Inpatient Screening for Social Determinants of Health: A Quality Improvement Initiative

Dana Kliewer, Brian McGillen

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Social determinants of health (SDOH) can contribute to disparities that negatively impact health outcomes and healthcare utilization. Comprehensive screening is frequently overlooked during inpatient clinical care. This pilot aimed to evaluate the capturability of a multi-domain SDOH screening tool during hospitalization, as well as correlation of SDOH needs to readmissions. Methods: The PRAPARE screening tool was implemented on admission with adult inpatients at an academic tertiary medical center in central Pennsylvania. A total of 80 patients were screened over an 8-week period using the PRAPARE tool. Results: 43.7% of participants were identified as having at least one SDOH need and 21.2% were identified as having 2 or more needs. Of the participants identified as having at least one SDOH need through PRAPARE screening, 42.5% experienced a readmission within 30-days, compared to 15% readmissions among participants with no identified SDOH needs. For each additional SDOH need a patient had, the odds they experienced a readmission increased by 2.2 times. Conclusions: The study findings suggest that utilization of the PRAPARE screening tool has the ability to capture significant SDOH needs among hospitalized patients. This study also suggests that higher SDOH needs correlate to an increased odds of experiencing a hospital readmission.

Original languageEnglish (US)
JournalJournal of Clinical and Translational Science
DOIs
StateAccepted/In press - 2024

All Science Journal Classification (ASJC) codes

  • General Medicine

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