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Michigan State University

Social determinants of health screening and referral program in an academic primary care clinic : a quality improvement project

Abstract

dc:description

Background: Screening for social determinants of health (SDOH) is critical to meeting the needs of patients and accounts for 30-55% of health outcomes. This indicates overall health is influenced by social factors in addition to healthcare and lifestyle. Screening and addressing SDOH allows healthcare providers to improve health outcomes by promoting healthy lifestyles, advocating for equity, and lowering healthcare costs. Methods: In an academic adult primary care clinic, the SDOH screening process has not been updated since 2016. Screenings were completed 50% of the time and subsequent referrals were not tracked. During this 12-week quality improvement project, the clinic received education, training, and standardized workflow to screen and refer patients. The Donabedian model and the Plan-Do-Study-Act model were used to guide this project. The American Academy of Family Physicians Social Needs Screening Tool was built within the electronic health record for data collection. Results: The average SDOH screening completion rate improved to 73% and referrals were able to be captured. Conclusions: Education and training on the standardized workflow for SDOH screening and referrals resulted in an increase in patient screening and tracking referrals to community resources.

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Herrera, Marissa L.
Contributors dc:contributor
  • Iseler, Jackie

Subjects

dc:subject × 4

Rights

dc:rights
Statement dc:rights
  • In Copyright
Language dc:language
English

Identifiers

dc:identifier.*
Identifier
dnp:26
oclc:1379013184
local:R_1n8dwp8Dvhimv6H
OAI identifier oai:identifier
oai:d.lib.msu.edu:dnp_26

Chain of custody

source
Harvested from
Michigan State University
Base URL
d.lib.msu.edu/oai
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

Herrera, Marissa L.. Social determinants of health screening and referral program in an academic primary care clinic : a quality improvement project. 2023. https://doi.org/doi:10.25335/8hgb-9t17