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Showing results for "literacy".
Users also searched for: health literacy
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Suppl Health Lit Items Hcahps-Adult 957-3A (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/suppl_health_lit_items_hcahps-adult_957-3a.docxMarch 11, 2016 - CAHPS® Hospital Survey Supplemental Items: Health Literacy Population Version: Adult Supplemental … Health Literacy Items for the CAHPS® Hospital Survey Population Version: Adult Language: English These … supplemental items were developed and tested together to address various issues related to patients’ health literacy … Learn more about the CAHPS® Health Literacy Item Sets. -
Action-Plan-Form (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/action-plan-form.docxMarch 01, 2024 - Action Plan Form My visit with: Date: What I want to do for my health: |_| Eat better |_| Be more active |_| Manage my stress |_| Handle my feelings better |_| Sleep better |_| Take my medicine Cut down or stop: |_| smoking |_| drinking |_| drugs |_| Something else: Goal – One … -
Communication-Self-Assessment (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/communication-self-assessment.docxMarch 01, 2024 - Communication Self-Assessment Directions: After a patient encounter, rate whether you agree, are neutral, or disagree with the statements in the table. Your self-assessment is subjective, but it allows you to examine your communication with patients honestly. After completing the assessment, think about how you could … -
Strategy-Poster-Templates (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/strategy-poster-templates.docxMarch 01, 2024 - Key Strategies for Clear Communication Key Strategies for Clear Communication Use the template on the next page to make a poster reminding staff of key strategies for clear communication. Key Strategies for Clear Communication Use qualified interpreters. Slow down. Limit content to 1 - 3 key points and reinforc… -
Release-Medical-Info (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/release-medical-info.docxMarch 01, 2024 - Release of Medical Information Permission to share my medical records I, [patient’s name] , born on [patient’s date of birth] , give my permission for my doctor/hospital [name of doctor or hospital that has the records] to give the medical records (described on p. 2) to [doctor who needs the records] so that they … -
Appt-Reminder-Letter (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/appt-reminder-letter.docxMarch 01, 2024 - Appointment Reminder Letter This is a reminder that: [Patient name] has an appointment For: [purpose] With: [Clinician name] Date: [Date] Time: [Time] Where: [Name of Practice or Clinic] Address: [Address] If you cannot come to this appointment: Call [phone number]. When you hear the menu options, press [#]… -
Medicine-Review-Form (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/medicine-review-form.docxMarch 01, 2024 - Medicine Review Form Patient Name/ Number: _____________________________________________ Date: ____________________________________________________________ Person Completing Review: __________________________________________ 1. Did the patient say they brought in all of their prescription medicine containers? … -
Communication-Observation-Form (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/communication-observation-form.docxMarch 01, 2024 - Communication Observation Form Please observe the interaction between a patient and a clinician. After the encounter, rate whether you agree, are neutral, or disagree with the statements in the table. Feel free to write notes that can help the clinician improve their communication in the future. Agree Neutral … -
Lab-Results-Letter (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/lab-results-letter.docxMarch 01, 2024 - Lab Results Letter Dear [Patient Name], You had a blood test to measure your cholesterol on [date]. The test results show that your cholesterol is high and that we need to work together to lower it. My office will call you to make an appointment so we can talk about this. If you have questions before your appoi… -
Medicine-Review-Handout (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/medicine-review-handout.docxMarch 01, 2024 - Brown Bag Medicine Review Bring ALL Your Medicines to Your Appointment! This includes: · Prescription medicines. · Over-the-counter medicines. · Herbal medicines. · Vitamins and supplements. · All creams, liquids, medicines you breathe in or give yourself with a needle (a shot). · All pills—in the bottles they came… -
Patient-Portal-Form (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/patient-portal-form.docxMarch 01, 2024 - Patient Portal Feedback Form Instructions: These questions are meant to guide your collection of feedback as you observe a patient using your portal. They are not intended for distribution directly to patients. Allow the patient to navigate the site. Ask if they could show you how to do something while on the practic… -
Sample-Cover-Letter (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/sample-cover-letter.docxMarch 01, 2024 - Sample Cover Letter FIRST AND LAST NAME LINE ONE OF ADDRESS LINE TWO OF ADDRESS (IF ANY) CITY, STATE ZIP Dear [FIRST AND LAST NAME], We at [NAME OF PRACTICE] need your help. We want to improve the care we give you and other patients. We would like you to tell us your thoughts about the care you receive from our p… -
Community-Referral-Form (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/community-referral-form.docxMarch 01, 2024 - Community Referral Form: [Practice Name] Reason for Referral_________________________________ Name of Program: __________________________________________________ Name of Person to Ask For: ___________________________________________ Phone: ____________________________________________________________ Email: _______… -
Suggestion-Box-Poster (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/suggestion-box-poster.docxMarch 01, 2024 - Suggestion Box Poster Make a Suggestion Box Make a suggestion box and use the template on the next page to make a poster. Suggestion Box Let us know how we are doing! Please give us feedback. Are staff friendly and respectful? Are forms or written information clear or confusing? Are our explanations and instru… -
Inclusive-Language-Intake-Forms (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/inclusive-language-intake-forms.docxMarch 14, 2024 - Inclusive Language for Intake Forms Below are examples of language you could use on your patient intake forms to ensure an inclusive and affirming patient experience. These questions align with United States Core Data for Interoperability Draft Version 5; however, depending on your electronic health record, you may n… -
Permission-To-Bill-Insurance (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/permission-to-bill-insurance.docxMarch 01, 2024 - Permission to Bill Insurance 1. I give permission to [name of clinic or doctor’s office] to file for insurance benefits to pay for the care I receive. 2. I understand that: · [name of clinic or doctor’s office] will send my medical information to my insurance company. · I must pay my share of the costs. · I must pa… -
Teach-Back-Method-Poster (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/teach-back-method-poster.pdfMay 29, 2024 - laura.nawrocki Stamp Blank Page -
Action-Plan-Form-Example (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/action-plan-form-example.docxAugust 25, 2023 - Action Plan Form Example My visit with: Dr. Benjamin Thomas Date: August 25, 2023 What I want to do for my health: |_| Eat better |X| Be more active |_| Manage my stress |_| Handle my feelings better |_| Sleep better |_| Take my medicine Cut down or stop: |_| smoking |_| drinking |_| drugs |_| Some… -
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/suppl_interpreter_services_items_hcahps-adult_957-4a.docxMarch 10, 2016 - CAHPS® Hospital Survey Supplemental Items: Interpreter Services Population Version: Adult Supplemental Interpreter Services Items for the CAHPS® Hospital Survey Population Version: Adult Language: English Use with HCAHPS: These supplemental items were designed to be added to the Adult version of HCAHPS, which is im…
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REALM-SF Score Sheet (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy/realm.pdfFebruary 23, 2016 - REALM-SF Score Sheet REALM-SF Score Sheet Patient ID #: ________________________ Date: ___________ Examiner Initials: ____ Behavior _____ Exercise _____ Menopause _____ Rectal _____ Antibiotics _____ Anemia _____ Jaundice _____ TOTAL SCORE ______ Admin…
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