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, ACNS-BC, CCM 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. REFERENCES * 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. uptodate.com/contents/literacy-and -patientca re?topicKey=PC%2F2766&elapse. retrieved Sept. 4, 2015 * 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, p.874-876 * 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. 8 CMSA TODAY 786892_Special.indd 1 Issue 7 * 2016 * DIGITAL 1/7/16 1:23 AM http://www.specialtree.com https://www.nam.edu/perspectives-2015-health-literacy-necessary-element-for-achievibg-health-equity/ http://www.uptodate.com/contents/literacy-and-patiencare?topickey=pc%2f2766&elapse http://www.specialtree.com

Table of Contents for the Digital Edition of CMSA Today - Issue 7, 2016

PRESIDENT’S LETTER
ASSOCIATION NEWS
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
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http://www.nxtbook.com/nxtbooks/naylor/CMSQ1111
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