Organizational Health Literacy: Quality Improvement Measures with Expert Consensus
Health Literacy Research and Practice
|July 12, 2019
Summary
Healthcare organizations can now use 22 expert-endorsed quality improvement (QI) measures to monitor and enhance organizational health literacy (OHL). These measures help improve patient understanding, system navigation, and health management.
Area of Science:
- Health Services Research
- Quality Improvement Science
- Health Communication
Background:
- Organizational health literacy (OHL) involves healthcare organizations implementing strategies to improve patient understanding, system navigation, engagement, and self-management.
- Existing resources guide OHL quality improvement (QI) initiatives, but validated measures for monitoring progress are lacking.
Purpose of the Study:
- To identify and evaluate existing OHL-related QI measures, focusing on those derived from clinical, administrative, QI, or staff-reported data.
- To develop a consensus set of measures valuable for informing OHL-related QI activities.
Main Methods:
- A Technical Expert Panel, a call for measures, a literature review, and interviews with 20 organizations were used to identify potential measures.
- A comprehensive list of 233 measures was compiled and narrowed to 70 for Delphi Panel review.
- A modified Delphi process involved expert panelists rating measures on usefulness, meaningfulness, feasibility, and face validity.
Main Results:
- Twenty-two measures achieved expert consensus for being useful, meaningful, feasible, and having face validity.
- Five additional measures demonstrated strong ratings for usefulness, meaningfulness, and face validity but lacked consensus on feasibility.
Conclusions:
- The study identified 22 OHL-related QI measures supported by field experts, suitable for immediate use.
- These Consensus OHL QI Measures can help healthcare organizations monitor efforts to improve patient communication and support.
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