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Improving Screening for Social Determinants of Health in a Pediatric Resident Clinic: A Quality Improvement Initiative

INTRODUCTION: Social determinants of health (SDOH) account for 80% of modifiable factors in a population’s health. Addressing SDOH in a healthcare setting can improve care, patient experience, health outcomes, and decrease cost. Therefore, screening for SODH in the pediatric setting has become an es...

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Detalles Bibliográficos
Autores principales: Friedman, Suzanne, Caddle, Steve, Motelow, Joshua E., Meyer, Dodi, Lane, Mariellen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8225364/
https://www.ncbi.nlm.nih.gov/pubmed/34235349
http://dx.doi.org/10.1097/pq9.0000000000000419
Descripción
Sumario:INTRODUCTION: Social determinants of health (SDOH) account for 80% of modifiable factors in a population’s health. Addressing SDOH in a healthcare setting can improve care, patient experience, health outcomes, and decrease cost. Therefore, screening for SODH in the pediatric setting has become an essential and evidence-based component of pediatric preventative care. Multiple barriers exist for its implementation, particularly for trainees. METHODS: Using resident-driven quality improvement (QI) methodology, we aimed to increase SDOH screening to >90% for 9 individual questions at newborn and 1-year well visits and completely screen for all 9 questions at more than 40% of visits. Parents were provided with a paper screening form upon arrival to be completed before visits. We performed tests of change to improve distribution, documentation, and quality of interventions. RESULTS: The primary outcome of complete screening for all 9 questions increased from 24% to 43% at newborn visits and 28% to 83% at 1-year visits. Screenings that identified at least 1 need increased from 8% to 19%, with provider response to an identified need increasing from 20% to 40%. These metrics were the secondary outcome measures. CONCLUSIONS: The use of parent completed paper screening forms improved SDOH screening, documentation, and interventions by residents and faculty.