Complying with Joint Commission Health Equity Requirements: Medical-Legal Partnership Data and Health-Related Social Needs
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View abstract on PubMed
Summary
This summary is machine-generated.Medical-legal partnerships (MLPs) help address health-related social needs (HRSNs) by connecting patients with legal resources. Legal referral data can effectively capture HRSNs to meet health equity requirements.
Area Of Science
- Health Services Research
- Public Health
- Health Equity
Background
- Medical-legal partnerships (MLPs) are hospital-based resources addressing patients' health-related legal needs, often linked to health-related social needs (HRSNs).
- These needs include housing insecurity, education, immigration, family law issues, and accessing government benefits.
- The Joint Commission mandates collecting patient-specific HRSN data to address health outcome disparities.
Purpose Of The Study
- To examine the utility of legal referral data from pediatric patients accessing an MLP.
- To assess if this data can fulfill health equity requirements for collecting HRSNs data.
- To analyze trends in legal referrals before and during the COVID-19 pandemic.
Main Methods
- Retrospective analysis of sociodemographic factors, clinical characteristics, and referral reasons for pediatric patients referred to a hospital-based MLP.
- Data collection spanned January 1, 2019, to December 31, 2021, with a distinction between pre-COVID-19 and during-COVID-19 periods.
- Analysis focused on identifying patterns in legal matters and patient demographics.
Main Results
- A total of 628 pediatric patients were referred for 611 legal matters.
- Patients were disproportionately Hispanic/Latino, Black/African American, English-speaking, and publicly insured, often with complex chronic conditions.
- Housing insecurity was the most common referral reason (52.1%), consistent across pre- and during-pandemic periods.
Conclusions
- The majority of MLP referrals for children from underserved populations were for housing insecurity.
- Utilizing legal referral data is a feasible and generalizable strategy for hospitals to collect HRSNs data.
- This approach supports compliance with health equity requirements and addresses disparities in health outcomes.
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