Social Needs Screenings in ED

Sponsor
Andrea Wallace (Other)
Overall Status
Completed
CT.gov ID
NCT04630041
Collaborator
Agency for Healthcare Research and Quality (AHRQ) (U.S. Fed)
5,081
1
1
17.1
298

Study Details

Study Description

Brief Summary

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.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: 211 Referral
N/A

Study Design

Study Type:
Interventional
Actual Enrollment :
5081 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Health Services Research
Official Title:
Implementation Barriers to Social Needs Screenings in Routine Emergency Care
Actual Study Start Date :
May 1, 2019
Actual Primary Completion Date :
Oct 1, 2020
Actual Study Completion Date :
Oct 1, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: Social Needs Assessment

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.

Outcome Measures

Primary Outcome Measures

  1. Health Utilization Outcome questionnaire [60 days]

    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.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • seen in the UHealth University hospital ED

  • ability to use touchpad technology

  • ability to communicate via telephone for 211 follow-up

Exclusion Criteria:
  • Non-English and non-Spanish speaking (English nor Spanish need not be the 1st language)

  • unable to communicate verbally

  • admitted to an inpatient unit or to a skilled nursing facility (vs discharged to a community-based setting where participants are responsible for their own self-care)

Contacts and Locations

Locations

Site City State Country Postal Code
1 University of Utah Salt Lake City Utah United States 84112

Sponsors and Collaborators

  • Andrea Wallace
  • Agency for Healthcare Research and Quality (AHRQ)

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Andrea Wallace, Associate Professor, University of Utah
ClinicalTrials.gov Identifier:
NCT04630041
Other Study ID Numbers:
  • 00125877
First Posted:
Nov 16, 2020
Last Update Posted:
Nov 16, 2020
Last Verified:
Nov 1, 2020
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Andrea Wallace, Associate Professor, University of Utah

Study Results

No Results Posted as of Nov 16, 2020