Tools to Start on the Path to Improvement
Tool 2: Create a Health Literacy Improvement Plan
Primary Care Health Literacy Assessment [ 
Microsoft Word - 39.95 KB ]
Plan, Do, Study, Act (PDSA) Directions and Examples [ Microsoft Word: PSDA Worksheet - 21.79 KB ]
Tool 3: Raise Awareness
Health Literacy: Hidden Barriers and Practical Strategies
Health Literacy Video: Questions for Discussion
Health Literacy Video: Moderator's Guide
Health Literacy Brief Assessment Quiz [ Microsoft Word - 29.78 KB ]
Tools to Improve Spoken Communication
Tool 4: Communicate Clearly
Key Communication Strategies Poster [ Microsoft Word - 18.56 KB ]
Communication Self-Assessment [ Microsoft Word - 21.55 KB ]
Communication Observation Form [ Microsoft Word - 20.59 KB ]
Brief Patient Feedback Form [ Microsoft Word - 20.78 KB ]
Tool 6: Follow Up with Patients
Followup Instruction Form for a Patient with Diabetes [ 
PDF - 96.13 KB ]
Tool 7: Improve Telephone Access
Sample Automated Telephone System Menu [ PDF - 198 KB ]
Tool 8: Conduct Brown Bag Medicine Reviews
Medicine Review Poster [ Microsoft Word - 42.76 KB ]
Medicine Review Form [ Microsoft Word - 24.61 KB ]
Tools to Improve Written Communication
Tool 11: Assess, Select, and Create Easy-to-Understand Materials
Adult Initial Health History Form [ Microsoft Word - 75.5 KB ]
Young Child Health History Form [ Microsoft Word - 76 KB ]
Adult Return Visit Update Form [ Microsoft Word - 22.27 KB ]
Consent to Treat Form [ Microsoft Word - 21.89 KB ]
Release of Medical Information [ Microsoft Word - 24.99 KB ]
Lab Results Letter [ Microsoft Word - 18.9 KB ]
Appointment Reminder [ Microsoft Word - 49.8 KB ]
Tools to Improve Self-Management and Empowerment
Tool 14: Encourage Questions
Brief Patient Feedback Form [ Microsoft Word - 23.61 KB; PDF - 380.37 KB ]
Tool 15: Make Action Plans
My Action Plan in English and Spanish [ PDF - 581.94 KB]
Simple Action Plan Form [ PDF - 166.6 KB]
Tool 16: Help Patients Remember How and When to Take Their Medicine
My Medicines Form [ Microsoft Word - 43.46 KB ]
Medicine Reminder Form [ Microsoft Word - 111.76 KB ]
Medicine Aid Poster [ Microsoft Word - 184.26 KB ]
Tool 17: Get Patient Feedback
Navigating the Health Care System
Patient Portal Feedback Form [ Microsoft Word - 24.42 KB ]
Suggestion Box Poster [ Microsoft Word - 18.59 KB ]
Health Literacy Patient Survey [ Microsoft Word - 30.79 KB ]
Sample Cover Letter [ Microsoft Word - 20.84 KB ]
Tools to Improve Supportive Systems
Tool 18: Link Patients to Non-Medical Support
Community Referral Form [ PDF - 533.54 KB ]
Tool 20: Connect Patients with Literacy and Math Resources
Example Community Referral Form [ Microsoft Word - 22.51 KB; PDF - 480.46 KB ]
