Table 1.

Summary of 3 Hawai‘i Healthcare System Initiatives to Collect Social and Interpersonal Needs as Part of Clinical Care

Care Delivery System	Initiative	Why	What	How	Desired Outcome
Kaiser Permanente Hawai‘i (a nonprofit, integrated group-model healthcare delivery system)	Social Wellbeings' Impact to Care & Health (SWITCH) Program	To address the social needs of critically ill seniors	Added social determinants of health along with dedicated social workers to address needs	Extended to more clinics following pilot	Better patient health, better patient satisfaction, better provider satisfaction
Hawai‘i Pacific Health (a nonprofit healthcare collaborative)	EHR optimization to best incorporate Social Behavioral Domains	To discretely report on SBD measures in order to study their relationship with common acute care outcomes (including Length of Stay and Readmissions).	Added a data fields as an integrated part of software upgrades and quality improvement efforts	Leveraged existing improvement efforts for minimal disruption to staff workflow	Provide actionable data to frontline staff for improved patient care
Queen's Health Systems (a nonprofit healthcare organization)	Implemented the Accountable Health Communities' Health-Related Social Needs Screening Tool, LACE Index, and an artificial intelligence-based prediction tool	To understand these 5 domains of social needs, and identify those patients who likely need additional healthcare services	Added screener and prediction tools to EHR, allowing the healthcare team to identify high risk patients and provide customized services	Integrated in the EHR and administered during primary care visits or during hospital or ED admissions.	Better patient health, better patient satisfaction, better provider satisfaction