Social Needs Screenings in ED

Social Determinants of Health Clinical Trial

Official title:

Implementation Barriers to Social Needs Screenings in Routine Emergency Care

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04630041
• Other study ID #: 00125877
• Status: Completed
• Phase: N/A
• Start date: May 1, 2019
• Est. completion date: October 1, 2020

Study information

• Verified date: November 2020
• Source: University of Utah
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 5081
• Est. completion date: October 1, 2020
• Est. primary completion date: October 1, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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)

Related Conditions & MeSH terms

• Social Determinants of Health

Intervention

Behavioral:
• 211 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.

Locations

Country	Name	City	State
United States	University of Utah	Salt Lake City	Utah

Sponsors (2)

Lead Sponsor	Collaborator
Andrea Wallace	Agency for Healthcare Research and Quality (AHRQ)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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