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Social Needs Screenings in ED

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ClinicalTrials.gov Identifier: NCT04630041
Recruitment Status : Completed
First Posted : November 16, 2020
Last Update Posted : November 16, 2020
Agency for Healthcare Research and Quality (AHRQ)
Information provided by (Responsible Party):
Andrea Wallace, University of Utah

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
Social Determinants of Health Behavioral: 211 Referral Not Applicable

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Study Type : Interventional  (Clinical Trial)
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 : October 1, 2020
Actual Study Completion Date : October 1, 2020

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.

Primary Outcome Measures :
  1. Health Utilization Outcome questionnaire [ Time Frame: 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.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
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)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04630041

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United States, Utah
University of Utah
Salt Lake City, Utah, United States, 84112
Sponsors and Collaborators
Andrea Wallace
Agency for Healthcare Research and Quality (AHRQ)
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Andrea Wallace, Associate Professor, University of Utah
ClinicalTrials.gov Identifier: NCT04630041    
Other Study ID Numbers: 00125877
First Posted: November 16, 2020    Key Record Dates
Last Update Posted: November 16, 2020
Last Verified: November 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Andrea Wallace, University of Utah:
Social needs