1. Best Practices: Approaches to Assessment Peggy Sissel-Phelan, Ed.D. December 1, 2010

2. Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information. Health literacy is the use of a wide range of skills that improve the ability of people to act on information in order to live healthier lives. These skills include reading, writing, listening, speaking, numeracy, and critical analysis, as well as communication and interaction skills. Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information. Health literacy is the use of a wide range of skills that improve the ability of people to act on information in order to live healthier lives. These skills include reading, writing, listening, speaking, numeracy, and critical analysis, as well as communication and interaction skills. (Calgary Charter on Health Literacy, 2008)

3. Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information. Health literacy is the use of a wide range of skills that improve the ability of people to act on information in order to live healthier lives. These skills include reading, writing, listening, speaking, numeracy, and critical analysis, as well as communication and interaction skills. (Calgary Charter on Health Literacy, 2008) ROLES ROLES Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information. Health literacy is the use of a wide range of skills that improve the ability of people to act on information in order to live healthier lives. These skills include reading, writing, listening, speaking, numeracy, and critical analysis, as well as communication and interaction skills. (Calgary Charter on Health Literacy, 2008) Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information. Health literacy is the use of a wide range of skills that improve the ability of people to act on information in order to live healthier lives. These skills include reading, writing, listening, speaking, numeracy, and critical analysis, as well as communication and interaction skills. (Calgary Charter on Health Literacy, 2008)

4. Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information. Health literacy is the use of a wide range of skills that improve the ability of people to act on information in order to live healthier lives. These skills include reading, writing, listening, speaking, numeracy, and critical analysis, as well as communication and interaction skills. Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information. Health literacy is the use of a wide range of skills that improve the ability of people to act on information in order to live healthier lives. These skills include reading, writing, listening, speaking, numeracy, and critical analysis, as well as communication and interaction skills. (Calgary Charter on Health Literacy, 2008) Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information. Health literacy is the use of a wide range of skills that improve the ability of people to act on information in order to live healthier lives. These skills include reading, writing, listening, speaking, numeracy, and critical analysis, as well as communication and interaction skills. Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information. Health literacy is the use of a wide range of skills that improve the ability of people to act on information in order to live healthier lives. These skills include reading, writing, listening, speaking, numeracy, and critical analysis, as well as communication and interaction skills. (Calgary Charter on Health Literacy, 2008) ROLES METHODS METHODS

5. Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information. Health literacy is the use of a wide range of skills that improve the ability of people to act on information in order to live healthier lives. These skills include reading, writing, listening, speaking, numeracy, and critical analysis, as well as communication and interaction skills. Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information. Health literacy is the use of a wide range of skills that improve the ability of people to act on information in order to live healthier lives. These skills include reading, writing, listening, speaking, numeracy, and critical analysis, as well as communication and interaction skills. (Calgary Charter on Health Literacy, 2008) ROLES Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information. Health literacy is the use of a wide range of skills that improve the ability of people to act on information in order to live healthier lives. These skills include reading, writing, listening, speaking, numeracy, and critical analysis, as well as communication and interaction skills. Health literacy allows the public and personnel working in all health-related contexts to find, understand, evaluate, communicate, and use information. Health literacy is the use of a wide range of skills that improve the ability of people to act on information in order to live healthier lives. These skills include reading, writing, listening, speaking, numeracy, and critical analysis, as well as communication and interaction skills. (Calgary Charter on Health Literacy, 2008) OUTCOMES METHODS METHODS

6. Level of understanding OF health contexts OF health contexts Clinical/Self help Access/Navigation Access/Navigation Prevention/Treatment Prevention/Treatment Chronic/Acute Chronic/Acute Emergency/Routine Emergency/Routine Level of skills IN health contexts health contexts Locating Decoding Decoding Inferring Inferring Formulating questions Formulating questions Interpreting Interpreting

7. Varied understanding Varied understanding of their patients’ health of their patients’ health contexts contexts Clinical/Self help Access/Navigation Prevention/Treatment Chronic/Acute Emergency/Routine Varied level of skills that help enable their patients in Locating Decoding Inferring Formulating questions Interpreting

8. Varied understanding Varied understanding of their patients’ health of their patients’ health contexts contexts Clinical/Self help Access/Navigation Prevention/Treatment Chronic/Acute Emergency/Routine Varied level of skills that help enable their patients in Locating Decoding Inferring Formulating questions Interpreting

9. CulturalCompetency

10. MethodsCulturalCompetency Roles Outcomes Roles Outcomes

11. MethodsCulturalCompetency ToolsTrainingSystems

12. ToolsCulturalCompetency Training Systems

13. Tools Plain Language

14. Addresses varied health contexts in accessible ways Locate Decode Question Understand Health Information so patients are better able to

15. Passive sentences Long paragraphs Poly-syllable words Clinical language Past/mixed tense 3 rd person (they, s/he) Active sentences Short paragraphs Mono or bi-syllable Colloquial language Present tense 2 nd or 1 st person (you, I 2 nd or 1 st person (you, I)

16. Plain Writing Act of 2010Plain Writing Act of 2010 (Public Law No: 111-274) Federal agencies must use “plain writing” All “covered documents” issued to public ~ Letters, publications, forms, notices, instructions ~ Anything relevant to federal benefits or requirements Signed Oct. 13, 2010; begins in 1 year

17. http://www. plainlanguage.gov

18. http://www.nih.gov/clearcommunication/plainlanguage.htm