Assessing Implementation of Social Screening Within US Health Care Settings: A Systematic Scoping Review

References

1. 1.↵
   1. Schroeder SA

   . We can do better—improving the health of the American people. N Engl J Med 2007;357:1221–8.

   OpenUrlCrossRefPubMedWeb of Science
2. 2.↵
   1. De Marchis E,
   2. Brown E,
   3. Aceves BA,
   4. et al

   . State of the science on social screening in healthcare settings. San Francisco, CA: Social Interventions Research and Evaluation Network. Available online. June 2022.
3. 3.↵
   1. Fraze TK,
   2. Brewster AL,
   3. Lewis VA,
   4. Beidler LB,
   5. Murray GF,
   6. Colla CH

   . Prevalence of screening for food insecurity, housing instability, utility needs, transportation needs, and interpersonal violence by US physician practices and hospitals. JAMA Netw Open 2019;2:e1911514.

   OpenUrl
4. 4.↵
   FY 2023 IPPS Proposed Rule Home Page. CMS.gov. April 18, 2022. Accessed October 12, 2022. Available at: https://www.cms.gov/medicare/acute-inpatient-pps/fy-2023-ipps-proposed-rule-home-page.
5. 5.↵
   HEDIS MY 2023: See what’s new, what’s changed and what’s retired. NCQA Communications. August 1, 2022. Accessed October 12, 2022. Available at: https://www.ncqa.org/blog/hedis-my-2023-see-whats-new-whats-changed-and-whats-retired/.
6. 6.↵
   New Requirements to Reduce Health Care Disparities. The Joint Commission. June 20, 2022. Accessed October 26, 2022. Available at: https://www.jointcommission.org/-/media/tjc/documents/standards/r3-reports/r3_disparities_july2022-6-20-2022.pdf2022.
7. 7.↵
   1. Gurewich D,
   2. Garg A,
   3. Kressin NR

   . Addressing social determinants of health within healthcare delivery systems: a framework to ground and inform health outcomes. J Gen Intern Med 2020;35:1571–5.

   OpenUrlCrossRefPubMed
8. 8.↵
   1. Garg A,
   2. Brochier A,
   3. Messmer E,
   4. Fiori KP

   . Clinical approaches to reducing material hardship due to poverty: social risks/needs identification and interventions. Acad Pediatr 2021;21:S154–S160.

   OpenUrl
9. 9.↵
   1. Byhoff E,
   2. Gottlieb LM

   . When there is value in asking: an argument for social risk screening in clinical practice. Ann Intern Med 2022;175:1181–2.

   OpenUrlCrossRef
10. 10.↵
    1. Proctor E,
    2. Silmere H,
    3. Raghavan R,
    4. et al

    . Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Adm Policy Ment Health 2011;38:65–76.

    OpenUrlCrossRefPubMed
11. 11.↵
    1. Reilly KL,
    2. Kennedy S,
    3. Porter G,
    4. Estabrooks P

    . Comparing, contrasting, and integrating dissemination and implementation outcomes included in the RE-AIM and implementation outcomes frameworks. Front Public Health 2020;8:430.

    OpenUrl
12. 12.↵
    1. Glasgow RE,
    2. Harden SM,
    3. Gaglio B,
    4. et al

    . RE-AIM planning and evaluation framework: adapting to new science and practice with a 20-year review. Front Public Health 2019;7:64.

    OpenUrl
13. 13.↵
    1. Brownson RC,
    2. Kumanyika SK,
    3. Kreuter MW,
    4. Haire-Joshu D

    . Implementation science should give higher priority to health equity. Implement Sci 2021;16:28.

    OpenUrlCrossRefPubMed
14. 14.↵
    1. Snell-Rood C,
    2. Jaramillo ET,
    3. Hamilton AB,
    4. Raskin SE,
    5. Nicosia FM,
    6. Willging C

    . Advancing health equity through a theoretically critical implementation science. Transl Behav Med 2021;11:1617–25.

    OpenUrlCrossRefPubMed
15. 15.↵
    1. Henrikson NB,
    2. Blasi P,
    3. Dorsey CN

    , et al. Psychometric and pragmatic properties of social risk screening tools: a systematic review. Am J Prev Med 2019;2019; In press.
16. 16.↵
    1. Daundasekara SS,
    2. Schuler BR,
    3. Hernandez DC

    . A latent class analysis to identify socio-economic and health risk profiles among mothers of young children predicting longitudinal risk of food insecurity. PLoS One 2022;17:e0272614.

    OpenUrl
17. 17.↵
    1. Lee CY,
    2. Zhao X,
    3. Reesor-Oyer L,
    4. Cepni AB,
    5. Hernandez DC

    . Bidirectional relationship between food insecurity and housing instability. J Acad Nutr Diet 2021;121:84–91.

    OpenUrl
18. 18.↵
    1. Czapp P,
    2. Kovach K

    . Poverty and health—the family medicine perspective (position paper). American Academy of Family Physicians. Available at: www.aafp.org/about/policies/all/policy-povertyhealth.html. Published 2015. Accessed July 31, 2019.
19. 19.↵
    Council on Community Pediatrics. Poverty and child health in the United States. Pediatrics 2016;137:e20160339.

    OpenUrlCrossRefPubMed
20. 20.↵
    Council on Community Pediatrics. Committee on Nutrition. Promoting food security for all children. Pediatrics 2015;136:e1431–e1438.

    OpenUrlCrossRefPubMed
21. 21.↵
    Institute of Medicine. Capturing social and behavioral domains and measures in electronic health records: phase 1. Washington, DC: The National Academies Press; 2014.
22. 22.↵
    Institute of Medicine. Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2. Washington, DC: The National Academies Press; 2014. Available at: https://doi.org/10.17226/18951.
23. 23.↵
    1. Gottlieb LM,
    2. Tessler S,
    3. Peek ME

    . Why add “Abolition” to the National Academies of Sciences, Engineering, and Medicine’s social care framework. AMA Jrnl of ethics. 2022;24:E170–180.

    OpenUrl
24. 24.↵
    1. Shelton RC,
    2. Chambers DA,
    3. Glasgow RE

    . An extension of RE-AIM to enhance sustainability: addressing dynamic context and promoting health equity over time. Front Public Health 2020;8:134.

    OpenUrl
25. 25.↵
    1. Brown EM,
    2. Loomba V,
    3. De Marchis E,
    4. Aceves B,
    5. Molina M,
    6. Gottlieb LM

    . Patient perspectives on social screening in health care settings: a systematic review of the literature. J Am Board Fam Med 2023;36:66–78.

    OpenUrlAbstract/FREE Full Text
26. 26.↵
    1. Quinones-Rivera A,
    2. Wing HE,
    3. Barr-Walker J,
    4. Yee M,
    5. Harrison JM,
    6. Gottlieb LM

    . Provider impacts of socioeconomic risk screening and referral programs: a scoping review. J Am Board Fam Med 2021;34:820–31.

    OpenUrlAbstract/FREE Full Text
27. 27.↵
    Better systematic review management. 2022. Accessed Octoboer 12, 2022. Available at: https://www.covidence.org/.
28. 28.↵
    1. Levac D,
    2. Colquhoun H,
    3. O'Brien KK

    . Scoping studies: advancing the methodology. Implement Sci 2010;5:69.

    OpenUrlCrossRefPubMed
29. 29.↵
    1. Arksey H,
    2. O'Malley L

    . Scoping studies: towards a methodological framework. Int J Soc Res Methodol 2005;8:19–32.

    OpenUrlCrossRef
30. 30.↵
    PRISMA for Scoping Reviews. 2021. Accessed October 12, 2022. Available at: https://prisma-statement.org/Extensions/ScopingReviews.
31. 31.↵
    1. Bittner JC,
    2. Thomas N,
    3. Correa ET,
    4. Hatoun J,
    5. Donahue S,
    6. Vernacchio L

    . A broad-based approach to social needs screening in a pediatric primary care network. Acad Pediatr 2021;21:694–701.

    OpenUrl
32. 32.↵
    1. Bleacher H,
    2. Lyon C,
    3. Mims L,
    4. Cebuhar K,
    5. Begum A

    . The feasibility of screening for social determinants of health: seven lessons learned. Family practice management 2019;26:13–9.

    OpenUrl
33. 33.↵
    1. Cottrell EK,
    2. Dambrun K,
    3. Cowburn S,
    4. et al

    . Variation in electronic health record documentation of social determinants of health across a national network of community health centers. Am J Prev Med 2019;57:S65–S73.

    OpenUrlCrossRefPubMed
34. 34.↵
    1. Fiori KP,
    2. Heller CG,
    3. Flattau A,
    4. et al

    . Scaling-up social needs screening in practice: a retrospective, cross-sectional analysis of data from electronic health records from Bronx county, New York, USA. BMJ Open 2021;11:e053633.

    OpenUrlAbstract/FREE Full Text
35. 35.↵
    1. Freibott CE,
    2. Beaudin E,
    3. Frazier BJ,
    4. Dias A,
    5. Cooper MR

    . Toward successful and sustainable statewide screening for social determinants of health: testing the interest of hospitals. Population health management 2021;24:567–75.

    OpenUrl
36. 36.↵
    1. Gold R,
    2. Bunce A,
    3. Cowburn S,
    4. et al

    . Adoption of social determinants of health EHR tools by community health centers. Ann Fam Med 2018;16:399–407.

    OpenUrlAbstract/FREE Full Text
37. 37.↵
    1. Murray E,
    2. Roosevelt GE,
    3. Vogel JA

    . Screening for health-related social needs in the emergency department: Adaptability and fidelity during the COVID-19 pandemic. Am J Emerg Med 2022;54:323.e1-323–e4.

    OpenUrl
38. 38.↵
    1. Beck AF,
    2. Klein MD,
    3. Kahn RS

    . Identifying social risk via a clinical social history embedded in the electronic health record. Clin Pediatr (Phila) 2012;51:972–7.

    OpenUrlCrossRefPubMed
39. 39.↵
    1. Buitron de la Vega P,
    2. Losi S,
    3. Sprague Martinez L,
    4. et al

    . Implementing an EHR-based screening and referral system to address social determinants of health in primary care. Med Care 2019;57 Suppl 6 Suppl 2:S133–S139.

    OpenUrl
40. 40.↵
    1. Colvin JD,
    2. Bettenhausen JL,
    3. Anderson-Carpenter KD,
    4. et al

    . Multiple behavior change intervention to improve detection of unmet social needs and resulting resource referrals. Acad Pediatr 2016;16:168–74.

    OpenUrlPubMed
41. 41.↵
    1. Fiori K,
    2. Patel M,
    3. Sanderson D,
    4. et al

    . From policy statement to practice: integrating social needs screening and referral assistance with community health workers in an urban academic health center. J Prim Care Community Health 2019;10:2150132719899207.

    OpenUrlPubMed
42. 42.↵
    1. Higginbotham K,
    2. Davis Crutcher T,
    3. Karp SM

    . Screening for social determinants of health at well-child appointments: a quality improvement project. Nurs Clin North Am 2019;54:141–8.

    OpenUrlPubMed
43. 43.↵
    1. O'Toole JK,
    2. Solan LG,
    3. Burkhardt MC,
    4. Klein MD

    . Watch and learn: an innovative video trigger curriculum to increase resident screening for social determinants of health. Clin Pediatr (Phila) 2013;52:344–50.

    OpenUrlCrossRefPubMed
44. 44.↵
    1. Patel M,
    2. Bathory E,
    3. Scholnick J,
    4. White-Davis T,
    5. Choi J,
    6. Braganza S

    . Resident documentation of social determinants of health: effects of a teaching tool in the outpatient setting. Clin Pediatr (Phila) 2018;57:451–6.

    OpenUrlPubMed
45. 45.↵
    1. Power-Hays A,
    2. Li S,
    3. Mensah A,
    4. Sobota A

    . Universal screening for social determinants of health in pediatric sickle cell disease: a quality-improvement initiative. Pediatr Blood Cancer 2020;67:e28006.
46. 46.↵
    1. Sand KA

    . Linking underserved patients to social services using the SScAR tool. J Dr Nurs Pract 2021.
47. 47.↵
    1. Schwartz B,
    2. Herrmann LE,
    3. Librizzi J,
    4. et al

    . Screening for social determinants of health in hospitalized children. Hosp Pediatr 2020;10:29–36.

    OpenUrlCrossRefPubMed
48. 48.↵
    1. Silva B,
    2. Kamath S,
    3. Panicker C,
    4. et al

    . Comparison of resident and faculty screening for social determinants of health in an academic pediatric primary care practice. Rhode Island medical journal (2013) 2021;104:33–7.

    OpenUrl
49. 49.↵
    1. Vasan A,
    2. Kenyon CC,
    3. Palakshappa D

    . Differences in pediatric residents' social needs screening practices across health care settings. Hosp Pediatr 2020;10:443–6.

    OpenUrlCrossRefPubMed
50. 50.↵
    1. Wallace AS,
    2. Luther B,
    3. Guo JW,
    4. Wang CY,
    5. Sisler S,
    6. Wong B

    . Implementing a social determinants screening and referral infrastructure during routine emergency department visits, Utah, 2017–2018. Prev Chronic Dis 2020;17:E45.

    OpenUrl
51. 51.↵
    1. Wallace AS,
    2. Luther BL,
    3. Sisler SM,
    4. Wong B,
    5. Guo J-W

    . Integrating social determinants of health screening and referral during routine emergency department care: evaluation of reach and implementation challenges. Implement Sci Commun 2021;2:114.

    OpenUrl
52. 52.↵
    1. Sokol RL,
    2. Ammer J,
    3. Stein SF,
    4. Trout P,
    5. Mohammed L,
    6. Miller AL

    . Provider perspectives on screening for social determinants of health in pediatric settings: a qualitative study. J Pediatr Health Care 2021;35:577–86.

    OpenUrlPubMed
53. 53.↵
    1. Oldfield BJ,
    2. Casey M,
    3. DeCew A,
    4. Morales SI,
    5. Olson DP

    . Screening for social determinants of health among children: patients' preferences for receiving information to meet social needs and a comparison of screening instruments. Popul Health Manag 2021;24:141–8.

    OpenUrlPubMed
54. 54.↵
    1. Page-Reeves J,
    2. Kaufman W,
    3. Bleecker M,
    4. et al

    . Addressing Social determinants of health in a clinic setting: the WellRx pilot in Albuquerque, New Mexico. J Am Board Fam Med 2016;29:414–8.

    OpenUrlAbstract/FREE Full Text
55. 55.↵
    1. Palakshappa D,
    2. Benefield AJ,
    3. Furgurson KF,
    4. et al

    . Feasibility of mobile technology to identify and address patients' unmet social needs in a primary care clinic. Popul Health Manag 2021;24:385–92.

    OpenUrl
56. 56.↵
    1. LaForge K,
    2. Gold R,
    3. Cottrell E,
    4. et al

    . How 6 organizations developed tools and processes for social determinants of health screening in primary care: an overview. J Ambul Care Manage 2018;41:2–14.

    OpenUrlCrossRefPubMed
57. 57.↵
    1. Morgenlander MA,
    2. Tyrrell H,
    3. Garfunkel LC,
    4. Serwint JR,
    5. Steiner MJ,
    6. Schilling S

    . Screening for social determinants of health in pediatric resident continuity clinic. Acad Pediatr 2019;19:868–74.

    OpenUrl
58. 58.↵
    1. Kim J,
    2. Pacino V,
    3. Wang H,
    4. et al

    . System redesign: the value of a primary care liaison model to address unmet social needs among older primary care patients. IJERPH 2021;18:11135.

    OpenUrl
59. 59.↵
    1. Kocielnik R,
    2. Agapie E,
    3. Argyle A,
    4. et al

    . HarborBot: a chatbot for social needs screening. AMIA Annu Symp Proc. 2019; University of Washington, WA, Ghana:552–61.
60. 60.↵
    1. Garg A,
    2. Butz AM,
    3. Dworkin PH,
    4. Lewis RA,
    5. Thompson RE,
    6. Serwint JR

    . Improving the management of family psychosocial problems at low-income children's well-child care visits: the WE CARE Project. Pediatrics 2007;120:547–58.

    OpenUrlCrossRefPubMedWeb of Science
61. 61.↵
    1. Godecker AL,
    2. Harrison PA,
    3. Sidebottom AC

    . Nurse versus community health worker identification of psychosocial risks in pregnancy through a structured interview. J Health Care Poor Underserved 2013;24:1574–85.

    OpenUrl
62. 62.↵
    1. Gottlieb L,
    2. Hessler D,
    3. Long D,
    4. Amaya A,
    5. Adler N

    . A randomized trial on screening for social determinants of health: the iScreen study. Pediatrics 2014;134:e1611–e1618.

    OpenUrlCrossRefPubMed
63. 63.↵
    1. Greenwood-Ericksen M,
    2. DeJonckheere M,
    3. Syed F,
    4. Choudhury N,
    5. Cohen AJ,
    6. Tipirneni R

    . Implementation of health-related social needs screening at Michigan health centers: a qualitative study. Ann Fam Med 2021;19:310–7.

    OpenUrlAbstract/FREE Full Text
64. 64.↵
    1. Jones LM,
    2. Nolte K,
    3. O'Brien AJ,
    4. Trumbell JM,
    5. Mitchell KJ

    . Factors related to providers screening children for behavioral health risks in primary care settings. J Pediatr Nurs 2021;59:37–44.

    OpenUrlPubMed
65. 65.↵
    1. Drake C,
    2. Batchelder H,
    3. Lian T,
    4. et al

    . Implementation of social needs screening in primary care: a qualitative study using the health equity implementation framework. BMC health Serv Res 2021;21:975.

    OpenUrlCrossRefPubMed
66. 66.↵
    1. Drake C,
    2. Reiter K,
    3. Weinberger M,
    4. et al

    . The direct clinic-level cost of the implementation and use of a protocol to assess and address social needs in diverse community health center primary care clinical settings. J Health Care Poor Underserved 2021;32:1872–88.

    OpenUrl
67. 67.↵
    1. Emengo VN,
    2. Williams MS,
    3. Odusanya R,
    4. et al

    . Qualitative program evaluation of social determinants of health screening and referral program. PLoS ONE 2020;15:e0242964.

    OpenUrl
68. 68.↵
    1. Broaddus-Shea ET,
    2. Fife Duarte K,
    3. Jantz K,
    4. Reno J,
    5. Connelly L,
    6. Nederveld A

    . Implementing health-related social needs screening in western Colorado primary care practices: qualitative research to inform improved communication with patients. Health Social Care Comm 2022;30:e3075–e3085.

    OpenUrl
69. 69.↵
    1. Browne J,
    2. McCurley JL,
    3. Fung V,
    4. Levy DE,
    5. Clark CR,
    6. Thorndike AN

    . Addressing social determinants of health identified by systematic screening in a Medicaid accountable care organization: a qualitative study. J Prim Care Community Health 2021;12:2150132721993651.

    OpenUrl
70. 70.↵
    1. Byhoff E,
    2. Cohen AJ,
    3. Hamati MC,
    4. Tatko J,
    5. Davis MM,
    6. Tipirneni R

    . Screening for social determinants of health in Michigan health centers. J Am Board Fam Med 2017;30:418–27.

    OpenUrlAbstract/FREE Full Text
71. 71.↵
    1. Chisolm DJ,
    2. Brook DL,
    3. Applegate MS,
    4. Kelleher KJ

    . Social determinants of health priorities of state Medicaid programs. BMC health Serv Res 2019;19:167.

    OpenUrl
72. 72.↵
    1. Berry C,
    2. Paul M,
    3. Massar R,
    4. Marcello RK,
    5. Krauskopf M

    . Social needs screening and referral program at a large US public hospital system, 2017. Am J Public Health 2020;110:S211–S214.

    OpenUrlCrossRef
73. 73.↵
    1. Hall WJ,
    2. Chapman MV,
    3. Lee KM,
    4. et al

    . Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a systematic review. Am J Public Health 2015;105:e60–e76.

    OpenUrlCrossRefPubMed
74. 74.↵
    1. Nguyen C,
    2. Popescu F,
    3. Sommer EC,
    4. Adams LB,
    5. Barkin S

    . The utility of the Brokamp Area Deprivation Index as a prescreen for social risk in primary care. J Pediatr 2022;249:43–9.

    OpenUrl
75. 75.↵
    Screening Implementation Tools. Social interventions research & evaluation network. 2022. Accessed October 12, 2022. Available at: https://sirenetwork.ucsf.edu/taxonomy/term/284.
76. 76.↵
    1. Munn Z,
    2. Peters MDJ,
    3. Stern C,
    4. Tufanaru C,
    5. McArthur A,
    6. Aromataris E

    . Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol 2018;18:143.

    OpenUrlPubMed