Social Needs Status
Conditions
Keywords
Social Determinants of Health, Community Pharmacies
Brief summary
Type 1 hybrid effectiveness-implementation study using a quasi-experimental, difference-in-difference (DID) design to deliver a comprehensive social needs screening and navigation program by integrating Community Health Workers (CHWs) into community pharmacies across under-resourced areas in Western New York (WNY).
Interventions
Community pharmacies will distribute social needs screening surveys to patients and refer them to local community based organizations based off of identified needs.
Sponsors
Study design
Intervention model description
This is a single intervention group with a matched control group with a local health information exchange.
Eligibility
Inclusion criteria
* Adult subjects ≥ 18 years * English speaking * Presenting to one of the participating pharmacies. For the pharmacies to be included, they must be enrolled within the Community Pharmacy Enhanced Services Network - NY (CPESN-NY) or associated with Tops Pharmacies. The pharmacies must have the ability to collaborate with Healthelink and referring partners (e.g., Wellconnected) and the staffing capacity to have a SDoH screening program with Community Health Worker Training. The pharmacies' physical address must be located within Erie County
Exclusion criteria
* Subjects ≤ 18 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness Outcomes | 12 months | Primary effectiveness outcomes in composite healthcare utilization including hospital admissions and ED visits at 12 months, and we hypothesize that utilization will be reduced in subjects who receive a pharmacy social needs intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cost Analysis | 12 months | We will calculate interventions costs combined with cost savings from reduced utilization to calculate the net costs from a health system perspective. |
Countries
United States