Elsevier Interactive Patient Education  Editorial Policy

Elsevier  Interactive Patient Education’s vision is to create reliable learner-centered  education that strengthens collaboration between patients and the health care  team and empowers decision-making throughout the patient journey, leading to  overall improvement of health outcomes.   We do this through:

  • Commitment to excellence in health literacy and plain language best practices.
  • Alignment with evidence-based health care practice, peer-reviewed research, regulatory requirements, and  the most up-to-date clinical practice guidelines.
  • Continuous quality improvement of multi-media content development,  workflows, and processes.
  • Collaboration and standardization of content across Elsevier’s Clinical Solutions.
  • Strengthening relationships and delivering on promises to customers.

Health Literacy Standards
Health  literacy refers to an individual’s ability to access and understand basic  health information.  Elsevier seeks to address  health literacy barriers by:

  • Considering patient  reading level.  Elsevier offers two levels of patient education. Standard content is written at  an average of at or below the 6th grade reading level, never  exceeding at or below the 8th grade reading level. The Easy-to-Read  content is written at or below the 4th grade reading level. Reading  levels are based on the Flesh-Kincaid Readability Scale. Additional reading  level assessment methodologies can be applied upon request.
  • Including meaningful  images.  Elsevier’s content contains meaningful images that support patient  understanding and ability to take action.   Images are reviewed regularly to ensure they are medically accurate and  high quality for clarity on both screen viewing or print use.
  • Complying with plain  language guidelines.  Elsevier creates content that aligns with style, language, and organization  principles outlined in the Federal Plain Language Guidelines.
  • Auditing content. Elsevier regularly  assesses content with validated health literacy assessment tools, such as  AHRQ’s PEMAT (patient education materials assessment tool) to develop and audit  content.
  • Translating content  into 17 languages.  Elsevier uses a certified medical translation service to ensure that all multi-media  content is translated into Spanish. Our most highly used titles are translated  into 17 of the most commonly spoken and read languages in the U.S.

Evidence-based Health Care Standards
Elsevier derives its content from a rigorous,  systematic, and reproducible process to find the highest quality and best  available evidence, which is then integrated with clinical expertise and  patient considerations to optimize patient outcomes. Elsevier requires that all  internal and external medical reviewers utilize the best available evidence when  reviewing content. Elsevier’s clinical team appraises each reference, including:

  • Clinical practice guidelines
  • Systematic reviews
  • Peer-reviewed research
  • Up-to-date peer-reviewed books, articles, and  websites

Elsevier does not knowingly publish false or  misleading claims or promote ineffective or dangerous health care practices, including  unapproved treatments, and off-label use of medication, equipment, or products.

Editorial Review Process
The goal of Elsevier’s editorial review process is to  produce the highest quality content as efficiently as possible to best meet our  customers’ needs.  Before publishing,  each document is reviewed by a multidisciplinary team that includes:

  • External medical reviewers.  This includes licensed  practitioners in the health care field and subject matter experts in medical or  interprofessional specialties.
  • Internal clinical editors. Elsevier’s clinical editors are master’s-prepared or master’s-candidate  registered nurses or licensed independent providers. Master’s- or doctoral-prepared  registered nurses maintain oversight for the work of any non-master’s level  clinical editor.
  • Medical literacy editors and copy editors. Elsevier’s internal editorial staff are trained to review content  through “the eyes of the patient,” and are responsible for applying plain  language and health literacy principles to our multi-media content.

The team monitors government resources  and publications for new or revised core measures, clinical guidelines,  national patient safety guidelines, national health care accreditation  initiatives, and professional society guidelines. It also leverages clinical content across Elsevier  Clinical Solutions, as well as in-house style guides and standard language  guidelines. The team regularly completes content quality audits to ensure that content  is standardized, complete, and clinically accurate.

Review Frequency Standards
Scheduled review
Each  document in the Elsevier library is assigned a scheduled one-, two-, or three-year  clinical review interval to ensure that content stays up to date with changing  practice standards and recognized medical guidelines.

Triggered review
If  a new guideline, core measure, standard of care, or new evidence-based practice  becomes available, a review can be triggered by Elsevier’s clinical reviewers. A  review can also be triggered if a customer requests edits for quality  improvement before the scheduled review date. The content will continue to be  reviewed according to its scheduled review cycle.

Medical Reviewer Standards
Elsevier’s  medical reviewers include over 100 thoroughly vetted health care professionals currently licensed and practicing  in their respective areas of specialty. Our reviewers span a variety of specialty areas, including:

  • Neurology/Stroke
  • Cardiovascular
  • Endocrinology/Diabetes
  • Mental and Behavioral Health
  • Oncology
  • Women’s Health/OBGYN
  • Men’s Health
  • Urology and Nephrology
  • Orthopedics and Rheumatology
  • Preventive Health and Internal Medicine
  • Surgery
  • Emergency Medicine
  • Anesthesiology
  • Nutrition
  • Ophthalmology
  • Dermatology
  • Infectious Disease
  • Dentistry
  • ENT
  • Wound Ostomy
  • Allied Health Professions (e.g., Physical Therapy, Occupational Therapy)

Elsevier Editorial Board
Elsevier  leverages an editorial board of professionals and patients that represent  health care systems from around the U.S. The Editorial Board provides direction  to and decision-making around Elsevier content creation to ensure that content  strategy best aligns with current health care practice, market trends, and  customer needs.

Editorial Board co-chairs include:
Julibeth Lauren,  PhD, APRN, ACNS-BC, VP,  Editor-in-Chief, Elsevier Patient Engagement
Lya M. Stroupe, DNP,  APRN, CPNP, NEA-BC,  Manager, Nursing Research and Professional Development, West Virginia  University

Advertising Policy
Elsevier does not include advertisements or promote  particular brands, products, or health care organizations in its content.  We do not allow commercial interests to inform,  shape, or influence our content in any way.

Questions or Comments?
Elsevier welcomes feedback on our content in order to  continue to improve its quality and make it as helpful as it can be for  patients. Send us your content-related comments or questions by contacting your  IT support or system administrator. You may also contact Elsevier Customer  Support at PEcustomercare@elsevier.com.

For questions or concerns about specific health  issues, contact your health care provider. If you think you need help right  away, call 9-1-1 or your local emergency services.