ArticleJournal of the American College of Emergency Physicians open2023
Evaluating a social risk screening and referral program in an urban safety-net hospital emergency department.
Article in Journal of the American College of Emergency Physicians open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Linkage of Emergency Department Patients With Public Benefits Navigators via Text Messages: A Randomized Clinical Trial.JAMA health forum · 2026Trial
- Strengthening Emergency Department Health Initiatives Through Partnership With Health Departments and Community Organizations.Journal of the American College of Emergency Physicians open · 2026Article
- Validation of an Electronic Health Record Algorithm for Identifying Housing-Related Needs in a Safety-Net Health System.Health services research · 2026Article
- Using Health Information Systems to Support Behavioral Interventions in Local Contexts: Scoping Review.JMIR medical informatics · 2026Review
- Seeing the unseen: uncovering health-related social needs through universal screening at an academic ophthalmology practice.Eye (London, England) · 2025Article
- Implementing Social Determinants of Health Screening in US Emergency Departments.JAMA network open · 2025Article
- Relationship Between Social Risk Factors and Emergency Department Use: National Health Interview Survey 2016-2018.The western journal of emergency medicine · 2025Article
- Emergency Department Comprehensive Social Risk Screening and Resource Referral Program.The western journal of emergency medicine · 2025Article
- Emergency Department Food Insecurity Screening, Food Voucher Distribution and Utilization: A Prospective Cohort Study.The western journal of emergency medicine · 2024Article
- Automated Identification of Patients' Unmet Social Needs in Clinical Text Using Natural Language Processing.Mayo Clinic proceedings. Digital health · 2024Article
- Eligibility of emergency department patients for public benefit programs.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Article
- Implementation of social needs screening for minoritized patients newly diagnosed with breast cancer: a mixed methods evaluation in a pragmatic patient navigation trial.BMC health services research · 2024Article
- Social needs screening in primary care: A tool in the fight for health equity?Public health in practice (Oxford, England) · 2024Article
- Residents' learning and behavior about tool-guided clinical assessment of social determinants of health.Journal of general and family medicine · 2024Article
- Realizing the potential of social determinants data in EHR systems: A scoping review of approaches for screening, linkage, extraction, analysis, and interventions.Journal of clinical and translational science · 2024Article
- Article
- Evaluating a social risk screening and referral program in an urban safety-net hospital emergency department.Journal of the American College of Emergency Physicians open · 2023Article
- Emergency department workplace violence: Clinician-endorsed strategies informing prevention mandates.Nursing outlookArticle
- Thoughtful Investing in Social Care Management: The Cause of, and Solution to, All of Life's Problems.The Journal of ambulatory care managementArticle
- Reducing disparities in emergency department outcomes for individuals with limited English proficiency: The nurse work environment.Nursing outlookArticle
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: The emergency department (ED) is an opportune venue to screen for unmet social needs and connect patients with social services. This quality improvement study incorporates both qualitative and quantitative data to examine unmet social needs among ED patients and program implementation. Methods: From September 2020 to December 2021, an urban safety-net hospital adult ED implemented a social needs screening and referral program. Trained emergency staff screened eligible patients for 5 social needs (housing, food, transportation, utilities, employment), giving resource guides to patients who screened positive (THRIVE+). We collected screening data from the electronic health record, conducted semi-structured interviews with THRIVE+ patients and clinical staff, and directly observed discharge interactions. Results: Emergency staff screened 58.5% of eligible patients for social risk. Of the screened patients, 27.0% reported at least 1 unmet social need. Of those, 74.8% requested assistance. Screened patients reported housing insecurity (16.3%) as the most prevalent unmet social need followed by food insecurity (13.3%) and unemployment (8.7%). Among interviewed patients, 57.1% recalled being screened, but only 24.5% recalled receiving resource guides. Patients who received guides reported little success connecting with resources and supported universal guide dissemination. Staff expressed preference for warm handoff to social services. Of 13 observed discharge interactions, clinical staff only discussed guides with 2 patients, with no positive endorsement of the guides in any observed interactions. Conclusions: An ED social needs screening program can be moderately feasible and accepted. We identified housing as the most prevalent need. Significant gaps exist between screening and referral, with few patients receiving resources. Further training and workflow optimization are underway.
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