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Emily Vardell, MLS
@evardell #macmla2015
October 19, 2015
http://tinyurl.com/ACAMACMLA
Literature Review
• ("Health Policy"[Mesh]
OR "health policy"
[ti/ab] OR "Insurance,
Health"[Mesh] OR
"health insurance")
AND ("Health
Literacy"[Mesh] OR
"health literacy")
• Citation chaining
Evidence-Based Strategies for Addressing
Health Insurance Literacy Needs
Article Evidence-Based Strategy
Baicker, Congdon, and
Mullainathan (2012)
Assistance with enrollment has been proven to improve participation, presenting a strong
argument for the need for librarians to offer support in this area.
Federman et al. (2009) Live presentations may be an effective tool for librarians seeking to improve patrons’ health
insurance literacy.
Greene, Peters, Mertz,
and Hibbard (2008)
Steps that librarians can take to decrease the complexity of shared information include
increasing font size, ordering information in a germane way (e.g., in order of cost), and
simplifying layout (e.g., reducing the number of columns).
Hibbard, Jewett,
Engelmann, & Tusler
(1998)
Targeted educational efforts aimed at intermediaries such as patient advocates, consumer
health librarians, family members, and health professionals, will be needed to enhance their
ability to assist seniors in making informed healthcare choices.
Kutner, Greenburg, Jin, &
Paulsen (2006)
Low health literacy levels can be observed in portions of most populations and should be
taken into consideration when librarians offer one-on-one health insurance assistance or
support.
McCormack, Bann,
Uhrig, Berkman, & Rudd
(2009
Dictionaries or glossaries in Medicare and other insurance informational materials, such as
the handbook Medicare & You, should be linked from library information portals and/or
included in library collections as appropriate.
Paez et al. (2014) Those interested in conducting studies of patrons and their health insurance literacy skills
may want to use the Health Insurance Literacy Measurement (HILM) to obtain baseline data
of participants’ abilities.
Root & Stableford (1999) Workshops and assessment tools that promote the skills necessary to develop easy-to-read
application materials provide a starting off point for greater discussion of building effective
Semi-Structured
Interview Guide
• First, could you tell me a little bit
about the library that you work in
and your role there
• Now, could you tell me a little bit
about your experiences meeting
Affordable Care Act and/or health
insurance information needs?
Semi-Structured Interview Guide:
Critical Incident Technique
• Can you please describe one of the
ACA/health insurance reference
questions you responded to?
• Probing questions focused on the
patron, the medium (e.g., face-to-face,
email, phone, etc.), recommended
resources, and how the
recommendations were conveyed.
Bridging Evidence & Librarian
Evidence-Based Strategies
• Assistance with enrollment improves
participation (Baicker, Congdon, &
Mullainathan, 2012)
• Targeted educational efforts aimed at
intermediaries (Hibbard, Jewett, Engelmann,
& Tusler, 1998)
Kay Hogan Smith: Information Mediator
Profile at a glance
 Builds partnerships with
public librarians and
community orgs
 Assists public librarians
seeking authoritative
resources
Community Services Librarian and
Director of Health InfoNet of Alabama
Paul Levett: Embedded Clinical Support
Profile at a glance
 Attends case study
tutorials
 Encourages students to
consider medication
pricing with different
types of insurance
coverage
Reference and Instruction Librarian
Evidence-Based Strategies
• Live presentations improve literacy skills
(Federman et al., 2009)
• Workshops and assessment tools to promote
skills necessary to develop easy-to-read
materials (Root & Stableford, 1999)
Mary Ellen Nolan: Programming Host
Profile at a glance
 Proactively builds
connections with
relevant organizations
 Provides a space for
both individual help
and group
programming
 Invites authoritative
speakers to present
Consumer Health Librarian
Lisa Kilburn: Presentation Support
Profile at a glance
 Locates authoritative
ACA information in a
systematic manner
Information Resource Specialist
Opportunities for Librarian
Involvement
Evidence-Based Strategies
• Decrease the complexity of shared
information (Greene, Peters, Mertz, &
Hibbard, 2008)
• Take low literacy levels into consideration
when providing assistance (Kutner, Greenburg,
Jin, & Paulsen, 2006)
Evidence-Based Strategies
• Link to dictionaries,
glossaries, etc. from
library info portals
(McCormack, Bann,
Uhrig, Berkman, &
Rudd, 2009)
 “The Health Care Law
and You” (Institute of
Medicine)
 “Know Your Health
Insurance” (Merck
Engage)
 “From Coverage to
Care” (DHHS)
@evardell
Emerging Roles
• Research Support
• Librarian Advocate
Michele Malloy: Research Support
Profile at a glance
 Provides one-on-one
assistance to patrons
 Encourages the use of a
multitude of resources,
including grey literature,
to research insurance-
related topics
 Uses clinician contacts
for help with
terminology and
clarifying questions
when needed
Research Services Coordinator
Michelle Kraft: Librarian Advocate
Profile at a glance
 Teaches continuing
education classes on ACA
for hospital librarians
 Advocates for
demonstrating the impact
of libraries on hospitals
budgets, admission rates,
and other ACA-related
measures Senior Medical Librarian
ACA Library Resources
Questions?
Do you have a story to tell?
Email me!
Emily Vardell, MLS @evardell
evardell@unc.edu
Presentation available at:
http://tinyurl.com/ACAMACMLA
Call to Action
At the 2013 American Library Association
Conference President Obama requested
assistance from librarians in ACA
implementation
Health Insurance Literacy
• “a new concept that addresses the extent to
which consumers can make informed purchase
and use decisions”
• “knowledge, ability, and confidence to
effectively choose and use health insurance”
Kim, J., Braun, B., & Williams, A. D. (2013). Understanding Health Insurance Literacy: A
Literature Review. Family and Consumer Sciences Research Journal, 42(1), 3-13.

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Evidence-Based Strategies for Affordable Care Act and Health Insurance Information Outreach

  • 1. Emily Vardell, MLS @evardell #macmla2015 October 19, 2015 http://tinyurl.com/ACAMACMLA
  • 2. Literature Review • ("Health Policy"[Mesh] OR "health policy" [ti/ab] OR "Insurance, Health"[Mesh] OR "health insurance") AND ("Health Literacy"[Mesh] OR "health literacy") • Citation chaining
  • 3. Evidence-Based Strategies for Addressing Health Insurance Literacy Needs Article Evidence-Based Strategy Baicker, Congdon, and Mullainathan (2012) Assistance with enrollment has been proven to improve participation, presenting a strong argument for the need for librarians to offer support in this area. Federman et al. (2009) Live presentations may be an effective tool for librarians seeking to improve patrons’ health insurance literacy. Greene, Peters, Mertz, and Hibbard (2008) Steps that librarians can take to decrease the complexity of shared information include increasing font size, ordering information in a germane way (e.g., in order of cost), and simplifying layout (e.g., reducing the number of columns). Hibbard, Jewett, Engelmann, & Tusler (1998) Targeted educational efforts aimed at intermediaries such as patient advocates, consumer health librarians, family members, and health professionals, will be needed to enhance their ability to assist seniors in making informed healthcare choices. Kutner, Greenburg, Jin, & Paulsen (2006) Low health literacy levels can be observed in portions of most populations and should be taken into consideration when librarians offer one-on-one health insurance assistance or support. McCormack, Bann, Uhrig, Berkman, & Rudd (2009 Dictionaries or glossaries in Medicare and other insurance informational materials, such as the handbook Medicare & You, should be linked from library information portals and/or included in library collections as appropriate. Paez et al. (2014) Those interested in conducting studies of patrons and their health insurance literacy skills may want to use the Health Insurance Literacy Measurement (HILM) to obtain baseline data of participants’ abilities. Root & Stableford (1999) Workshops and assessment tools that promote the skills necessary to develop easy-to-read application materials provide a starting off point for greater discussion of building effective
  • 4. Semi-Structured Interview Guide • First, could you tell me a little bit about the library that you work in and your role there • Now, could you tell me a little bit about your experiences meeting Affordable Care Act and/or health insurance information needs?
  • 5. Semi-Structured Interview Guide: Critical Incident Technique • Can you please describe one of the ACA/health insurance reference questions you responded to? • Probing questions focused on the patron, the medium (e.g., face-to-face, email, phone, etc.), recommended resources, and how the recommendations were conveyed.
  • 7. Evidence-Based Strategies • Assistance with enrollment improves participation (Baicker, Congdon, & Mullainathan, 2012) • Targeted educational efforts aimed at intermediaries (Hibbard, Jewett, Engelmann, & Tusler, 1998)
  • 8. Kay Hogan Smith: Information Mediator Profile at a glance  Builds partnerships with public librarians and community orgs  Assists public librarians seeking authoritative resources Community Services Librarian and Director of Health InfoNet of Alabama
  • 9. Paul Levett: Embedded Clinical Support Profile at a glance  Attends case study tutorials  Encourages students to consider medication pricing with different types of insurance coverage Reference and Instruction Librarian
  • 10. Evidence-Based Strategies • Live presentations improve literacy skills (Federman et al., 2009) • Workshops and assessment tools to promote skills necessary to develop easy-to-read materials (Root & Stableford, 1999)
  • 11. Mary Ellen Nolan: Programming Host Profile at a glance  Proactively builds connections with relevant organizations  Provides a space for both individual help and group programming  Invites authoritative speakers to present Consumer Health Librarian
  • 12. Lisa Kilburn: Presentation Support Profile at a glance  Locates authoritative ACA information in a systematic manner Information Resource Specialist
  • 14. Evidence-Based Strategies • Decrease the complexity of shared information (Greene, Peters, Mertz, & Hibbard, 2008) • Take low literacy levels into consideration when providing assistance (Kutner, Greenburg, Jin, & Paulsen, 2006)
  • 15. Evidence-Based Strategies • Link to dictionaries, glossaries, etc. from library info portals (McCormack, Bann, Uhrig, Berkman, & Rudd, 2009)  “The Health Care Law and You” (Institute of Medicine)  “Know Your Health Insurance” (Merck Engage)  “From Coverage to Care” (DHHS) @evardell
  • 16. Emerging Roles • Research Support • Librarian Advocate
  • 17. Michele Malloy: Research Support Profile at a glance  Provides one-on-one assistance to patrons  Encourages the use of a multitude of resources, including grey literature, to research insurance- related topics  Uses clinician contacts for help with terminology and clarifying questions when needed Research Services Coordinator
  • 18. Michelle Kraft: Librarian Advocate Profile at a glance  Teaches continuing education classes on ACA for hospital librarians  Advocates for demonstrating the impact of libraries on hospitals budgets, admission rates, and other ACA-related measures Senior Medical Librarian
  • 20. Questions? Do you have a story to tell? Email me! Emily Vardell, MLS @evardell evardell@unc.edu Presentation available at: http://tinyurl.com/ACAMACMLA
  • 21. Call to Action At the 2013 American Library Association Conference President Obama requested assistance from librarians in ACA implementation
  • 22. Health Insurance Literacy • “a new concept that addresses the extent to which consumers can make informed purchase and use decisions” • “knowledge, ability, and confidence to effectively choose and use health insurance” Kim, J., Braun, B., & Williams, A. D. (2013). Understanding Health Insurance Literacy: A Literature Review. Family and Consumer Sciences Research Journal, 42(1), 3-13.

Editor's Notes

  1. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful All interviews conducted on the phone, transcribed, and coded to allow themes to emerge
  2. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful All interviews conducted on the phone, transcribed, and coded to allow themes to emerge
  3. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful All interviews conducted on the phone, transcribed, and coded to allow themes to emerge
  4. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful
  5. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful
  6. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful
  7. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful
  8. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful
  9. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful
  10. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful
  11. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful
  12. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful
  13. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful
  14. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful
  15. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful
  16. Recall and describe a successful reference interaction vs an unsuccessful reference interaction – the factors that made the interaction successful or unsuccessful