Implementing Inpatient Social Needs Screening in an Urban Tertiary Care Children's Hospital.

Autor:	Islam F; Department of Pediatrics, Children's Hospital at Montefiore, Montefiore Medical Center.; Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey., Fiori KP; Department of Pediatrics.; Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, New York., Rinke ML; Department of Pediatrics, Children's Hospital at Montefiore, Montefiore Medical Center., Acholonu R; Department of Pediatrics, Children's Hospital at Montefiore, Montefiore Medical Center., Luke MJ; Department of Pediatrics, Children's Hospital at Montefiore, Montefiore Medical Center., Cabrera KI; Department of Pediatrics, Children's Hospital at Montefiore, Montefiore Medical Center., Chandhoke S; Department of Pediatrics, Children's Hospital at Montefiore, Montefiore Medical Center., Friedland SE; Department of Pediatrics, Children's Hospital at Montefiore, Montefiore Medical Center., McKenna KJ; Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, New York., Braganza SF; Department of Pediatrics.; Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, New York., Philips K; Department of Pediatrics, Children's Hospital at Montefiore, Montefiore Medical Center.; Department of Pediatrics, Hackensack Meridian Children's Health, Hackensack School of Medicine, Hackensack, New Jersey.
Jazyk:	angličtina
Zdroj:	Hospital pediatrics [Hosp Pediatr] 2024 Jun 01; Vol. 14 (6), pp. 480-489.
DOI:	10.1542/hpeds.2023-007486
Abstrakt:	Background and Objectives: The American Academy of Pediatrics recommends screening for unmet social needs, and the literature on inpatient screening implementation is growing. Our aim was to use quality improvement methods to implement standardized social needs screening in hospitalized pediatric patients. Methods: We implemented inpatient social needs screening using the Model for Improvement. An interprofessional team trialed interventions in a cyclical manner using plan-do-study-act cycles. Interventions included a structured screening questionnaire, standardized screening and referrals workflows, electronic health record (EHR) modifications, and house staff education, deliberate practice, and feedback. The primary outcome measure was the percentage of discharged patients screened for social needs. Screening for social needs was defined as a completed EHR screening questionnaire or a full social work evaluation. Process and balancing measures were collected to capture data on screening questionnaire completion and social work consultations. Data were plotted on statistical process control charts and analyzed for special cause variation. Results: The mean monthly percentage of patients screened for social needs improved from 20% at baseline to 51% during the intervention period. Special cause variation was observed for the percentage of patients with completed social needs screening, EHR-documented screening questionnaires, and social work consults. Conclusions: Social needs screening during pediatric hospitalization can be implemented by using quality improvement methods. The next steps should be focused on sustainability and the spread of screening. Interventions with greater involvement of interdisciplinary health care team members will foster process sustainability and allow for the spread of screening interventions to the wider hospitalized pediatric population. (Copyright © 2024 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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