Health Literacy and the Teach-Back Method October 18, 2011 Alisha Ellwood, Blue Cross and Blue Shield of Minnesota Kim Dutcher, Allina Hospitals - PowerPoint PPT Presentation

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Health Literacy and the Teach-Back Method October 18, 2011 Alisha Ellwood, Blue Cross and Blue Shield of Minnesota Kim Dutcher, Allina Hospitals

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Title: Health Literacy and the Teach-Back Method October 18, 2011 Alisha Ellwood, Blue Cross and Blue Shield of Minnesota Kim Dutcher, Allina Hospitals


1
Health Literacy and the Teach-Back
MethodOctober 18, 2011Alisha Ellwood, Blue
Cross and Blue Shield of MinnesotaKim Dutcher,
Allina Hospitals Clinics

A program created by the Minnesota Health
Literacy Partnership
2
  • The problem with communication is the illusion
    that it has occurred.
  • -- George Bernard Shaw

3
  • Take 2 aleve bid and flexeril at hs. If not
    better see me next week

3
4
Health Literacy Basics . . . KEEP IT SIMPLE

5
Improve Skills and Reduce Complexity
6
Simple is SMART
Simple Meaningful Appropriate Repeat key
points Use Teach-back method
7
Teach-Back Basics . . .

8
Teach-Back . . . What?
  • Asking patients to repeat in their own words what
    they need to know or do, in a non-shaming way.
  • NOT a test of the patient, but of how well you
    explained a concept.
  • A chance to check for understanding and, if
    necessary, re-teach the information.

9
Teach-Back . . . Who?
  • Elderly
  • Ethnic and racial minorities/LEP
  • Persons with limited education
  • Persons of low socioeconomic status
  • Persons with chronic disease

10
Teach-Back . . . Where? When?
  • Teach-Back can be used in all clinical settings
    . . .
  • The teach-back technique should replace the more
    common practice of simply asking a patient, Do
    you understand?

11
Teach-Back . . . Why?
  • Teach-Back is supported by research!
  • Provides an opportunity to check understanding
    with the patient and re-teach if necessary.

12
Communication breakdown
TV Show House, Season , Episode
13
Teach-Back . . . How?
  • Ask patients to demonstrate understanding
  • What will you tell your spouse about your
    condition?
  • I want to be sure I explained everything
    clearly, so can you please explain it
    back to me so I can be sure I did.
  • Show me what you would do.
  • Chunk and check
  • Summarize and check for
  • understanding throughout,
  • dont wait until the end.
  • Do NOT ask . . .
  • Do you understand?

14
Teach-Back in Action
15
Operationalizing Teach-Back
  • Training needs to be specific and targeted
  • Providing opportunities to share experience with
    using teach-back is vital
  • Practicepractice.practice
  • Recognize that at times, the family (or
    caretaker) may be the most appropriate party to
    conduct teach-back with

16
Impact on patient experience
  • Better understanding Better outcomes!
  • Increased quality and patient safety
  • Improved patient experience and treatment
    adherence

17
Resources
  • Minnesota Health Literacy Partnership
  • http//www.healthliteracymn.org/

18
Acknowledgements
The Minnesota Health Literacy Partnership would
like to thank the following organizations for
contributions to this training
19
Questions?
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