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Development of Indicators to Measure Health Literate Discharge Practices

Innis, Jennifer PhD, RN; Barnsley, Jan PhD; Berta, Whitney PhD; Daniel, Imtiaz PhD

doi: 10.1097/NCQ.0000000000000215

Health literate discharge practices meet the health literacy needs of patients and families at the time of hospital discharge and are associated with improved patient outcomes and reduced readmission. A Delphi panel consisting of nurses, other health care providers, and researchers was used to develop a set of indicators of health literate discharge practices based on the practices of Project RED (Re-Engineered Discharge). These indicators can be used to measure and monitor the use of health literate discharge practices.

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Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

Correspondence: Jennifer Innis, PhD, RN, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 425-155 College St, Toronto, ON M5T 3M6, Canada (

This study was funded by Doctoral Research Award, Canadian Institutes for Health Information.

The authors declare no conflict of interest.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: June 14, 2016

Published ahead of print: August 5, 2016

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