Table 3.
Questionnaire template | Content area | Administered questionnairesa, completed, n (%) | ||
Social support | ||||
|
Nursing assessment (nb=1,026,988) | Psychological-social relationship | 944,829 (92.00) | |
|
Emergency department assessment | |||
|
|
Head-to-toe (n=237,143) | Psychological-social relationship | 92,486 (39.00) |
|
|
Nursing 1 (n=217,954) | Psychological-social relationship | 204,877 (94.00) |
|
|
Nursing 2 (n=278,084) | Psychological-social relationship | 169,631 (61.00) |
|
|
Pediatrics (n=131,134) | Psychological-social relationship | 93,105 (71.00) |
|
|
Social work suicide/homicide (n=15,101) | Relationship and social support status | 14,648 (97.00) |
|
|
Social work (n=14,481) | Support system’s name and information | 12,743 (88.00) |
|
Operation room and post anesthesia care unit flowsheet (n=147,694) | Psychological-social relationship | 82,709 (56.00) | |
|
Inpatient | |||
|
|
Occupational therapy new home setup (n=131,948) | Social support available at discharge | 47,501 (36.00) |
|
|
Obstetrics postpartum assessment (n=135,587) | Recent loss or change in status | 120,672 (89.00) |
|
|
Spiritual care interventions (n=116,719) | Spiritual/social network | 68,864 (59.00) |
|
Pediatrics screening (n=144,659) | Personal-social relationship or socially withdrawn and decreased interaction | 85,349 (59.00) | |
|
Social history; screening, brief intervention, and referral to treatment (n=2015) | Marital status/need to improve relationships with family/social network and participation in social activities | 1995 (99.00) | |
Housing issues | ||||
|
Housing/utility voucher (n=217) | Housing assistance screening and referral | 97 (44.00) | |
|
Abuse/neglect screen (n=12,058) | Homelessness assessment | 11,575 (96.00) | |
|
Social history questionnaire (n=1900) | Screening for assistance with finding housing | 1824 (96.00) | |
|
Emergency department triage abuse indicators and resource planning (n=713,702) | Information on shelter, transportation, and clothing | 39,254 (5.50) | |
|
Chemical dependence unit admission screen (n=15,056) | Homelessness | 2258 (15.00) | |
|
Ambulatory priority access primary care screen (n=1116) | Housing situation | 78 (7.00) | |
|
Adult admission general intake form (n=77,230) | Homelessness | 27030 (35.00) | |
|
Pediatric/newborn general intake form (n=1067) | Homelessness | 587 (55.00) | |
|
Psychiatry social work assessment (n=4913) | Living arrangement | 4422 (90.00) |
aRepresents completed questionnaires (count and % of answered questions related to social and behavioral domain of interest). The timeframe for questionnaires was January 1, 2003 to June 26, 2018, with approximately 5.4 million unique patients.
bRepresents total number of questionnaires available on electronic health record.