Collaborative updating of an organizational health literacy tool confirms medical librarians' leadership roles.
Kelsey Leonard Grabeel, R Eric Heidel, Sandy Oelschlegel, Rima Rudd
Author Information
Kelsey Leonard Grabeel: Health Information Center, Preston Medical Library, University of Tennessee Medical Center, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee, USA. ORCID
R Eric Heidel: Department of Surgery, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee, USA.
Sandy Oelschlegel: Health Information Center, Preston Medical Library, University of Tennessee Medical Center, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee, USA.
Rima Rudd: Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
BACKGROUND: A librarian led task force at the University of Tennessee Medical Center sought to evaluate their medical centre's health literacy attributes utilizing a widely used tool. This research ultimately led to the update of the tool. OBJECTIVES: To discuss the evaluation of health literacy attributes of health care organizations and detail the process of updating the Health Literacy Environment of Hospitals and Health Centers (HLEHHC) tool. METHODS: Subsequent to utilizing the HLEHHC, the task force was invited to assist in updating the tool. A collaborative was formed between the original author and task force. The collaborative performed an extensive literature review focused on emerging health literacy issues, reviewed each section and formulated changes. RESULTS: The collaborative update process yielded an improved instrument for assessing the extent to which a health care organization accommodates low health literacy patients. DISCUSSION: Through editing, creating new questions and rearranging the format, the HLEHHC was improved and updated. CONCLUSION: The assessment conducted by the health literacy task force is helping shape changes in the organization. Medical librarians acted in leadership roles in the collaborative process of developing the new institutional assessment tool for health literacy (HLE2).
American Medical Association. (2008). Communication climate assessment toolkit. https://innovations.ahrq.gov/qualitytools/communication-climate-assessment-toolkit
Arndt, T. S. (2016). Health literacy: A natural role for librarians. Reference Services Review, 44(2), 81-84. https://doi.org/10.1108/RSR-04-2016-0026
Bankson, H. L. (2009). Health literacy: An exploratory bibliometric analysis, 1997-2007. Journal of the Medical Library Association, 97(2), 148-150. https://doi.org/10.3163/1536-5050.97.2.016
Brach, C. (2017). The journey to become a health literate organization: A snapshot of health system improvement. Studies in Health Technology and Informatics, 240, 203-237.
Brach, C., Keller, D., Hernandez, L. M., Baur, C., Parker, R., Dreyer, B., Schillinger, D. (2012). Ten attributes of health literate health care organizations. https://nam.edu/wp-content/uploads/2015/06/BPH_Ten_HLit_Attributes.pdf
Brega, A. G., Barnard, J., Mabachi, N. M., Weiss, B. D., DeWalt, D. A., Brach, C., Cifuentes, M., Albright, K., & West, D. R. (2015). AHRQ Health Literacy Universal Precautions Toolkit, Second Edition. (Prepared by Colorado Health Outcomes Program, University of Colorado Anschutz Medical Campus under Contract No. HHSA290200710008, TO#10.) AHRQ Publication No. 15-0023-EF. Rockville, MD. Agency for Healthcare Research and Quality. https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/healthlittoolkit2.pdf
Brega, A. G., Hamer, M. K., Albright, K., Brach, C., Saliba, D., Abbey, D., & Gritz, R. M. (2019). Organizational health literacy: Quality improvement measures with expert consensus. Health Literacy Research and Practice, 3(2), e127-e146. https://doi.org/10.3928/24748307-20190503-01
Grabeel, K. L., Tester, E., Russomanno, J., Heidel, R. E., & Oelschlegel, S. (2018). The role of the library in promoting changes in the health care delivery system through systematic assessment. Paper presented at the Medical Library Association Annual Meeting, Atlanta, GA.
Groene, R. O., & Rudd, R. E. (2011). Results of a feasibility study to assess the health literacy environment: Navigation, written, and oral communication in 10 hospitals in Catalonia, Spain. Journal of Communication in Healthcare, 4(4), 227-237. https://doi.org/10.1179/1753807611Y.0000000005
Harnett, S. (2017). Promoting health literacy in the inpatient setting: Assessment and interventions. Journal of Consumer Health on the Internet, 21(4), 410-416. https://doi.org/10.1080/15398285.2017.1377543
Johnson, A. (2014). First impressions: Towards becoming a health-literate health service. Australian Health Review, 38(2), 190-193. https://doi.org/10.1071/ah13194
Kleinman, D. V., Baur, C., Rudd, R. E., & Rubin, D. (2018). Health literacy issue brief, in issues briefs to inform development and implementation of healthy people 2030. https://www.healthypeople.gov/sites/default/files/HP2030_Committee-Combined-Issue%20Briefs_2019-508c.pdf
Koh, H. K., & Rudd, R. E. (2015). The arc of health literacy. Journal of the American Medical Association, 314(12), 1225-1226. https://doi.org/10.1001/jama.2015.9978
Koos, J. A., Saragossi, J., Stevens, G. A., & Filosa, S. (2019). A partnership between academic and public librarians: “What the Health” workshop series. Journal of the Medical Library Association, 107(2), 232-237. https://doi.org/10.5195/jmla.2019.564
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. http://www.nationalacademies.org/hmd/Activities/PublicHealth/HealthLiteracy/~/media/Files/Activity%20Files/PublicHealth/HealthLiteracy/Commissioned-Papers/Measures_to_Assess_HLO.pdf
Leonard, K., Oelschlegel, S., Tester, E., Russomanno, J., & Heidel, R. E. (2018). Assessing the print communication and technology attributes of an academic medical center. Health Literacy Research and Practice, 2(1), e26-e34. https://doi.org/10.3928/24748307-20180108-01
Lloyd, J. E., Song, H. J., Dennis, S. M., Dunbar, N., Harris, E., & Harris, M. F. (2018). A paucity of strategies for developing health literate organisations: A systematic review. PLoS One, 13(4), e0195018. https://doi.org/10.1371/journal.pone.0195018
Manganello, J., Gerstner, G., Pergolino, K., Graham, Y., Falisi, A., & Strogatz, D. (2017). The relationship of health literacy with use of digital technology for health Information: Implications for public health practice. Journal of Public Health Management and Practice, 23(4), 380-387. https://doi.org/10.1097/phh.0000000000000366
Medical Library Association. (2020). About MLA. https://www.mlanet.org/p/cm/ld/fid=21
Millican, K. (2014). How are medical librarians addressing health literacy barriers? The Serials Librarian, 67(3), 260-265. https://doi.org/10.1080/0361526X.2014.915606
Nutbeam, D. (1998). Health promotion glossary. Health Promotion International, 13(4), 349-364. https://doi.org/10.1093/heapro/13.4.349
Oelschlegel, S., Grabeel, K. L., Tester, E., Heidel, R. E., & Russomanno, J. (2018). Librarians promoting changes in the health care delivery system through systematic assessment. Medical Reference Services Quarterly, 37(2), 142-152. https://doi.org/10.1080/02763869.2018.1439216
Oelschlegel, S., Leonard, K., Pollard, E., Russomanno, J., & Heidel, R. E. (2017). The role of the library in promoting changes in the health care delivery system through systematic assessment. Paper presented at the Southern Chapter of the Medical Library Association Annual Meeting, Knoxville, TN.
Oelschlegel, S., Leonard, K., Pollard, E., Russommano, J., & Heidel, R. E. (2016). Assessing the health literacy attributes of an academic medical center. Unpublished Manuscript. The University of Tennessee Graduate School of Medicine, The University of Tennessee Medical Center.
Raimondo, P. G., Harris, R. L., Nance, M., & Brown, E. D. (2014). Health literacy and consent forms: Librarians support research on human subjects. Journal of the Medical Library Association, 102(1), 5-8. https://doi.org/10.3163/1536-5050.102.1.003
Rudd, R. E. (2003). Improvement of health literacy. In Communicating health: Priorities and strategies for progress (pp. 35-60). Washington, DC: Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services.
Rudd, R. E. (2007). Health literacy skills of U.S. adults. American Journal of Health Behavior, 31(Suppl 1), S8-S18. https://doi.org/10.5555/ajhb.2007.31.supp.S8
Rudd, R. E. (2017). Health literacy: Insights and issues. Studies in Health Technology and Informatics, 240, 60-78.
Rudd, R. E., & Anderson, J. E. (2006). The Health Literacy Environment of Hospitals and Health Centers. National Center of the Study of Adult Learning and Literacy.
Rudd, R. E., Oelschlegel, S., Grabeel, K. L., Tester, E., & Heidel, R. E. (2019). HLE2: The health literacy environment 2. https://cdn1.sph.harvard.edu/wp-content/uploads/sites/135/2019/05/april-30-FINAL_The-Health-Literacy-Environment2_Locked.pdf
Tester, E., Grabeel, K. L., Oelschlegel, S., Heidel, R. E., & Russomanno, J. (2019). Call to action: Librarians promoting health literacy assessments in oral communication. Journal of Hospital Librarianship, 19(2), 129-143. https://doi.org/10.1080/15323269.2019.1586287
Thomacos, N., & Zazryn, T. (2013). Enliven organisational health literacy self-assessment resource. Enliven & School of Primary Health Care, Monash University. https://www.hqsc.govt.nz/assets/Consumer-Engagement/Resources/Enliven-health-literacy-audit-resource-Mar-2015.pdf
van Teijlingen, E., & Hundley, V. (2002). The importance of pilot studies. Nursing Standard, 16(40), 33-36. https://doi.org/10.7748/ns2002.06.16.40.33.c3214
Whitney, W., Keselman, A., & Humphreys, B. (2017). Libraries and librarians: Key partners for progress in health literacy research and practice. Studies in Health Technology and Informatics, 240, 415-432.