1. Raise Awareness About National Standards for Health Literacy

2. Milestones in Health Literacy 1992 NALS Key Studies During the mid-late 1990s 2004 IOM Report 2003 NAAL (Results – 2006) 2010 National Action Plan to Improve Health Literacy

3. IOM, 2004: Health Literacy… “is fundamental to quality care…” Relates to 3 of the 6 aims in IOM Quality Chasm Report: Safety Patient-centered care Equitable treatment

4. Self-management health literacy health care qualitydisease prevention Self-management & health literacy are cross-cutting priorities for improving health care quality & disease prevention.

5. Health Literacy is essential for… Health promotion and disease prevention Understanding, interpreting and analyzing health information Applying health information to life situations Navigating the health system Active participation in health encounters Understanding and providing consent Health Literacy. A Prescription to End Confusion. Institute of Medicine. 2004.

6. The National Action Plan to Improve Health Literacy Develop and disseminate health and safety information that is accurate, accessible, and actionable. Promote changes in the healthcare system that improve health information, communication, informed decision-making, and access to health services. Build partnerships, develop guidance, and change policies. Increase the dissemination and use of evidence-based health literacy practices and interventions. http://www.health.gov/communication/HLActionPlan/pdf/Health_Literacy_Action_Plan.pdf

7. The National Action Plan to Improve Health Literacy Incorporate accurate, standards-based, and developmentally appropriate health and science information and curricula in child care and education through the university level. Support and expand local efforts to provide adult education, English language instruction, and culturally and linguistically appropriate health information services in the community. Increase basic research and the development, implementation, and evaluation of practices and interventions to improve health literacy. http://www.health.gov/communication/HLActionPlan/pdf/Health_Literacy_Action_Plan.pdf

8. Healthy People 2020 Goals Related to Health Literacy (Developmental) Improve the health literacy of the population Increase the proportion of persons who report their health care providers:  always gave them easy-to understand instructions about what to do to take care of their illness or health condition  always asked them to describe how they will follow the instructions  always offered help in filling out a form  always listened carefully to them  have satisfactory communication skills  always explained things so they could understand them  always showed respect for what they had to say  always spent enough time with them  always involved them in decisions about their health care as much as they wanted http://www.healthypeople.gov/2020/default.aspx

9. Recognized Importance of Health Literacy Joint Commission Report  “What Did the Doctor Say? Improving Health Literacy to Protect Patient Safety” http://www.jointcommission.org/assets/1/18/improving_health_literacy.pdf National Quality Forum  Safe practice #5 - Ask each patient or legal surrogate to “teach back” in his or her own words key information about the proposed treatments or procedures for which he or she is being asked to provide informed consent. http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare _%E2%80%93_2010_Update.aspx H ospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)  Communication w/ providers  Communication about medicines  Discharge Information http://www.hcahpsonline.org/home.aspx

10. What can we do? Literacy-based Tools for Practice

12. Useful Health Literacy Practices

13. The Commonwealth Fund Study – Team effort – Standardized communication tools – Plain language, face-to-face communication, pictorials, and educational materials – Patient-provider partnership to achieve goals – Organizational commitment to health literacy http://www.commonwealthfund.org/usr_doc/Barrett_hltliteracypracticesprim arycaresettingsexamplesfield_1093.pdf?section=4039

14. Universal Precautions Toolkit

15. Use of Plain Language

16. AHRQ Tools for Health Literacy

17. The Iowa Surgical Consent Project

18. Areas for Integration of Health Literacy into Health Professions Curricula Emphasize communication training throughout the curriculum Require students in all courses to translate at least one concept into plain language How to create a culture of communication Apply and use available tools (AHRQ, Ask Me 3, etc.) Teach concepts in sharing communication responsibility among providers Empower patients through community partnerships (public libraries, senior centers, etc.) Research demonstration projects

19. Recent Initiatives

20. OLIVE Oklahoma Literacy Is Vital for Empowerment

21. Project Overview In support of the National Action Plan to Improve Health Literacy, the OLIVE project proposes formation of a tri-partite network that includes academic-based content experts, a health sciences library, and a large public library system to provide a trusted, non-threatening interface embedded in at-risk communities. It is the ultimate goal of OLIVE to ensure accurate, accessible, and actionable consumer medication information for at-risk communities.

22. The Primary Care Collaborative for Unified Health Communication Tipton, Wen, Miller, Fox, Jelley, Gillaspy, Dunlap, and Darden HRSA Grants for Training in Primary Care Medicine and Dentistry – Submitted 7/2011 $800k/ 5 yr project to develop a collaborative infrastructure to enhance unified health communication (UHC) (i.e., health literacy, cultural competency, limited English proficiency) in training, service, and research programs in 4 departments: – University of Oklahoma School of Community Medicine Family Medicine, Internal Medicine, and Pediatrics departments – University of Oklahoma Health Sciences Center College of Medicine Pediatrics department.

23. The Primary Care Collaborative for Unified Health Communication Proposed objectives include: Creation of the PCC-UHC Development of Champion teams in each discipline Implementation of training and service enhancements based on needs assessments Conducting longitudinal assessments of health literacy practices and cultural and linguistic competence of health care providers through patient-reports of UHC practices

24. Why a Center? OUHSC Policy for Establishing a Center Facilitate collaboration Increase potential for self-support Meet defined need Assist faculty, staff, students in pursuit of teaching, scholarship, service Interdisciplinary

25. A Vision for A Health Literacy Center National Leadership Interdisciplinary Research Collaboration with a Range of Academic Units Faculty, Student and Community Resource Student Experiences Oklahoma Center for the Study of Health Literacy among the Health Professions

26. Questions and Discussion