Transcript Document

It’s Safe to Ask
www.safetoask.ca
Is It Safe to Ask?
 Patients
are now asked to become more
involved in their own care.
 More care is being given at home/in community
by informal caregivers.
 Health literacy and clear communication are
critical to patients staying safe!
 Every patient has the right to receive healthcare
instructions and information in a way that they can
understand.
Is It Safe to Ask?
o
300+ studies say that current healthrelated materials far exceed the
average reading skills of US adults.
o
Communication (or a lack of it) was a
root cause of 70% of sentinel events
reported to the Joint Commission
Resources.
What is It’s Safe to Ask?
 A provincial
patient safety and health literacy
initiative, led by Manitoba Institute for Patient
Safety (MIPS).
 Belief:
Patients can play an important role in
enhancing the safety and quality of their health
care by becoming active, informed members of
their care team.
It’s Safe to Ask
1. What
is my health problem?
2. What do I need to do?
3. Why do I need to do this?
It’s Safe to Ask
will offer information and tips
for providers and patients to:
enhance clear communication
make care a more positive experience
increase health literacy (both patient & provider)
help reduce healthcare errors and critical incidents
What is Health Literacy?
 Health literacy is the degree to
which individuals can obtain,
process, and understand the basic
health information and services
they need to make appropriate
health decisions (Institute of
Medicine, 2004).
2003 Manitoba Literacy Facts
40% of Manitoba population has low literacy
 35% of adults have not finished high school
 80% of seniors have low literacy
 50% of the people in the LOWEST literacy
levels do not speak English or French
2007 Manitoba Health Literacy Facts
 60%
skills
of Manitobans have low health literacy
It’s Safe to Ask Target Groups
1. Public Groups in Manitoba
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Elderly people
Aboriginal people (urban and rural)
Low literacy, ESL, new Canadians
Consumers of disability/mental health services
Children and youth
Some of these groups
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Are likely to have lower health literacy
than needed
Are more frequent users of the health
care system
Seniors: very likely to overestimate their
literacy skills
It’s Safe to Ask Target Groups
2. Healthcare
Providers in Manitoba
Physicians
Nurses
Pharmacists
It’s Safe to Ask Materials - Phase One
1.Poster (images, cartoon, translated into
12 languages, grade 4 reading level)
2. Brochure with med list for patients
(translated, grade 4)
It’s Safe to Ask Materials - Phase One
3. Provider Information Sheet
4. Implementation Sheet for
Organizations
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Brochure, Poster, Provider Info
Sheet were developed by Steering
Committee then pilot tested with
healthcare providers, patients,
community members.
Steering Committee
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MIPS Analyst
Manitoba Health Program Planner
Quality Risk Manager/ Northern Mb Resident
Patient Safety Officer WRHA
Aboriginal Services Worker HSC
Moms & Dads
Director of Services – Core Area Community Health Ctr
Literacy Partners of Manitoba
Children’s Hospital Pharmacist
2 Physicians
 Focus
groups and feedback were sought with
public and provider groups (mail, phone,
email, in-person, web)
 Feb-October
 MIPS
2006
partnered with RHAs, regulatory bodies,
community health centers, family practice clinics and
other organizations across the province to ensure
widespread distribution to targeted groups.
Endorsers of It’s Safe to Ask:
 College
of Physicians and Surgeons of
Manitoba
 College of Registered Nurses of Manitoba
 Manitoba Pharmaceutical Association
 First Nations & Inuit Health Branch
 Regional Health Authorities of Manitoba
 Mental Health Literacy Network
Endorsers Continued
 Manitoba
Health
 St Boniface General Hospital
 Winnipeg Regional Health Authority
 Literacy Partners of Manitoba
 Manitoba Medical Association
 Manitoba Society of Seniors
 Sexuality Education Resource Center
Endorsers will
Mail info materials to healthcare
providers
 Call to action, support It’s Safe to Ask
 Distribute information in RHAs
 Translate
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Why It’s Safe to Ask?
 Driven by results of MIPS Stakeholder
Consultations 2005
 Culture Change is important
 Patient Safety is a priority in Manitoba
 Fits CCHSA Patient Safety Goals
 Aligned with Safer Healthcare Now!
6 pilot sites:
1. Klinic Community Health Centre
2. Pharmasave – Flin Flon
3. St Boniface Hospital – LDRP ward
4. Shoppers Drug Mart – Portage &
Burnell
5. Shoppers Drug Mart – St B hospital
6. Centre de Sante (health centre)
It’s Safe to Ask Evaluation
6 Pilot Sites
 Pilot site Evaluation –
mail-in surveys, phone,
email, in-person meetings
with providers
It’s Safe to Ask Evaluation
Formal
Evaluation
planned for after
Phase 1 (spring 2007)
by Research Team
Pilot Site Evaluation Lesson #1
It’s
about more than
putting up posters
and handing out
brochures!
Lessons Continued
Sites need support from champion
 Need to believe this will work!
 Culture change is slow, keep going!
 Script what you will say, and role-play
 Regional and on-site champions at all
staff levels
 Live it, or patients will feel it is NOT
safe to ask.
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What do we do now?
Implementation is key.
Read through Implementation
Sheet with your team to determine
how It’s Safe to Ask will work best
at your site!
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Implementation is key.
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Choose one or two people to
take the lead at your site!
 As
coordinator in your RHA or
site, sit down with champion to
discuss strategies for success.
 Provide
some education and
encouragement, relate the
initiative to your RHA.
 Engage in a 'role play’ to help
people feel comfortable talking
about It’s Safe to Ask.
If
there simply is no site
champion, the coordinator
may train and support front
line staff.
Try
to involve Community
Health Developers or other
health promotion staff to
provide ongoing support.
Coordinators will
Select 1 site/unit/program
 Learn more about health literacy
 Communicate with the team
Read and share implementation sheet
 Engage staff at all levels – esp. reception!
What will MIPS do?
Distribute materials
Brochures
Posters
Provider Info sheets
Implementation Sheets
Support the coordinators
www.safetoask.ca to download more
 Begin your planning now –
 pick a site!
 identify champions!
Comments and questions
Manitoba Institute for Patient Safety
(204) 927-6477
1-866-927-6477