title: Demonstration of the Health Literacy Universal Precautions Toolkit: Lessons for Quality Improvement.
abstract: The 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.
authors.affiliation: 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).
authors.forename: Natabhona M
authors.initials: NM
authors.lastname: Mabachi
authors.forename: Maribel
authors.initials: M
authors.lastname: Cifuentes
authors.forename: Juliana
authors.initials: J
authors.lastname: Barnard
authors.forename: Angela G
authors.initials: AG
authors.lastname: Brega
authors.forename: Karen
authors.initials: K
authors.lastname: Albright
authors.forename: Barry D
authors.initials: BD
authors.lastname: Weiss
authors.forename: Cindy
authors.initials: C
authors.lastname: Brach
authors.forename: David
authors.initials: D
authors.lastname: West
mesh_terms: D003142:Communication; D057220:Health Literacy; D006801:Humans; D007407:Interviews as Topic; D011320:Primary Health Care; D011369:Professional-Patient Relations; D015397:Program Evaluation; D036301:Qualitative Research; D058996:Quality Improvement; D014481:United States; D016635:Universal Precautions