{"id":{"repo_id":"msu","oai_identifier":"oai:d.lib.msu.edu:dnp_26"},"canonical_url":"https://search.dev.ndltd.org/etd/msu/oai:d.lib.msu.edu:dnp_26","repository":{"repo_id":"msu","name":"Michigan State University","base_url":"https://d.lib.msu.edu/oai"},"display":{"title":"Social determinants of health screening and referral program in an academic primary care clinic : a quality improvement project","abstract":"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.","abstract_html":"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.","abstract_has_math":false,"creators":["Herrera, Marissa L."],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Iseler, Jackie"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2023,"date_issued":"2023","date_published":"2023","updated_at":"2026-07-24T03:16:39Z","subjects":["Health--Social aspects","Patients","Social conditions","Medical care--Needs assessment"],"languages":["English"],"rights":["In Copyright"],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["dnp:26","oclc:1379013184","local:R_1n8dwp8Dvhimv6H"],"render_values":[{"text":"dnp:26","href":null,"code":true},{"text":"oclc:1379013184","href":null,"code":true},{"text":"local:R_1n8dwp8Dvhimv6H","href":null,"code":true}]}]},"links":{"outbound_url":"https://doi.org/doi:10.25335/8hgb-9t17","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Iseler, Jackie"]},{"key":"dc:creator","label":"Author","values":["Herrera, Marissa L."]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2023"]},{"key":"dc:relation","label":"Dc Relation","values":["Doctor of Nursing Practice Projects"]},{"key":"dc:type","label":"Dc Type","values":["Text","Theses"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Health--Social aspects","Patients","Social conditions","Medical care--Needs assessment"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["English"]},{"key":"dc:rights","label":"Dc Rights","values":["In Copyright"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["dnp:26","oclc:1379013184","local:R_1n8dwp8Dvhimv6H","https://doi.org/doi:10.25335/8hgb-9t17"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["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.","Thesis (D.N.P.)--Michigan State University. Clinical Nurse Specialist, 2023","Includes bibliographical references (pages 29-34)"]},{"key":"dc:format","label":"Dc Format","values":["53 pages","application/pdf"]},{"key":"dc:title","label":"Title","values":["Social determinants of health screening and referral program in an academic primary care clinic : a quality improvement project"]}]}],"canonical_facts":{"dc:contributor":["Iseler, Jackie"],"dc:creator":["Herrera, Marissa L."],"dc:date":["2023"],"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.","Thesis (D.N.P.)--Michigan State University. Clinical Nurse Specialist, 2023","Includes bibliographical references (pages 29-34)"],"dc:format":["53 pages","application/pdf"],"dc:identifier":["dnp:26","oclc:1379013184","local:R_1n8dwp8Dvhimv6H","https://doi.org/doi:10.25335/8hgb-9t17"],"dc:language":["English"],"dc:relation":["Doctor of Nursing Practice Projects"],"dc:rights":["In Copyright"],"dc:subject":["Health--Social aspects","Patients","Social conditions","Medical care--Needs assessment"],"dc:title":["Social determinants of health screening and referral program in an academic primary care clinic : a quality improvement project"],"dc:type":["Text","Theses"]},"updated_at":"2026-07-24T03:16:39Z"}