Table of Contents -- American Academy of Family Physicians

Patient Education in Your Practice:
A Handbook for the Office Setting

Introduction

Ch 1	Patient Education in Your Practice: The Need and Evidence
Ch 2	Getting Started: Tailoring Patient Education for Your Practice
	Set clear goals		2 1
	Conduct a needs assessment and status check		2 2
		Assessing patient education needs in your practice	2 3
		Status check: Where do you stand now?	2 4
	Identify a coordinator and build your patient education team		2 4
		Skill development	2 5
	Develop key strategies		2 6
		Prioritize needs	2 6
		Decide on systems and tools	2 7
		Identify reimbursement opportunities	2 7
	Implement an initial activity with measurable objectives and specific plans		2 8
		Training	2 9
		Starting date	2 9
	Evaluate your efforts		2 9
		Questions to ask	2 9
	Commit to ongoing improvement		2 9
Ch 3	The Basics: Methods, Materials, Budget
	Methods		3 1
		Informal one-on-one education	3 1
		Formal programs	3 2
		Group patient education	3 3
	Materials		3 3
		Tips for choosing and using materials	3 3
		Computer-based patient education	3 5
	Budget		3 6
Ch 4	Making the Office Patient Education-Friendly
	Locations for patient education materials		4 1
		Office entry	4 1
		Reception area	4 1
		Bathrooms	4 2
		Exam rooms	4 2
		Laboratory	4 2
		Patient education room	4 3
		Patient library	4 3
	Practice brochure		4 3
	Telephone education		4 3
	Making your charts patient education-friendly		4 3
		Checklists	4 4
		Flow sheets	4 5
Ch 5	Selecting Patient Education Materials
	Tips for getting started		5 1
	Selection factors		5 3
		Cost	5 3
		Practice needs	5 3
		Patient population	5 4
	Evaluating patient education materials		5 4
		Review criteria	5 8
		Evaluating Internet resources	5 8
	Developing your own materials		5 9
		Content	5 9
		Readability	5 9
		Style and format	5 10
		Evaluation	5 10
	Keeping up-to-date		5 10
Ch 6	Organizing and Using Patient Education Materials
	Use standard subject headings		6 1
	Determine the best locations for facilitating use of materials		6 3
	Develop methods for effective distribution and use of materials		6 4
		Adding impact	6 4
	Designate one team member to be responsible for maintaining supplies		6 5
	Train all staff to use the system		6 5
Ch 7	Maximizing Your Effectiveness
	Incorporate adult learning strategies		7 1
		Motivation	7 1
		Problem-solving orientation	7 1
		Drawing on past experiences	7 2
		Need for self-direction	7 2
	Assess patients' educational needs		7 2
		Knowledge	7 2
		Skill	7 2
		Attitudes, beliefs and culture	7 2
		Emotions	7 2
		Environmental and social factors	7 2
	Communicate information effectively		7 3
		Use a nonjudgmental approach	7 3
		Organize your content	7 3
		Keep explanations simple	7 3
		Be specific	7 3
		Emphasize important points	7 3
		Avoid jargon	7 3
		Use analogies for difficult concepts	7 3
		Use illustrations or other visual aids	7 4
		Reinforce oral communication with written material	7 4
		Encourage questions	7 4
	Assess patients' readiness to change their behavior and tailor your interventions		7 4
		Stages of Change (readiness to change behavior)	7 4
		Key sequence of questions for determining Stage of Change	7 5
		Interventions for Stages of Change	7 5
	Involve patients as partners in their care		7 7
		The patient-held record	7 8
		Patient contracts	7 8
		Question-and-answer form	7 8
		Progress notes	7 8
	Assess patients' understanding and motivation		7 8
Ch 8	Meeting Special Needs
	Low literacy		8 1
		Helping patients with limited literacy	8 1
		Tips for communicating with limited literacy patients	8 2
		Sources of low-literacy patient education materials	8 5
		Low-literacy resources	8 5
	Cross-cultural issues		8 6
		Steps for effective cross-cultural communication	8 6
		Resources on cross-cultural health	8 7
Ch 9	Getting Paid for Patient Education
	Reimbursement strategies		9 1
	Counseling		9 2
	Coding strategies		9 2
		Office visit codes	9 2
		Preventive medicine counseling/risk factor reduction codes	9 3
		Special services and reports	9 3
		Dummy codes	9 3
	Group visits		9 4
	Documentation		9 4
	Additional options for payment		9 5
	Negotiations		9 5
	The future		9 5
Ch 10	Evaluating Your Patient Education Effectiveness
	Why evaluate?		10 1
	Evaluation of 1:1 patient education		10 1
	Program evaluation		10 2
		What can be evaluated?	10 2
		Costs and benefits	10 3
		The tools you need	10 4
		Staff feedback	10 4
		Improving your process	10 5
		Your evaluation protocol	10 5
		Obtaining assistance	10 7
		Making use of your results	10 7
Appendix Resources			App 1 1
Posttest Questions			Q 1
Posttest Answers			A 1
Answer Sheet
Table and Figures
Figure 2-1		Sample Staff Responsibilities for Patient Education	2 5
Figure 2-2		Determining Priority Areas for Patient Education	6-Feb
Figure 2-3		Smoking Cessation Program: Objectives and Implementation Plan	2 8
Table 3-1		Types of Patient Education Materials	3 4
Figure 4-1		Medication Information Checklist	4 4
Figure 4-2		Infant Care Education Checklist	4 5
Figure 4-3		Flow Sheet for 6-Month Well-Child Visit	4 6
Figure 4-4		Child Preventive Care Flow Sheet	4 8
Figure 4-5		Adult Preventive Care Flow Sheet	4 9
Figure 4-6		Procedure Recording Form: Colposcopy	4 10
Figure 5-1		Patient Education Materials Use Questionnaire	5 2
Figure 5-2		Sample Health Education Program Database Listings	5 5
Figure 5-3		HEP Materials Evaluation Questionnaire	5 6
Figure 6-1		HEP Subject List (Keywords)	6 2
Figure 6-2		Supplies Alert	6 5
Figure 8-1		Sample Easy-to-Read Brochure	8 3
Figure 10-1		Smoking Cessation Evaluation Protocol	10 6

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Table of Contents

Patient Education in Your Practice:A Handbook for the Office Setting

Introduction

Patient Education in Your Practice:
A Handbook for the Office Setting