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Social Needs Screenings in ED

Implementation Barriers to Social Needs Screenings in Routine Emergency Care

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04630041
Enrollment
5081
Registered
2020-11-16
Start date
2019-05-01
Completion date
2020-10-01
Last updated
2020-11-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Social Determinants of Health

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

BEHAVIORAL211 Referral

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

Agency for Healthcare Research and Quality (AHRQ)
CollaboratorFED
Andrea Wallace
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Health Utilization Outcome questionnaire60 daysThe 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

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 21, 2026