Social Needs Screenings in ED

NCT04630041 | Completed

• 1 other identifier: 00125877
• Study Type: interventional
• Target: 5,081
• Locations: 1 country
• Sites: 1

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.

Conditions

Social Determinants of Health

Keywords

Emergencies; Social needs

Outcome Measures

Primary Outcomes (1)

• Health Utilization Outcome questionnaire

  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.

  60 days

Study Arms (1)

Social Needs Assessment

EXPERIMENTAL

Patients in the Emergency Department will complete a social needs assessment screener that may refer them to 211 services

Behavioral: 211 Referral

Interventions

211 Referral BEHAVIORAL

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.

Social Needs Assessment

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• seen in the UHealth University hospital ED
• ability to use touchpad technology
• ability to communicate via telephone for 211 follow-up

You may not qualify if:

• 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)

Sponsors & Collaborators

• Andrea Wallace: lead
• Agency for Healthcare Research and Quality (AHRQ): collaborator

Study Sites (1)

University of Utah

Salt Lake City, Utah, 84112, United States

Location

Related Publications (1)

• Wallace AS, Luther BL, Sisler SM, Wong B, Guo JW. Integrating social determinants of health screening and referral during routine emergency department care: evaluation of reach and implementation challenges. Implement Sci Commun. 2021 Oct 7;2(1):114. doi: 10.1186/s43058-021-00212-y.

  PMID: 34620248 DERIVED

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: November 11, 2020
• First Posted: November 16, 2020
• Study Start: May 1, 2019
• Primary Completion: October 1, 2020
• Study Completion: October 1, 2020
• Last Updated: November 16, 2020

Record last verified: 2020-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)