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Teach-back: A Health Literacy Tool to  Ensure Patient Understanding Presentation created by The Iowa Health System Health Literacy Collaborative
Objectives - After completing this module, you will be able to: ,[object Object],[object Object],[object Object]
Health Literacy ,[object Object],[object Object],[object Object],Ratzan & Parker, 2000
How Patients Feel ,[object Object],[object Object],[object Object],Institute of Medicine, 2004 Parikh N Pt Educ and Counseling 1996
The Right to Understand ,[object Object],[object Object],[object Object],[object Object]
The Challenge ,[object Object],Ley, Communicating with patients: improving communication satisfaction, and compliance 1988  Rost, Predictors of recall of medication regimens and recommendations for lifestyle change in elderly patients 1987.
[object Object],[object Object],[object Object],Universal Communication Principles Adapted from:  Reducing the Risk by Designing a Safer, Shame-Free Health Care Environment .  AMA, 2007
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Talking with Patients & Families
Teach-back ,[object Object],[object Object],[object Object],[object Object]
Teach-back  is… ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Teach-back is Supported by Research
Asking for a Teach-back - Examples ,[object Object],[object Object],[object Object],[object Object],[object Object]
Teach-back… ,[object Object],[object Object],[object Object],[object Object]
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
Teach-back – Additional Points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Teach-back – Using it Well: Elements of Competence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient Rights ,[object Object],[object Object]
IHS Ankeny Clinic Physician Experience ,[object Object],[object Object],Dr. Fred Marsh, 2004
Questions to Consider ,[object Object],[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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  • 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

  1. 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.
  2. 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.
  3. 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.
  4. TB used, how patient responded, how it went/next or additional steps, etc.