Rima Rudd et al. developed this 2019 guide for the Harvard T.H. Chan School of Public Health. It serves as an update for The Health Literacy Environment of Hospitals and Health Centers.
HLE2 assesses 5 areas:
- Communication
- Culture and language
- Institutional practices
- Navigation
- Organizational policies
Each section of the guide includes a rating scale and a metric. Organizations use these to find their score.