What are multi-tiered systems of support?

MTSS frameworks are rooted in education, creating a structured approach to interventions with students. When this principle is used in other sectors it can provide a method of tailoring interventions and communication strategies. 

What is a multi-tiered system of support framework? 

A School and Mental Health journal article states, “A multi-tiered system of support (MTSS) has been advocated as a way to organize and deliver a continuum of evidence-based practices (EBPs)” to address student needs. The application of MTSS frameworks can however extend beyond an educational setting and into healthcare. 

In healthcare, the first tier is focused on preventative care and wellness programs available to patients. The second tier is characterized by targeted interventions for risks identified in the first tier and the final tier is used to offer specialized, intensive treatment plans for patients requiring advanced care.

HIPAA compliant email and MTSS frameworks

HIPAA compliant email platforms, like Paubox, act as a method of facilitating the application of the MTSS framework in healthcare. Within each of the principles, email allows for effective communication with patients in a way that is easily adaptable to various communication needs. 

For patients with visual impairment or language barriers, emails can be easily integrated with text-to-speech technology or translators. In critical cases, emails can be sent to all members of the patient support system in an instant. For these reasons, email is one of the best ways to facilitate the use of MTSS in healthcare. 

Applying MTSS frameworks in healthcare communication strategies 

Tier 1: Creating universal communication strategies

At its core healthcare organizations should create communication strategies that provide patients with clear, culturally competent, and accessible information. 

The strategy is based on the idea that messages should be easily understood by a wide audience and take into consideration cultural and linguistic diversity. 

Tier 2: Targeted communication for patients at risk

This tier is based on communicating effectively with patients who need additional support. It could stem from a lack of health literacy, a recent diagnosis of a chronic illness, or the need for additional language support. These strategies include: 

• Identifying patients with specific communication needs like non-native speakers or those with mild chronic conditions. 
• Make sure to follow up with patients about appointment reminders or health check-ins. 

Tier 3: Intensive, individualized communication

The tier is based on complex needs. Patients who require intensive and personalized communication require strategies targeted toward providing additional care. Providing care can involve:  

• Working with patients directly to understand their needs and the information they would benefit most from. 
• Collaborate with family, caregivers, and specialists to create a well-rounded approach to the patient's care and ensure they receive consistent care.
• Use specialists like mental health professionals and reproductive health providers when needed.   

Related: Top 12 HIPAA compliant email services

FAQs

When is consent necessary? 

When a healthcare provider wants to use or disclose a patient's protected health information (PHI) for purposes not directly related to treatment or other reasons provided for under HIPAA. 

When can providers share information with a patient's caregiver? 

When a patient gives permission or it is in the patient's best interest. 

How can providers take measures to consider the diverse linguistic needs of patients?

By offering translation services, using culturally appropriate materials, and making information clear and accessible.