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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24741.
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People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy Proceedings of a Workshop Joe Alper, Rapporteur Roundtable on the Promotion of Health Equity Roundtable on Health Literacy Board on Population Health and Public Health Practice Health and Medicine Division PREPUBLICATION COPY—Uncorrected Proofs

THE NATIONAL ACADEMIES PRESS  500 Fifth Street, NW  Washington, DC 20001 This activity was supported by contracts between the National Academy of Sciences and Abbvie Inc.; Aetna Foundation; Agency for Healthcare Research and Qual- ity (HHSP23337024); American Dental Association; Bristol-Myers Squibb; The Colorado Trust; East Bay Community Foundation (Kaiser Permanente); Eli Lilly and Company; Health Literacy Media; Health Literacy Partners; Health Research and Services Administration (HHSH25034011T); Humana; Institute for Healthcare Advancement; The Kresge Foundation; Merck Sharpe & Dohme Corp.; National Institutes of Health (HHSN26300054); National Library of Medicine; Northwell Health; Office of Disease Prevention and Health Promotion (HHSP23337043); Office of Minority Health at the Centers for Medicare & Medicaid Services; Unit- edHealth Group; and the U.S. Department of Veterans Affairs Office of Health Equity. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project. International Standard Book Number-13:  International Standard Book Number-10:  Digital Object Identifier:  https://doi.org/10.17226/24741 Additional copies of this publication are available for sale from the National Acad- emies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624- 6242 or (202) 334-3313; http://www.nap.edu. Copyright 2017 by the National Academy of Sciences. All rights reserved. Printed in the United States of America Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2017. People living with disabilities: Health equity, health disparities, and health literacy: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/24741. PREPUBLICATION COPY—Uncorrected Proofs

The National Academy of Sciences was established in 1863 by an Act of Con- gress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and ­ echnology. Members are t elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president. The National Academy of Engineering was established in 1964 under the char- ter 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 estab­ished in 1970 under the charter of the National Academy of ­ ciences to l S 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, E ­ ngineering, and Medicine to provide independent, objective analysis and ad- vice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in ­ atters of science, engineering, and medicine. m Learn more about the National Academies of Sciences, Engineering, and ­ edicine M at www.national-academies.org. PREPUBLICATION COPY—Uncorrected Proofs

Reports document the evidence-based consensus of an authoring committee of experts. Reports typically include findings, conclusions, and recommenda- tions based on information gathered by the committee and committee delibera- tions. Reports are peer reviewed and are approved by the National Academies of S ­ ciences, Engineering, and Medicine. Proceedings chronicle the presentations and discussions at a workshop, sym- posium, or other convening event. The statements and opinions contained in proceedings are those of the participants and have not been endorsed by other participants, the planning committee, or the National Academies of ­ ciences, S Engineering, and Medicine. For information about other products and activities of the National Academies, please visit nationalacademies.org/whatwedo. PREPUBLICATION COPY—Uncorrected Proofs

PLANNING COMMITTEE ON INTEGRATING HEALTH LITERACY, CULTURAL COMPETENCY, AND LANGUAGE ACCESS SERVICES1 MARIN P. ALLEN, Deputy Associate Director for Communications and Public Liaison and Director of Public Information, National Institutes of Health WILMA ALVARADO-LITTLE, Principal and Founder, Alvarado-Little Consulting, LLC CINDY BRACH, Senior Health Policy Researcher, Agency for Healthcare Research and Quality IRENE DANKWA-MULLAN, Deputy Director and Medical Officer, Division of Scientific Programs, National Institute on Minority Health and Health Disparities, National Institutes of Health VANESSA NEHUS, Principal Investigator, Partners for Inclusive Communities, University of Arkansas CHRISTINE RAMEY, Deputy Director, Office of Health Equity, Health Resources and Services Administration MELISSA A SIMON, Vice Chair of Clinical Research, Department of Obstetrics and Gynecology, George H. Gardner Professor of Clinical Gynecology, Associate Professor of Obstetrics and Gynecology, Preventive Medicine and Medical Social Sciences, Northwestern University Feinberg School of Medicine HEATHER WILLIAMSON, Assistant Professor, Department of Occupational Therapy, Northern Arizona University Project Staff KAREN ANDERSON, Senior Program Officer MELISSA FRENCH, Program Officer LYLA HERNANDEZ, Senior Program Officer ANNA MARTIN, Senior Program Assistant ALEXIS WOJTOWICZ, Senior Program Assistant ROSE MARIE MARTINEZ, Senior Board Director 1  The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speak- ers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution. v PREPUBLICATION COPY—Uncorrected Proofs

ROUNDTABLE ON THE PROMOTION OF HEALTH EQUITY AND THE ELIMINATION OF HEALTH DISPARITIES1 ANTONIA M. VILLARRUEL (Chair), Professor and Margaret Bond Simon Dean of Nursing, University of Pennsylvania School of Nursing PATRICIA BAKER, President and CEO, Connecticut Health Foundation JULIE A. BALDWIN, Professor, Department of Health Sciences, College of Health and Human Services, Northern Arizona University GILLIAN BARCLAY, Healthcare Industry Specialist, Nevada Governor’s Office of Economic Development REBECCA BRUNE, Senior Vice President, Strategic Planning and Growth, Methodist Healthcare Ministries of South Texas, Inc. NED CALONGE, President and CEO, The Colorado Trust LUTHER T. CLARK, Executive Director of Global Scientific Medical and Patient Perspective, Office of the Chief Medical Officer, Merck & Co., Inc. FRANCISCO GARCÍA, Director and Chief Medical Officer, Pima County Department of Health J. NADINE GRACIA, Deputy Assistant Secretary for Minority Health, Office of Minority Health, U.S. Department of Health and Human Services JEFFREY A. HENDERSON, President and CEO, Black Hills Center for American Indian Health EVE J. HIGGINBOTHAM, Vice Dean, Perelman School of Medicine, University of Pennsylvania CARA V. JAMES, Director, Office of Minority Health, Centers for Medicare & Medicaid Services MELENIE MAGNOTTA, Director of Operations, Aetna Foundation OCTAVIO N. MARTINEZ, Executive Director, Hogg Foundation for Mental Health, Associate Vice President, Division of Diversity and Community Engagement, Clinical Professor, School of Social Work, The University of Texas at Austin NEWELL E. McELWEE, Assistant Vice President, Market Partners, Center for Observational and Real World Evidence, Merck Research Laboratories, Merck & Co., Inc. PHYLLIS D. MEADOWS, Senior Fellow, Health Program, The Kresge Foundation 1  The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution. vii PREPUBLICATION COPY—Uncorrected Proofs

CHRISTINE RAMEY, Deputy Director, Office of Health Equity, Health Resources and Services Administration MELISSA A. SIMON, Vice Chair of Clinical Research, Department of Obstetrics and Gynecology, George H. Gardner Professor of Clinical Gynecology, Associate Professor of Obstetrics and Gynecology, Preventive Medicine and Medical Social Sciences, Northwestern University Feinberg School of Medicine PATTIE TUCKER, Associate Director for Health Equity, Division of Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention UCHE S. UCHENDU, Executive Director, Office of Health Equity, U.S. Department of Veterans Affairs ROHIT VARMA, Grace and Emery Beardsley Professor and Chair, University of Southern California (USC) Department of Ophthalmology, Director, USC Eye Institute, Associate Dean for Strategic Planning and Network Development, Keck School of Medicine, University of Southern California WINSTON F. WONG, Medical Director, Disparities Improvement and Quality Initiatives, Kaiser Permanente viii PREPUBLICATION COPY—Uncorrected Proofs

ROUNDTABLE ON HEALTH LITERACY1 BERNARD ROSOF (Chair), Chief Executive Officer, Quality in Healthcare Advisory Group, LLC MARIN P. ALLEN, Deputy Associate Director for Communications and Public Liaison and Director of Public Information, National Institutes of Health WILMA ALVARADO-LITTLE, Principal and Founder, Alvarado-Little Consulting, LLC SUZANNE BAKKEN, Alumni Professor of Nursing and Professor of Biomedical Informatics, Columbia University CINDY BRACH, Senior Health Policy Researcher, Agency for Healthcare Research and Quality GEM DAUS, Public Health Analyst, Health Resources and Services Administration TERRY DAVIS, Professor of Medicine and Pediatrics, Louisiana State University Health Sciences Center CHRISTOPHER DEZII, Director, Healthcare Quality and Performance Measures, Bristol-Myers Squibb Company JENNIFER DILLAHA, Medical Director for Immunizations, Medical Advisor, Health Literacy and Communication, Arkansas Department of Health JAMES (JAY) DUHIG, Head, Risk Communication and Behavioral Systems, Office of Patient Safety, AbbVie Inc. ALICIA FERNANDEZ, Professor of Clinical Medicine, University of California, San Francisco LAURIE FRANCIS, Senior Director of Clinic Operations and Quality, Oregon Primary Care Association LORI HALL, Advisor, Health Health Literacy, Eli Lilly and Company LINDA HARRIS, Division Director, Health Communication and eHealth Team, U.S. Department of Health and Human Services BETSY L. HUMPHREYS, Acting Director, National Library of Medicine MARGARET LOVELAND, Senior Director, Global Medical Affairs, Merck Sharpe & Dohme Corp. LAURIE MYERS, Global Health Literacy Director, Merck Sharpe & Dohme Corp. CATINA O’LEARY, President and Chief Executive Officer, Health Literacy Missouri 1  The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution. ix PREPUBLICATION COPY—Uncorrected Proofs

MARYLYNN OSTROWSKI, Executive Director, Aetna Foundation MICHAEL PAASCHE-ORLOW, Associate Professor of Medicine, Boston University School of Medicine TERRI ANN PARNELL, Principal and Founder, Health Literacy Partners KIM PARSON, Strategic Consultant, Proactive Care Strategies, Humana KAVITA PATEL, Managing Director for Clinical Transformation and Delivery, Brookings Institution ANDREW PLEASANT, Senior Director for Health Literacy and Research, Canyon Ranch Institute LINDSEY A. ROBINSON, Thirteenth District Trustee, American 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 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, Healthcare Improvement, Joint Commission MICHAEL VILLAIRE, Chief Executive Officer, Institute for Healthcare Advancement EARNESTINE WILLIS, Kellner Professor in Pediatrics, Medical College of Wisconsin MICHAEL WOLF, Professor, Medicine and Learning Sciences, Associate Division Chief–Research Division of General Internal Medicine, Northwestern University Feinberg School of Medicine WINSTON WONG, Medical Director, Community Benefit Disparities Improvement and Quality Initiatives, Kaiser Permanente Consultant RUTH PARKER, Professor of Medicine, Pediatrics, and Public Health, Emory University School of Medicine x PREPUBLICATION COPY—Uncorrected Proofs

Reviewers T his Proceedings of a Workshop was reviewed in draft form by indi- viduals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, En- gineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review com- ments and draft manuscript remain confidential to protect the integrity of the process. We thank the following individuals for their review of this proceedings: HANK HOANG, Center for Drug Evaluation and Research, U.S. Food and Drug Administration ALICE M. HOROWITZ, University of Maryland School of Public Health TERRI ANN PARNELL, Health Literacy Partners MICHAEL VILLAIRE, Institute for Healthcare Advancement Although the reviewers listed above provided many constructive com- ments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by ENRIQUETA BOND, Burroughs Wellcome Fund. She was responsible for making certain that an indepen- xi PREPUBLICATION COPY—Uncorrected Proofs

xii REVIEWERS dent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies. PREPUBLICATION COPY—Uncorrected Proofs

Acknowledgments T he roundtables are grateful to the sponsors of the National Acad- emies of Sciences, Engineering, and Medicine’s Roundtable on the Promotion of Health Equity and the Reduction of Health Disparities and the Roundtable on Health Literacy, who made it possible to plan and conduct the workshop on the relevance of health equity, health disparity, and health literacy to persons living with disabilities, which this Proceed- ings of a Workshop summarizes. Federal sponsorship was provided by the Agency for Healthcare Research and Quality; Health Research and Services Administration; National Institutes of Health; National Library of Medi- cine; Office of Disease Prevention and Promotion; Office of Minority Health at the Centers for Medicare & Medicaid Services; and the U.S. Department of Veteran Affairs Office of Health Equity. Non-federal sponsorship was provided by Abbvie Inc.; Aetna Foundation; American Dental Association; Bristol-Myers Squibb; The Colorado Trust; East Bay Community Founda- tion (Kaiser Permanente); Eli Lilly and Company; Health Literacy Media; Health Literacy Partners; Humana; Institute for Healthcare Advancement; The Kresge Foundation; Merck Sharpe & Dohme Corp.; Northwell Health; and UnitedHealth Group. The workshop presentations and subsequent discussions were both interesting and stimulating, and the roundtables would like to thank each of the speakers and panel moderators. Speakers and moderators were, in alphabetical order, Toyin Ajayi, Marin P. Allen, Katherine Bishop, Sherman Gillums, Jr., Robert Johnson, Diane Kearns, Beth Marks, Karen Marshall, Monica Mitra, Vanessa Nehus, Michael Paasche-Orlow, Christine Ramey, Bernard Rosof, Melissa Simon, Eva Maria Stahl, Antonia Villarruel, Tom Wilson, and Silvia Yee. xiii PREPUBLICATION COPY—Uncorrected Proofs

Contents ACRONYMS AND ABBREVIATIONS xix 1 INTRODUCTION 1 Organization of the Proceedings of a Workshop, 2 2 OVERVIEW 3 Health Disparities and Equity at the Intersections of Disability, Race, and Ethnicity, 4 Translating Coverage into Health Equity: The Role of Health Literacy in Healthy Living, 14 Discussion, 19 3 VOICES OF THE COMMUNITY 23 Veterans with Disabilities, 24 Family and Caregiver Perspectives, 26 Raising a Child with Multiple Disabilities, 29 Discussion, 31 4 PROVIDER AND SYSTEM BARRIERS 37 Physical and Navigation Barriers, 37 Bilinguality and Equity, 42 Disability and Cultural Competence in Health Care, 44 Discussion, 47 xv PREPUBLICATION COPY—Uncorrected Proofs

xvi CONTENTS 5 EXPLORING MODELS AND BEST PRACTICES 53 Arkansas Assessment, 54 Universal Precautions, 56 HealthMatters: A Culturally and Linguistically Accessible Health Lifestyle Program, 59 Commonwealth Care Alliance: Integrated Care for Low-Income Elders and Individuals with Disabilities, 61 The New York State Initiative for People with Developmental  Disabilities: An Innovative Service Model for Crisis Prevention and Response, 65 Discussion, 68 6 REFLECTIONS ON THE DAY 73 REFERENCES 79 APPENDIXES A Workshop Agenda 83 B Workshop Speakers and Moderators Biographical Sketches 87 PREPUBLICATION COPY—Uncorrected Proofs

Boxes, Figure, and Table BOXES 4-1  ethods Used in Focus Group Studies to Identify Health Care M Barriers, 38 5-1 The Shared Vision of New York’s DSRIP and START Programs, 68 FIGURE 2-1  hysical disability by race/ethnicity from the National Health P Information Survey, 5 TABLE 2-1  ulnerable Populations Targeted by Community Catalyst’s V Projects, 18 xvii PREPUBLICATION COPY—Uncorrected Proofs

Acronyms and Abbreviations ACA Patient Protection and Affordable Care Act ADA Americans with Disabilities Act AIAN American Indian and Alaska Native ASL American Sign Language CBO community-based organization CDC Centers for Disease Control and Prevention CHIPRA Child Health Insurance Program Reauthorization Act CLASS Community Living Assistance and Support Services CMS Centers for Medicare & Medicaid Services DALY disability-adjusted life year DoD U.S. Department of Defense DSRIP Delivery System Reform Incentive Payment HCS home community-based service HEDIS Healthcare Effectiveness Data and Information Set HHS U.S. Department of Health and Human Services MDCP medically dependent children program NHIS National Health Interview Survey NHPI Native Hawaiians and other Pacific Islanders NIH National Institutes of Health xix PREPUBLICATION COPY—Uncorrected Proofs

xx ACRONYMS AND ABBREVIATIONS PACE Program for All-Inclusive Care of the Elderly PTSD posttraumatic stress disorder SSI Supplemental Security Income STAR State of Texas Access Reform START systemic, therapeutic, assessment, resource, and treatment VA U.S. Department of Veterans Affairs WHO World Health Organization PREPUBLICATION COPY—Uncorrected Proofs

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People Living with Disabilities: Health Equity, Health Disparities, and Health Literacy: Proceedings of a Workshop Get This Book
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Poor health literacy has many negative consequences for achieving the quadruple aim of better care, improving the health of the community and the population, providing affordable care, and improving the work life of health care providers, and those consequences disproportionately affect those individuals with disabilities and those who experience health disparities. To better understand how health literacy, health equity, and health disparities intersect for individuals living with disabilities, the Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities and the Roundtable on Health Literacy jointly sponsored a workshop that was held on June 14, 2016, in Washington, DC. This publication summarizes the presentations and discussions from the workshop.

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