Mission Critical

A Revolution in Public Health



In light of new Federal mandates and reimbursement strategies for Medicare and Medicaid services, the benefits from these evolving [ patient engagement ] solutions are able to provide a fast return on investment.

Patient education has advanced significantly from overly simplified discharge planning and limited print materials. Interactive patient engagement solutions are being used today to enhance patient and family education outreach, inform people about community health endeavors, address health literacy challenges, provide communication gateways for improved service recovery and patient satisfaction, support pain management modalities, and enable personalized discharge planning. These interactive solutions effectively complement evidence-based research and support hospital quality programs, patient satisfaction initiatives, and efforts to achieve meaningful use requirements. Read More

Advance Healthcare Network


Reduce Readmissions and ER Visits

Patients who have a clear understanding of their after-hospital care instructions are 30 percent less likely to be readmitted or visit the emergency department than patients who lack this information, according to a new study funded by the Agency for Healthcare Research and Quality.

The study is published in the February 3, 2009, issue of the Annals of Internal Medicine.

"Because a hospital stay can be a confusing and stressful time for patients, it's important that clinicians make sure patients are prepared to leave the hospital understanding the information they need to recover at home," said Carolyn M. Clancy, MD, AHRQ's director. "This study shows us that, with some planning, hospitals can better prepare their patients to avoid complications and reduce unnecessary and costly readmissions."

Fewer hospital readmissions and emergency department visits also translate to lower total costs. The study found that total costs (a combination of actual hospitalization costs and estimated outpatient costs) were an average of $412 lower for the patients who received complete information than for those who did not.

Further evidence of the efficacy of shared decision-making comes from a large-scale systematic review by the evidence-based Cochrane Collaboration finding that shared decision-making:

  1. 1. improves patients' understanding of their health care choices, including the benefits and harms of each choice

2. increases patients' active engagement

3. improves patients' adherence to their treatment plans

4. facilitates patient-provider communication

5. lessens patients' uncertainty about their choices

6. Lowers health care costs.

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Annals of Internal Medicine




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"The body of evidence is clear patient education lowers costs"

A Growing body of evidence demonstrates patients who are more actively involved in their health care experience better health outcomes and incur lower costs. As a result, many public and private health care organizations are employing strategies to better engage patients, such as educating them about their conditions and involving them more fully in making decisions about their care.

Technology wields huge potential for improving the management of our health. Both healthcare providers and insurance companies have an opportunity to revolutionize healthcare in meaningful new ways, thanks to the power of connectivity. From wearables that encourage users to take extra steps throughout the day, mobile apps that instantly share patients’ data, to customizable waiting room solutions that allow physicians to tailor messges for their waiting patients,

While traditional communication channels remain popular among older patients, the next generation of patients want innovations for how they connect with providers andaccess information. Mission Critical's new waiting room solutions allows you the healthcare provider to customize and control the messages your waiting room patients received.

“Patient activation” refers to a patient’s knowledge, skills, ability, and willingness to manage his or her own health and care. “Patient engagement” is a broader concept that combines patient activation with interventions designed to increase activation and promote positive patient behavior, such as obtaining preventive care or exercising regularly. Patient engagement is one strategy to achieve the “triple aim” of improved health outcomes, better patient care, and LOWER COSTS.



Patient Engagement SOLUTION

Contact info@missioncriticalhealth.com to learn more.

mctvCASE Study

At Mission Hospital, a 750-bed full-service advanced care facility in North Carolina, nurses and staff educators are utilizing a multi-cultural library of educational videos in every area of the hospital. "We're teaching patients about their conditions and how to take better care of themselves," says Barbara Marsh, nursing education specialist in the Hospital's Nursing Practice, Education and Research Department.

Marsh explains that nurses direct patient education based on condition or illness, steering them to a selection of specific videos chosen from their library featuring more than 150 titles in English and Spanish, as well as some in Russian. The highest-demand areas, she says, include diabetes, heart disease, anti-coagulation information across all service lines, and videos that focus on neonatal intensive care and maternity. The Hospital's program concentrates on key learners besides the patient, such as the spouse, parents or children, and nurses and patient educators follow up with patients to determine their level of comprehension and retention, and to reinforce important information.

"By talking with patients after they view these videos, we see what the patient understands and has retained, and determine what other supportive information or follow-up discussion will help them," Marsh explains. "Nurses like this increased flexibility and opportunity to focus on providing optimal care. They can spend more one-on-one time with patients and their families reviewing and encouraging compliance. Overall, the response has been very positive, and we feel better knowing our patients are leaving the hospital with information they truly need to help manage their recovery or condition and to avoid being readmitted."

Beyond improving morale and productivity, these efforts are paying off in other important ways. Patient education positively affects Mission's Hospital Consumer Assessment of Healthcare Providers (HCAHPS) scores, particularly around questions relating to medication education, and communication with staff.


RISK MANAGEMENTA central plank of health care reform is an expanded role for educated consumers interacting with responsive health care teams. However, for individuals to realize the benefits of health education also requires a high level of engagement. Population studies have documented a gap between expectations and the actual performance of behaviours related to participation in health care and prevention. Interventions to improve self-care have shown improvements in self-efficacy, patient satisfaction, coping skills, and perceptions of social support.

THE NEED FOR WIDE SPREAD PATIENT EDUCATION-- There is also some evidence that participation in patient education programs is not spread evenly across socio economic groups. This review considers three other issues that may be important in increasing the public health impact of patient education. The first is health literacy, which is the capacity to seek, understand and act on health information. Although health literacy involves an individual’s competencies, the health system has a primary responsibility in setting the parameters of the health interaction and the style, content and mode of information.