Healthcare-associated Infections

Being an Empowered Patient: Is Good for your Health

Veronica Washington
HLTH 634
March 11, 2017
Health Issue/Problem

Healthcare-associated infections (HAI’s) are critical factors of significant increase in

health care cost and are causes of morbidity and mortality.1 Most healthcare workers are

knowledgeable about the different ways their patients are susceptible to HAI’s and that they can

have a direct impact on the patients outcomes. However, statistics show that about one in 25

hospital patients have at least one healthcare-associated infection.1 Despite the increased efforts

of organizations that are dedicated to improving the quality of patient care and safety, such as the

Centers for Disease and the Agency for Healthcare Research and Quality, the studies reflect that

each year, millions of patients are affected by these type of infections around the world.1

Goals/Objectives

Goals

The goals for Patient Empowerment for Patient Life is to:

 Encourage patients to be advocates of their own health by being informed.
 Educate patients, visitors and healthcare professionals about the importance of

handwashing.
 Reduce Clostridium difficile (C. difficile) infections and 4) reduce infections caused by

multidrug-resistant organisms.
 Reduce infections caused by multidrug-resistant organisms.

Objectives

The objectives for Patient Empowerment for Patient Life is to:
 By the end of the third quarter (September 2017), there will be a 20% increase of

knowledgeable and informed consumers/patients in the Miami-Dade County, Florida

area.
 By the end of the second quarter (June 2017), 15% of Miami-Dade County residence

would have attended and completed the Patient Empowerment for Patient Life

seminar/program.
 By the end of December 2017, reduce hospital-onset CDIs by 35% in hospitals and

ancillary facilities in the Miami-Dade County area.
 By the end of December 2017, reduce hospital-onset Staphylococcus aureus (MRSA)

bloodstreams by 15% in hospitals and ancillary facilities in the Miami-Dade County area.

Sponsoring/Partner

Patient Empowerment for Patient Life is a non-profit organization that is designed to be a

resource for consumers, healthcare providers, and government organizations to be empowered

and informed on the ways to reduce and eliminate healthcare-associated infections. Patient

Empowerment for Patient Life will partner with the Centers for Disease (CDC) Clean Hands

Count Campaign to remind consumers to feel empowered to play a role in their care by asking or

reminding their healthcare providers to clean their hands. In addition, we will partner with the

Centers for Medicare and Medicaid Services (CMS) that will have 3-4 representatives at each

seminar class that will have tables setup to show the audience members how to use the Hospital

Compare website to review local hospital ratings and their performance on quality.

Primary Target Audience Strategies
The primary target audience of my health communication plan are consumers/patients,

healthcare professionals, and government agencies that reside and or work in the Miami-Dade

County area. My secondary target audience are those consumers/patients, healthcare

professionals, and government agencies that reside and or work in the 5 major counties in Florida

(Miami-Dade, Broward, Palm Beach, Hillsborough, and Orange counties).

The primary and secondary audiences will receive the message of action, “Be

Empowered by Being an Informed Advocate”. We want consumers to be self-advocates to be

able to make educated and informed decisions regarding their health. We can’t put all of the

responsibilities on our healthcare facilities and clinicians. We want to encourage consumers to be

armed with supporting their thoughts and decisions with factual, supportive information. Simply

stated, “Don’t be afraid to ask questions and utilize online resources”.

One barrier that the consumer/patient will face is simply just being unaware of the ways

healthcare-associated infections can be contracted. Often times as consumers we rely completely

on our healthcare provider or facility to inform us. Health professionals and government

agencies might face the barrier that they are already aware of the ways to prevent and reduce

healthcare associated infections, therefore they may not feel there is a need to attend another

seminar/program.

Both primary and secondary audiences, to include consumers and healthcare

professionals will both benefit from learning the importance of being informed of the dangerous

of healthcare-associated infections. In addition, the importance of remembering that no matter

how long you have been a practitioner the importance of hygiene to eliminate the spread of the

infection. Continuing to develop technologies for prevention is an important factor. Having staff

accountability and behavioral change is prominent. We want everyone to be a Safety Champion
whether their the consumer or the provider. The message delivery channel for my health

communication plan will be both Group group channels and organizational and community

channels.

The educational pamphlets, brouchers, flyers and videos on healthcare-associated

infections will be pretested for accuracy, relevancy and if it’s current material. In addition, to see

if the material meets the objectives. I will assemble a team of market research experts that will

assist with the concept testing. The message and material will be created based on feedback from

the market experts.

The theoretical foundation to be used in Patient Empowerment for Patient Life health

communication plan is the theory of Consumer Information Processing Model (222). The

Consumer Information Processing Model allows health educators to determine why people use

or fail to use health information.1 Being motivated will drive the search for information and

much attention people pay to it.1 Utilizing the Consumer Information Processing Model will

allow us to see if the primary and secondary audiences understand the importance of being aware

of healthcare-associated infections and where to go to retrieve information on these infections.

This model will also be incorporated in the pretesting of information phase as according to basic

CIP concepts, “before people will use information it must be available, seen as useful and new

and processable and format-friendly”.1

Patient Empowerment for Patient Life will create a timetable for development,

implementation and evaluation. The timetable will include all the tasks that will take place from

beginning to the end of the program and who will be completing the tasks. Patient Empowerment

for Patient Life will update the timetable quarterly so that the leadership can utilize it as tracking

tool.
Patient Empowerment for Patient Life will have certain tasks assigned to staff to ensure

that our program will be successful. Our managers and directors will be responsible for

familiarizing the team with the program/seminar. Screened volunteers will be responsible for

securing posters and materials from other reliable sources as secondary resource that will be sent

over to the market research experts. In addition, the screened volunteers will conduct focus

groups and write up the results. All tasks will be given a timeline to include the person

responsible for each task, dates of completion of each task, resources required to deliver each

task, and points at which progress will be checked.2

Patient Empowerment for Patient Life will prepare a budget to include all the costs or

expenses of the intervention activities to include personnel costs, out-of-pocket/nonpersonnel

costs, indirect costs, in-kind contributions and the total budget.2

The total amount budgeted for the April 1 to September 31, 2017 period is $234,987,

which includes an indirect cost rate of 15% and an indirect cost of $93,864.
Budget-Patient Empowerment for %Tim
Patient for Life e Year 1
Personnel
Program Director 0.2 10,000.00
Assistant Coordinator 0.15 7,500.00
Total 17,500.00
Out of Pocket
Curriculm Supplies
Audiovisual Materials and Equipment
(i.e., DVDs and PowerPoint slides) 3,200.00
In-house Printed Matieral 0.00
Teaching Strategies: In Classroom (guest
speakers/
lecturers) 1,800.00
Teaching Strategies: Outside Classroom (field
trips) 3,200.00
Laser Printers 3 @ 300 900.00
Paper 1,875.00
Ink cartridges 400.00
Recording devices 325.00
DVDs 725.00
Telephone Services 425.00
Postage 300.00
Total 8,150.00
Travel
Local 675.00
Out of County 825.00
Per diem and lodging 1,200.00
Conference/Banquet Rooms (to host seminars) 3,500.00
Total Travel 6,200.00

Total Budget 31,850.00
No matter what type of health communication plan you create, it’s inevitable that there

will be some kinks that will need to be worked out. Patient Empowerment for Patient Life will

prepare accordingly for potential scheduling issues and approvals that will be needed to host our

seminars and trainings on healthcare-associated infections. In order to stay current on the

information that we are presenting at our programs/seminars, we will work closely with the

Centers for Disease (CDC) and the Agency for Healthcare Research and Quality (AHRQ). It’s

important that we stay connected with the appropriate government staff to ensure that our

leadership present the most current and up-to-date information to our clients. To ensure that we

have adequate funding, we will plan 6 months in advance to work with local philanthropist and

donors to ensure we have the extra funding to keep the program going as we want to be prepared

if there is a change with our budget.

Patient Empowerment for Patient Life target audience will perform a formative

evaluation will pretest the material that will be presented in the program seminars. The

information we receive from the target audiences in conjunction with quantitative and qualitative

research. 1

Whether you’re visiting a loved one in the hospital or checking yourself in, it’s important

to be aware of healthcare’s dirty little secret. Patients that are involved in their care are often

educated to the different possible risk that are associated with being admitted into a hospital for

an inpatient or outpatient procedure. Patients that are getting prepared to have a procedure or

often overwhelmed, nervous and vulnerable. In my opinion, it’s important for patients to be

empowered to be able to make educated and informed medical decisions regarding their health.

Patients have to feel comfortable challenging healthcare providers when they have questions or
concerns, such as if a healthcare provider interacts with them without wearing gloves or masks.

In order for patients/consumers to be partners in the HAI initiative, they have to be informed.

Patient Empowerment for Patient Life is here to remind consumers to BE YOUR OWN

HEALTH CARE ADVOCATE and healthcare professionals, health educators and government

agencies to KEEP FIGHTING THE CAUSE.

References

1. NCI. Making Health Communication Programs Work. National Cancer Institute Website.

https://www.cancer.gov/publications/health-communication/pink-book.pdf. Accessed March

10, 2017.

2. Parvanta C, Nelson D, Parvanta S, & Harner R. Essentials of Public Health

Communication. Burlington, MA: Jones & Bartlett Learning; 2011. ISBN: 9780763771157