iom report on patient literacy and patient centered care

In a follow-up to its Quality Chasm report, the IOM’s Priority Areas for National Action: Transforming Health Care Quality report (2003) identified Self-Management and Health Literacy as key to instituting patient-centered care.

Full Answer

How does poor health literacy affect patient outcomes?

Poor health literacy can hinder patients' ability to receive health care, including their ability to communicate with their clinicians and manage chronic illnesses ( IOM, 2011b ).

How does the patient-centered care system interact with the patient?

The patient, clinicians, and health care system dynamically interact to influence patient-centered care. The delivery of patient-centered care has the potential to improve communication and health outcomes.

Do we need an integrated measure of health literacy?

Certainly, an array of current initiatives by the federal government and other payers, national health quality organizations, and national health care leadership organizations provide timely opportunities for the adoption and use of an integrated measure of health literacy, language access, and cultural competence.

What is the IOM doing for end of life care?

A related activity is an IOM consensus committee on transforming end-of-life care. That committee is currently examining issues in end-of-life care, including advance care planning, patient-clinician communication of values and preferences, and health care financing and reimbursement. The report is expected to be released in 2014.

How patient-centered care and health literacy are connected?

Studies investigating the interrelations between patient-centered communication, shared decision-making and health literacy demonstrate that low health literate patients are less likely to experience participatory decision making in the clinical encounter [18] and more likely to perceive interpersonal communication ...

How does the IOM define patient-centered care?

The IOM (Institute of Medicine) defines patient-centered care as: “Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions.”[1]

What are the 5 key elements to patient-centered care?

Research by the Picker Institute has delineated 8 dimensions of patient-centered care, including: 1) respect for the patient's values, preferences, and expressed needs; 2) information and education; 3) access to care; 4) emotional support to relieve fear and anxiety; 5) involvement of family and friends; 6) continuity ...

What are the six Institute of Medicine's IOM aims for improving healthcare quality?

That IOM report committee recommended six aims for improvement: health care should be safe, effective, patient-centered, timely, efficient, and equitable. In this paper, we focus specifically on two of those aims: health care that is patient-centered and equitable.

What are the 4 C's of patient-centered care?

The four primary care (PC) core functions (the '4Cs', ie, first contact, comprehensiveness, coordination and continuity) are essential for good quality primary healthcare and their achievement leads to lower costs, less inequality and better population health.

What are the 4 principles of person-Centred care?

Principles of Person-Centred CareTreat people with dignity, compassion, and respect. ... Provide coordinated care, support, and treatment. ... Offer personalised care, support, and treatment. ... Enable service users to recognise and develop their strengths and abilities, so they can live an independent and fulfilling life.

What are the 8 core values of person-centred care?

The eight values in person-centred healthcare are individuality, rights, privacy, choice, independence, dignity, respect, and partnership. All that you need is a healthcare professional who, at the very least, ask three questions: Why are you here?

What are examples of patient-centered care?

Patient-centered care examplesLetting the patient choose who can visit them.Allowing the patient to pick their own visiting hours.Inviting the patient's family members to participate in decision-making.Providing accommodations for visitors, like food and blankets.

What are the 7 core values of a person-Centred approach?

In health and social care, person-centred values include individuality, rights, privacy, choice, independence, dignity, respect and partnership.

WHAT IS THE IOM framework?

One of the most commonly used frameworks comes from the Institute of Medicine (IOM), which has articulated six aims of health care that many consider to be domains of quality, broadly defined. The IOM says health care should be safe, effective, timely, patient-centered, efficient and equitable.

How does the IOM define quality?

The IOM (2013) defines healthcare quality as “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge” (para. 3).

Which of the IOM aims has this hospital most clearly met?

Which of the IOM aims has this hospital most clearly met? Timely. Timely care meas reducing waits and sometimes harmful delays for both those who receive and those who give care.

What is integrated measure of health literacy?

An integrated measure of health literacy, language access, and cultural competence would enable a hospital or health system to establish baselines and evaluate progress as part of the American Hospital Association’s (AHA) renewed efforts to improve care to diverse patients and improve health equity. AHA’s commitment to revitalizing its prior equity and diverse care initiatives was underscored in a change in the name of the association’s efforts in 2018. AHA said that its renamed Institute for Diversity and Health Equity “more accurately depict [s] our mission now that we have realigned ourselves as a core membership resource within the AHA” [26].

What are the principles of patient centered care?

To clarify, the authors of this paper suggest that the principles of patient-centered care include respect for patients’ values, preferences, and expressed needs; coordination and integration of care; and providing emotional support alongside the alleviation of fear and anxiety associated with clinical care. Similar to the NCQA report, the authors of this paper agree that patient-centered care initiatives are a parallel and possibly underlying dimension of health literacy, language access, and cultural competence efforts in that patient-centered health initiatives are associated with beneficial health outcomes, including improved patient experience, safety, and clinical effectiveness.

What is the importance of cultural competence in health care?

An integrated measure of health literacy, language access, and cultural competence could reduce health disparities, could highlight patient engagement, would contribute to improvement in patient care practices, and would not duplicate existing improvement activities.

What is NCQA?

NCQA concluded that implementing more health literacy, language access, and cultural competence initiatives within the health care delivery system could contribute to improved health care in the United States—and that ensuring quality improvements might occur if these activities were assessed systematically.

What is the cause of communication problems in cancer patients?

A lack of understandable and easily available information on prognosis, treatment options, likelihood of treatment responses, palliative care, psychosocial support, and the costs of cancer care contribute to communication problems, which are exacerbated in patients with advanced cancer.1.

What is the risk of BRCA 1 and 2?

Women with BRCA 1and 2gene mutations are at higher risk for developing breast and ovarian cancer , and may face difficult decisions about breast cancer screening, as well as consideration of prophylactic mastectomy or oophorectomy to reduce the risk of cancer3(Jolie, 2013; Schwartz et al., 2009).

How does cancer affect emotional health?

The emotional repercussions of a cancer diagnosis can prevent patients from engaging in effective communication with their clinicians about their diagnosis and treatment. Patients can become anxious; feel vulnerable, alone, and fearful; and experience feelings of losing control when receiving a cancer diagnosis.

Which organizations have endorsed the Pact Act?

A number of cancer organizations have endorsed the PACT Act of 2013, including the American Cancer Society Cancer Action Network, ASCO, LIVESTRONG, the National Coalition for Cancer Survivorship, and the National Comprehensive Cancer Network (NCCS, 2013). Care Plan Components.

What are the four health literacy provisions?

Table 1 contains the law’s four other direct mentions of the term health literacy, These provisions touch on issues of research dissemination, shared decision-making, medication labeling, and workforce development . All four suggest the need to communicate effectively with consumers, patients, and communities in order to improve the access to and quality of health care. None of these provisions creates explicit health literacy programs, specifies implementation or regulatory supports, or expounds further on the term “health literacy” beyond its mention. However, they are all consistent with the themes of patient-centeredness and overall quality improvement that are found more broadly throughout the legislation.

What is the definition of health literacy?

The term is defined as “the degree to which an individual has the capacity to obtain, communicate, process, and understand health information and services in order to make appropriate health decisions.” Other direct mentions of health literacy do not specifically cross-reference the Title V definition (though presumably, HHS will use this terminology when implementing the various titles of the law).

Introduction

Background

Description of Commissioned Paper

Conclusion

• The authors of this paper suggest that the adoption of an integrated measure of health literacy, language access, and cultural competence would enable hospitals and health systems, as well as health consumer leadership organizations, to address specific as well as broader patient-centered framework issues in health equity. Health care organizations...

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