Domains assessed: Organizational Health Literacy

Specific context: Organizational Health Literacy

Modes of administration in validation study : Computer-based, Paper and pencil

Assessment: Self-reported

Cost: Free

Number of items: 155

Sample size in validation study: 0

Administration Time (minutes): 190 minutes

Language of validated version: German

Categorical scoring: Yes

Scoring categories: Each indicator rated by degree of fulfillment: Fulfilled completely (76-100%) Fulfilled to a large extent (51-75%) Fulfilled to a lesser extent (26-50%) Not fulfilled (0-25%) N/A

Country where validated: Austria, Germany, Italy, Norway, Serbia

Content validity: The OHL-Hos is grounded in a comprehensive, theory‑based framework. The tool is built upon the Vienna Concept of a Health Literate Health Care Organization and the definition by Pelikan & Dietscher, both internationally recognized conceptualizations of organizational health literacy.Indicators reflect recognized international quality standards: The operationalization of standards and indicators is explicitly aligned with: International Society for Quality in Health Care (ISQua) principles for healthcare standards. WHO standards for health promotion in hospitals.The tool was refined through international expert input and cross-national adaptation.The indicators comprehensively reflect all relevant domains of OHLUsers across multiple countries confirm that it captures relevant OHL practices. Interdisciplinary teams can interpret and use the content meaningfully.

Additional Notes: Divided into 8 standards, 21 sub-standards and 155 indicators (including sub-indicators): Standard 1: Implement organizational health literacy best-practices across all structures and processes of the organization, Standard 2: Develop documents, materials and services with stakeholders in a participatory manner, Standard 3: Enable and train staff for personal and organizational health literacy, Standard 4: Provide and support easy navigation and access to documents, materials and services, Standard 5: Apply health literacy best-practices in all forms of communication with patients, Standard 6: Promote personal health literacy of patients and relatives after discharge, Standard 7: Promote personal health literacy of staff with regard to occupational risks and personal lifestyles, Standard 8: Contribute to promoting personal and organizational health literacy in the region Derived from the Vienna Health Literate Organization (HLO)-model/self-assessment tool For evaluation, there is an Excel tool available for entering results, provided by authors upon request Also provide a template for action plans/brainstorming improvement measures, and steps to follow for the self-assessment procedure