{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T18:13:59Z","timestamp":1779300839510,"version":"3.51.4"},"reference-count":19,"publisher":"SLACK, Inc.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HLRP: Health Literacy Research and Practice"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Historically, health literacy has been viewed as the patient's problem; however, it is now accepted that the responsibility for improving health literacy lies with the health care professionals and systems. An Institute of Medicine report outlines the health literacy attributes, such as printed patient education and technology, which both play a role in patient decision-making and engaging them in their health care. Research suggests that patients who are engaged in their health care have improved health outcomes. For health care organizations to accommodate the needs of all patients, it is imperative that they determine the current organizational state and discover opportunities for improvement.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>The Health Literacy Environment of Hospitals and Health Centers (HLEHHC) Print Communication Rating and Technology Rating Tool were used to measure the internal aspects of organizational health literacy at The University of Tennessee Medical Center (UTMC). Included in the print assessment were the 150 most distributed patient education handouts. Researchers also used the Simple Measure of Gobbledygook and Patient Education Materials Assessment Tool to assess print material. Technology was assessed using UTMC's website as the authoritative source.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Key Results:<\/jats:title>\n            <jats:p>The HLEHHC was useful for assessing print material and technology. Reviewing and reporting the data question-by-question revealed more granular, actionable information on where there are opportunities to improve the health care environment for all patients. This analysis resulted in proposing actions based on best practices that UTMC could implement in the coming year. The process is replicable in other settings.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Implications:<\/jats:title>\n            <jats:p>\n              Responsibility for improving informed medical decision-making lies with health care organizations. Low health literacy influences the effectiveness of print patient education and technology in informing patients about their health. Assessing these aspects of the health care organization as part of quality improvement provides necessary data for improvements. The Health Literacy Environment of Hospital and Health Centers was a useful tool to measure characteristics of print and technology.\n              <jats:bold>\n                [\n                <jats:italic>HLRP: Health Literacy Research and Practice<\/jats:italic>\n                . 2018;2(1):e26\u2013e34.]\n              <\/jats:bold>\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Plain Language Summary:<\/jats:title>\n            <jats:p>A task force at an academic medical center assessed the health literacy attributes of their organization. Researchers assessed print patient education and patient-related technology. The researchers found areas for improvements to make health information easier to understand.<\/jats:p>\n          <\/jats:sec>","DOI":"10.3928\/24748307-20180108-01","type":"journal-article","created":{"date-parts":[[2018,2,6]],"date-time":"2018-02-06T21:14:37Z","timestamp":1517951677000},"source":"Crossref","is-referenced-by-count":3,"title":["Assessing the Print Communication and Technology Attributes of an Academic Medical Center"],"prefix":"10.3928","volume":"2","author":[{"given":"Kelsey","family":"Leonard","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandy","family":"Oelschlegel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Tester","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Russomanno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert Eric","family":"Heidel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_1","unstructured":"Brach C. Keller D. Hernandez L. M. Baur C. Parker R. Dreyer B. Schillinger D. (2012). Ten attributes of health literate health care organizations . Retrieved from National Academy of Medicine website: http:\/\/nam.edu\/wp-content\/uploads\/2015\/06\/BPH_Ten_HLit_Attributes.pdf"},{"key":"e_1_3_1_3_1","doi-asserted-by":"publisher","DOI":"10.1179\/1753807611Y.0000000005"},{"key":"e_1_3_1_4_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.302036"},{"key":"e_1_3_1_5_1","unstructured":"The Joint Commission. (2010). Advancing effective communication cultural competence and patient-and family-centered care: A road-map for hospitals . Retrieved from https:\/\/www.jointcommission.org\/assets\/1\/6\/ARoadmapforHospitalsfinalversion727.pdf"},{"key":"e_1_3_1_6_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2012.1205"},{"key":"e_1_3_1_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.9978"},{"key":"e_1_3_1_8_1","unstructured":"Kripalani S. Wallston K. Cavanaugh K. L. Osborn C. Y. Mulvaney S. Scott A. M. Rothman R. L. (2013). Measures to assess a health-literate organization . Retrieved from The National Academies of Sciences Engineering and Medicine website: http:\/\/www.nationalacademies.org\/hmd\/Activities\/PublicHealth\/HealthLiteracy\/~\/media\/Files\/Activity%20Files\/PublicHealth\/HealthLiteracy\/Commissioned-Papers\/Measures_to_Assess_HLO.pdf"},{"key":"e_1_3_1_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.20.2516"},{"key":"e_1_3_1_10_1","unstructured":"Ottosen T. (2015). Promoting health literacy through easy-to-read materials . Retrieved from National Network of Libraries of Medicine website: https:\/\/nnlm.gov\/classes\/healthliteracy"},{"key":"e_1_3_1_11_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.22.4.147"},{"key":"e_1_3_1_12_1","unstructured":"Raivitch S. Fleisher L. Gallo R. Weaver C. Hammell L. Rudd R. (2010). Assessing the health literacy environment of a comprehensive cancer center . 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Most wired hospitals and health systems driving efficiency improvement. Integration of EHRs and population health still underway . Retrieved from Hospitals & Health Networks website: https:\/\/www.hhnmag.com\/articles\/8391-most-wired-hospitals-and-health-system-driving-efficiency-improvement"},{"key":"e_1_3_1_18_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-158-8-201304160-00001"},{"key":"e_1_3_1_19_1","unstructured":"Weinstock M Hoppszallern S. (2015). 2015 most wired . 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