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The Health Literacy Environment of Hospitals and Health Centers Version 2

Characteristics

Domains assessed: Organizational Health Literacy
Specific context: Organizational Health Literacy
Modes of administration in validation study : Paper and pencil
Cost: Free

Psychometrics

Number of items: 135
Language of validated version: English

Main article reference

Rudd RE, Oelschlegel S, Grabeel KL, Tester E, & Heidel E. The HLE2 Assessment tool, Boston: Harvard T.H. Chan School of Public Health. 2019. Online at: https://files.eric.ed.gov/fulltext/ED606503.pdf, accessed: July 7, 2025).

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Corresponding author

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Description

Assessment tool for organizations to identify health literacy-related areas for improvement and inspire action to address weaker areas.

Year Measure first Published: 2019

About This Measure

Scoring categories: Gives actions to consider based on score range percentage score for each section - Below 50%: Begin a focused health literacy initiative to eliminate literacy related barriers in this area 50% to 75%: Augment efforts to eliminate literacy related barriers in this area 76% to 85%: Continue to augment efforts; monitor and document changes 86% to 99%: Continue to monitor; consider a study comparing baseline values with values at a later date; share your experiences and finding with others

About the Validation of this Measure

Additional Notes: Tool is split into five sections - Organizational Policies (subsections policy and policy & practie), Institutional Practices (subsections resouces and orientation, development, and expectations), Navigation (subsections arrival and wayfinding), Culture and Language, and Communication: Print Materials, Forms, Websites, and Patient Portals (subsections print materials, forms for patients and families, web postings for patients and families, and patient portals). Items rated as either a yes/no response or on a 0-4 frequency rating scale.
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