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Portfolio of
Health Literacy Organizational Initiatives

Health Literacy-Related Organizational Initiatives

2011-2013

Pictogram Medication Dosing Instructions for Common Medications in the Pediatric ED

  • Developed hard copy pictograms to be used in patient care for common pain medications, acetaminophen, ibuprofen, and oxycodone.

  • Used in Emergency Department, pain clinic, and surgery.

2012-2023

EPIC Emergency Department standardized health literate discharge instructions

  • Developed 80 standardized low literacy clear discharge instructions for common discharge diagnoses and upkept new phrases with initial roll-out of EPIC.

  • Developed and reformatted over 150 standardized low literacy clear discharge instructions for common discharge diagnoses

  • Tied to ICD10 code for easy retrieval

  • Ongoing with more phrases needed to be updated

  • Ongoing discharge AVS changes as requested

  • Advocating for systemwide use of Kids Health Patient Instructions in order to standardize content (2021-2022)

2019-2023

White paper committee of the Health Literacy Task Force

  • Directed development of white paper addressing communication around immunizations, finalized March 2020.

  • Developed Performance Standards for Clear Communication for Immunization Safety

  • Fall 2020 Presenting to CMG Immunization Quality Core

  • October 2020- Safety Coach Huddle Presentation

  • Developed Performance Standards for Clear Communication to be adapted to other areas

2019-2023

Academic Pediatric Association Health Literacy Special Interest Group Research Collaborative

  • Directing research activities for the Health Literacy Special interest group

  • Began project to analyze and optimize discharge instructions for children with complex care needs.

  • Formed workgroup, data collection tool, and initial instructions for analysis.

  • Further outreach to SIG to collect materials.

2019-2023

Clear Medication Communication- White paper committee of the Health Literacy Task Force

  • Directing workgroup to develop performance standards and white paper

  • Developed Performance Standards for Clear Medication Communication- Completed June 2020

  • Developed definitions of health literacy safety events to be used at Children’s Wisconsin and other institutions- Completed June 2021

2020-2023

Children’s Wisconsin Discharge Medication Reconciliation

  • Developed implementation plan with team, site planning and unit leadership.

  • Improved the reliability of the health literacy screening question

  • Created clear medication communication Children’s University module and content for in person booster sessions.

  • Created evaluation plan.

  • Directed baseline data collection

  • Led implementation of an EPIC application to improve medication communication (Meducation)- one unit implementation in May 2022

  • Improved ED patient/family experience of medication teaching at discharge

  • Leading implementation in Ambulatory Surgery 2023

2020-2023

Academic Pediatric Association Health Literacy Special Interest Group Education Collaborative

  • Curriculum development for residency programs to promote safe and health literate communication.

  • Defined the learning objectives. Will use national expert panel to determine highest yield aspects of a health literacy curriculum.

  • Solicited as a national expert panel for a research study Delphi panel. The goal of the panel is to select core competencies for residency training in health literacy.

  • In 3rd round of Delphi process.

  • Presented at a national conference

2021-present

Health Literacy and Family Needs in a Pediatric ED research project

  • Collaborating with Canadian investigators to analyze data from a cross sectional study across 10 Canadian Pediatric EDs.

  • Providing health literacy consultancy with analysis design and interpretation.

2021-present

Health Literacy and Healthcare Acquired Conditions

  • Using health literacy data to stratify safety department data for Healthcare Acquired Conditions.

  • In data review stage.

  • Developing healthcare acquired conditions health literacy associations. Will meet with HAC groups as the data understanding progresses to offer clear communication resources and tools to improve safety practices.

Health Literacy Invited Lectures, Presentations, and Visiting Professorships

National

04/2015         

Morrison, AK. Health Literacy: Time to refine, refocus, and recommit. Health Literacy Summit. Madison, WI.

  • Stakeholder panel member. Attended by national leaders in health literacy.

 

04/2015         

Smith, P; Morrison AK. What to do about health literacy testing? Clinical practice and research perspectives.

Health Literacy Summit. Madison, WI.​

 

06/2015         

Morrison, AK. Health Literacy and Clear Communication in Populations with Chronic Illness.

Invited speaker for the Fourth Annual Cardiac Neurodevelopmental Symposium. Milwaukee, WI.

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03/2018         

Morrison, AK, Gibson C, Higgins C, Gutzeit M. Health Literacy-Related Safety Events.

Wisconsin Health Literacy Summit. Madison, WI.​

 

05/2019         

Morrison, AK, Gibson C. Health Literacy-Related Safety Events. Solutions for Patient Safety Health Equity Workgroup. 

 

08/2021         

Morrison, AK, Gibson C, Spahr C. Health Literacy: The Foundation of Quality, Safety, Experience, and Equity.

Children’s Hospital Association, Next Generation of Quality Series. 

 

11/2021         

Yin, S, Morrison, AK. Health Literacy and Child Health Networking Session. Topic area experts lead discussions.

Health Literacy Annual Research Conference (HARC). Virtual.

 

11/2021         

Morrison, AK. Health Literacy: Using Clear Communication Every Day.

Weill Cornell Medicine Pediatric Grand Rounds. New York, NY.

 

04/2022         

Morrison, AK, Gibson, C. Making the Case: A Journey to Become an Equitable Health Literate Healthcare Organization by Focusing on Quality and Safety.

Wisconsin Health Literacy Summit. Madison, WI.

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11/2022         

Morrison, AK. Visiting Professor,

Nationwide Children’s, Columbus, OH

  • Pediatric Grand Rounds, A Journey to Become and Equitable Health Literate Healthcare Organization by Focusing on Quality and Safety

  • Quality and Safety Department, Health Literacy & Quality and Safety

  • Faculty Development Session, Teaching Health Literacy and Clear Communication at the Bedside

  • Primary Care, Health Literacy-Related Interventions in Primary Care

  • Patient Experience Team Presentation and Discussion, Improvement in Patient Experience by Addressing Health Literacy

  • Health Equity Team Presentation and Discussion, Health Literacy- The Intersection with Health Equity

  • Research Presentation and Project Discussion, Health Literacy and Health Outcomes Research

  • Pediatric Resident Noon Conference, Health Literacy Strategies to Keep Patients and Well          

 

11/2022         

Morrison, AK. Solutions for Patient Safety National Learning Session, Health Equity Begins with Equity in Care: Building a System to Reduce Safety Disparities and Healthcare Inequities- Health Literacy Breakout Session.

E-Site Visit through Children’s Hospitals Solutions for Patient Safety.

 

12/2022         

Morrison, AK, Abrams, MA, Wesley, J. Organizational Health Literacy – A Panel Discussion.

Academic Pediatric Association Health Literacy Special Interest Group Virtual meeting.

 

Regional

04/2016         

Morrison, AK. Using Health Literacy Strategies Across the Care Continuum to Keep Patients Safe and Well.  

2016 Maureen T. Rich Memorial Pediatric Respiratory Conference. Children’s Hospital of Wisconsin, Milwaukee, WI    

 

04/2022         

Morrison, AK. A Journey to Become an Equitable Health Literate Healthcare Organization by Focusing on Quality and Safety. Milwaukee Academy of Medicine, Milwaukee, WI.

 

Local

05/2012          Morrison, AK & Klingbeil, C. Health Literacy in the Pediatric Emergency Department.

Pediatric Emergency Medicine Grand Rounds. Medical College of Wisconsin, Milwaukee, WI

 

08/2013         

Morrison, AK.  Health Literacy and Clear Communication for Surgeons.

Pediatric Surgery Education Conference.

Medical College of Wisconsin, Milwaukee, WI

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11/2013         

Morrison, AK. Health Literacy and Clear Communication. Pediatric Grand Rounds.

Children’s Hospital of Wisconsin, Milwaukee, WI.

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12/2013         

Morrison, AK. Health Literacy and Clear Communication. Practical Pediatrics CME. Children’s Hospital of Wisconsin, Milwaukee, WI.

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04/2016         

Morrison, AK. Health Literacy and Emergency Department Utilization.

Research Update for Population Health, Children’s Hospital of Wisconsin, Milwaukee, WI

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10/2016         

Gibson, C, Morrison, AK. Let’s Clear Things Up: Communicating Clearly to Promote Health Literacy.

Children’s Hospital of Wisconsin Nursing Grand Rounds, Milwaukee, WI.

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10/2017          Morrison, AK. Using Health Literacy Strategies for Clear Communication.

Clinical Research Symposium, Medical College of Wisconsin, Milwaukee, WI.

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10/2017          Morrison, AK. Encouraging Questions for Clear Communication: Parent Perspectives.

Pediatric Grand Rounds. Children’s Hospital of Wisconsin, Milwaukee, WI.

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2011-2022  Morrison, AK.

Emergency Medicine Grand Rounds. Medical College of Wisconsin, Milwaukee, Wisconsin

09/2012           Health Literacy in the Emergency Department

09/2014           Health Literacy and Clear Communication in the ED

07/2017           Health Literacy Strategies to Keep Patients Safe and Well

08/2020           Clear Communication Every Day and in a Pandemic

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03/2019         

Morrison, AK. Becoming a Health Literate Organization: Local and System Change.

Pediatric Grand Rounds. Children’s Hospital of Wisconsin, Milwaukee, WI.

 

03/2019         

Morrison, AK. Health Literacy Organizational Improvement: ED and Beyond.

Pediatric Emergency Medicine Grand Rounds. Children’s Hospital of Wisconsin, Milwaukee, WI.

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03/2019         

Morrison, AK. Health Literacy-Related Safety Events.

Medical Staff Quality Forum. Children’s Hospital of Wisconsin, Milwaukee, WI.

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10/2019          Morrison, AK. Health Literacy-Related Safety Events.

Enterprise Safety Committee. Children’s Wisconsin, Milwaukee, WI.

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10/2020         

Morrison, AK, Jones, T, Schnell, J. Health Literacy: A Necessary Element for Achieving Health Equity.

Pediatric Grand Rounds. Children’s Wisconsin, Milwaukee, WI.

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07/2022         

Morrison, AK. Health Literacy to Provide Culturally Responsive Care.

SPARCC Workshop. Medical College of Wisconsin, Milwaukee, WI.

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07/2022         

Morrison, AK, Gibson C. Health Literacy: The Foundation of Quality, Safety, Experience, & Equity.  

Medical Staff Quality Forum. Children’s Wisconsin, Milwaukee, WI.

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07/2022         

Morrison, AK, Gibson C. Health Literacy & Safety and Quality. Safety department conference. Children’s Wisconsin, Milwaukee, WI.

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03/2023         

Morrison, AK. A Journey to Become an Equitable Health Literate Organization by Focusing on Quality and Safety.

Children’s Research Institute Research Conference. Children’s Wisconsin, Milwaukee, WI.

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