March 26

Comment on lack of Patient Education Usage in Clinic

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𝑴𝒆𝒅𝑺𝒆𝒍𝒇𝑬𝒅 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 5.3 Million online views in February 2022

1. Patient Education - Still a formidable task in the everyday workflow

Easy content sharing to persons actively engaged in their healthcare has the potential to improve outcomes, reduce complication rates, and lower costs. 

Unfortunately, tools to improve learning, such as easy content sharing, are not as seamless as they could be in 2022. Commonly the last step of a patient encounter, distributing education can be an obstacle no matter the format e.g. print out or linking content.

As an early EMR adopter, I regret that tools to support patient education are not easier to use. – L Tietjens-Grilo, MD

  • Offices are nearly paperless, with even the fail safe informative, grab and go, handout favorites having been removed. 
  • Staffing shortages often shift the burden to the provider with impact on patient flow, documentation, and missed opportunities to share beneficial information.
  • Even commonly used EMR print links (e.g. smoking cessation) can require several clicks and a verbal handoff to insure distribution.
Patients are searching and finding content on their own to fill the gap, in fact, PreOp® YouTube views reached 5 million views in February.

How are you supporting your patients year round toward best outcomes with screening and diagnostic Colonoscopy?

𝚂𝚒𝚡 𝚒𝚗 𝚝𝚎𝚗 𝚙𝚎𝚘𝚙𝚕𝚎 𝚜𝚎𝚊𝚛𝚌𝚑 𝚏𝚘𝚛 𝚑𝚎𝚊𝚕𝚝𝚑-𝚛𝚎𝚕𝚊𝚝𝚎𝚍 𝚒𝚗𝚏𝚘𝚛𝚖𝚊𝚝𝚒𝚘𝚗 𝚘𝚗𝚕𝚒𝚗𝚎

2. Lost Time - Lost Revenue - The Colonoscopy Journey

A canceled or inadequate Colonoscopy is costly for everyone involved with other consequences-

  • lost workday for the patient and caregiver
  • burden for the patient to redo prep and procedure
  • Potential delays in diagnosis based
  • lost time and revenue for the hospital and provider
  • Unrecoverable time slot 

A PreOp® goal with the Colonoscopy consent video is to assist patients in getting their colonoscopy right the first time by educating them about:

  • What happens during a colonoscopy
  • Why a good bowel prep is needed

Bowel Prep tips, i.e., planning ahead, not starting too late, completing it, asking questions, and informing caregivers with any problems encountered.   

The PreOp® Approach of Research & Production, I

Script Process for Consent Video 

Mission

To provide the patient with a general overview of their physician-recommended surgery, functioning as background information before a consent discussion. And touching on risks, benefits, and alternatives that would be difficult or impossible to cover in a standard consent discussion. 

Resources

The intent is unbiased, evidence-based information. However, there can be variability in the exact procedure and care plan for each scheduled procedure based on the surgeon, hospital, and patient addressed during the actual consent discussion.

PubMed, Google Search, Medlineplus, CDC, AHRQ, Specialty Textbooks, and Organizations such as ACOG, ACA, AAKH  

MedlinePlus


Your Body Section 

Anatomy- Answers what part/s of the body, then introduces

  1. Indications for surgery and the goal of surgery- e.g., cancer screening, sterilization, joint replacement, etc.
  2. The technical procedure name is then explained in simpler terms.
  3.  Surgical instruments, hardware, and technical concepts are discussed and illustrated to improve understanding.
  4. Potential alternative surgical or nonsurgical options may exist and advises patients to know why a specific procedure has been recommended.

Before Surgery

  1. Patient responsibility regarding the day of surgery* 
  2. Routine pre-op instructions regarding NPO, meds, preps, blood thinners 
  3. Bringing a list of meds, allergies, etc 
Lower Endoscopy Surgery


Procedure Animation - Script to clarify animation 

(𝕌𝕡 ℂ𝕠𝕞𝕞𝕚𝕟𝕘 ℕ𝕖𝕨𝕤𝕝𝕖𝕥𝕥𝕖𝕣)

Aftercare Highlights

  1. Length of stay, PT, foley, drain, pain, etc 
  2. Aspects of Pain management e.g. reinforces the limited use of narcotics, introduces other supportive measures
  3. Major Risks- Tips on how to avoid, advice to follow care instructions, and when to call the office and 911 
  4. Lesser risks and tips for a good recovery 
  5. No smoking, eat healthily 
Lower Endoscopy Before

*During a standard office consent process, once the surgical plan is reviewed, the patient day of surgery instructions are reviewed. Their failure to follow through on this can lead to cancellation, schedule disruption, and dissatisfaction for the patient and the entire care team. The video provides education and reinforcement of their role in their care at the end of the video when they know what is at stake.

The PreOp® Approach of Research & Production II (Upcoming Newsletters)

  • See Mission Segment I (above)
  • Director, Scriptwriter & Medical Illustrator create StoryBoards™
  • Draft Script completed and managed into PreOp® Modular Publish Model
  • Script, Graphics, and Illustrations are edited together into the final video.
  • Reviews, re-edits, possible translations, and ratings from The Patient Education Materials Assessment Tool (PEMAT) and User’s Guide


PEMAT Tool for Audiovisual Materials (PEMAT-A/V)

...and PostCare™ Discharge Video

𝚂𝚘 𝚠𝚑𝚊𝚝 𝚝𝚑𝚎 𝙷𝚎𝚌𝚔, 𝚠𝚑𝚎𝚗 𝚝𝚑𝚎 𝚆𝚑𝚘𝚕𝚎 𝚆𝚘𝚛𝚕𝚍 𝚒𝚜 𝚆𝚊𝚝𝚌𝚑𝚒𝚗𝚐, 𝚆𝚑𝚢 𝚊𝚛𝚎𝚗’𝚝 𝚆𝚎 𝙾𝚏𝚏𝚎𝚛𝚒𝚗𝚐?

Would you please comment below with your opinion?

As a Filmmaker and Publisher, I am dismayed that user-friendly content distribution has not been realized.

𝑴𝒆𝒅𝑺𝒆𝒍𝒇𝑬𝒅 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 5.3 Million online views in February 2022

𝑴𝒆𝒅𝑺𝒆𝒍𝒇𝑬𝒅 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 5.3 Million online views in February 2022

Everyone looks to their browser to search new diagnoses and scheduled surgeries.

PreOp® 5.3 Million Online Views in February.

Our following Newsletter will introduce The PreOp® Approach of Research & Production

II. Every PreOp® procedure directly links to PostCare™ Discharge tasks.

Would you please comment below with your questions and direct me to your interests.

Also, think about 𝕤𝕙𝕒𝕣𝕚𝕟𝕘 these content-building newsletters with your colleagues, creatives, and friends. Thanks and keep Safe! - 𝙅𝙤𝙝𝙣𝙣𝙮

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