Social Determinants of Health
Conditions
Keywords
Emergencies, Social needs
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.
Interventions
Patients with one or more reported social need will be referred to 211 for community based services. 211 will reach out and contact patients for follow-up.
Sponsors
Study design
Eligibility
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)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Health Utilization Outcome questionnaire | 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. |
Countries
United States