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17 Articles in Volume 20, Issue #1
20/20 with Lynn Webster, MD
Correspondence: Opioid-Induced Hyperalgesia; Pain Care in Older Adults
Don’t Discount the Role of Diet for Chronic Pain Relief
Editorial: Why Haven’t There Been More Breakthrough Analgesics?
Gasping for Air: Sleep-Disordered Breathing and Chronic Opioids
How can botulinum toxin be used in chronic pain syndromes?
Inside the Potential of Peripheral Kappa Opioid Receptor Agonists
Neurodestructive Interventions for Cancer Pain
Obesity and Pain Care: Multifaceted Considerations for Treatment
Obesity and Rheumatoid Arthritis: What Clinicians Should Know
Sickle Cell Pain Crisis: Clinical Guidelines for the Use of Oxygen
The Complexity of Sickle Cell Pain: An Overview
The Perseverance Loop: The Psychology of Pain and Factors in Pain Perception
The Rapid Rise of Non-Opioid Pain Policies
Treating Pain by Overcoming Communication Barriers
Visual Artists Tackle What Pain Looks Like
Will 2020 Be the Year of Patient Education?

Will 2020 Be the Year of Patient Education?

How better outcomes, reduced costs, and payer demands necessitate improved patient instruction.
Pages 67-69

A Clinical Commentary

As the 2020 election approaches, our healthcare system will take center stage once again, highlighting how the medical field can continue to improve quality moving forward. Patient education will be vital to this effort and offers a force for good that providers, patients, payers, and politicians can all support. Not only is patient education the right thing to do, but the changing healthcare landscape requires it.

Patient Education in a Changing Landscape

Patient education is the process by which healthcare professionals equip patients with information. This information may regard their health status, diseases or conditions, and self-management or treatment options. It requires more than offering pamphlets in the waiting room. Providers must spend time with patients and ensure that crucial information can be accurately reflected back to them. When patients leave, they should have an understanding of what to expect (eg, symptoms, when to seek medical care), as well as how to best care for themselves. As healthcare quality standards increase, patient education is an important vehicle for HCPs who want to improve outcomes, manage costs, and inform patients.

Even though the healthcare quality movement has been underway for decades, our “sick care” model remains a political talking point. Payers have refined their focus, using data to reduce waste, which research suggests accounts for 25% of healthcare spending.1 Through this lens, the redefinition of quality necessitates patient education.

As the healthcare industry embraces data to track performance, providers are being held accountable for publicly shared quality metrics that promote transparency for all involved. Patient education has been proven to improve outcomes, which help achieve quality goals imposed by healthcare systems, payers, and employers alike. This knowledge may be why we are seeing an increase in HCPs dedicated to patient education. From case managers to lactation specialists, these specialized staff members increase touchpoints to engage with and to educate patients. The importance of patient education is so widely recognized that even health insurance plans now hire RNs and other health professionals to support this need.

The Benefits

Improved Outcomes

Patient education establishes a true partnership between providers and patients. It increases compliance, which improves outcomes, enhances patients’ quality of life, prevents unnecessary hospitalizations, and reduces overall costs. Education efforts that aim to increase self-care also increase self-efficacy, which improves clinical outcomes.2

Figure 1. Infographic developed by Regis College’s Online Master of Science in Nursing program. View the full size.

Patient Retention

Providers today are faced with a new reality: produce results or lose patients. Healthcare quality measures are more sophisticated than ever. Emerging technology aggregates data to evaluate quality from both health system and patient perspectives. In fact, employers such as Walmart are investing in software to quantify provider quality and reduce unnecessary healthcare costs. These programs steer patients toward preferred providers based on their metrics, and patient education can help to ensure high-quality scores.

Increased Earnings

Quality scores are not new to the healthcare industry. Medicare’s Physician Feedback Program3 was introduced in 2008 and expanded by the Affordable Care Act. This new application of data to quantify quality set the stage for the Quality Payment Program,which modifies payments to providers based on performance measures (eg, cost, meaningful use). In short, providers must employ interventions that improve outcomes, such as patient education, to get paid.

Reduced Consumer Costs

Becoming an informed healthcare consumer is no longer just an attractive option. It’s a necessity. While employers’ healthcare costs have steadily increased, the growing prevalence of high-deductible health plans have caused out-of-pocket spending to rise dramatically for American consumers. Spending on deductibles increased by 176% between 2006 and 2016.5 Patient education ensures every dollar is well spent by reducing unnecessary spending and improving quality.

 

How to Maximize Patient Education

To achieve the benefits of healthcare education, providers must learn to maximize every interaction with every patient. Even wellness visits are an education opportunity. This process begins in the waiting room, with educational materials and pamphlets; continues during intake and examination; and concludes with a wrap-up, from either the provider or another healthcare professional. HCPs who are strapped for time should consider turning to additional staff members, such as registered nurses, to help educate patients.

Mariano’s VEMA model creates structure for conversations with patients, as follows:6

  • Validation: The provider validates the patient’s symptoms and experience. Validation creates a foundation of rapport and safety that leads to better outcomes.
  • Education: The provider offers information to the patient and shares any potential concerns. This conversation should be centered on safety and best-practice guidelines.
  • Motivation: The provider then uses interviewing techniques that explore ways to engage the patient in the change process.
  • Activation: Both provider and patient set goals and outline a plan for achieving them.

    Education as Part of
    Pain Management

    Proper education can alter the patient journey and society for the better. A recently developed infographic by Regis College explores opportunities for education about chronic pain (see Figure 1; view the full infographic). Research has shown that while three-quarters of patients who visited the emergency department for chronic pain wanted education on treatment options or referrals to pain specialists, only half received such information.

    Patient education efforts could reduce unnecessary admissions, phone calls, or visits to healthcare providers; time and money spent by providers and patients; and dependence on strong medication. In light of the current public health emergency related to opioids, patient education is crucial for more than individual outcomes. It’s time for a new era in healthcare that promotes informed decisions for the betterment of individual health, the healthcare system at large, and our society. •

 

Last updated on: February 10, 2020
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Treating Pain by Overcoming Communication Barriers
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