Implementation of a routine health literacy assessment at an academic medical center

Carrie D. Warring, Jacqueline R. Pinkney, Elaine D. Delvo-Favre, Michelle Robinson Rener, Jennifer A. Lyon, Betty Jax, Irene Alexaitis, Kari Cassel, Kacy Ealy, Melanie Gross Hagen, Erin M. Wright, Myron Chang, Nila S. Radhakrishnan, Robert R. Leverence

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Limited health literacy is a common but often unrecognized problem associated with poor health outcomes. Well-validated screening tools are available to identify and provide the opportunity to intervene for at-risk patients in a resource-efficient manner. This is a multimethod study describing the implementation of a hospital-wide routine health literacy assessment at an academic medical center initiated by nurses in April 2014 and applied to all adult inpatients. Results were documented in the electronic health record, which then generated care plans and alerts for patients who screened positive. A nursing survey showed good ease of use and adequate patient acceptance of the screening process. Six months after hospital-wide implementation, retrospective chart abstraction of 1,455 patients showed that 84% were screened. We conclude that a routine health literacy assessment can be feasibly and successfully implemented into the nursing workflow and electronic health record of a major academic medical center.

Original languageEnglish (US)
Pages (from-to)247-255
Number of pages9
JournalJournal for Healthcare Quality
Issue number5
StatePublished - 2018
Externally publishedYes


  • Health literacy screening
  • Hospital implementation
  • Inpatient assessment

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health


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