Chronic Disease Management: Therapists' Role in Improving Health Part 2
Presented by Kenneth L. Miller
Non-Financial: Ken Miller has no competing non-financial interests or relationships with regard to the content presented in this course.
Chronic Diseases are considered to be among the costliest, most common and preventable of all health problems. This two-part series focuses on the management of heart failure, chronic obstructive pulmonary disease, and diabetes mellitus type 2. Part two explores strategies for improving health confidence and patient activation, reducing re-hospitalization, and demonstrates the use of the teach back method for improving patient engagement.
Meet your instructor
Kenneth L. Miller
Dr. Kenneth L. Miller is an Associate Professor and Geriatric Physical Therapy Residency Program Director at the Medical University of South Carolina in the Division of Physical Therapy. He earned his PhD in Physical Therapy from Texas Woman's University in 2024 and is a Distinguished Fellow of the National Academies of…
Chapters & learning objectives
1. What is Health Confidence and Patient Activation
Recent research has shown that patients who are engaged in their care are less likely to be re-hospitalized, utilize heath care services less often, and more likely to sustain health behavior change. Healthcare reform is shifting payment to quality and value from volume, and therapists have greater opportunity to achieve better outcomes with engaged patients.
2. Self-Monitoring to Reduce Re-hospitalization
Reducing hospitalization rates is a focus for the Centers for Medicare and Medicaid Services (CMS) and healthcare providers. Self-Monitoring for decompensation is one strategy to achieve this goal, but patients need to know what to do so that they can be proactive in seeking medical assistance as soon as possible once they identify signs of decompensation/exacerbation.
3. Demonstrate Use of Teach Back to Improve Patient Engagement
The Agency for Healthcare Quality and Research (AHRQ) has a library of resources related to the use of teach back. The purpose of teach back is to ensure that the health care provider is understandable to the patient. It is not an assessment of the patient’s understanding of the material, but rather the provider was clear in providing information to the patient.
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