NCT03973346

Impact of Social Risk Decision Support

Improving Population and Clinical Health With Integrated Services and Advanced Analytics

• Status: Withdrawn
• Phase: N/A
• Study type: Interventional
• Enrollment: 0 (actual)
• Sponsor: Indiana University · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Accepted

Summary

The purpose of this study is to determine the impact of embedding a risk-stratification tool, designed to identify patient needs for services that address social determinant of health related needs, in a commercial electronic health record system (EHR).

Detailed description

Social determinant of health related needs and social risk factors complicate care delivery and drive health and well-being. Social needs are common among undeserved patient populations, but health care providers are often not equipped to routinely identify and address patients in need. Using a combination of health information exchange, electronic health record, and aggregate datasets the investigators developed predictive algorithms to identify patients a highest risk for a need for a referral to a social worker, dietitian, behavioral health, or other wraparound service provider. Risk scores are available to primary care providers in two ways within the electronic health record system (EHR): 1) a graphical summary of individual risk or 2) a line listing of all scheduled patients. The investigators are introducing the risk-stratification tool in an urban safety-net primary care provider on a voluntary usage basis.

Conditions

• Health Social Determinant

Interventions

Type	Name	Description
OTHER	Risk screening tool exposure	Risk screening tool is available to providers

Timeline

• Start date: 2019-06-01
• Primary completion: 2020-12-31
• Completion: 2020-12-31
• First posted: 2019-06-04
• Last updated: 2021-02-10

Locations

1 site across 1 country: United States