1. Patient Education for Pennies: In Your Office Thomas J. Weida, M.D. Professor Department of Family and Community Medicine PennState College of Medicine Recipient, 1993 Patient Care Award for Excellence in Patient Education

2. Office Oriented Patient Education Monthly Topics The Walking Tour Lending Library Visual Aids Group Visits Individual Counseling Health Coach Disease State Management Telephone Triage System Office Tours

3. Approach to Patient Education Develop a global strategy Create teaching moments Promote your product

4. Goals Improved Patient Awareness of Health Improved Health Lifestyles More Informed Patient Decreased Managed Care Visits Increased Preventive Services Utilization Practice Marketing

5. Monthly Topics August: Summer Safety September: Starting School October: Hypertension November: Cholesterol December: Osteoporosis January: Weight management

6. The Walking Tour –Entrance –Waiting Room –Bathroom –Hallways –Nurses Station –Examination Room –Front Desk Bulletin Board –Lending Library –Exit

7. The Entrance A Quick Glance to Set the Mood

8. Waiting Room = Education Room Adult Area Displays Children’s Area Computer Station TV and Video

15. Bathroom Private Topics for a Private Room

18. Hallways Eye Level

28. Nurses Station Patient Education File Patient Education Computer

30. Examination Room Bulletin Boards Handouts FAQ Files

35. Front Desk Bulletin Board Grab their ATTENTION!

38. Lending Library Solicit Staff, Patients and Pharmaceutical Reps for Materials 130 Videos and growing 20 in circulation at any given day, about 40-50 per month Only 1 MIA

41. Exit One Last Kick for the Road Keep It Simple

44. Visual Aids Pharmaceutical Companies Organizations and Support Groups State Extension Services State Public Health Departments Computer Generated Copier Generated Office Generated

45. Group Visits Pick a common disease state Set up to provide more in-depth education Can bill 99211, 99212, 99213, or 99214 depending on methodology

46. Individual Counseling Health Coach Diabetes Insulin Management Nutritional Counseling Blood Pressure Self Monitoring Migraine Injection Management Warfarin/enoxaparin/dalteparin training

47. Individual Counseling Proactive Disease State Management/Patient Education Programs: –CHF –Diabetes –Complex patient –Reduces morbidity, reduces managed care costs

48. Disease State Management Disease Registries Pro Active Interventions

49. Physician Directed Visit Education Time is the Enemy Decrease information gathering time to expand education time.

50. Important Elements of Patient Care

55. Last eye examDate:_______ Last foot doctor visitDate:_______ Last Flu vaccine (annually)Date:_______ Last Pneumonia vaccine (10 years) Date:_______ ********************************************************** *RISK FACTORS: Smoking, BP>140/90, HDL<40, Family Heart Disease: Males < 55, Females < 65 Age: Males >45, Females > 55 GOALS:Diabetic/CADHTN/Hyperlipidemia BP<130/85<140/90 LDL<100 <130 (2 risk factors*) <160 (<1 risk factor*) FBS<110 HgbA1C<7.0% D:________FBS:______HgbA1C:_____ D:________TG:_____Chol:_____HDL:_____LDL:_____

56. P: o Meds reviewedo Labs & studies reviewed now3 moLab Testnow3 moLab Test CBC Glucose, random Lytes/Renal Gluc meter corr CMP Glycohemoglobin Lipid Profile TSH Liver Profile Microalbumin ALT Urinalysis o EKGo Flu vaccine o Module I o ophtho ref o Pneumovaxo Module II o podiatry ref o wt./exer counselo Module III o diabetic educ refo tobacco cessation o Module IV o dietary ref o patient understands instructions

58. Telephone Triage System Can Promote Patient Satisfaction and Save Managed Care Dollars

59. Triage Budget Set Up 4 hours per protocol for 13 protocols 52 hours at $17 per hour $884 total set up

60. Triage Monthly Tracking 31 managed care calls/month 22 calls served without visit Office visit cost of $35 $770 Saved in cost center expenses 5 hours per month nurse time for $85/month $685 per month total savings.

61. Triage Finances Education Start up expenses covered in 2 months Other ed salary at 8 hrs/wk Pt ed staff expenses of $544 / month $141 / month reinvested pt ed materials

66. Tours School children are a receptive audience Believe it or not, there’s a lot children can enjoy at the office BE CREATIVE

69. The Future Web based on demand patient education –http://familydoctor.org e-mail Medicine