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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Health Literacy

Past, Present, and Future

Workshop Summary

Joe Alper, Rapporteur

Roundtable on Health Literacy

Board on Population Health and Public Health Practice

Institute of Medicine

The National Academies of
SCIENCES • ENGINEERING • MEDICINE

THE NATIONAL ACADEMIES PRESS

Washington, D.C.

www.nap.edu

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
×

THE NATIONAL ACADEMIES PRESS   500 Fifth Street, NW   Washington, DC 20001

This activity was supported by contracts between the National Academy of Sciences and the Aetna Foundation; the Agency for Healthcare Research and Quality (HHSP233200900537P); the California Dental Association; the East Bay Community Foundation (Kaiser Permanente); Eli Lilly and Company; Health Literacy Missouri; Health Resources and Services Administration (HHSH25034004T); Humana; the Institute for Healthcare Advancement; Merck & Co., Inc; National Institutes of Health; North Shore–Long Island Jewish Health System; Office of Disease Prevention and Health Promotion; and UnitedHealth Group. The views presented in this publication do not necessarily reflect the views of the organizations or agencies that provided support for the activity.

International Standard Book Number-13: 978-0-309-37154-4
International Standard Book Number-10: 0-309-37154-6

Additional copies of this workshop summary are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

Copyright 2015 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

Suggested citation: The National Academies of Sciences, Engineering, and Medicine. 2015. Health literacy: Past, present, and future: Workshop summary. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
×

The National Academies of

SCIENCES • ENGINEERING • MEDICINE

The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Ralph J. Cicerone is president.

The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. C. D. Mote, Jr., is president.

The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.

The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.

Learn more about the National Academies of Sciences, Engineering, and Medicine at www.national-academies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
×

PLANNING COMMITTEE ON HEALTH LITERACY:
PAST, PRESENT, AND FUTURE
1

LUIS BRAVO, Designated Federal Official, Risk Communication Advisory Committee, Office of Planning, Office of the Commissioner, U.S. Food and Drug Administration

TERRY DAVIS, Professor of Medicine and Pediatrics, Louisiana State University Health Sciences Center in Shreveport

GEORGE J. ISHAM, Senior Advisor, HealthPartners, Senior Fellow, HealthPartners Institute for Education and Research

MICHAEL PAASCHE-ORLOW, Associate Professor of Medicine, Boston University School of Medicine

SCOTT RATZAN, Vice President, Global Corporate Affairs, Anheuser-Busch InBev; Editor-in-Chief, Journal of Health Communication: International Perspectives

RIMA RUDD, Senior Lecturer on Health Literacy, Education, and Policy, Harvard School of Public Health

WINSTON F. WONG, Medical Director, Community Benefit, Director, Disparities Improvement and Quality Initiatives, Kaiser Permanente

____________________

1Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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ROUNDTABLE ON HEALTH LITERACY1

GEORGE J. ISHAM (Chair), Senior Advisor, HealthPartners, Senior Fellow, HealthPartners Institute for Education and Research

MARIN P. ALLEN, Deputy Associate Director for Communications and Public Liaison and Director of Public Information, National Institutes of Health

WILMA ALVARADO-LITTLE, Director, Community Engagement/ Outreach, University at Albany

CINDY BRACH, Senior Health Policy Researcher, Agency for Healthcare Research and Quality

GEM DAUS, Public Health Analyst, Health Resources and Services Administration

LAURIE FRANCIS, Senior Director of Clinic Operations and Quality, Oregon Primary Care Association

GARTH GRAHAM, President, Aetna Founation

LORI HALL, Consultant, Health Education, Eli Lilly and Company

LINDA HARRIS, Division Director, Health Communication and eHealth Team, U.S. Department of Health and Human Services

BETSY L. HUMPHREYS, Deputy Director, National Library of Medicine

MARGARET LOVELAND, Senior Director, Global Medical Affairs, Merck & Co., Inc.

LAURIE MYERS, Leader of Health Care Disparities and Health Literacy Strategy, Merck & Co., Inc.

CATINA O’LEARY, President and Chief Executive Officer, Health Literacy Missouri

RUTH PARKER, Professor of Medicine, Pediatrics, and Public Health, Emory University School of Medicine

KIM PARSON, Consumer Experience Center of Excellence, Humana

KAVITA PATEL, Managing Director for Clinical Transformation and Delivery, The Brookings Institution

ANDREW PLEASANT, Senior Director for Health Literacy and Research, Canyon Ranch Institute

LINDSEY A. ROBINSON, President, California Dental Association

STACEY ROSEN, Associate Professor of Cardiology and Vice President, Women’s Health, The Katz Institute for Women’s Health, Hofstra North Shore–LIJ School of Medicine

____________________

1 Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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BERNARD ROSOF, Professor of Medicine, Hofstra North Shore–LIJ School of Medicine

RIMA RUDD, Senior Lecturer on Health Literacy, Education, and Policy, Harvard School of Public Health

STEVEN RUSH, Director, Health Literacy Innovations, UnitedHealth Group

PAUL M. SCHYVE, Senior Advisor, Quality Improvement, The Joint Commission

MICHAEL VILLAIRE, Chief Executive Officer, Institute for Healthcare Advancement

PATRICK WAYTE, Vice President, Marketing and Health Education, American Heart Association

WINSTON WONG, Medical Director, Community Benefit, Director, Disparities Improvement and Quality Initiatives, Kaiser Permanente

IOM Staff

LYLA M. HERNANDEZ, Roundtable Director

MELISSA FRENCH, Associate Program Officer

ANDREW LEMERISE, Research Associate

EMILY VOLLBRECHT, Senior Program Assistant (beginning April 6, 2015)

ANGELA MARTIN, Senior Program Assistant (through April 3, 2015)

ROSE MARIE MARTINEZ, Director, Board on Population Health and Public Health Practice

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
×

Reviewers

This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:

Jennifer Dillaha, Arkansas Department of Health

Alice Horowitz, University of Maryland

Terri Ann Parnell, Health Literacy Partners, LLC

Carol Teutsch, Health Care Institute

Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by Harold J. Fallon, School of Medicine, University of Alabama at Birmingham. Appointed by the Institute of Medicine, he was responsible for making certain that an independent examination of this workshop sum-

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
×

mary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteur and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
×

Acknowledgments

The sponsors of the Roundtable on Health Literacy have made it possible to plan and conduct the workshop Health Literacy: Past, Present, and Future, which this report summarizes. Sponsors from the U.S. Department of Health and Human Services are the Agency for Healthcare Research and Quality, Health Resources and Services Administration, the National Institutes of Health, and the Office of Disease Prevention and Health Promotion. Non-federal sponsorship was provided by the Aetna Foundation, the California Dental Association, the East Bay Community Foundation (Kaiser Permanente), Eli Lilly and Company, Health Literacy Missouri, Humana, the Institute for Healthcare Advancement, Merck & Co., Inc., North Shore–Long Island Jewish Health System, and UnitedHealth Group.

The Roundtable wishes to express its appreciation to the following speakers at the workshop for their interesting and stimulating presentations: Terry Davis, Victor Dzau, Betsy Humphreys, George Isham, Howard Koh, Gerald McEvoy, Theresa Michele, Michael Paasche-Orlow, Ruth Parker, Scott Ratzan, Lindsey Robinson, Russell Rothman, Rima Rudd, Barbara Schuster, Steven Teutsch, Michael Wolf, Winston Wong, and Victor Wu.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Acronyms and Abbreviations

ACA Patient Protection and Affordable Care Act (Affordable Care Act)
ACGME Accreditation Council for Graduate Medical Education
ACO accountable care organization
ACP American College of Physicians
ADA American Dental Association
AHRQ Agency for Healthcare Research and Quality
ASHP American Society of Health-System Pharmacists
 
CAMBRA Caries Management by Risk Assessment
CDA California Dental Association
CDC Centers for Disease Control and Prevention
CMI Consumer Medication Information
CMS Centers for Medicare & Medicaid Services
 
DOE U.S. Department of Education
 
EHR electronic health record
 
FDA U.S. Food and Drug Administration
 
HHS U.S. Department of Health and Human Services
HIPAA Health Insurance Portability and Accountability Act
HRSA Health Resources and Services Administration
 
Page xviii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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IHA Institute for Healthcare Advancement
IOM Institute of Medicine
 
LCME Liaison Committee for Medical Education
LGBTQ lesbian, gay, bisexual, transgender, and queer
 
NCPDP National Council for Prescription Drug Programs
NICHD National Institute of Child Health and Human Development
NLM National Library of Medicine
NSURE Nonprescription Safe Use Regulatory Expansion
 
OTC over-the-counter (such as medications)
 
PCORI Patient-Centered Outcomes Research Institute
PMI Patient Medical Information document
 
UMS Universal Medication Schedule
USP U.S. Pharmacopeia
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Health Literacy: Past, Present, and Future: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21714.
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In 2004, the Institute of Medicine released Health Literacy: A Prescription to End Confusion, a report on the then-underappreciated challenge of enabling patients to comprehend their condition and treatment, to make the best decisions for their care, and to take the right medications at the right time in the intended dose. That report documented the problems, origins, and consequences of the fact that tens of millions of U.S. adults are unable to read complex texts, including many health-related materials, and it proposed possible solutions to those problems.

To commemorate the anniversary of the release of the 2004 health literacy report, the Institute of Medicine's Roundtable on Health Literacy convened a 1-day public workshop to assess the progress made in the field of health literacy over the past decade, the current state of the field, and the future of health literacy at the local, national, and international levels. Health Literacy: Past, Present, and Future summarizes the presentation and discussion of the workshop.

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