Developed more than a decade ago, the Chronic Care Model (CCM) is widely adopted approach to improving ambulatory care that has guided clinical quality initiatives in United States and around world. We examine evidence of CCM’s effectiveness by reviewing articles published since 2000 used one five key CCM papers as reference. Accumulated appears support an integrated framework guide practice redesign. Although work remains be done areas such cost-effectiveness, these studies suggest...

Introduction This paper describes 10 attributes of health literate care organizations, that is, organizations make it easier for people to navigate, understand, and use information services take their health. Having benefits not only the 77 million Americans who have limited literacy, but […]

Improving health outcomes relies on patients’ full engagement in prevention, decision-making, and self-management activities. Health literacy, or people’s ability to obtain, process, communicate, understand basic information services, is essential those actions. Yet relatively few Americans are proficient understanding acting available information. We propose a Literate Care Model that would weave literacy strategies into the widely adopted (formerly known as Chronic Model). Our model calls...

Health literacy is the capacity to understand basic health information and make appropriate decisions. Tens of millions Americans have limited literacy--a fact that poses major challenges for delivery high-quality care. Despite its importance, has until recently been relegated sidelines care improvement efforts aimed at increasing access, improving quality, better managing costs. Recent federal policy initiatives, including Affordable Care Act 2010, Department Human Services' National Action...

Healthy People 2030, the fifth iteration of initiative, provides science-based national health objectives with targets to improve and well-being Americans. For first time since its 1979 establishment, framework aims attain literacy as an overarching goal foundational principle achieving well-being. Growing literature on describes it a concept not solely reliant individual capabilities but also organizations' ability make health-related information services equitably accessible...

To understand the interrelationship of literacy, culture, and language importance addressing their intersection.Health cultural competence, linguistic competence strategies to quality improvement were analyzed.Strategies improve health literacy for low-literate individuals are distinct from culturally diverse with limited English proficiency (LEP). The lack integration results in care that is unresponsive some vulnerable groups' needs. A vision integrated presented.Clinicians, team,...

Children of parents expressing limited comfort with English (LCE) or proficiency may be at increased risk adverse events (harms due to medical care). No prior studies have examined, in a multicenter fashion, the association between language and systematically, actively collected that include family safety reporting.To examine parent LCE cohort hospitalized children.This prospective study was conducted from December 2014 January 2017, concurrent data collection Patient Family Centered I-PASS...

Patient materials are often written above the reading level of most adults. Tool 11 Health Literacy Universal Precautions Toolkit ("Design Easy-to-Read Material") provides guidance on ensuring that patient easy to understand. As part a pragmatic demonstration Toolkit, we examined how four primary care practices implemented and whether improved as result. We conducted interviews learn about practices' implementation activities assessed readability, understandability, actionability education...

The quality of communication between patients and clinicians can have a major impact on health outcomes, limited English proficiency interfere with effective communication. More than ten million U.S. residents speak poorly or not at all, constituting language chasm in the care system. This paper reviews evidence link linguistic competence particular language-assistance strategies. Drawing experiences fourteen plans that been forefront efforts, we identify lessons for plans, purchasers,...

Since the 1999 Institute of Medicine (IOM) report To Err is Human, progress has been made in patient safety, but few efforts have focused on safety patients with limited English proficiency (LEP). This article describes development, content, and testing two new evidence-based Agency for Healthcare Research Quality (AHRQ) tools LEP safety. In content development phase, a comprehensive mixed-methods approach was used to identify common causes errors patients, high-risk scenarios, strategies...

A health literate care organization is one that makes it easy for people to navigate, understand, and use information services take of their health. This chapter explores the journey a growing number organizations are taking become literate. Health literacy improvement has increasingly been viewed as systems issue, moves beyond siloed efforts by recognizing action required on multiple levels. To help operationalize shift perspective, members U.S. National Academies Sciences, Engineering,...

Organizational health literacy (OHL) is the degree to which care organizations implement strategies make it easier for patients understand information, navigate system, engage in process, and manage their health. Although resources exist guide OHL-related quality improvement (QI) initiatives, little work has been done establish measures that can use monitor efforts.

Background: The Re-Engineered Discharge (RED) program is a hospital-based initiative shown to decrease hospital reutilization. We implemented the RED in 10 hospitals study implementation process. Design: recruited from different regions of United States implement and provided training for participating leaders staff using Toolkit as basis curriculum followed by monthly telephone-based technical assistance up 1 year. Methods: Two team members interviewed key informants each before then year...

The Agency for Healthcare Research and Quality Health Literacy Universal Precautions Toolkit was developed to help primary care practices assess make changes improve communication with support patients. Twelve diverse implemented assigned tools over a 6-month period. Qualitative results revealed challenges experienced during implementation, including competing demands, bureaucratic hurdles, technological challenges, limited quality improvement experience, leadership support. Practices used...

Experts have recommended the adoption of health literacy universal precautions, whereby care providers make all information easier to understand, confirm everyone's comprehension, and reduce difficulty health-related tasks. The U.S. Department Health Human Services selected three literate practices track progress in precautions.