239694 Southeastern Pennsylvania (SEPA) Regional Enhancements Addressing Disconnects (READS) in Cardiovascular Health Communication

Tuesday, November 1, 2011: 9:30 AM

Rickie O. Brawer, PhD MPH , Center for Urban Health, Thomas Jefferson University Hospital, Philadelphia, PA
James Plumb, MD, MPH , Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA
Robert Simmons, DrPH, MPH, CHES , Jefferson School of Population Health, Thomas Jefferson University, Philadelphia, PA
Susan DesHarnais, PhD, MPH , School of Population Health, Thomas Jefferson University, Philadelphia, PA
The objective of SEPA- READS is to enhance the capacity of health care systems and professionals to address health literacy needs of adults' (aged 50+) in order to improve cardiovascular health outcomes by 1) identifying, implementing and evaluating educational/systems changes designed to improve written materials, navigation and provider communication skills, and 2) enhancing the ability of older adults to communicate effectively with healthcare providers. This is accomplished by: (1) creating a broad-based Cardiovascular Health Literacy Coalition that identifies, implements and evaluates educational/systems changes necessary to enhance the cardiovascular health literacy needs of adults aged 50+; (2) improving the ability of adults to communicate effectively with healthcare providers/staff at multiple points of care. The CHLC consists of a Coalition Steering Committee that meets monthly, provides overall guidance to the project and is composed of project leadership and representatives from two Advisory Working Groups. These Working Groups meet at least quarterly and will include: 1) a Professional Advisory Group (PAG) with representation from at least 10 hospitals and/or health systems, local literacy initiatives (such as the PhillyHealthInfo, Health Federation and the YMCA Adult Literacy program), the Federation of Neighborhood Centers, and cultural groups dealing with non-English speakers such as the Nationalities Service Center and Southeast Asian Mutual Assistant Association's Coalition, and 2) a Community Advisory Group (CAG) to provide guidance during planning, implementation and evaluation phases of proposed educational and system changes to ensure cultural and health literacy relevance for older adults. This Group, with its “community voice” consists of consumers from multiple Senior Centers, and other organizations. The CHLC utilizes a multi-pronged pronged approach that includes: 1) assessing the quality and content of communication across multiple points of care; 2) integrating literacy improvement techniques and strategies, such as Teach Back, use of Plain Language, Creating a Shame Free Environment, into staff development programs utilizing the AMA Foundation's Train-the-Trainer program and the Health Literacy – Help Your Patient's Understand Guide; and 3) activating patients through training on Ask Me 3. Ultimately the impact of SEPA-READS includes: 1) Institutionalization of effective communication materials and strategies into the culture of patient quality and safety protocols; 2) Creation of a centralized repository for culturally and linguistically forms and educational materials; 3) Improved cardiovascular health outcomes in adults aged 50+; 4) Reduced CVD related readmissions; 5) Reduced CVD medical errors; and 6) Improved CVD patient self-care behaviors.

Learning Areas:
Chronic disease management and prevention
Clinical medicine applied in public health
Communication and informatics
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Participants attending this session will be able to: 1) Organize an approach to recruiting multiple hospital/health systems into a literacy initiative 2) Apply a methodology of engaging hospitals, community organizations and older adults to address health literacy 3) Identify the challenges in addressing cardiovascular health literacy at multiple levels

Keywords: Health Literacy, Quality Improvement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Brawer PhD, MPH is qualified to present this project because of her expertise in health literacy including training and material development using CBPR methodology. Dr. Brawer has been trained by the AMA to train other medical providers in health literacy, has been training medical students, residents, public health and pharmacy students in health literacy for more than five years. Finally she has developed photonovels on multiple topics and an easy to use breast health on-line module by partnering with members of the community. Finally she has been involved with efforts to improve patient understanding of the informed consent process.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.