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Healthy Literacy Missouri

Healthy Literacy Missouri. Wisconsin Health Literacy Summit April 1, 2009 Madison, Wisconsin Arthur Culbert, Ph.D. Senior Advisor to the Missouri Foundation for Health Interim Executive Director Health literacy Missouri. Wisconsin State Capitol Collapses. April Fools.

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Healthy Literacy Missouri

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  1. Healthy Literacy Missouri Wisconsin Health Literacy Summit April 1, 2009 Madison, Wisconsin Arthur Culbert, Ph.D. Senior Advisor to the Missouri Foundation for Health Interim Executive Director Health literacy Missouri

  2. Wisconsin State Capitol Collapses

  3. April Fools In 1933 The Madison Capital-Times ran a picture on its front page showing the dome of the Wisconsin State Capitol collapsing. A headline announced, "Dome Topples Off Statehouse," while the subhead read, "Officials Say Legislature Generated Too much Hot Air."

  4. Retirement

  5. Today’s talk Nation wide efforts in health literacy Health Literacy Missouri (HLM) HLM Resource Inventory

  6. Health Literacy • Complex social determinant of health • Public health issue • Costs Dollars butReally cost lives

  7. 90 Million adults in America have trouble reading this drug label

  8. Health Care Reform

  9. National Agenda for Health Literacy • Healthy People 2000 • IOM Health Literacy Report, 2004 • Surgeon General Workshop, 2006 • HHS National Town Hall Meetings, 2007,08 • Health Literacy Missouri, 2009 • A Call to Action to Improve Health Literacy • Health Literacy Coalition

  10. Mid West State Wide Health Literacy Initiatives Minnesota Health Literacy Partnership Iowa Center for Health Literacy Wisconsin Literacy Inc. Health Literacy Missouri

  11. Health Literacy Missouri (HLM) MFH determined health literacy components in previous proposals (2002-2005) Awarded $2.1 million in 2007 as part of 5 years funding Open a Missouri wide health literacy center in 2009

  12. HLM Partners

  13. HLMVision and Mission Our mission is to improve the health of all Missourians and ourvision is to become a national leader in health literacy.

  14. Develop health information Accurate Understandable Accessible Available to all Create systematic change in provider patient encounter based on health literacy DOES NOT BLAME VICTIM HLMPhilosophy

  15. HLMGuiding Principles Engage Community Partners Put Missourians First Innovate Strategically

  16. ACP ‘Living with Diabetes’ Guide • Guide Developed in 2006 • ‘Need-to-Know’ content only • Photos and action plans • Testimonials and examples • Over 1 million copies distributed • 300,000 living with diabetes in Missouri

  17. Cost of Low Health Literacy in Missouri

  18. Hot spots of low literacy

  19. MFH/HLM Activities Field testing American College of Physicians Living with Diabetes Guide (ACP 2007 - ) Cosponsored with CDC town hall meeting on health literacy (May 2008) Determined Economic cost (Vernon, 2008) Located ‘hot spots’ of low literacy using GIS Mapping (lurie, 2009) Demonstration projects (2008 - )

  20. Demonstration Projects Engage the community in creative ways to advance health literacy

  21. Demonstration Projects

  22. Strategic Communications Local graphics are created for each region. Research has shown that including graphics with the release increase the chance of having it used.

  23. Health Literacy Curriculum • Target Population:ALLhealth professions students, and providers • Continuum: • Health literacy training through Missouri AHEC pre- health professional students • Raise awareness and provide best practices for health professional students and providers

  24. Health Literacy Surveillance Attempt to survey & measure health literacy Missourians Health care providers Create baseline of health literacy levels

  25. HLM Resource Inventory Identified 4,000+ health literacy resources Inventorying health literacy resources: Easily accessible Well organized User friendly HLM Rating Meet User’s needs

  26. To evaluate a resource… Obtain the resource Identifyresources in the Resource Inventory database Evaluatethe resource on 3 dimensions: Soundness of Approach Easy to Use Evidence-based

  27. HLM Rating 86-100% 50-85% ≤ 49%

  28. [insert photo of clinic manager]

  29. THE HEALTH LITERACY PROBLEM: Diabetes patients don’t return for follow-up appointments “ The doctors use words the patients don’t understand and the patients won’t ask them to explain because they think they ought to know or they have tried in the past and the doctor sometimes can’t explain it in understandable terms. Doctors have a hard time bringing it down to an average person’s level of understanding. “ What is the solution?

  30. HEALTHCARE PROVIDERS • Get the facts about health literacy • Find easy-to-use materials for patients • Learn how to speak with my patients • Learn about cultural issues • Help patients access the health system • Teach others about health literacy • Get the facts about literacy • Assess health literacy levels • Assess literacy levels • Search the latest research • PROFESSIONALS • Create easy-to-use materials • Find information on health topics • Develop a policy • Develop a program • Teach others about health literacy • Help patients access the health system • Learn about cultural issues • Get the facts about health literacy • Get the facts about literacy • Search the latest research • GENERAL PUBLIC • Learn about a health topic • Get information about insurance • Protect my child’s health • Take my medication • Talk to my doctor • Make treatment decisions • Know my health risks • Get the facts about reading ability • Get the facts about health literacy • Read about culture and health • Find materials in other languages

  31. HEALTHCARE PROVIDERS • Get the facts about health literacy • Find easy-to-use materials for patients • Learn how to speak with my patients • Learn about cultural issues • Help patients access the health system • Teach others about health literacy • Get the facts about literacy • Assess health literacy levels • Assess literacy levels • Search the latest research • PROFESSIONALS • Create easy-to-use materials • Find information on health topics • Develop a policy • Develop a program • Teach others about health literacy • Help patients access the health system • Learn about cultural issues • Get the facts about health literacy • Get the facts about literacy • Search the latest research • GENERAL PUBLIC • Learn about a health topic • Get information about insurance • Protect my child’s health • Take my medication • Talk to my doctor • Make treatment decisions • Know my health risks • Get the facts about reading ability • Get the facts about health literacy • Read about culture and health • Find materials in other languages

  32. Learn about our scoring system

  33. Insert info for AMA manual here. Will look similar to slide #12 S of A = yellow E of U = green Ev-b = green

  34. Next Steps for HLM • Continue to develop and refine HLM’s niche in field of health literacy • Form more partnerships and develop coalition • Assist in the Call to Action for Health Literacy

  35. I am hopeful that when we ask the question, “Can we overcome the health literacy issues of our great nation?” The answer is a resounding Yes We Can!!

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