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Adaptation of a social risk screening and referral initiative across clinical populations, settings, and contexts in the Department of Veterans Affairs Health System

Identifying and addressing social risks and social needs in healthcare settings is an important step towards achieving health equity. Assessing Circumstances and Offering Resources for Needs (ACORN) is a Department of Veterans Affairs (VA) social risk screening and referral model that aims to system...

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Autores principales: Cohen, Alicia J., Russell, Lauren E., Elwy, A. Rani, Mitchell, Kathleen M., Cornell, Portia Y., Silva, Jennifer W., Moy, Ernest, Kennedy, Meaghan A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012714/
https://www.ncbi.nlm.nih.gov/pubmed/36925883
http://dx.doi.org/10.3389/frhs.2022.958969
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author Cohen, Alicia J.
Russell, Lauren E.
Elwy, A. Rani
Mitchell, Kathleen M.
Cornell, Portia Y.
Silva, Jennifer W.
Moy, Ernest
Kennedy, Meaghan A.
author_facet Cohen, Alicia J.
Russell, Lauren E.
Elwy, A. Rani
Mitchell, Kathleen M.
Cornell, Portia Y.
Silva, Jennifer W.
Moy, Ernest
Kennedy, Meaghan A.
author_sort Cohen, Alicia J.
collection PubMed
description Identifying and addressing social risks and social needs in healthcare settings is an important step towards achieving health equity. Assessing Circumstances and Offering Resources for Needs (ACORN) is a Department of Veterans Affairs (VA) social risk screening and referral model that aims to systematically identify and address social needs. Since initial piloting in 2018, our team has collaborated with clinical and operations partners to implement ACORN across multiple VA clinical settings while adapting and tailoring the initiative to meet the needs of different populations, specialties, and individuals administering screening. Given ACORN's complexity as a growing initiative with multiple partners and frequent real-time modifications within a large national healthcare system, we recognized a need to systematically document the rationale and process of adaptations over time. We looked to three implementation frameworks—RE-AIM, the Adaptome, and FRAME—to describe the rationale for adaptations, the nature of and context within which adaptations were made, and the details of each adaptation. In this manuscript, we uniquely interweave these three frameworks to document adaptations to ACORN across diverse VA clinical settings, with a focus on how adaptations support the promotion of heath equity in the Veteran population.
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spelling pubmed-100127142023-03-15 Adaptation of a social risk screening and referral initiative across clinical populations, settings, and contexts in the Department of Veterans Affairs Health System Cohen, Alicia J. Russell, Lauren E. Elwy, A. Rani Mitchell, Kathleen M. Cornell, Portia Y. Silva, Jennifer W. Moy, Ernest Kennedy, Meaghan A. Front Health Serv Health Services Identifying and addressing social risks and social needs in healthcare settings is an important step towards achieving health equity. Assessing Circumstances and Offering Resources for Needs (ACORN) is a Department of Veterans Affairs (VA) social risk screening and referral model that aims to systematically identify and address social needs. Since initial piloting in 2018, our team has collaborated with clinical and operations partners to implement ACORN across multiple VA clinical settings while adapting and tailoring the initiative to meet the needs of different populations, specialties, and individuals administering screening. Given ACORN's complexity as a growing initiative with multiple partners and frequent real-time modifications within a large national healthcare system, we recognized a need to systematically document the rationale and process of adaptations over time. We looked to three implementation frameworks—RE-AIM, the Adaptome, and FRAME—to describe the rationale for adaptations, the nature of and context within which adaptations were made, and the details of each adaptation. In this manuscript, we uniquely interweave these three frameworks to document adaptations to ACORN across diverse VA clinical settings, with a focus on how adaptations support the promotion of heath equity in the Veteran population. Frontiers Media S.A. 2023-01-30 /pmc/articles/PMC10012714/ /pubmed/36925883 http://dx.doi.org/10.3389/frhs.2022.958969 Text en © 2023 Cohen, Russell, Elwy, Mitchell, Cornell, Silva, Moy and Kennedy. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Health Services
Cohen, Alicia J.
Russell, Lauren E.
Elwy, A. Rani
Mitchell, Kathleen M.
Cornell, Portia Y.
Silva, Jennifer W.
Moy, Ernest
Kennedy, Meaghan A.
Adaptation of a social risk screening and referral initiative across clinical populations, settings, and contexts in the Department of Veterans Affairs Health System
title Adaptation of a social risk screening and referral initiative across clinical populations, settings, and contexts in the Department of Veterans Affairs Health System
title_full Adaptation of a social risk screening and referral initiative across clinical populations, settings, and contexts in the Department of Veterans Affairs Health System
title_fullStr Adaptation of a social risk screening and referral initiative across clinical populations, settings, and contexts in the Department of Veterans Affairs Health System
title_full_unstemmed Adaptation of a social risk screening and referral initiative across clinical populations, settings, and contexts in the Department of Veterans Affairs Health System
title_short Adaptation of a social risk screening and referral initiative across clinical populations, settings, and contexts in the Department of Veterans Affairs Health System
title_sort adaptation of a social risk screening and referral initiative across clinical populations, settings, and contexts in the department of veterans affairs health system
topic Health Services
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012714/
https://www.ncbi.nlm.nih.gov/pubmed/36925883
http://dx.doi.org/10.3389/frhs.2022.958969
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