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8/7/2019 StandPoint Best Practices in Patient Ed
1/20
Best Practices in Patient Education:
Providers Point of View
April 14, 2010
SOURCES OF PATIENT EDUCATION TODAY
WEBINAR
Presented by
Kip Creel, President
StandPoint, Inc.
8/7/2019 StandPoint Best Practices in Patient Ed
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informed decisions, proven results.
2
PATIENT EDUCATION 2
1. What are the branding standards for patienteducation?
2. What are the sources of patient education used
most often in the provider practice?
3. What are the most effective formats for patienteducation?
4. What is the teachable moment and why is it
important?
5. What role does the Internet and EMR play in thedelivery of patient education?
8/7/2019 StandPoint Best Practices in Patient Ed
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informed decisions, proven results.
3
METHODOLOGY
Extensive literature search.
Four in-office observations. Two each in Atlanta, GA and Des Moines, IA.Specialties: Family practice, internal medicine, gastroenterology, and
neurology.
2-hour focus group of private practice nurses, nurse practitioners, and
physicians assistants in Atlanta, GA.
2-hour focus group of MDs in Chicago, IL. Specialties: internal medicine,
cardiology, gastroenterology, and neurology.
Survey among 150 private practice clinicians. Split equally among MDs and
Nurses / PAs and GP vs. specialists.
MDs vs. Nurses and Physicians Assistants
Clinicians in general practice vs. specialty
3
8/7/2019 StandPoint Best Practices in Patient Ed
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informed decisions, proven results.
4
SOURCES OF PATIENT EDUCATION TODAY
Multiple Responses Permitted
(n=153)
What are the current sources of patient education used most often in your
practice?
Patient accessible in-office brochures / pamphlets 67%
Materials from pharma and/or device companies 63%
Patient advocacy groups 54%
Staff-created 50%
Local hospital / health system 31%
Professional society 20%
Physician / Clinician is the gatekeeper.
Industry an important, respected source of patient education material
4
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informed decisions, proven results.
5
POLLING QUESTION #1 5
Question 1: Who in your organization is involved in the creation of patient education materials?
a) Marketing / communications
b) Patient education department / resident expert / nurse educator
c) Agency or outside vendor that specializes in this
d) Other (please specify)
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informed decisions, proven results.
6
BRANDING STANDARDS
Class CharacteristicsBrand
PermissionComments
High
incidence
conditions
-Lots of generics
-Multitude of
treatment options
-Established
brands
Corporate
level
Merck: We are a very large practice and they have even consulted with
me on designing specific patient education materials
Merck: They do a great job on their non-branded materials. It really
helps to build goodwill with the whole company.
Pfizer: They provide us great information on their medicines but also
information related to diet and exercise.
Lilly: They have a reputation for unbiased materials.
Portfolio
Marketers
SpecialtyPharma
-Company focused
on specific disease
or function
-Various treatment
options availableto patient
Corporate
level with
product
layering
Shire: Comprehensive information about ADHD. Information available for
the child, parent, teacher and physician. Shire provides doctors with
assessment scales to be used for the patient. There are materials
understandable to young children, adolescents and adults.
Biogen: Has educational materials for MS patients which providegeneral information about the different treatment options the company
provides.
(n=153)
6
8/7/2019 StandPoint Best Practices in Patient Ed
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7BRANDING STANDARDS (continued)
Class CharacteristicsBrand
PermissionComments
Biologics
New
modalities
Devices
Low
incidence
conditions
Strong instructional
needsProduct level
Epipen: They have a DVD that details how and when to use the
product.
St. Jude Medical: Great information about their devices in written and
DVD forms and models provide for our use in the office.
Chantix: Options for smoking cessation as well as information about
their medications.MiniMed Insulin Pump: DVD and USB flash drives with product demos
and product information.
Elmiron (Interstitial Cystitis): Patient symptom check-lists/easy to use
diet information/patient magazine with great pictures, diagrams and true
patient stories. Patient counseling tools.
Cyberonics (Vagus Nerve Stimulation): Cyberonics holds informative
seminars for the potential patients and family members; they provide
DVD's with useful information; they also provide access to conference call
with patients who have already have the device.
(n=153)
7
8/7/2019 StandPoint Best Practices in Patient Ed
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8ESSENTIAL COMPONENTS OF PATIENT EDUCATION
31%
22% 22%
12%
7%
3%
Information onDiseaseProcess
Compliance Lifestyle Acquisition TreatmentOptions
Side Effects
Mean (n=136)
Respondents indicated priorities by allocating 100 points across the items.
8
When designing an ideal patient education piece, how much emphasis
should be placed on each of the following?
8/7/2019 StandPoint Best Practices in Patient Ed
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9POLLING QUESTION # 2 9
Question 2: As it relates to patient education, which of the following have you made available to
physicians and support staff?
a) Internet-based materials that can be downloaded
b) Printed materials
c) Educational sessions for patientsd) DVDs (other electronic media) for providers and patients
e) Other (please specify)
8/7/2019 StandPoint Best Practices in Patient Ed
10/20informed decisions, proven results.
10WHATS IMPORTANT
Above Average
5th to 8th grade reading
levelLots of visuals and
illustrations
Printed handout
Short and concise
Slightly Above Average
Patient education andsamples in close proximity
Educational session for
clinician on best practices
in patient education
Educational session for
clinicians from those whohave achieved successful
outcomes in smoking
cessation, weight loss,
alcohol reduction
Average
On a tear pad
Blank space to write in lab
values / treatment plan
General information for family
practice
Detailed information for
specialist
If prescribingclear brand
reference
If not prescribingless evident
brand reference
Patient education from parent
companynot brand
Mfg document patient non-
compliance and notify provider
Sponsored educational
sessions for patients
Below Average
On a CD / DVD for patient
to take home
Reference card for clinician
(n=153)
10
Understand and Support the Teachable Moment
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11TEACHABLE MOMENT 11
Is the educational piece designed for initial diagnosis or later?
Seriousness of diagnosis
Degree of involvement of family members
Sensitivity / stigma associated with diagnosis
Teachable Moment Considerations:
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12TEACHABLE MOMENT (TM) FLOWCHART 12
Condition
INITIAL
DIAGNOSIS
Ubiquitous Conditions
not life threatening
(elevated cholesterol,
HPB)
Lifestyle Changing
(Diabetes, RA, ADHD)
Life Threatening
(HIV/AIDS, cancers)
Sensitive / Stigma
Treatment
Options by
GP
-Paper-based/ write in lab
values
-Lifestyle
-Web supplementation
Efficacy
Tolerance
Compliance
GP or
Specialist
GP or
Specialist
GP or
Specialist
-Disease process
-Lifestyle-Treatment options
-Info resources for patient(dont hit with too much info at
once)
-Layer more
detailed info-DVDs for
family
-Monitor
lifestyle /
compliance
-Disease process
-Info resources for patient
-Treatment options(dont hit with too much info at
once
Web resources
DVDs(respect privacy)
-Detailedtherapy info
-Care
management
/counseling
Teacher Resources
Focus of
Future TMs
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13PATIENT EDUCATION ON DEMAND
78% of those surveyed access the Internet at their desk
to find and print patient education.
28% of those surveyed access the Internet in exam
rooms to find and print patient education.
(n=153)
13
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14ELECTRONIC MEDICAL RECORD (EMR)
59%
41%
Yes No
Does all or a portion of your practice location
utilize an electronic medical record (EMR)?
(n=153)
A 2008 estimate from the CDC indicates
that 38% of all MDs have access to apartially or fully functional EMR
42%
47%
53%
Search function that allows forquick identification of patienteducation materials during a
patient encounter
Pre-packaged patient education
materials built into the EMR thatthe clinician can print out on
demand
Ability to electronically scan yourown patient education documents
into the EMR so they can beaccessed on demand
EMR Capabilities
Multiple Responses Permitted
(n=90)
14
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15POLLING QUESTION # 3 15
Question 3: Has your organization considered Electronic Medical Records as a future channel
for the dissemination of patient education materials during a patient encounter?
a) Yes
b) No
NON PERSONAL PROMOTIONAL MATERIALS
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16NON-PERSONAL PROMOTIONAL MATERIALS
77% of those surveyed personally review and sort their own mail
(n=153)
83 % of physicians surveyed personally review and sort their own mail (n=100)
16
NON PERSONAL PROMOTIONAL MATERIALS
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17NON-PERSONAL PROMOTIONAL MATERIALS
29% of those surveyed recall material from a pharmaceutical or medical device company that prompted
them to take a specific action.
(n=153)
7%
11%
68%
Received an email
It was mailed to me
Materials left by a sales representative
Where did you acquire this information?
What specific action did you take?
25%
27%
32%
43%
Filed the material away for future reference
Contacted a sales rep
Shared the information with others on staff
Visited the companys website
What prompted you to take action?
14%
43%
59%
A new therapy that I had never heard about before
A new therapy applicable to one of my patients
Patient education material
Multiple Responses Permitted
(n=44)
17
Multiple Responses Permitted
(n=44)
Multiple Responses Permitted
(n=44)
18
NON PERSONAL PROMOTIONAL MATERIALS 18
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18NON-PERSONAL PROMOTIONAL MATERIALS
How often do you receive information from pharmaceutical and medical device
companies that is not relevant to you or your patient population?
3%
20%
53%
25%
Never Rarely Sometimes Frequently
According to our study 78%
or private practice physicianoffices receive information
that is NOT relevant to their
patient population
(n=153)
18
19
NON PERSONAL PROMOTIONAL MATERIALS 19
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19NON-PERSONAL PROMOTIONAL MATERIALS 19
What are the typical reasons you discard materials you receive in the mail from pharmaceutical or medical device companies?
31%
32%
35%
47%
67%
I can always go to the Internet on my own to research new therapies
I dont have time to review these materials
I get most of the information I need about a therapy from medicaljournals
Already prescribing the therapy and dont need new information
The therapy is not applicable to me or my patient population
Multiple Responses Permitted
(n=153)
CONTACT STANDPOINT 20
8/7/2019 StandPoint Best Practices in Patient Ed
20/20
Kip Creel, [email protected]
CONTACT STANDPOINT
1722 Montreal Circle, Suite A
Tucker GA 30084
770.270.4800 Phone
www.standpointgroup.com
20
http://www.standpointgroup.com/http://www.standpointgroup.com/http://www.standpointhealthcare.com/