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The Social Risk ACTIONS Framework: Characterizing Responses to Social Risks by Health Care Delivery Organizations.

Mayuree Rao1,2,3, Matthew L Maciejewski4,5,6, Karin Nelson1,2,3

  • 1Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington, USA.

Population Health Management
|November 25, 2024
PubMed
Summary
This summary is machine-generated.

Healthcare organizations can now use the Social Risk ACTIONS framework to address social determinants of health. This structured approach helps identify and implement effective interventions for patient social risks after screening.

Keywords:
frameworksocial determinants of healthsocial needssocial risks

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Area of Science:

  • Health Services Research
  • Social Determinants of Health
  • Healthcare Management

Background:

  • Social risks, influenced by social determinants of health, significantly impact patient outcomes.
  • Healthcare organizations screen for social risks but lack comprehensive frameworks to address them post-screening.
  • Existing approaches do not fully classify how healthcare systems can act on identified social risks.

Purpose of the Study:

  • To introduce the Social Risk ACTIONS framework for classifying healthcare organizations' responses to social risks.
  • To provide a structured method for health care leaders to assess and expand social risk intervention strategies.
  • To address the gap in comprehensive frameworks for managing social risks in clinical settings.

Main Methods:

  • Development of the Social Risk ACTIONS framework with four dimensions: Level of action, Actor, Purpose of action, and Action.
  • Classification of social risk actions across organizational levels (patient encounter, practice/institution, community).
  • Identification of diverse actors (clinicians, leaders, researchers) and purposes (relationship building, care tailoring, risk modification, population health, research, advocacy).

Main Results:

  • The Social Risk ACTIONS framework categorizes interventions based on level, actor, and purpose.
  • The framework was applied to food insecurity and homelessness, demonstrating its practical utility.
  • It offers a systematic way for healthcare organizations to evaluate and enhance their social risk management strategies.

Conclusions:

  • The Social Risk ACTIONS framework provides a novel, actionable structure for healthcare organizations to address social risks.
  • It enables leaders to identify opportunities for improving patient care and population health outcomes.
  • Further validation with patients, clinicians, and leaders, including implementation challenges, is recommended.