Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

How to Reduce Readmissions by Changing Patient Education


Published on

The challenge is no longer finding the perfect medication but rather convincing the patient to take their medication as prescribed. It's no longer providing discharge instructions but educating the patient so they understand the need to follow through on behavior change to avoid repeating habits that brought them to the hospital in the first place.

Published in: Education
  • Be the first to comment

How to Reduce Readmissions by Changing Patient Education

  1. 1. by Changing Patient Education Synergy Broadcast Systems 16115 Dooley Road Addison, TX 75001 800-601-6991 * 972-980-6991 How to Reduce Hospital Readmissions...
  2. 2. Annual Cost of Medicare Readmissions $26 Billion $17 B or 65% of Total Readmissions Considered Avoidable Unless you do something to change this, Uncle Sam, will make you pay financially with penalties. Many hospitals have already been hit.
  3. 3. ● 14% of in-patients will be re-admitted within one month of discharge.* ● 49% will be re-admitted within one year.* The trends...
  4. 4. What’s the problem? Why do so many come back? Why do patients come back so fast? Parts of healthcare appear broken...
  5. 5. 50%of patients do not understand the information they receive while in the hospital.* 60% of patients do not understand the information they are given about an upcoming treatment or procedure.* In a related study... 80% forgot what they were told, and 50% of the remembered data was recalled incorrectly.*
  6. 6. Patients Simply Don’t Understand...
  7. 7. 75%of these readmissions could be prevented with additional patient education* Research shows that...
  8. 8. The Problem: In spite of the evidence and advances in learning and technology most patient education is still conducted like it was 1950.
  9. 9. In the old medical model the doctor had all the information and told the patient what to take and assumed that when the correct relevant information was provided behavior would change. provided behavior would change.
  10. 10. Health care is evolving... from the older medical model to one that is patient and family centered... but the patient must be included in the process for this to work. The challenge is no longer finding the perfect medicine but rather convincing the patient to take their medicine as prescribed. It's no longer providing discharge instructions but educating the patient so they understand the need to follow through on behavior changes to avoid repeating the habits that brought them back to the hospital. Today’s environment is much different...
  11. 11. Today’s nurse must add new people skills. Besides a nurse and teacher today’s nurse must also be a facilitator and coach. These skills play a key role in the patient's long term success or failure. Facilitator Teacher Coach Nurse Teacher Facilitator
  12. 12. As a facilitator, the nurse must find ways to make it easier for the patient to understand their situation: ● Incorporate video and other tools into the patient’s overall education plan. ● Mix up the teaching methods and tools to keep learning fresh. ● Individualize teaching for each patient. ● Multiple options help the patient learn. ● Involve family to strengthen the circle of knowledge.
  13. 13. As a Coach, the goal is to prepare the patient for life after discharge Coaching means understanding the patient’s beliefs and what they value and using this information as motivation to help them understand the importance of following through on behavior change. It’s also helping the patient find the confidence, through learning, to adopt new habits and make lifestyle changes they can stick with to avoid coming back.
  14. 14. Old Model Discharge instructions: ● List of do’s and don’ts ● Medication reminders ● Instructions to see your doctor in a few weeks. ● Problem: Does not work. ● Patient Assessment begins at admitting. ● Assess often to determine patient’s knowledge. ● Learn how they like to learn. ● Involve and individualize for the patient. ● Use teach back to determine progress. ● Use video to deliver information in simple terms. ● Establish what to look for and follow up after. ● Coach to develop the confidence and skills needed for self- care after discharge. ● Discharge instructions become reminders. Patient Education Models: Old vs. New New Model
  15. 15. Steps to Success 1. Make sure patient education is a priority for every department including Administration. 2. Introduce a simple and easy to follow patient education process and train everyone. 3. Train your staff. Don’t assume that because one has a medical degree they know how to teach or relate to those with little or no knowledge of how the body works. 4. Provide staff with an education support tool they can use with every patient - video. 5. Train staff on how to use video to help patients learn. 6. Monitor on a regular basis to keep staff engaged.
  16. 16. Why Video? ● It uses sight, sound and music to tell a story. ● Utilizes animations instead of graphic medical images. ● Helps explain complex medical topics in plain language. ● Conveys emotion to illustrate the benefits of changing behavior versus the consequences of continuing unhealthy habits. ● Helps overcome education barriers. ● Bridges language gaps. ● Helps model proper behavior to present realistic examples to follow. ● Delivers its message consistently when staff will often forget some details. ● Is universally accepted as a great way to learn and share information. ● Saves the nurse’s time and expands their impact with patients.
  17. 17. Video can be delivered in many ways but video on demand to the patient’s room is the easiest and most cost effective method. ● It uses your existing televisions and cable TV system. ● Uses your existing phone system with Caller ID to make it easy. ● There's a web interface for staff. ● It’s available 24 hours per day 365 days a year. ● Patients can watch when they are ready and able to learn (aka the “teachable moment”). ● Nurses customize the viewing experience with specific videos for each patient’s situation. ● Patients and their families can easily re-watch programs at any time. How Video on Demand Helps Facilitate Education
  18. 18. “Retention is improved through words and pictures rather than through words alone.” Mayer, R. (2001). Multi-Media Learning. Cambridge University Press. Video on Demand Helps Your Facility: ● Adds hundreds of hours of educational content for your patients ● Ensures consistency of message ● Improves patient engagement ● Helps patients formulate questions ● Improves documentation with electronic automation ● Sets your hospital apart from others
  19. 19. “Most health care is self-care. Professionals provide only a small fraction of all health care. After saving lives, the most important thing we provide is patient and family education. It promotes and supports the behavioral changes that improve health outcomes.” Fran London, MS, RN author, No Time to Teach. What’s the greatest gift you can give your patients? Help them understand. Educate and prepare them for life after discharge.
  20. 20. Want More Information? 1. Want to learn how to use video in patient education? Download our e-paper on How to Flip Patient Education for Better Results. 2. For more information on video on demand please visit our website. 3. Click here for a free budgetary quote. Call Us at: 800-601-6991
  21. 21. Inadequate Functional Health Literacy Among Patients, JAMA, Dec 6 1995, Vol 274 No. 21 Patients Memory for Medical Information Roy P. Kassells Hospital Readmissions as a Measure of Quality of Healthcare Advantages and Limitations, Jochanon Benbassar, MD, Mark Taragin, MD, MPH. 2000; 160: 1074 – 108. *Sources:
  22. 22. About Synergy Broadcast Systems Synergy Broadcast Systems has been providing hospitals with turnkey video solutions for over 25 years. Our solutions include Video on Demand, Patient Education Systems, Patient Education Channels, Relaxation Channels, Welcome Channels and Web Streaming. Synergy Broadcast Systems 16115 Dooley Road, Addison, TX 75001 972-980-6991 800-601-6991 972-980-6994 Fax Watch the Patient Educators Update on YouTube