The recommendation for change is to develop an education program for healthcare providers in the use of teach-back to improve patients understanding of self-care and
CONSULTATIVE CHANGE RECOMMENDATIONS 11 management of their disease or diagnosis. The AIM is to increase the HCAPHS score in the Care Transition domain “When I left the hospital I had a good understanding of the things I was responsible for in managing my health” will increase by 0.5% over the next quarter. Evidence has shown that health care providers have a knowledge deficit in self-care principles, management of disease, medication management, and the use of teach-back principles ( Mahramus, Penover, Frewin, Chamberlain, Wilson, & Sole, 2014). Research shows that there is not a standardized process in educating nurses on how to provide discharge instruction using the teach-back method (Kornburger, Gibson, Sadowski, Maletta, & Klingbeil, 2013). Teach-back should provide insight into the educator’s ability to effectively convey information to the learner, and in return, the learner should be able to verbalize their understanding back to the educator. The Joint Commission, Institute of Healthcare Improvement (IHI), and the Agency for Healthcare Research and Quality (AHRQ) support teach-back as best practice to improve care coordination and enhance patients knowledge in a way that promotes patient engagement and supports self-management of needs (Mahramus, Penover, Frewin, Chamberlain, Wilson, & Sole, 2014). Evidence shows that patient and caregiver with a low health literacy surrounding medications at discharge and how to care for themselves at home are at greater risk to return to the hospital (Wolf, Lamber, & Hinkner, 2016). Poor provider-patient communication results in sentinel events 10% of the time because oral communication is often misinterpreted, partially or completely misunderstood (Marcus, 2014). Supporting the teach-back method, will improve the healthcare provider’s ability to provide education in a manner that will empower the patient to be engaged in their care.
CONSULTATIVE CHANGE RECOMMENDATIONS 12 Evidence shows patient engagement and self-management will improve patient outcomes, improve standards of care, reduce readmissions and will decrease the cost of care. Rationale for Recommended Change The community needs assessment identifies areas of opportunity in the management of asthma, chronic illness, diabetes management, and obesity. The first step is to identify the mission partner’s knowledge regarding self-care education principles for disease management, medication management, and teach-back. This data will be gathered through a pre-assessment that will focus on the needs from the community health assessment. The education department will develop appropriate nursing education, which is patient-centered, using a combination of in- seat and simulation to demonstrate the use of teach-back. The team will select a unit, for the test of change, by using the data available from the administrative dashboard or hospital explorer.
You've reached the end of your free preview.
Want to read all 15 pages?
- Fall '18
- Health care provider, OSF HealthCare, OSF , Wgu C157