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Improving Social Risk Factors Screening and Resource Referrals in Hospitalized Pediatric Patients.

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This quality improvement initiative successfully increased social risk factor screening and resource referrals for hospitalized children. Interdisciplinary teamwork and electronic health record interventions improved care for at-risk pediatric patients.

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Area of Science:

  • Pediatric healthcare quality improvement
  • Social determinants of health in children
  • Health informatics in clinical settings

Background:

  • Social risk factors significantly impact pediatric health outcomes.
  • Inpatient settings offer opportunities to screen for and address social needs.
  • Previous referral rates for at-risk pediatric inpatients were 33.8%.

Purpose of the Study:

  • To improve screening and resource referrals for pediatric inpatients facing food, housing, or transportation insecurity.
  • To increase targeted resource referrals from 33.8% to over 50% within two years.
  • To enhance the integration of social risk factor assessment into routine pediatric care.

Main Methods:

  • An interdisciplinary team implemented a quality improvement initiative.
  • Key interventions included multidisciplinary education and electronic health record (EHR) decision support.
  • Daily clinical workflows were adapted to include social risk factor reviews.

Main Results:

  • The percentage of at-risk patients receiving resources increased from 33.8% to 63.4%.
  • The average percentage of screened patients rose from 48.5% to 89.5%.
  • Special cause variation indicated significant improvements in screening and referral rates.

Conclusions:

  • Interdisciplinary collaboration is crucial for addressing social determinants of health in pediatric care.
  • Targeted electronic health record (EHR) interventions effectively improved social risk factor screening.
  • The initiative successfully enhanced resource referral for hospitalized children facing social insecurities.