Duke Heart Transplant Patient Education Library

Initial Direction for Discussion

The Opportunity

The Duke Heart Transplant team currently provides substantial education directly through its clinical staff before and after transplantation. Much of this information is necessarily repeated across patients and caregivers.

A modular patient education library could preserve the expertise and personal involvement of Duke's clinical team while giving patients and caregivers a reliable way to review essential information whenever they need it.

The objective is not to replace coordinator education.

The objective is to make that education easier to deliver, easier to repeat, and easier for patients and caregivers to retain.

Proposed Structure

The initial library could be organized around two major phases of the patient journey.

Preparing for Heart Transplant

Potential educational areas may include:

Understanding the evaluation process

Understanding the transplant team

Transplant candidacy

The heart transplant waitlist

Donor matching

What to do while waiting

Receiving the transplant call

Preparing for hospitalization and surgery

Understanding the transplant procedure

Expectations for patients and caregivers

Living After Heart Transplant

Potential educational areas may include:

Preparing for hospital discharge

Medications and immunosuppression

Recognizing signs of rejection

Recognizing infection

When to contact the transplant team

Follow up appointments and testing

Recovery and rehabilitation

Nutrition and activity

Caregiver responsibilities

Returning to everyday life

Long term transplant care

Format

Rather than a single long educational program, information would be divided into concise individual modules.

This would allow Duke to provide the appropriate education at the appropriate stage of care while also maintaining a library patients and caregivers can revisit later.

Depending on the subject, modules could combine:

Clinical staff explanation

Patient friendly graphics

2D animation

3D anatomical animation

Procedure visualization

Existing Duke materials

Patient or caregiver perspectives where appropriate

Delivery

Content would be designed to remain flexible enough for Duke to distribute through its preferred systems.

Potential delivery may include:

MyChart

Epic patient journeys

Inpatient on demand viewing

Direct links provided by coordinators

Pre visit education

Post discharge review

Caregiver and family education

The final delivery workflow should be determined by Duke based on existing clinical and technical systems.

Clinical Collaboration

The clinical team's time should be protected as much as possible.

A streamlined development model could use:

One pre transplant coordinator point person

One post transplant coordinator point person

Heart Transplant program leadership

Additional clinical experts only when their specific expertise is required

DWALT Media would then handle the majority of organization, interviewing, scripting, production, animation, editing, revisions, and final media preparation.

First Step

Before defining the final scope, DWALT Media would work with the pre and post transplant representatives to answer three questions:

  1. What information does the team explain repeatedly?

  2. What information do patients and caregivers have the most difficulty understanding or remembering?

  3. What information would benefit most from visual explanation?

Those answers would determine the initial module list, production requirements, priorities, and budget.

Goal

Create a heart transplant education resource that is clinically accurate, easy to understand, easy to access, easy to revisit, and genuinely useful to both Duke's patients and the clinical teams caring for them.