CMSA Today - Issue 7, 2016 - 8
equity (Sakar, Schillinger, Aronson, 2015; Logan,
Wong, Villaire, et al., 2015).
There is a financial cost, too. Medicaid enrollees
with low literacy incur healthcare costs estimated
at $10,688 vs. $2,891 for health-literate enrollees.
The total cost of limited health literacy to the U.S.
healthcare system is estimated at 50 to 73 billion
dollars (Misra-Hebert, Issaacson, 2012).
We have two avenues open to assessing health
literacy. We can adopt universal precautions and
assume all patients have difficulty comprehending
health information and accessing health services,
or we can ask one research-based question that
will provide us with an indicator of a patient's
health literacy. The question is, "How often do you
need to have someone help you when you read
instructions, pamphlets, or other written material
from your doctor or pharmacy?" You may also ask,
"How confident are you filling out medical forms
by yourself?" (Morris, et al., 2006; Wallace, Roskos,
Holiday, Weiss, 2016).
The case manager must have an awareness of his
or her own unconscious stereotyping of minority
groups or patients with low health literacy. We must
incorporate into our practice the responsibility to
engage patients to incorporate their belief system
into their well-understood healthcare decisions
(Mirsa-Herbert, Isaacson, 2012).
In closing, case managers know the barriers
patients face in navigating the healthcare system.
Please take the time to learn about the candidates
running for office in your area and the issues in his or
her sphere of influence. Consider how the candidate's
platform will affect your case management practice
and your patients'healthcare needs. Take time from
your important work to vote this November. ■
Mary McLaughlin-Davis, DNP, RN, MSN,
President, CMSA 2016-2018
Dr. McLaughlinDavis is the president
of CMSA. She has
been a certified case
manager since 1993;
she is a clinical nurse
specialist for adult
health and the senior
director for care management for Cleveland
Clinic, Avon Hospital.
* Chew, L., Bradley, K., Boyko, E. (2004), Brief
Questions to Identify Patients with Inadequate
Health Literacy. Family Medicine,: 36(8):588-94.
* Misra-Hebert, A., Isaacson, H. (2012) Overcoming
health care disparities via better cross-cultural
communication and health literacy. Cleveland Clinic
Journal of Medicine, Vol. 79, No. 2. Feb. p. 127-133
* Logan, R.A., W.F. Wong, M. Villaire, G. Daus, T.A.
Parnell, E. Willis, and M.K. Paasche-Orlow, 2015.
Health literacy: A necessary element for achieving
health equity. Discussion Paper, Institute of Medicine,
Washington, DC. https://nam.edu/perspectives2015-health-literacy-a-necessary-element-forachieving-health-equity/.
* Morris, N., MacLean, C., Chew, L., Littenberg, B. (2006)
The Single Item Literacy Screener: Evaluation of a
brief instrument to identify limited reading ability.
BMC Family Practice,7:21, doi:10.l l86/I471-2296/7/21
* Sarkar, U., Schillinger, D., Aronson, M. (2015) Literacy
and patient care: Up to Date; p. 1-18. http://www.
re?topicKey=PC%2F2766&elapse. retrieved Sept.
* Wallace, L., Rogers. E., Roskos, S., Holiday D., Weiss,
B. (2006) Screening items to identify Patients with
Limited Health Literacy Skills. J Gen Intern Medicine,
* Weiss, B., Mays, M., Martz, W., Merriam Castro, K.,
DeWalt, D., Pignone, M., Mockbee, J., Hale, F. (2005)
Quick Assessment of Literacy in Primary Care: The
newest Vital Sign. Annals of Family Medicine. Vol.
3, NO 6, p. 514-22.
Issue 7 * 2016 * DIGITAL
1/7/16 1:23 AM
Table of Contents for the Digital Edition of CMSA Today - Issue 7, 2016
CMSA CORPORATE PARTNERS
Are You Culturally Competent?
Return to Culture – Return to Healing
Appalachian Culture: A Guide for Case Managers
Professional Case Management’s Ethical Quartet for 2017: Part 1, Workplace Bullying and End of Life Care
Diversity of Role Reversal: When the Case Manager Becomes the Patient
INDEX OF ADVERTISERS
CMSA Today - Issue 7, 2016 - cover1
CMSA Today - Issue 7, 2016 - cover2
CMSA Today - Issue 7, 2016 - 3
CMSA Today - Issue 7, 2016 - 4
CMSA Today - Issue 7, 2016 - 5
CMSA Today - Issue 7, 2016 - PRESIDENT’S LETTER
CMSA Today - Issue 7, 2016 - 7
CMSA Today - Issue 7, 2016 - 8
CMSA Today - Issue 7, 2016 - 9
CMSA Today - Issue 7, 2016 - ASSOCIATION NEWS
CMSA Today - Issue 7, 2016 - 11
CMSA Today - Issue 7, 2016 - CMSA CORPORATE PARTNERS
CMSA Today - Issue 7, 2016 - 13
CMSA Today - Issue 7, 2016 - Are You Culturally Competent?
CMSA Today - Issue 7, 2016 - 15
CMSA Today - Issue 7, 2016 - Return to Culture – Return to Healing
CMSA Today - Issue 7, 2016 - 17
CMSA Today - Issue 7, 2016 - 18
CMSA Today - Issue 7, 2016 - 19
CMSA Today - Issue 7, 2016 - Appalachian Culture: A Guide for Case Managers
CMSA Today - Issue 7, 2016 - 21
CMSA Today - Issue 7, 2016 - 22
CMSA Today - Issue 7, 2016 - Professional Case Management’s Ethical Quartet for 2017: Part 1, Workplace Bullying and End of Life Care
CMSA Today - Issue 7, 2016 - 24
CMSA Today - Issue 7, 2016 - 25
CMSA Today - Issue 7, 2016 - 26
CMSA Today - Issue 7, 2016 - 27
CMSA Today - Issue 7, 2016 - Diversity of Role Reversal: When the Case Manager Becomes the Patient
CMSA Today - Issue 7, 2016 - 29
CMSA Today - Issue 7, 2016 - 30
CMSA Today - Issue 7, 2016 - 31
CMSA Today - Issue 7, 2016 - 32
CMSA Today - Issue 7, 2016 - 33
CMSA Today - Issue 7, 2016 - INDEX OF ADVERTISERS
CMSA Today - Issue 7, 2016 - cover3
CMSA Today - Issue 7, 2016 - cover4