officer Any patients? - Power of 10 Session-specific questions - 3; one from each faculty member w/ discussion by all faculty. Be sure to say we will be talking about all these questions today, and refer to the questions when the subject matter comes up during the day’s presentations.
Ask patient to demonstrate understanding . The teach back allows you to check for understanding and, if necessary, re-teach the information. This technique creates the opportunity for dialogue in which the physician provides information, then encourages the patient to respond and confirm understanding before adding any new information. We must ask the patient to explain or demonstrate understanding in a way that is not demeaning. Example: “What will you tell your spouse about your condition?” or in a way that takes pressure off the patient. Example: “I want to make sure I explained everything clearly, please tell me in your own words what you heard me say so I can be sure I did” It is important not to appear rushed, annoyed, or bored during these efforts – your affect must agree with your words.
Teach back can help us close the loop between patient education and patient understanding. Teach back helps identify people who do not understand and creates an additional teachable moment or opportunity where we can ret each or reinforce the information. Briefly go through cycle.
TB used, how patient responded, how it went/next or additional steps, etc.
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