Download Providing Patients with Patient-Specific Education

FACT SHEET
October 2012
Providing Patients with Patient-Specific
Education Resources
The Stage 1 meaningful use menu objective to
use certified electronic health record (EHR)
technology to identify patient-specific education
resources will become a core objective in Stage 2.
Patient education resources can provide
information specific to the patient’s health
condition, their point in care (such as whether the
patient is newly diagnosed or has been living with
a condition), and health care decisions they may
face. Providing patients with appropriate
education resources can help them remember
important information, improve their ability to
manage their health, and increase their
participation in informed decision-making.
Patient education resources include traditional print
materials as well as multimedia materials and various
interactive formats, such as decision aids and tools for
patients to track and manage health conditions.
Some examples of patient education resources are
• informational materials about health conditions, medical
procedures, medications, and other health topics;
• patient instructions that explain what patients need to do,
including self-care instructions, medication instructions,
when to come for follow-up appointments, tests and
procedures, and when to call;
• decision-support tools that help patients to understand
the scientific evidence as well as the risks and benefits of
different healthcare choices, and to make informed
decisions based on the evidence and their personal values
and preferences; and
• self-management tools that help patients manage their
health conditions, such as tracking blood sugar levels or
asthma symptoms.
Information therapy is the prescription of
the right information, to the right person, at
the right time to help make a better health
decision.
— Center for Information Therapy
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Meeting This Meaningful Use
Requirement
Patient-specific education resources should be identified
through logic that is built into certified EHR technology. It
can use the patient’s sex, age, problem list, medication
list, lab tests ordered, or other patient information to
suggest education resources that would be of value to the
patient. Education resources or materials do not have to
be stored within or generated by the EHR system, but
providers should use the EHR to suggest appropriate
educational resources for patients.
Good quality information materials, both
printed and electronic, can improve patients’
knowledge and understanding of their
condition, including those with low health
literacy. The impact is greater when the written
information is tailored to the individual and
reinforced by verbal information from clinicians.
— Angela Coulter, Engaging Patients in
Healthcare, 2011
Sources for Patient-Specific Education
Resources
Tips for Providing Patient-Specific Education
Resources
Table 1 summarizes selected sources for patient-specific
education resources. In addition, some factors to
consider when selecting sources for patient-specific
education resources include the following:
• Provide education resources to the patient during the
consultation. This allows providers to review materials
directly with the patient, point out critical information,
highlight action items, and check for understanding. In the
case of online resources, such as interactive tools,
providers can demonstrate how to access and use the
tools.
• Breadth of health topics—Are there sufficient resources
on topics of greatest relevance to patients?
• Accurate, up-to-date information—Is the information
evidence-based, unbiased, and credible? How frequently
are the materials updated?
• Availability in different languages—Does the source
include materials for non-English speakers and in the
specific languages needed by patients?
• Availability in various formats—Are the materials
available in various formats, such as print, multimedia or
interactive, and do they meet the different learning styles
and preferences of patients?
• Reading level—Are the materials appropriate for patients
with low levels of literacy and health literacy? Do the
materials use plain language and visuals to help in
understanding?
• Easy to use—Are multimedia and interactive materials
easy for patients to navigate and use? Is important
information easy to identify, such as when to call?
• Customizable—Can providers revise the information to
meet the specific needs of their practice and their patients?
• Integration with EHR—Which coding standards, such as
Current Procedural Terminology (CPT) or International
Classification of Diseases (ICD-9), are used to identify
patient-specific education resources?
• Ask patients their information preferences, including
their language preference and whether they prefer print
materials or other formats. Offer education resources to
patients in a variety of formats, such as print materials or
via an online patient portal.
• Place printers and computers strategically in the
healthcare setting so that providers can easily access
printed materials and view online education resources with
the patient during the consultation.
• Automate the process for identifying appropriate
education resources as much as possible to avoid the
need for manual searches during the consultation.
Depending on the integration with the EHR, this process
may be highly automated and generate resources linked
with various patient characteristics.
If automation is limited, providers can create a “favorites”
list to minimize searching.
• Provide patients a way to get more information if they
want to learn more, such as using a go-to-Web strategy.
• Get patient and provider feedback on education
resources on a regular basis and modify resources based
on the feedback.
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Table 1. Overview of Selected Patient-Specific Education Resources
Organization
Resource and Overview
Languages
Reading Level
Emmi
Solutions
Emmi Solutions
http://www.emmisolutions.com/patient_education_solutions.
html
Overview
• Interactive patient engagement tools on preparing for
procedures, patient safety, chronic conditions, medical
devices, and tools to help patients decide among treatment
options
• Can be integrated with and sent to patient from EHRs,
patient portals, scheduling systems, and EmmiManager
(Emmi Solutions Web-based application)
• Can track and order patient’s use of programs from within
the EHR, the scheduling system, or through EmmiManager
English and Spanish
Healthwise,
Incorporated
Healthwise® Patient Education EMR Module includes:
– 2,800+ Healthwise® Ix® Patient Instructions
– 161 Patient Decision Aids
– 1,700+ Drug Leaflets
http://www.healthwise.org/
Overview
• Uses patient data from the EMR—diagnosis, demographic,
medicine, and procedural codes—and returns a short list of
suggestions for relevant patient education resources
• Providers:
– Choose instructions from the list.
– Print, e-mail, or place in Personal Health Record.
– Record delivery of materials to the patient in the EMR.
• The Healthwise® Knowledgebase automatically populates
the PHR system with specific health content that is matched
to patient data—including medicines, test results, and
treatment options. Patients can also search the Healthwise
Knowledgebase health encyclopedia on their own.
• Healthwise Ix
• Healthwise Ix
Patient
Patient Instructions:
Instructions:
English and
4th to 6th grade
Spanish; 10
additional languages • Healthwise
for the most
Knowledgebase:
common diagnoses
6th to 8th grade
• Healthwise® Shared
Decision Points
(decision aids):
English and Spanish
• Healthwise
Knowledgebase:
English and Spanish
4th to 5th grade
EHR Integration
Certification
Contact
• Supports the HL7 Infobutton
standard
• Offers a Web Services API
• ONC-ATCB Certified
for Meaningful Use –
EHR Module
• Certified for ambulatory
and inpatient practice
settings
Bob Tavares
781-990-3642
btavares@
emmisolutions.com
• HL7 Infobutton compliant
• The Healthwise® Patient
Education EMR Module
feature provides contextaware documents based on
patient data, including age,
sex, keyword, and ICD-9,
ICD-10, CPT, and NDC
codes.
• Healthwise Patient
Education EMR
Module: ONC-ATCBcertified for PatientSpecific Education
Materials and
Electronic Discharge
Instructions
Phyllis Royston
208-331-6942
proyston@healthwise.
org
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Organization
Resource and Overview
Languages
Reading Level
EHR Integration
Krames
StayWell
Krames On-Demand 5.0, Krames Exit-Writer 7.3
http://www.krames.com
Overview
• Krames On-Demand: Patient education sheets on health
conditions, procedures, health promotion, disease
management, wellness; drug information sheets; information
on lab tests; discharge instructions
• Krames Exit-Writer: Discharge instructions covering
diagnosis, treatment options, health promotions issues,
medications, and lab tests
• Materials can be customized and edited, including
personalizing and adding messages for the patient.
5th to 8th grade
All topics in English
and Spanish;
hundreds of handouts
available in Chinese,
Vietnamese, Russian,
Portuguese, and
Arabic. Ten key topics
also available in
Armenian, Farsi,
Hmong, Korean, and
Tagalog
U.S. National
Library of
Medicine,
National
Institutes of
Health
MedlinePlus® Connect
http://medlineplus.gov/connect
Technical documentation:
http://www.nlm.nih.gov/medlineplus/connect/technical.html
Overview
• Available at no cost
• Patient-friendly MedlinePlus.gov content from NIH and other
government and professional organizations
– Information on hundreds of diseases, conditions, and
wellness topics
– Interactive tutorials, videos, and other multimedia
– Illustrated medical encyclopedia, dictionary definitions,
and health news
– Information on prescription and over-the-counter
medications, herbs, and supplements
• English and Spanish • Summaries on
• Web application (HTML
response) and a Web service
health topic pages,
• Additional content
(XML response) that supports
5th to 8th grade;
available in more
the HL7 Infobutton standard
other materials
than 40 languages
written for the
• Responds to requests based
general public;
on diagnosis (problem)
reading level
codes, medication codes or
varies
text strings, and laboratory
test codes; currently accepts
• Easy-to-read
ICD-9-CM and SNOMED CT®
materials
designated with
for diagnoses, RXCUI and
graphics
NDC for medications, and
LOINC® for laboratory tests
• Replies with English or
Spanish
.
• Supports the HL7 Infobutton
standard
• Content available in HTML,
XML and RTF formats, and
coded to CPT, ICD-9, and
MeSH
Certification
Contact
• Certified as EHR
modules by CCHIT
• Krames On-Demand,
(Version 5): certified for
providing an electronic
copy of discharge
instructions and
patient- specific
education resources for
inpatient and
ambulatory settings
• Krames Exit-Writer
(Version 7.3): certified
for providing an
electronic copy of
discharge instructions,
patient-specific
education resources,
and medication
reconciliation for
inpatient and
ambulatory settings
Steven Pero
Senior Sales Executive
267-685-8982
spero@kramesstaywell.
com
Systems pursuing
certification can use
MedlinePlus Connect for
meeting the patientspecific education
resources requirement.
Stephanie Dennis
301-435-4898
Stephanie.Dennis@nih.
gov
Or contact form on
MedlinePlus.gov.
http://apps.nlm.nih.gov/
medlineplus/contact/ind
ex.cfm?lang=en&from=
MedlinePlusConnect
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Organization
Resource and Overview
RelayHealth, a RelayClinical™ Patient Education (Formerly Clinical Reference
Systems or CRS)
division of
http://www.patienteducationconnect.com
McKesson
Overview
• Information on over 5,000 health topics and more than 6,000
medication products
• Topic areas: pediatric, adult, women’s health, senior health,
senior and specialty areas such as behavioral health and
sports medicine
• Other modules: Acute and Emergency Department
Discharge Instructions
Languages
Reading Level
6th grade (average)
English and
approximately 2,300
topics and illustrations
available in Spanish.
EHR Integration
Certification
Universal; integrated via HTML
or XTML files linked through
ICD-9/10 codes and can be
linked to patient age and sex
RelayClinical™ Patient
Education v11.1 certified
for patient-specific
education resources
Steve Pike
Product Manager
480-663-4711
stephen.pike@
relayhealth.com
patienteducation@
relayhealth.com
Some topics available
in French,
Vietnamese, Chinese
and Russian
Contact
Truven Health
Analytics
(formerly the
Integrated CareNotes System
http://www.micromedex.com/patiented
All CareNotes and
DrugNotes are
available in English
and Spanish.
Overview
A core set of
• CareNotes: Covering diseases, health conditions, treatments CareNotes and
and procedures, pre- and post-treatment patient care, diet,
DrugNotes are
and exercise topics and information on common lab tests
available in 13
• DrugNotes: Information on the most commonly prescribed
additional languages:
medications
Arabic, Chinese
(traditional), Chinese
• Consumer Lab Education: Information about frequently
(simplified) French,
performed tests, including lab descriptions, results
interpretation, risks, how the test is done, how it will feel, and German, Italian,
Japanese, Korean,
what follow-up is necessary
Polish, Portuguese,
• Materials can be customized, including adding logos,
Russian, Turkish, and
headers, footers, and supplemental text.
Vietnamese.
5th to 7th grade; also
includes full-color,
3-D images to further
support
comprehension
Flexible integration and delivery
options support easy integration
directly into the EMR workflow,
patient portals, and other HIS
environments.
Audit trail documents patient
education and engagement
activities in real time.
The Integrated
CareNotes System and
its integration
functionality are routinely
cited by facilities and HIS
vendors when attesting
for certification of the
complete EHR system.
1 (800) 525-9083,
Option 3 for
Customer Resource
Center Services, or
http://info.thomsonhealt
hcare.com/forms/Havea
SalespersonCall
http://www.micromedex.
com/patiented
UpToDate (a
division of
Wolters
Kluwer)
UpToDate Patient Information and Patient Widget
English
http://www.uptodate.com/home/clinicians/basics_beyond_
basics.html
http://www.uptodate.com/home/patientSearchBox.html
Overview
• Approximately 1,500 patient information topics across more
than 300 conditions
• Two levels of content:
– The Basics are short articles (1-3 pages) written in plain
language that are best for those who want a general
overview. They answer the 4 or 5 most important
questions a person might have about a medical condition.
– Beyond the Basics are longer more detailed articles (5-10
pages). The articles are best for readers who want a lot of
detailed information and who are comfortable with some
technical medical terms. (Targeted to high-school reading
level.)
• Patients can also subscribe to access physician-level
content.
The Basics—
5th to 6th grade
• Integrates with all leading
EHRs
• In addition, Beyond the Basic
patient education materials
available on the Web at
http://www.uptodate.com/
patients; a free widget can be
added to practice websites or
patient portals.
UpToDate has Modular
EHR Certification for
Patient Specific
Education resources.
Julie Gervais
781-392-2013
[email protected]
Healthcare
Business of
Thomson
Reuters)
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