Social Determinants of Health Screening and Interventions

Study Overview
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Brief Summary
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The primary objective of this study is to connect patients with community resources to improve social determinants of health. Secondary objectives are improving patient satisfaction within the trauma and general surgery service, enhancement of physician-patient communication, betterment of surgery department Hospital Consumer Assessment of Healthcare Providers and Systems scores, and increased understanding of correlations between patient satisfaction and social determinants of health. The investigators hypothesize that (1) directed screening and intervention can have a positive effect for patients and hospitals, (2) directed patient advocacy will have an effect on patients' perception of care, (2) social determinants of health will have an effect on patients' perception of care, and (4) traumatic injury and acute surgery will have an effect on patients' perception of care.

Detailed Description
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The investigators will be conducting this study as a prospective, non-randomized quality improvement study that will look at patients 18 years of age and older who are admitted under the trauma and general surgery specialties. Patients will be identified through admission to the trauma or general surgery service or referred to surgery services. Eligible patients will be identified and approached by the study team. Once the informed consent is completed, patients will be given a Social Determinants of Health Screening Tool, an Hospital Consumer Assessment of Healthcare Providers and Systems Feedback Tool, and an short form health survey (SF-12) Quality of Life Questionnaire. Feedback from the Hospital Consumer Assessment of Healthcare Providers and Systems results will be given immediately to the relevant teams (nurses, doctors, etc.) to address the patient's concerns. Prior to discharge, the patients will also be given referrals to designated community resources. On day 15 (+/- 7 days) after discharge, the patients will receive a follow up phone call where they will be asked if they have utilized the Social Determinants of Health Referrals. Participants will also be given a second Hospital Consumer Assessment of Healthcare Providers and Systems Feedback Survey at this time. On day 30 (+/- 7 days) after discharge, the patients will receive a follow up phone call where the participants will be asked if they utilized the Social Determinants of Health Referrals. Participants will also be given a second short form health survey (SF-12) Quality of Life Survey at this time.

Official Title
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Patient Perceptions of Care: The Effects of Social Determinants of Health

Conditions
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Social Determinants of Health, Patient Satisfaction, Quality of Life

Intervention / Treatment
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* Other: Social Determinants of Health Referrals


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years of age or older Admitted to the trauma or general surgery services Live within Lucas County (for county referrals) Patient or legally authorized representative agrees to participate and is willing to sign informed consent Exclusion Criteria: Anyone less than 18 years old Any patient or legally authorized representative unwilling to sign informed consent Anyone who lives outside of Lucas County or expresses unwillingness to use referral services

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Interventional Model Description: Each patient who consents will be given the community resource interventions which apply to them based on the results of the Social Determinants of Health Screening Tool.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Social Determinants of Health<br>Intervention will be the Social Determinants of Health Referrals. | Other: Social Determinants of Health Referrals<br>* Patients who screen positive for any of the Social Determinants of Health will be given information for referral to any of the community resources that apply to their situation.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Satisfaction Questionnaire | evaluation of patient satisfaction of hospital and staff by patient questionnaire, abbreviated hospital consumer assessment of healthcare providers and system (HCAHPS) | Within 15 days of discharge | 
| Patients community services Questionnaire | evaluation of patients needs outside the hospital, social determinants of health screening tool will be utilized to assess the patients needs for various community services, including public transport, food banks, shelters | Within 30 days of discharge | 
| Patient satisfaction of health status Questionnaire | evaluate the patients perception of their own health with a short form health questionnaire (SF-12) | within 30 days of discharge | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Communication between patient and health care givers Questionnaire | patients will evaluate the communication of the hospital staff with an abbreviated hospital consumer assessment of healthcare providers and system (HCAHPS) | Within 15 days of discharge | 
| Abbreviate Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Data | data will be collected on patients satisfaction level of hospital and staff | Within 15 days of discharge |