Presentation on theme: "Partnership for Patients Teach-back Basics 100 E. Grand Ave., Ste. 360 Des Moines, IA 50309-1800 Office: 515.283.9330 Fax: 515.698.5130 www.ihconline.org."— Presentation transcript:
Partnership for Patients Teach-back Basics 100 E. Grand Ave., Ste. 360 Des Moines, IA Office: Fax:
Upon completion of the teach-back training, participants will be prepared to : 1. Define teach-back and key components 2. Explain the value of teach-back in improving patient care 3. Apply knowledge and skills to conduct teach- back throughout patient care Objectives
What is Teach-back? Teach-back is a simple mechanism by which a patient’s understanding of a concept or topic may be assessed. It can be used to teach concepts as well as techniques.
Who? Should be used with every patient; never assume literacy or health literacy All staff should know how to do it and use it whenever critical information is being communicated to the patient and/or family member Is NOT a test of the patient but rather a test of how well you explained a concept
Why? We remember: 10% of what we read 20% of what we hear 30% of what we see 50% of what we see and hear 80% of what we say 90% of what we say and apply “What I hear, I forget; what I see, I remember; but what I do I understand” - Confucius in 451 B.C.
Teach-back is supported by research ● Studies have demonstrated that patients recall and comprehend as little as 50% of what they are told by their physicians. - Schillinger, Arch Intern Med/Vo640 l 163, Jan 13, 2003, “Closing the Loop” ● In some disease conditions, more than 40% of patients sustain significant risks by misunderstanding, forgetting, or ignoring healthcare advice. Roter DL. The outpatient medical encounter and elderly patients. Clin Geriatr Med. 2000;1695- Asking patients to recall and restate what they have been told, is one of the 11 top patient safety practices. - AHRQ, 2001 Report, Making Health Care Safer
When? Every patient, every time Whenever teaching new concepts After re-teaching using a different method Throughout the patient’s hospital stay
How? Do not ask a patient, “Do you understand?” Ask patients to explain or demonstrate Ask open-ended questions Do not ask yes/no questions Re-teach in a different way
Additional Tips for Teach-back: ● Slow down ● Use a caring tone of voice and attitude ● Use plain language; simple words ● Avoid using medical jargon ● Focus on the 2 or 3 most important concepts. ● Break it down into short statements (chunk & check) ● Highlight or circle key information
Use teach-back to close the communication loop
“If they don’t do what we want, we haven’t given them the right information.” -Vice Admiral Richard Carmona Former Surgeon General
References: Minnesota Health Literacy Partnership (MHLP) American Medical Association (AMA) Agency for Healthcare Research & Quality (AHRQ) Centers for Disease Control and Prevention (CDC) Institute for HealthCare Improvement