An interventional study of 211 Referral in Social Determinants of Health, sponsored by Andrea Wallace. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-11-16.
Sponsored by Andrea Wallace · Not applicable, Interventional, and Health services research
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.
Exclusion Criteria:
Patients in the Emergency Department will complete a social needs assessment screener that may refer them to 211 services
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.
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.
Time frame: 60 days
Plan to share: No
This study is completed, as verified in Nov 2020. You cannot join it, but the record below documents what was studied.
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Andrea Wallace