support that enhance the quality, safety, and efficiency of patient care; and (4) support of efficient processes for health care delivery. Critical building blocks of an EHR system are the electronic health records (EHR) maintained by providers (e.g., hospitals, nursing homes, ambulatory settings) and by individuals (also called personal health records)” (IOM, 2003).

Health literacy. “The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (Ratzan, S. C., and R. M. Parker. 2000. Introduction. In National Library of Medicine Current Bibliographies in Medicine: Health Literacy. NLM Pub. No. CBM 2000-1. C. R. Selden, M. Zorn, S. C. Ratzan, and R. M. Parker, Editors. Bethesda, MD: National Institutes of Health, U.S. Department of Health and Human Services).

Healthwise. “A nonprofit organization with a mission to help people make better health decisions. Nearly 100 million times a year, people turn to Healthwise information to learn how to do more for themselves, ask for the care they need, and say ‘no’ to the care they don’t need. Healthwise partners with health plans, hospitals, disease management companies, and health Web sites to provide up-to-date, evidence-based information to the people they serve. To learn more about the Healthwise Information Therapy (Ix®) Solution, visit or call 1.800.706.9646” ( Accessed May 6, 2008.

HL7. “Health Level Seven is one of several American National Standards Institute (ANSI)-accredited Standards Developing Organizations (SDOs) operating in the healthcare arena. Health Level Seven’s domain is clinical and administrative data” ( Accessed July 11, 2008.

Medical home. “A medical home is not just a building, house, or hospital, but a team approach to providing health care. A Medical Home originates in a primary health care setting that is family-centered and compassionate. A partnership develops between the family and the primary health care practitioner. Together they access all medical and non-medical services needed by the child and family to achieve maximum potential. The Medical Home maintains a centralized, comprehensive record of all health related services to promote continuity of care” ( Accessed June 26, 2008.

MedLine Plus. A website network database of health information provided by the National Library of Medicine and the National Institutes of Health for use by consumers and health care providers.

Participatory Action Research (PAR). “A method of research where cre-

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