Lindley Wells, RN Disease Management Clinical Coordinator LSU Bogalusa Medical Center.

Patient Education & Navigation Pilot Project

Lindley Wells, RN Disease Management Clinical Coordinator

LSU Bogalusa Medical Center

Identify Need

For a structured patient

education resource easily accessible to healthcare

providers in outpatient

clinic environment

Assessment: Current Process

Verbal Instructions by

Provider

Various Printed

Materials Clinic Specific

Micro Medex Online

Referral to Adult Learning Group Class

Referral for 1:1 Individual

Instruction

Clinical Barriers to Patient Education:

Time

AccessTool for

Document

Ability of

Patient

to wait

Anxiety Level

Ability to

return

Plan:•Develop Patient Education Booklet•Design Documentation Tool •Develop Patient Navigation Brochure•WILMA Staff Education•Orient Clinical Providers•Implementation Primary Med Clinics•Post Survey

Development: Patient Education Booklet

• Encompass multiple chronic disease processes•Utilizes self management tools•Encourages patient self regulation•Promotes annual immunizations•Promotes annual health screenings•Espanol•Low literacy•Cost efficient

Key Components:

Asthma Diabetes HIV CKD Heart

Failure

Healthy Weight HTN Men’s

Health

Women’s

Health

Immunizations

Breast Self

Exam

Testicular Self Exam

Tobacco Quit Now

PSA Support Group

How to

Use an

Inhaler? What is

my A1c?Are

screenings

confidentia

l?What is

a GFR?

My

Low

Salt

Diet?

Allows Provider to

Individualize Booklet to Patient’s Learning

Need

Provider Clinical

Color Copy

Your Healthcare Provider has requested that you read the following

sections of the

Patient Education Booklet:

____Asthma Care

____Diabetes Care

____Healthy Weight

____Heart Failure-CHF

____High Blood Pressure-HTN

____Kidney Disease

____Men’s Health Screenings

____Women’s Health Screenings

____General Health Screenings

Cost $1.54

Development: Patient Navigation Tool

•Patient Education Department•Patient Advocate•Medical Home Membership•LSU Patient Helpline•Appointment Scheduling Desks•Outpatient Clinic Supervisor•Medication Assistance Program •Outpatient Pharmacy•Laboratory & Radiology Services •Qualifications for Free Care•Directional Map

Outcomes:

Previously educated No previous education0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

39%

61%

Baseline Comparison of Education Status

Outcomes:

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

66%

Multiple Chronic Disease Educational Opportunities

Outcomes:

Diabetes Hypertension CKD CHF Cancer Screenings Asthma0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

74%69%

11%

2% 3% 6%

Disease Process Diversity of Educational Needs

Outcomes:

Extremely easy Somewhat easy Extremely difficult0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

96%

4%0%

Level of Understanding

Outcomes:

Extremely helpful Somewhat helpful Not helpful0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

96%

4%0%

Level of Helpfulness

Outcomes:

Yes No0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

100%

0%

Improvements in Overall Health

Outcomes:

Daily Weekly Monthly Less than Monthly Never0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

16%

44%

28%

16%

0%

Frequency of Reference

Outcomes:

Yes No0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

100%

0%

Recommendation to a Friend or Relative

Outcomes:

Booklet/Phamphlet Internet Text Message0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

89%

8%3%

Source Preference for Future Educational Materials

Questions: