Mobile Social Screening and Referral Intervention in a Pediatric Emergency Department

Kanak, Mia; Fleegler, Eric W.; Chang, Lawrence; Curt, Alexa; Burdick, Kendall J.; Monuteaux, Michael C.; Deane, Melissa; Warrington, Peter; Stewart, Amanda M.

doi:10.1016/j.acap.2022.08.011

Cited by 5 publications

(1 citation statement)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, our clinical practice does not use tablets, and practices with already-integrated tablet usage may find them feasible and that they decrease staff burden. 9 Finally, our partnership with HCC to provide community-based resources is unique and institutions will have varied access to resources to address HRSN.…”

Section: Discussionmentioning

confidence: 99%

Integrating Social Needs Screening and Resource Referral Into Standard Ambulatory Oncology Care: A Quality Improvement Project

Wethington,

Rositch,

et al. 2024

JCO Oncol Pract

View full text Add to dashboard Cite

PURPOSE We previously implemented paper-based screening for health-related social resource needs (HRSN) in our gynecologic oncology clinic and found that 36% of patients who completed the screening reported HRSN. We identified two primary deficiencies with our process. First, only 52% of patients completed the screening. Second, 37% of patients with needs failed to indicate if they desired resource referral or not. Therefore, we conducted a quality improvement project to integrate screening and referral processes into the electronic medical record (EMR) and routine clinic workflow to achieve at least 90% screening compliance and 90% elicited referral preference. METHODS A multidisciplinary team consisting of physicians, a health outcomes researcher, a computer programmer, project assistants, and the staff of a partner community organization designed and implemented an intervention that screened for HRSN online via the EMR patient platform or in person during visits. The primary outcome was the percentage of eligible patients who completed the HRSN screening (ie, reach). Outcomes were reviewed weekly, and feedback was provided to stakeholders monthly. Iterative changes were incorporated into five successive Plan-Do-Study-Act (PDSA) cycles completed from January 2021 to March 2023. RESULTS Screening compliance increased from the baseline of 52% (paper-based) to 97% in PDSA 4. Completion via the online patient portal increased from 17% in prelaunch to 49% in PDSA 4. Of patients who reported needs, 100% had a documented referral preference. CONCLUSION Compared with paper-based screening, an EMR-integrated HRSN screening and referral system significantly improved reach to patients at a gynecologic oncology clinic. Implementation efforts to expand to other ambulatory clinic settings are in process.

show abstract

Section: Discussionmentioning

confidence: 99%