1. I’ve been asked to speak about Medication Labels…then, now, with a look to the future. Honor to pause and look back at where we were in 2004 when the IOM report was released.
This really is a topic that has involved multiple stakeholders and one where the iOM has had a very critical role in convening these various constituencies to discuss and consider optoins for improvement. Of note,
Over the next few minutes, I’ll give you my thoughts on the various stakeholders/the components of medication labels and how they were viewed as an issue ripe for the lens of health literacy.
Ruth M. Parker MD, MACP
Professor of Medicine, Pediatrics, and Public Health
Emory University

2. A Look Ahead Health Literate Medication Labels Ruth Parker, MD MACP
Emory University
Michael Wolf, PhD MPH
Northwestern University

3. Some Hard Fought Wins Research to build evidence base
FDA, USP involvement
Policy reform in several states
High-level industry engagement

4. Some Hard Fought Wins Research to build evidence base
FDA, USP involvement
Policy reform in several states
High-level industry engagement

5. Some Hard Fought Wins Research to build evidence base
FDA, USP involvement
State-based initiatives…
CA (2011); NY(2013); Utah (2013); WI (2013)
High-level industry engagement

6. Health Literacy Rx Issues
Evidence of HL Rx challenges:
Reconciling medications
Spacing out multi-daily dosing
Remembering to take medication
Organizing complex Rx regimens
Problem-solving (i.e. knowing about side effects, actions to take if missed or misused, etc.)

7. Moving Forward Setting standards Bridging the many divides
Moving beyond what is written
Building the system

8. Evidence of a Better Way
MUST optimize written health materials
Evidence also robust for multimedia (e.g. web site design, video)
Despite the science, recommended principles more often not followed

10. Assessment Patient Education Materials Assessment Tool (PEMAT)
improve/self-mgmt/pemat/
Assesses both Understandability and Actionability

11. Moving Forward Setting standards Bridging the many divides
Moving beyond what is written
Building the system

12. Patient-Centered Design Needed
Technology platforms exist, but most not matched to patient needs
Also, modality may not match patient preferences

13. Moving Forward Setting standards Bridging the many divides
Moving beyond what is written
Building the system

14. Technology can help… Thakkar et al. 2016 JAMA Intern Med
16 trials reviewed
On average, 2-fold increase in adherence

15. Moving Forward Setting standards Bridging the many divides
Moving beyond what is written
Building the system

16. Better, Smarter Patient Engagement
Map patient concerns/problems in order to apply appropriate solutions
Requires more data, and more time
Mostly…commitment to smarter, better patient-centered engagement

22. It is amazing what you can accomplish if you do not care who gets the credit." Harry S Truman, 33rd president of US ( ) A similar quote is credited to Bob Woodruff, Coca Cola CEO "There is no limit to what a man can achieve as long as he doesn't care who get's the credit“
“There is no limit to what can be accomplished if it doesn't matter who gets credit.” (Ralph Waldo Emerson