TABLE 2.
Rates of Screening and Risks Identified, Referrals, Discharge Communication, and Hospital Utilization Pre and PostImplementation: Social Risk Screening in an Inpatient Community Hospital Setting
| PreImplementation (n = 232) | PostImplementation (n = 218) | P | |
|---|---|---|---|
| Any screening performed | 218 (94.0) | 152 (69.7) | <.001 |
| Number of domains screened | 1 [1–1] | 6 [0–6] | <.001 |
| Comprehensive screening for ≥5 domains | 0 (0) | 151 (69.3) | <.001 |
| Any risks identified | 18 (7.8) | 38 (17.4) | <.01 |
| Food | |||
| Screening | 9 (3.9) | 151 (69.3) | <.001 |
| Risks identified | 2 (0.9) | 11 (5.0) | .02 |
| Housing | |||
| Screening | 0 (0) | 151 (69.3) | <.001 |
| Risks identified | 7 (3.0) | 13 (6.0) | .20 |
| Safety | |||
| Screening | 218 (94.0) | 145 (66.5) | <.001 |
| Risks identified | 6 (2.6) | 12 (5.5) | .18 |
| Finances | |||
| Screening | 0 (0) | 151 (69.3) | <.001 |
| Risks identified | 6 (2.6) | 19 (8.7) | <.01 |
| Transportation | |||
| Screening | 0 (0) | 150 (68.8) | <.001 |
| Risks identified | 0 (0) | 8 (3.7) | .01 |
| Education | |||
| Screening | 0 (0) | 149 (68.3) | <.001 |
| Risks identified | 5 (2.2) | 5 (2.3) | 1 |
| Utilities | |||
| Screening | 0 (0) | 37 (17.0) | <.001 |
| Risks identified | 0 (0) | 1 (0.5) | .98 |
| Childcare | |||
| Screening | 0 (0) | 0 (0) | 1 |
| Risks identified | 1 (0.4) | 2 (0.9) | .96 |
| SW consults completed | 13 (5.6) | 30 (13.8) | <.01 |
| Time to SW consult, h | 25 [21–45] | 19 [12–26] | .03 |
| Community resource referrals made | 8 (3.4) | 16 (7.3) | 0.1 |
| Communication of social risks in discharge summaries | 19 (8.2) | 102 (46.8) | <.001 |
| 30-d readmission | 10 (4.3) | 9 (4.1) | 1 |
| 60-d readmission | 10 (4.3) | 12 (5.5) | .71 |
| 30-d ED revisit | 15 (6.5) | 22 (10.1) | .22 |
| 60-d ED revisit | 21 (9.1) | 30 (13.8) | .15 |
ED, emergency department; SW, social work.
Reported as median [25% to 75%] or n (%).