The challenge is no longer finding the perfect medication but rather convincing the patient to take their medication as prescribed. It's no longer providing discharge instructions but educating the patient so they understand the need to follow through on behavior change to avoid repeating habits that brought them to the hospital in the first place.

1. by
Changing Patient
Education
Synergy Broadcast Systems 16115 Dooley Road Addison, TX 75001 800-601-6991 * 972-980-6991 http://synergybroadcast.com
How to Reduce Hospital Readmissions...

2. Annual Cost of Medicare Readmissions
$26
Billion
$17 B or 65%
of Total
Readmissions
Considered
Avoidable
Unless you do something to change this, Uncle Sam, will make you pay
financially with penalties. Many hospitals have already been hit.

3. ● 14% of in-patients will be re-admitted within one month of discharge.*
● 49% will be re-admitted within one year.*
The trends...

4. What’s the problem?
Why do so many come back?
Why do patients come back so fast?
Parts of healthcare appear broken...

5. 50%of patients do not
understand the
information they receive
while in the hospital.*
60% of patients do not
understand the
information they are
given about an upcoming
treatment or procedure.*
In a related study...
80% forgot what they were told,
and
50% of the remembered data was
recalled incorrectly.*

6. Patients Simply Don’t Understand...

7. 75%of these readmissions could be prevented with
additional patient education*
Research shows that...

8. The Problem:
In spite of the
evidence and
advances in learning
and technology most
patient education is
still conducted like it
was 1950.

9. In the old medical model the
doctor had all the information
and told the patient what to take
and assumed that when the
correct relevant information was
provided behavior would change.
provided behavior would change.

10. Health care is evolving...
from the older medical model to one that is patient and family centered...
but the patient must be included in the process for this to work.
The challenge is no longer finding the perfect medicine but
rather convincing the patient to take their medicine as
prescribed. It's no longer providing discharge instructions but
educating the patient so they understand the need to follow
through on behavior changes to avoid repeating the habits
that brought them back to the hospital.
Today’s environment is much different...

11. Today’s nurse must add
new people skills.
Besides a nurse and teacher
today’s nurse must also be a
facilitator and coach.
These skills play a key role in the
patient's long term success or
failure.
Facilitator
Teacher Coach
Nurse
Teacher
Facilitator

12. As a facilitator, the nurse must find ways to make it easier
for the patient to understand their situation:
● Incorporate video and other tools into the patient’s
overall education plan.
● Mix up the teaching methods and tools to keep
learning fresh.
● Individualize teaching for each patient.
● Multiple options help the patient learn.
● Involve family to strengthen the circle of knowledge.

13. As a Coach,
the goal is to prepare the patient
for life after discharge
Coaching means understanding the patient’s beliefs and what they value and
using this information as motivation to help them understand the importance of
following through on behavior change.
It’s also helping the patient find the confidence, through learning, to adopt new
habits and make lifestyle changes they can stick with to avoid coming back.

14. Old Model
Discharge instructions:
● List of do’s and don’ts
● Medication reminders
● Instructions to see your doctor
in a few weeks.
● Problem: Does not work.
● Patient Assessment begins at admitting.
● Assess often to determine patient’s knowledge.
● Learn how they like to learn.
● Involve and individualize for the patient.
● Use teach back to determine progress.
● Use video to deliver information in simple terms.
● Establish what to look for and follow up after.
● Coach to develop the confidence and skills needed for self-
care after discharge.
● Discharge instructions become reminders.
Patient Education Models: Old vs. New
New Model

15. Steps to Success
1. Make sure patient education is a priority for every
department including Administration.
2. Introduce a simple and easy to follow patient education
process and train everyone.
3. Train your staff. Don’t assume that because one has a
medical degree they know how to teach or relate to those
with little or no knowledge of how the body works.
4. Provide staff with an education support tool they can use
with every patient - video.
5. Train staff on how to use video to help patients learn.
6. Monitor on a regular basis to keep staff engaged.

16. Why Video? ● It uses sight, sound and music to tell a story.
● Utilizes animations instead of graphic medical images.
● Helps explain complex medical topics in plain language.
● Conveys emotion to illustrate the benefits of changing behavior versus
the consequences of continuing unhealthy habits.
● Helps overcome education barriers.
● Bridges language gaps.
● Helps model proper behavior to present realistic examples to follow.
● Delivers its message consistently when staff will often forget some
details.
● Is universally accepted as a great way to learn and share information.
● Saves the nurse’s time and expands their impact with patients.

17. Video can be delivered in many ways but video on demand to the
patient’s room is the easiest and most cost effective method.
● It uses your existing televisions and cable TV system.
● Uses your existing phone system with Caller ID to make it easy.
● There's a web interface for staff.
● It’s available 24 hours per day 365 days a year.
● Patients can watch when they are ready and able to learn (aka the
“teachable moment”).
● Nurses customize the viewing experience with specific videos for
each patient’s situation.
● Patients and their families can easily re-watch programs at any time.
How
Video on
Demand
Helps
Facilitate
Education

18. “Retention is improved
through words and
pictures rather than
through words alone.”
Mayer, R. (2001). Multi-Media Learning.
Cambridge University Press.
Video on Demand Helps Your Facility:
● Adds hundreds of hours of
educational content for your patients
● Ensures consistency of message
● Improves patient engagement
● Helps patients formulate questions
● Improves documentation with
electronic automation
● Sets your hospital apart from others

19. “Most health care is self-care. Professionals provide only a small
fraction of all health care.
After saving lives, the most important thing we provide is patient
and family education. It promotes and supports the behavioral
changes that improve health outcomes.”
Fran London, MS, RN author, No Time to Teach.
What’s the greatest gift you
can give your patients?
Help them understand.
Educate and prepare them
for life after discharge.

20. Want More Information?
1. Want to learn how to use video in patient education?
Download our e-paper on How to Flip Patient Education
for Better Results.
2. For more information on video on demand please visit
our website.
3. Click here for a free budgetary quote.
Call Us at:
800-601-6991

21. Inadequate Functional Health Literacy Among Patients, JAMA, Dec 6 1995,
Vol 274 No. 21
http://jama.ama-assn.org/cgi/content/abstract/274/21/1677.
Patients Memory for Medical Information Roy P. Kassells
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC539473/?tool=pubmed
Hospital Readmissions as a Measure of Quality of Healthcare Advantages
and Limitations, Jochanon Benbassar, MD, Mark Taragin, MD, MPH. 2000;
160: 1074 – 108.
http://archinte.ama-assn.org/cgi/content/abstract/160/8/1074
*Sources:

22. About Synergy Broadcast Systems
Synergy Broadcast Systems has been providing hospitals
with turnkey video solutions for over 25 years.
Our solutions include Video on Demand, Patient Education
Systems, Patient Education Channels, Relaxation Channels,
Welcome Channels and Web Streaming.
Synergy Broadcast Systems
16115 Dooley Road, Addison, TX 75001
972-980-6991 800-601-6991
972-980-6994 Fax
http://synergybroadcast.com
Watch the Patient Educators Update on YouTube