Implementation Barriers to Social Needs Screenings in Routine Emergency Care
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Social Determinants of Health
- Sponsor
- Andrea Wallace
- Enrollment
- 5081
- Locations
- 1
- Primary Endpoint
- Health Utilization Outcome questionnaire
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
This study will determine whether existing Health Information Technology can be leveraged to 1) implement a universal, patient-centered social needs assessment and referral process during routine Emergency Department care; 2) understand whether linking social needs assessment, community based referral, and health outcomes data may facilitate an understanding of population health; and 3) address the needs and wishes of patients and clinicians.
Hypothesis: Results of this study will provide much needed information to already overburdened hospital systems regarding whether systematically incorporating social needs information and referrals into emergency discharge processes allows for a better understanding of factors placing patients at risk for poor outcomes post-discharge, and whether doing so has potential for enhancing discharge support for a larger patient population seen in emergency departments.
Investigators
Andrea Wallace
Associate Professor
University of Utah
Eligibility Criteria
Inclusion Criteria
- •seen in the UHealth University hospital ED
- •ability to use touchpad technology
- •ability to communicate via telephone for 211 follow-up
Exclusion Criteria
- •Non-English and non-Spanish speaking (English nor Spanish need not be the 1st language)
- •unable to communicate verbally
- •admitted to an inpatient unit or to a skilled nursing facility (vs discharged to a community-based setting where participants are responsible for their own self-care)
Outcomes
Primary Outcomes
Health Utilization Outcome questionnaire
Time Frame: 60 days
The variable will be created by combining primary care utilization (yes/no), ED revisit (yes/no), and hospitalization (yes/no) within 60 days of original ED visit. Scores range from 0 to 3. Higher scores indicate worse health utilization outcomes.