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Research ArticleOriginal Research

Time, Costs, and Clinical Utilization of Screening for Health Literacy: A Case Study Using the Newest Vital Sign (NVS) Instrument

Verna L. Welch, Jonathan B. VanGeest and Rachel Caskey
The Journal of the American Board of Family Medicine May 2011, 24 (3) 281-289; DOI: https://doi.org/10.3122/jabfm.2011.03.100212
Verna L. Welch
PhD, MPH
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Jonathan B. VanGeest
PhD
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Rachel Caskey
MD, MPP
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    Figure 1.

    The Newest Vital Sign (NVS) screening instrument for health literacy. The Newest Vital Sign (February 2011). Available at: http://www.pfizerhealthliteracy.com/asset/pdf/NVS_Eng/files/nvs_flipbook_english_final.pdf. Copyright © 2002–2011 Pfizer Inc. All rights reserved.

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    Figure 2.

    Morehouse School of Medicine Department of Family Medicine intervention process. Health Literacy Kit used with permission from the AMA Foundation.

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    Table 1.

    Estimated Costs in the Morehouse School of Medicine, Department of Family Medicine Clinic Associated with Screening Using the Newest Vital Sign

    DescriptionOne-time Start-up and Training Costs ($)*†Annual Maintenance Costs ($)
    Personnel
        Salary and fringe benefits for Intake Coordinator at 0.25 FTE to score and input NVS into EMR11,500‡
        Intervention training (grand rounds)5000†
        Refresher training100
        IT add field to EMR to capture NVS score1500
    Materials
        American Medical Association health literacy training kits (∼$35 each)1500
        Photocopies300
    Total800011,800
    • ↵* Estimated costs based on Morehouse School of Medicine, Department of Family Medicine clinic with 45 intake and clinical personnel.

    • ↵† Includes photocopying, honorarium (optional), and participation incentives (optional).

    • ↵‡ Calculated on $46,000 Morehouse School of Medicine, Department of Family Medicine full-time equivalent. Costs may be considerably lower if conducted as part of routine intake using existing personnel.

    • FTE, full-time equivalent; NVS, newest vital sign; EMR, electronic medical record; IT, information technology.

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The Journal of the American Board of Family Medicine: 24 (3)
The Journal of the American Board of Family Medicine
Vol. 24, Issue 3
May-June 2011
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Time, Costs, and Clinical Utilization of Screening for Health Literacy: A Case Study Using the Newest Vital Sign (NVS) Instrument
Verna L. Welch, Jonathan B. VanGeest, Rachel Caskey
The Journal of the American Board of Family Medicine May 2011, 24 (3) 281-289; DOI: 10.3122/jabfm.2011.03.100212

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Time, Costs, and Clinical Utilization of Screening for Health Literacy: A Case Study Using the Newest Vital Sign (NVS) Instrument
Verna L. Welch, Jonathan B. VanGeest, Rachel Caskey
The Journal of the American Board of Family Medicine May 2011, 24 (3) 281-289; DOI: 10.3122/jabfm.2011.03.100212
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