1. Health Literacy Integrating Health Literacy, Cultural Competency, & Language Access Services Health Literacy Michael Wolf, PhD MPH

2. Healthcare -Quality -Quality -Safety -Safety -Equity -Equity

3. Key Concepts: Health Literacy  Both a Risk Factor and Outcome  Both an Individual and Societal Trait  Both Context-dependent and Modifiable  Emphasis on accessing, understanding, and applying information to make informed health decisions  Strong ties to socioeconomic status, race/ethnicity, age  Solutions require changes to health system and beyond

4. Key Concepts: Health Literacy  Both a Risk Factor and Outcome  Both an Individual and Societal Trait  Both Context-dependent and Modifiable  Emphasis on accessing, understanding, and applying information to make informed health decisions  Strong ties to socioeconomic status, race/ethnicity, age  Solutions require changes to health system and beyond

5. Key Concepts: Health Literacy  Both a Risk Factor and Outcome  Both an Individual and Societal Trait  Both Context-dependent and Modifiable  Emphasis on accessing, understanding, and applying information to make informed health decisions  Strong ties to socioeconomic status, race/ethnicity, age  Solutions require changes to health system and beyond

6. Key Concepts: Health Literacy  Both a Risk Factor and Outcome  Both an Individual and Societal Trait  Both Context-dependent and Modifiable  Emphasis on accessing, understanding, and applying information to make informed health decisions  Strong ties to socioeconomic status, race/ethnicity, age  Solutions require changes to health system and beyond

7. Key Concepts: Health Literacy  Both a Risk Factor and Outcome  Both an Individual and Societal Trait  Both Context-dependent and Modifiable  Emphasis on accessing, understanding, and applying information to make informed health decisions  Strong ties to socioeconomic status, race/ethnicity, age  Solutions require changes to health system and beyond

8. Key Concepts: Health Literacy  Both a Risk Factor and Outcome  Both an Individual and Societal Trait  Both Context-dependent and Modifiable  Emphasis on accessing, understanding, and applying information to make informed health decisions  Strong ties to socioeconomic status, race/ethnicity, age  Solutions require changes to health system and beyond

9. Integration with Cultural Competency, Language Access 1.Health systems must expect/prepare for diversity (by HL, culture, & language) - healthcare communications - provider training - workflow Integration with Cultural Competency, Language Access

10. 1.Health systems must expect/prepare for diversity (by HL, culture, & language) - healthcare communications - provider training - workflow Integration with Cultural Competency, Language Access ? is the investment justifiable?

11. Integration with Cultural Competency, Language Access 2.All represent vulnerable populations with known disparities; thus ongoing assessment is warranted. Integration with Cultural Competency, Language Access

12. 2.All represent vulnerable populations with known disparities; thus ongoing assessment is warranted. Integration with Cultural Competency, Language Access ? how do we measure each

13. Integration with Cultural Competency, Language Access 2.All represent vulnerable populations with known disparities; thus ongoing assessment is warranted. Integration with Cultural Competency, Language Access ? what can be gathered by electronic health records ? how do we measure each

14. Integration with Cultural Competency, Language Access 3.Interventions must target improving access to understandable, actionable health information. - health literacy standards apply to all - ‘patient-centered’ approach - link to behavior change, health outcomes for ‘business case’ Integration with Cultural Competency, Language Access

15. 3.Interventions must target improving access to understandable, actionable health information. - health literacy standards apply to all - ‘patient-centered’ approach - link to behavior change, health outcomes for ‘business case’ Integration with Cultural Competency, Language Access ? what is a sufficient ‘business case’

16. Michael Wolf, MA MPH PhD Professor, Medicine & Learning Sciences Associate Vice Chair, Department of Medicine Associate Division Chief – Research General Internal Medicine & Geriatrics mswolf@northwestern.edu