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Implementing Electronic Health Record-Embedded Screening for Distress and Health-Related Social Needs in Oncology
Kerry McMillen1, Karma Lee Kreizenbeck2, Tiffany Ann Go3
1Kerry McMillen.
Implementing distress and health-related social needs (HRSN) screening in cancer care improves patient outcomes. This pilot study standardized screening using electronic health records, identifying common needs like social work and nutrition support.
Area of Science:
- Oncology
- Health Services Research
- Digital Health
Background:
- Distress and unaddressed health-related social needs (HRSN) negatively impact oncology patient outcomes.
- Standardized screening for these issues is crucial for comprehensive cancer care.
Purpose of the Study:
- To pilot an electronic health record-embedded tool for standardizing distress and HRSN screening.
- To assess the adoption rates of this screening tool in a comprehensive cancer center.
Main Methods:
- Implementation of an electronic health record-integrated screening tool across four pilot sites.
- Assessment of screening adoption rates and patient completion via a patient health portal.
- Analysis of common positive screens for distress and HRSN.
Main Results:
- 383 patients completed the distress survey, and 35 completed the HRSN survey.
- The majority of patients utilized the electronic health portal for survey completion.
- Social work and nutrition strain and food insecurity were the most frequent positive screens.
Conclusions:
- Standardized electronic health record-embedded screening for distress and HRSN is feasible.
- This approach can identify critical patient needs in comprehensive cancer centers.
- Lessons learned can guide broader implementation in oncology settings.
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