Toward Health Equity and Patient-Centeredness Integrating Health Literacy, Disparities Reduction, and Quality Improvement: Workshop Summary (2009) / Chapter Skim
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5 Breakout Groups
5 Breakout Groups
Pages 55-62
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From page 55... ...
Agency for Healthcare Research and Quality Best Practices In addressing best practices, the group discussed ideas such as using "asthma educators." These are professionals who tailor instructions for use by asthma patients. David Olds at the University of Colorado has created a similar intervention using public health nurses as home visitors with new mothers of young infants. Home visitors are typically nurses who are trained to work with new mothers in the home to assist with child-rearing strategies, maximizing child health outcomes, and maternal life course development options such as finding work or planning future pregnancies.
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From page 56... ...
In California, for example, health department personnel used such data to drive dramatic improvements in mammogram rates for poor women. Cultural Competency Clancy's breakout group also discussed the concept of being a member of a team.
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From page 57... ...
Regional health information organizations are formal organizations that conduct health information exchanges. CAHPS -- The family of CAHPS surveys and tools, housed at the Agency for Healthcare Research and Quality, are used in a variety of health care delivery settings to assess patient experiences of care, to provide reports on performance, as well as to improve health care quality (AHRQ, 2008c)
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From page 58... ...
Among the barriers discussed were labor challenges, different models of care across different health care systems, and scope of practice. Patient-Centeredness Patient-centeredness was also discussed.
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From page 59... ...
Besides determining who should do the communicating, the team also needs to decide what will be communicated and how. The health promoter intervention model involves community members whose work complements the work of the health care team with actions and interventions such as encouraging behavior change and delivering relevant information to community members.
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From page 60... ...
Pignone also acknowledged that the system is especially good with care that involves profit to the health care delivery system. For services that are not well compensated in the current care system and require complex interaction and greater levels of patientcenteredness, there is less likelihood of good care.
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From page 61... ...
Therefore, another problem is how to encourage more consistency and standardization, not only within the government, but with private and public payers as well. Paul O'Neill, co-chair of the Forum on the Science of Health Care Quality Improvement and Implementation, stated that there is a study showing huge economic value to a system using interoperational standard electronic records.
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From page 62... ...
The role of context was again emphasized in terms of implementing quality improvement, health literacy, and health disparities reduction efforts. Context includes the health care system but also the community.
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