• J Ambul Care Manage · Jul 2016

    Demonstration of the Health Literacy Universal Precautions Toolkit: Lessons for Quality Improvement.

    • Natabhona M Mabachi, Maribel Cifuentes, Juliana Barnard, Angela G Brega, Karen Albright, Barry D Weiss, Cindy Brach, and David West.
    • American Academy of Family Physicians, Kansas City, Kansas (Dr Mabachi); Department of Family Medicine (Drs Cifuentes, Brega, and West), Children's Outcomes Research Program, School of Medicine (Ms Barnard and Drs Albright and West), and Colorado Health Outcomes Program (Dr Brega), University of Colorado Anschutz Medical Campus, Aurora; Department of Community and Behavioral Health, Colorado School of Public Health, Aurora (Drs Brega and Albright); Department of Family and Community Medicine, University of Arizona, Tucson (Dr Weiss); Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, Rockville, Maryland (Ms Brach); and Department of Family Medicine, University of Kansas Medical Center, Kansas City (Dr Mabachi).
    • J Ambul Care Manage. 2016 Jul 1; 39 (3): 199-208.

    AbstractThe Agency for Healthcare Research and Quality Health Literacy Universal Precautions Toolkit was developed to help primary care practices assess and make changes to improve communication with and support for patients. Twelve diverse primary care practices implemented assigned tools over a 6-month period. Qualitative results revealed challenges practices experienced during implementation, including competing demands, bureaucratic hurdles, technological challenges, limited quality improvement experience, and limited leadership support. Practices used the Toolkit flexibly and recognized the efficiencies of implementing tools in tandem and in coordination with other quality improvement initiatives. Practices recommended reducing Toolkit density and making specific refinements.

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