Social Needs Screenings in ED

Study Overview
=================
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.

Official Title
-----------------
Implementation Barriers to Social Needs Screenings in Routine Emergency Care

Conditions
-----------------
Social Determinants of Health

Intervention / Treatment
-----------------
* Behavioral: 211 Referral


Participation Criteria
=================
Eligibility Criteria
-----------------
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)

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Social Needs Assessment<br>Patients in the Emergency Department will complete a social needs assessment screener that may refer them to 211 services | Behavioral: 211 Referral<br>* 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.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Emergencies, Social needs