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<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:8.0pt;font-family:"Arial","sans-serif";background:white">Sorry for any cross-posting! Please forward to other colleagues or partners who may be interested!<o:p></o:p></span></p>
<p class="MsoNormal"><b><i><span style="font-size:9.0pt;font-family:"Arial","sans-serif";color:#1F497D;background:white"><o:p> </o:p></span></i></b></p>
<p class="MsoNormal"><b><i><span style="font-size:9.0pt;font-family:"Arial","sans-serif";color:#1F497D;background:white"><o:p> </o:p></span></i></b></p>
<p class="MsoNormal"><b><i><span style="font-size:9.0pt;font-family:"Arial","sans-serif";color:blue;background:white">***JOIN US – Sept. 29 for OHEC Meeting, more details at end of message***<o:p></o:p></span></i></b></p>
<p class="MsoNormal"><b><i><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:red;background:white"><o:p> </o:p></span></i></b></p>
<p class="MsoNormal"><b><i><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:red;background:white"><o:p> </o:p></span></i></b></p>
<p class="MsoNormal"><b><i><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:red;background:white"><o:p> </o:p></span></i></b></p>
<p class="MsoNormal"><b><i><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:red;background:white">This viewpoint discusses the roles of clinicians, institutions, and systems in increasing health literacy at the individual patient and population
level.<o:p></o:p></span></i></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Tahoma","sans-serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:black"><a href="http://jama.jamanetwork.com/article.aspx?articleid=2426088&utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jama.2015.9978" target="_blank">http://jama.jamanetwork.com/article.aspx?articleid=2426088&utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jama.2015.9978</a><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;margin-right:15.0pt;margin-bottom:3.75pt;background:white">
<b><span style="color:#333333">The Arc of Health Literacy <o:p></o:p></span></b></p>
<p class="MsoNormal" style="line-height:150%;background:white"><span style="color:#333333">Howard K. Koh, MD, MPH<sup>1,2</sup>; Rima E. Rudd, ScD, MSPH<sup>1</sup><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="color:#333333"><a href="http://jama.jamanetwork.com/article.aspx?articleid=2426088&utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jama.2015.9978"><span style="color:#333333;text-decoration:none">[+-]
Author Affiliations</span></a><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><sup><span style="color:#333333">1</span></sup><span style="color:#333333">Harvard T. H. Chan School of Public Health, Boston, Massachusetts
<br>
<sup>2</sup>Harvard Kennedy School, Cambridge, Massachusetts <o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><i><span style="color:#333333">JAMA</span></i><span style="color:#333333">. Published online August 06, 2015. doi:10.1001/jama.2015.9978<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="color:#333333"><o:p> </o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="color:#333333">It is a troubling paradox. In the midst of rapid expansion of medical knowledge intended to benefit many, too few actually understand medical information well enough to improve their
health. A landmark 2006 report notes that only about 12% of US adults had a proficient state of health literacy whereby “individuals can obtain, process and understand the basic health information and services they need to make appropriate health decisions.”<sup><a href="http://jama.jamanetwork.com/article.aspx?articleid=2426088&utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jama.2015.9978#jvp150133r1"><span style="color:#006699;text-decoration:none">1</span></a></sup>
Furthermore, the 2011 Programme for the International Assessment of Adult Competencies (the third wave of adult literacy assessments conducted among 23 industrialized nations) indicates continuing issues:
<span style="background:yellow;mso-highlight:yellow">US adults scored below the international average for literacy, numeracy, and problem solving in technology-rich environments.<sup><a href="http://jama.jamanetwork.com/article.aspx?articleid=2426088&utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jama.2015.9978#jvp150133r2"><span style="color:#006699;text-decoration:none">2</span></a></sup></span><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="color:#333333"><o:p> </o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="color:#333333">As a result, despite abundant messaging from health professionals, the media, the Internet, and other sources, too many patients still have difficulty with seemingly routine tasks such
as taking the right medicine at the right time, properly self-managing diabetes, or correctly following hospital discharge instructions. In this increasingly complicated health information environment, even the most sophisticated adult can be overwhelmed by
unfamiliar medical terms, unexplained acronyms, and technical jargon. The paradox is that people are awash in knowledge they may be unable to use.<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="color:#333333"><o:p> </o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="color:#333333">These limitations are clearly hazardous to health. Research has firmly linked limited health literacy to a cascade of suboptimal health outcomes, including worse overall health status
and increased early mortality rates in elderly persons.<sup><a href="http://jama.jamanetwork.com/article.aspx?articleid=2426088&utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jama.2015.9978#jvp150133r3"><span style="color:#006699;text-decoration:none">3</span></a></sup>
To contribute to a healthier society, health literacy must improve in all its dimensions, including print literacy (writing, reading), oral literacy (listening, speaking), and numeracy (calculations, math concepts, and displays).<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="color:#333333"><o:p> </o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="color:#333333">Initial strategies for improvement have largely focused on overcoming deficits of patients in clinical settings. For example, to address the profound mismatch between US adults’ literacy
skills and the complex written health information usually provided to them, <span style="background:yellow;mso-highlight:yellow">
researchers have urged the production of more jargon-free written materials aimed at a middle school education level.</span> Such efforts have produced more understandable instructions about health activities and medical processes through intake forms, legal
documents, patient brochures, and related materials. However, actionable health materials, in both print and online, remain inaccessible to many with a high school education.<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="color:#333333"><o:p> </o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="color:#333333">Now, an array of forces has catalyzed a reframing of the field. Heightened national efforts to improve health care quality bring renewed opportunity to apply health literacy research
findings and insights. Enrolling millions of clients into health insurance through the Affordable Care Act requires understandable information for those considering new coverage.
<span style="background:yellow;mso-highlight:yellow">The increasing racial/ethnic and cultural diversity of the country underscores that health literacy is critical to achieve health equity</span>. Health literacy efforts are now extending well beyond a focus
on written materials for individuals. Heightened attention also by clinicians, institutions, and systems creates a new arc of health literacy that promises broader reach and influence.<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="color:#333333"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-top:7.5pt;background:#EEEEEE"><span style="color:#333333">Read entire article with more concerning
<b>CLINICIANS…<a name="Institutions"></a>INSTITUTIONS…<a name="Systems"></a>SYSTEMS<a name="ArticleInformation"></a><a name="References"></a>...REFERENCES<o:p></o:p></b></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:10.0pt;font-family:"Georgia","serif";color:#333333"><o:p> </o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:10.0pt;font-family:"Georgia","serif";color:#333333"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Tahoma","sans-serif";color:black"><a href="http://jama.jamanetwork.com/article.aspx?articleid=2426088&utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jama.2015.9978" target="_blank">http://jama.jamanetwork.com/article.aspx?articleid=2426088&utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jama.2015.9978</a><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:10.0pt;font-family:"Georgia","serif";color:#333333"><o:p> </o:p></span></p>
<p class="MsoNormal"><a name="Clinicians"></a><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">Achieving Health Equity
</span></b><span style="font-size:10.0pt"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify"> <o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><b><span style="font-size:9.0pt;font-family:"Arial","sans-serif";color:blue">What is health equity?
</span></b><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify;line-height:12.9pt"><b><span style="font-size:9.0pt;font-family:"Arial","sans-serif";color:blue"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="text-align:justify;line-height:12.9pt"><b><span style="font-size:9.0pt;font-family:"Arial","sans-serif";color:blue">Health equity, as understood in public health literature and practice, is when everyone has the opportunity to “attain
their full health potential” and no one is “disadvantaged from achieving this potential because of their social position or other socially determined circumstance.”</span></b><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-size:9.0pt"> <o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><b><u><span style="font-size:9.0pt;font-family:"Arial","sans-serif";color:red">Social determinants of health</span></u></b><b><span style="font-size:9.0pt;font-family:"Arial","sans-serif";color:red"> are life-enhancing
resources, such as food supply, housing, economic and social relationships, transportation, education, and health care, whose distribution across populations effectively determines length and quality of life.</span></b><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-size:9.0pt"> <o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-size:9.0pt"> <o:p></o:p></span></p>
<div style="border:solid windowtext 1.0pt;padding:1.0pt 4.0pt 1.0pt 4.0pt">
<p class="MsoNormal"><b><span style="font-size:16.0pt">JOIN US! <o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:10.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt">Oklahoma Health Equity Campaign (OHEC) Meeting<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:10.0pt">Tuesday, September 29 <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt">9:30 a.m. to 11:30 a.m. <o:p>
</o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt">OK State Department of Health<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt">1000 NE 10<sup>th</sup> St., Oklahoma City, OK 73117<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt">Videoconferencing is available<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt">September is “Literacy Month” and October is “Health Literacy” Month.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt">On Tuesday, September 29, we will address health literacy – see OHEC’s attached position statement.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt">The OHEC is collaborating with the Oklahoma Literacy Coalition to bring Michelle Malizia to Oklahoma.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt">Ms. Malizia will speak about “Libraries and Health Organizations as Partners in Community (Public) Health”
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;color:black">Michelle Malizia, MA, has over 13 years providing instruction in a wide range of topics including grant writing, emerging technologies and health information literacy. She created the workshop
<i>Grants and Proposal Writing</i> in 2002 and has presented it to over 700 people representing a wide array of organizations such as health departments, libraries, universities, hospitals and community-based groups. In 2007, she began teaching a workshop entitled
<i>Easy-to-Read: Health and Wellness Materials</i> <i>for Consumers</i> which provides a background on the problem of health literacy and methods to assess and create patient friendly materials. She has presented at state and national conferences throughout
the country including the Texas Public Health Association, New Mexico Public Health Association, Arkansas Library Association, Texas Library Association, Medical Library Association, National Student Nurses Association and American Pediatrics Association.
She has a BA in Psychology from the University of Colorado and an MA in Library and Information Science from the University of Arizona. Michelle is a founding partner of Gem.in.i Information Program Specialists.</span><span style="font-size:10.0pt;color:#3B6431"><o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><b>RSVP today, call 405-271-9444, ext. 56543. <o:p></o:p></b></p>
<p class="MsoNormal">If you wish to participate locally, please call or email <a href="mailto:karlab@health.ok.gov">
karlab@health.ok.gov</a> and we will check the availability of your local health department where you can participate by videoconference. The following local health departments are scheduled to link: <o:p></o:p></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<ol style="margin-top:0in" start="1" type="1">
<li class="MsoNormal" style="mso-list:l0 level1 lfo3"><b><span style="font-family:"Cambria","serif"">Canadian County Health Department</span></b><span style="font-family:"Cambria","serif"">, 100 S. Rock Island, El Reno; Contact Amy Vanness, (405) 262-0042<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l0 level1 lfo3"><b><span style="font-family:"Cambria","serif"">Garfield County Health Department</span></b><span style="font-family:"Cambria","serif"">, 2501 Mercer Dr., Enid; Contact Della Helm, (580) 233-0650<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l0 level1 lfo3"><b><span style="font-family:"Cambria","serif"">Jackson County Health Department</span></b><span style="font-family:"Cambria","serif"">, 401 W. Tamarack Rd., Altus; Contact Karen Testerman, (580) 482-7308<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l0 level1 lfo3"><b><span style="font-family:"Cambria","serif"">Oklahoma State Department of Health,
</span></b><span style="font-family:"Cambria","serif"">1000 NE 10<sup>th</sup> St., Room 806, Oklahoma City; Contact Karla McGuire, (405)271-9444, ext. 56543.<b>
</b><o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l0 level1 lfo3"><b><span style="font-family:"Cambria","serif"">Payne County Health Department</span></b><span style="font-family:"Cambria","serif"">, 1321 W. 7<sup>th</sup> Ave., Stillwater; Contact Tami Hicks, (405) 372-8200<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l0 level1 lfo3"><b><span style="font-family:"Cambria","serif"">Pontotoc County Health Department</span></b><span style="font-family:"Cambria","serif"">, 2330 Arlington St., Ada; Contact Anita Cariker, (580) 332-2011<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l0 level1 lfo3"><b><span style="font-family:"Cambria","serif"">Woodward County Health Department,</span></b><span style="font-family:"Cambria","serif""> 1631 Texas Avenue Woodward; Contact Jeri Dwinelle, (580) 256-6416
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<p class="MsoNormal"><b><span style="font-size:13.5pt;font-family:"Poor Richard","serif"">S. Marisa New, OTR, MPH</span></b><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">
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</span><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">Manager</span></b><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">,
</span><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">Health Equity and Resource Opportunities (HERO)
</span></b><span style="font-size:12.0pt;font-family:"Times New Roman","serif""><br>
</span><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">Partnerships for Health Improvement<o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-bottom:12.0pt"><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">Oklahoma State Department of Health
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<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">1000 NE 10th Street, Room 508</span></b><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">
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</span><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">Oklahoma City, OK 73117</span></b><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">
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</span><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">(405) 271-9444, ext. 56410</span></b><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">
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</span><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">(405) 271-1225 fax</span></b><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">
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</span><a href="mailto:marisan@health.ok.gov"><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">marisan@health.ok.gov</span></b></a><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">
</span></b><span style="font-size:12.0pt;font-family:"Times New Roman","serif""><br>
</span><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">Visit:
</span></b><a href="http://hero.health.ok.gov/"><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">http://hero.health.ok.gov</span></b></a><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">
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</span><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">Other websites to visit: Oklahoma Health Equity Campaign
</span></b><a href="http://www.ywca.org/oklahomahealthequitycampaign"><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">www.okhealthequity.org</span></b></a><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">
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<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">TWITTER: @okhealthequity<o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><i><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">“Be the change you want to see in the world.” – Mohandas Gandhi</span></i><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">
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<i>You be the change agent.</i><b> <o:p></o:p></b></span></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">Achieving Health Equity
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<p class="MsoNormal" style="text-align:justify"><b><span style="font-size:9.0pt;font-family:"Arial","sans-serif";color:blue">What is health equity?
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<p class="MsoNormal" style="text-align:justify;line-height:12.9pt"><b><span style="font-size:9.0pt;font-family:"Arial","sans-serif";color:blue">Health equity, as understood in public health literature and practice, is when everyone has the opportunity to “attain
their full health potential” and no one is “disadvantaged from achieving this potential because of their social position or other socially determined circumstance.”</span></b><span style="font-size:9.0pt"><o:p></o:p></span></p>
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<p class="MsoNormal" style="text-align:justify"><b><u><span style="font-size:9.0pt;font-family:"Arial","sans-serif";color:red">Social determinants of health</span></u></b><b><span style="font-size:9.0pt;font-family:"Arial","sans-serif";color:red"> are life-enhancing
resources, such as food supply, housing, economic and social relationships, transportation, education, and health care, whose distribution across populations effectively determines length and quality of life.</span></b><span style="font-size:9.0pt"><o:p></o:p></span></p>
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