(4) Tj Q 1 1 16 16 re Q endstream endobj 52 0 obj <>/Subtype/Form/Type/XObject>>stream A scoping review was used to (1) explore the various screening tools that are available to identify social risk, (2) examine the impact that screening for social determinants has on health and social outcomes, and (3) identify factors that promote the uptake of screening in routine clinical care. 2. BT 0.749023 g f (4) Tj H��� endstream endobj 34 0 obj <>/Subtype/Form/Type/XObject>>stream q q The AAP recommends surveillance for risk factors related to social determinants of health during all patient encounters. 0 0 18 18 re Social Determinants of Health ICD-10-CM Coding for Introduction Hospitals and health systems are working to address their patients’ social needs and the broader social determinants of health in the communities they serve. Q /ZaDb 14.532 Tf 1 1 16 16 re /ZaDb 14.532 Tf f 4. Using Standardized Social Determinants of Health Screening Questions to Identify and Assist Patients with Unmet Health-related Resource Needs in North Carolina. �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� H��� The PRAPARE assessment tool consists of a set of national core measures as well as a set of optional measures for community priorities. (4) Tj 0 0 18 18 re endstream endobj 64 0 obj <>/Subtype/Form/Type/XObject>>stream BT n W endstream endobj 53 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream H��� n H��� 0.749023 g Social determinants of health (SDoH) is a relatively new term in health care. q �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� 0 0 18 18 re Good Average Poor . q �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� Social determinants and social needs are interrelated yet distinct concepts. �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� SDOH screeners (such as WE CARE) come in many variations and are often integrated with the electronic health record and a directory of referral resources and community supports. Community data Federal, state and local governments collect an enormous amount of data on the citizens and infrastructure within their jurisdictions, which provides a view into SDOH. screening for social determinants of health Screening for SDOH can help identify specific needs of an individual. ET 3. 1 1 16 16 re 0 0 18 18 re /ZaDb 14.532 Tf (4) Tj endstream endobj 59 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream f n n c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 75 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream f 0.749023 g H��� H��� ET BT n endstream endobj 68 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream q 2.853 4.081 Td 2.853 4.081 Td Social Determinant of Health Domains The tools in this resource are organized into two categories: single domain and multiple domains. endstream endobj 25 0 obj <>/Subtype/Form/Type/XObject>>stream Do you have health insurance? f endstream endobj 44 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 13.9943 TL endstream endobj 22 0 obj <>/Subtype/Form/Type/XObject>>stream f 0.749023 g … BT �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� If you are connected through the computer audi o, click the mic in the lower left hand corner of your screen to unmute and mute. endstream endobj 70 0 obj <>/Subtype/Form/Type/XObject>>stream Screening tool f 1 1 16 16 re 0.749023 g 0 0 18 18 re Q 2.853 4.081 Td BT 13.9943 TL 2.853 4.081 Td 2.853 4.081 Td n BT c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 30 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream This document presents information on the tools identified in the searches, including sample questions from the tools, the domain(s) that are covered, and validity data on the tools. screening tool that includes social needs questions not captured by other standardized assessments. 13.9943 TL c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 21 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream PRAPARE is both a standardized patient risk assessment tool as well as a process and collection of resources to identify and act on the social determinants of health. CONTRIBUTORS Aman Narayan, BA Jean Raphael, MD, MPH Tiffany Rattler, BS Claire Bocchini MD, MS SCREENING TOOLS FOR SOCIAL DETERMINANTS OF HEALTH. 0.749023 g What is the last grade you completed in school? c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 39 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream (4) Tj endstream endobj 26 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream n f f /ZaDb 14.532 Tf 2.853 4.081 Td (4) Tj 2.853 4.081 Td 0.749023 g (4) Tj �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� endstream endobj 35 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 0.749023 g 1 1 16 16 re Screening for the social determinants of health in clinical practice is still widely debated. W 1 1 16 16 re 1 1 16 16 re 5 April 2018. 0.749023 g Have you applied for health insurance through the Marketplace? q q /ZaDb 14.532 Tf q Communications Tools – Social Media for Health Centers – Branding Campaign for Health Centers – Tools for PCA Communicators – Membership FAQs – About the PRAPARE Assessment Tool. f H��� endstream endobj 31 0 obj <>/Subtype/Form/Type/XObject>>stream I have no relevant financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in this CME activity. endstream endobj 67 0 obj <>/Subtype/Form/Type/XObject>>stream 0 0 18 18 re q Q /ZaDb 14.532 Tf ET /ZaDb 14.532 Tf ET /ZaDb 14.532 Tf Public Health Reports: Applying Social Determinants of Health to Public Health Practice external icon Core Determinants of Health Screening Tool, aka the “Core 5” BECHTEL & JONES . H��� 0 0 18 18 re BT �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� endstream endobj 65 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream endstream endobj 43 0 obj <>/Subtype/Form/Type/XObject>>stream �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� endstream endobj 32 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream /ZaDb 14.532 Tf Social Determinants of Health Toolkit │ 6 TOOL WHEN TO USE THIS TOOL Why Collect Standardized Social Determinants of Health Data? W 0 0 18 18 re Disclosures. n Food insecurity 2. ET 2.853 4.081 Td ET Q 0 0 18 18 re �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� 2.853 4.081 Td Promoting Health Equity: A Resource to Help Communities Address Social Determinants of Health pdf icon. Q 13.9943 TL endstream endobj 47 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream n BT c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 66 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream q ET n 0.749023 g (4) Tj 1 1 16 16 re 1 1 16 16 re W 1 1 16 16 re h�b``�``0�� '�P�0p|����tx@1�>� �5��>��?�B�W(���q�� v*�Y�T��:�=������fb`��m��^�>�NfK��n����6f�jMZ��)��B`�U��ũ�3�V2����iDx���%��� ޷�3 ��J� endstream endobj 16 0 obj <>]/Pages 13 0 R/Perms/Filter<>/PubSec<>>>/Reference[<>/Type/SigRef>>]/SubFilter/adbe.pkcs7.detached/Type/Sig>>>>/Type/Catalog/ViewerPreferences<>>> endobj 17 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 18 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream H��� f ET ET f 1 1 16 16 re 2.853 4.081 Td 0.749023 g endstream endobj 37 0 obj <>/Subtype/Form/Type/XObject>>stream Q Q 13.9943 TL BT ET c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 27 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream H��� Q 13.9943 TL 2.853 4.081 Td �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� 6. BT The American Hospital Association has developed a 4-part tool to help healthcare providers screen patients for social determinants of health (SDOH). The Department welcomes and appreciates input on the Standardized SDOH Screening Questions. Source: North Carolina Department of Health and Human Services. Social Determinants of Health Screening: Understanding & Choosing Tools for Practice Marian F Earls, MD, MTS, FAAP September 15, 2018 NCPS Annual Meeting. Èn 奌‰ûΣåáÁ.œ�»‹˜pB ÄŒ� PBÊ@0Æ�ôKğÒhà-h†¤ş[¸ÚÏdà|AO9°ø2D86O�e,{Ğ3�9�‚+ó]&6L�#fˆY&›~Ò£Š(õ‚AßœÂÁIÁ‹uµ�±ú³l¥. H�:�n0�s��)��:�3��������. 0 0 18 18 re W 0.749023 g W endstream endobj 77 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 13.9943 TL social determinants of health screening tools and provide recommendations for implementing screening into clinical settings. f endstream endobj 76 0 obj <>/Subtype/Form/Type/XObject>>stream 0 0 18 18 re Social determinants of health (SDOH) are social and economic factors, such as housing stability, neighbor- ... Carolina started by compiling previously written screening tools, such as Bright Futures Questionnaire, PRA-PARE (Community Health Centers), Accountable Health Community, and the Pregnancy Medical Home Screen. H��� 13.9943 TL /ZaDb 14.532 Tf (4) Tj (4) Tj 13.9943 TL (4) Tj 1 1 16 16 re �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� (4) Tj PowerPoint This infographic explains the value of collecting SDOH data. n H��Wmo�������}�k��;ߋ��NcAp*�������*I��������-��H��D��3��ξM���)LK���i>������2I(0H��a߳D �� ��j0���Tfp�*U��\�U z��̪%\��*˕�+H��F���,��2g�Y�,"��Bk4ѰT��j��G�e�]*���A��J�JY�s�k=;��ޔi�8�2�3�JK�Z���!��M!�2_1�*J��� ��#,�\�_S�)+�V�(�Ѓʲ����+4S�uQY��ڃG�)`�0��6��j|�LK��0T~��P� 2.853 4.081 Td Q OBJECTIVE: To systematically review SDOH screening tools used with children, examine their psychometric properties, and evaluate how they detect early indicators of risk and inform care. %PDF-1.6 %���� CONTEXT: Screening children for social determinants of health (SDOHs) has gained attention in recent years, but there is a deficit in understanding the present state of the science. 0 0 18 18 re q �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 33 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Q 1 1 16 16 re endstream endobj 55 0 obj <>/Subtype/Form/Type/XObject>>stream Assess clients for the following core social determinants of health (CDH). 0.749023 g 1. BT n 2.853 4.081 Td n n screening tools being used in the state (to ensure easier implementation and similar data collection). 13.9943 TL f Following these meetings DHHS conducted a review of best practices related to screening and identifying SDOH and existing screening tools. 13.9943 TL f H��� The state then conducted a literature review, solicited stakeholder … 13.9943 TL ET PopulationHealth.Humana.com #MoreHealthyDays Social Determinants of Health Issue Brief December 2019 3 What SDOH data is available? Standardized Social Determinants of Health Screening Q uestions are an important component of the Department of Health and Human Services’ overall SDOH strategy, which may be released separately. 2.853 4.081 Td This includes societal and environmental conditions such as food, housing, transportation, education, violence, social support, health behaviors and employment. BT W ET The AHC Health-Related Social Needs Screening Tool Based on the recommendations of the TEP, CMS de-veloped a 10-question screening tool (the AHC HRSN screening tool) to identify unmet needs across five core domains. endstream endobj 62 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Social Determinants of Health Screening Tool Sub-workgroup Meeting June 26, 2019 3:30-4:30 PM ET. BT Social Determinants Screening Tool . c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 69 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream BT (4) Tj Several screening instruments can aid physicians in identifying social determinants of health in a primary care setting: 1. W 2.853 4.081 Td f Q W Q f From this research DHHS in collaboration with stakeholders identified four priority domains: 1. /ZaDb 14.532 Tf c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 63 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 13.9943 TL c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 24 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 1 1 16 16 re endstream endobj 58 0 obj <>/Subtype/Form/Type/XObject>>stream /ZaDb 14.532 Tf 0.749023 g The tool also measures health literacy, 6 and the patient’s health and social needs at baseline. 1 1 16 16 re /ZaDb 14.532 Tf W c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 57 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream W When Health Leads launched our Social Needs Screening Toolkit in the summer of 2016, it stood as the lone comprehensive blueprint for health systems seeking to identify and screen patients for adverse social determinants of health.Though a number of basic screening templates were available at the time, the need for a fully-developed toolkit was clear. 1. Q n endstream endobj 29 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 13.9943 TL BT q 2.853 4.081 Td ET c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 72 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Yes No . During the summer of 2017 DHHS met with key stakeholders across North Carolina who were interested in, or already working on, initiatives related to SDOH, learning about best practices and supports needed from the Department to continue their work. f 0 0 18 18 re If you have a college degree, what in? BT n �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� W W BT H��� /ZaDb 14.532 Tf However, no succinct social health screening (SHS) tool exists that has been developed with information from clinicians and patients. Q c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 54 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 60 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 0 0 18 18 re endstream endobj 71 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream H��� f For example, AccessHealth’s tool queries about a patient’s connection to a religious community, which may provide an array of s ocial support s, including transportation. •Screening tools: Accountable Health Communities Screening Tool • CMS developed • 10-item screening tool to identify patient needs in five domains (food security, housing, transportation, utility and safety). 2.853 4.081 Td 0.749023 g endstream endobj 28 0 obj <>/Subtype/Form/Type/XObject>>stream W �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� h�bbd``b`�$��� �c"��eq@\&�,~.M�AE/pN\ � H�!���q� ��0�\ Y��cL�O@�005�?S�� � � endstream endobj startxref 0 %%EOF 127 0 obj <>stream f �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� 0 0 18 18 re 13.9943 TL 1 1 16 16 re 13.9943 TL /ZaDb 14.532 Tf H��� The AHC-HRSN tool draws on evidence from several need-specific assessments, below, which can provide valuable background. W Q W W How would you rate your ability to read? /ZaDb 14.532 Tf These cir- cumstances are shaped by the distribution of money, power and resources at global, national and local lev-els” [1]. q endstream endobj 41 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream H��� Background: Screening for the social determinants of health in clinical practice is still widely debated. c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 48 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream W Slide 2 GENERAL HOUSEKEEPING Please note the following: All participants will be muted on entry To speak to the group, remember to unmute yourself: 1. 0 0 18 18 re 13.9943 TL n endstream endobj 23 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 0.749023 g 0 0 18 18 re 0 0 18 18 re H��� endstream endobj 74 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream n (4) Tj BT c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 51 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Screening for social determinants of health (SDOH), also known as social needs screening, is an increasingly important tool in addressing health equity and barriers to care. 2. 13.9943 TL 2.853 4.081 Td endstream endobj 46 0 obj <>/Subtype/Form/Type/XObject>>stream (4) Tj 1 1 16 16 re Online resources for assessing and measuring Social Determinants of Health Local health departments are increasingly recognizing that we must look not only at health outcomes, but at the root causes of poor health by understanding the social and physical conditions in which people live as measures of community health. 2.853 4.081 Td Please send comments to . c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 42 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 78 0 obj <>stream SCREENING TOOLS FOR SOCIAL DETERMINANTS OF HEALTH Three screening tools can aid physicians in addressing multiple social determinants of health in … (4) Tj BT ET We’re testing to see if systemat ically finding and dealing with the health-related social needs of … 2.853 4.081 Td We at the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (CMMI) made the Accountable Health Communities (AHC) HealthRelated Social - Needs (HRSN) Screening Tool to use in the AHC Model. /ZaDb 14.532 Tf Health-Related Social Needs (HRSN) Screening Tool? q 5. Q OBJECTIVE: To systematically review SDOH screenin g tools used with children, examine their Medicaid.Transformation@dhhs.nc.gov. Social Determinants of Health Assessment Tool To help identify health-related social needs (e.g., food, housing, social isolation, insurance, interpersonal violence, emotional well-being, transportation) in your patients, use this assessment tool to create a social determinants action plan. 0.749023 g q (4) Tj SOCIAL NEED DOMAIN EXAMPLES Childcare Childcare / preschool / after-school programs, prenatal support services, kids clothing and supplies, summer programs Education English as a Second Language (ESL/ESOL), high school equivalency (GED), college training programs, health literacy Employment Under-employment, unemployment, job training Health … ET 0.749023 g q Q Yes No . (4) Tj Q 15 0 obj <> endobj 89 0 obj <>/Filter/FlateDecode/ID[<0CD19EE5E465487DB40BB0C439104AA5><337E4FC8CB84456D817664554A1D1BA2>]/Index[15 113]/Info 14 0 R/Length 102/Prev 913309/Root 16 0 R/Size 128/Type/XRef/W[1 2 1]>>stream As defined by the World Health Or-ganization (WHO), SDoH are “the conditions in which people are born, grow, live, work and age. /ZaDb 14.532 Tf endstream endobj 40 0 obj <>/Subtype/Form/Type/XObject>>stream n �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� BT Efforts to address the social determinants of health focus on the underlying systemic social and economic conditions in which people live that prevent individuals and communities from achieving their highest potential for health. endstream endobj 19 0 obj <>/Subtype/Form/Type/XObject>>stream screening tools for social determinants of health Three screening tools can aid physicians in addressing multiple social determinants of health in a primary care setting. q endstream endobj 20 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream (4) Tj endstream endobj 61 0 obj <>/Subtype/Form/Type/XObject>>stream q �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� H��� ET c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 36 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream health inequities. W If any one or more of the following five CDHs (the “Core 5”) is a “yes” by the client, or if the client is hesitant to answer the Core 5 ET Screening Time CME Course & Tool Finder; Related Resources; Technical Support ; Social Determinants of Health Social Determinants of Health. endstream endobj 50 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 0.749023 g H��� q c����~,8'��2�B/�E���j�̥�p� ��3?�&��0 ��� endstream endobj 45 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream ET endstream endobj 49 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 38 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream endstream endobj 73 0 obj <>/Subtype/Form/Type/XObject>>stream �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� ET n 1 1 16 16 re ET 13.9943 TL 1 1 16 16 re The PRAPARE Implementation and Action Toolkit is designed to provide interested users with the resources, best practices, and lessons learned to guide implementation, data collection, and responses to social determinant needs. 1 1 16 16 re 13.9943 TL /ZaDb 14.532 Tf endstream endobj 56 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 0.749023 g on a social determinants of health screening tool. H��� Usually this data is publicly available at an aggregate level. 0 0 18 18 re W �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� �@����fݽ��]+���]�&`!��/�0S �r��Ź@����{c� The Promoting Health Equity workbook provides tools to develop, implement, and evaluate interventions that target SDOH. /ZaDb 14.532 Tf CONTEXT: Screening children for social determinants of health (SDOHs) has gained attention in abstract recent years, but there is a deficit in understanding the present state of the science. 0 0 18 18 re Interventions to address q (4) Tj
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