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SOCIAL DETERMINANTS OF HEALTH SCREENING AND MITIGATION STRATEGIES: A CYSTIC FIBROSIS QUALITY IMPROVEMENT PROCESS
  • +6
  • Deirdre Jennings,
  • Rhonda List,
  • Heather Bruschwein,
  • Martina Compton,
  • Lindsay Somerville,
  • Lauren Williamson,
  • Rachel Murray,
  • Brielle Evangelista,
  • Dana Albon
Deirdre Jennings
University of Virginia Health System

Corresponding Author:[email protected]

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Rhonda List
University of Virginia
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Heather Bruschwein
University of Virginia
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Martina Compton
University of Virginia
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Lindsay Somerville
University of Virginia
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Lauren Williamson
University of Virginia
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Rachel Murray
University of Virginia
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Brielle Evangelista
University of Virginia
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Dana Albon
UVA
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Abstract

Introduction: Lower socioeconomic status is associated with significantly poorer outcomes in weight, lung function, and pulmonary exacerbation rates in People with CF (PwCF). Global aim: We aim to reduce health disparities and inequities faced by PwCF by screening for and addressing unmet social needs. Specific aims: We aimed to increase routine Social Determinants of Health (SDoH) screening of eligible PwCF from 0% to 95% and follow-up within two weeks for those PwCF who screened positive and requested assistance from 0% to 95% by December 31, 2021. Methods: The Model for Improvement methodology was employed. A process map and a simplified failure mode effects analysis chart were created for the screening and SDoH follow-up process. Those who screened positive for SDoH and requested assistance, a follow-up contact was made to offer intervention. Intervention: Adult PwCF who had at least one UVA Clinic encounter in 2021 were screened for SDoH. The SDoH screening tool included eight domains: housing, food, transportation, utilities, health-care access, medication access, income/employment and education. Follow-up was completed with all PwCF who screened positive for SDoH. Results: A total of 132 of 142, (93.0%) PwCF eligible for screening completed the SDoH screening. Of the PwCF who completed screening, 56 (42.4%) screened positive for SDoH. A follow-up rate of 100% was achieved in June 2021 and maintained through December 2021. Conclusion: Implementing screening for SDOH and follow-up to mitigate social difficulties in adult PwCF at UVA was successful and could be reproduced at other CF care center.
16 Mar 2022Submitted to Pediatric Pulmonology
17 Mar 2022Submission Checks Completed
17 Mar 2022Assigned to Editor
20 Mar 2022Reviewer(s) Assigned
05 May 2022Review(s) Completed, Editorial Evaluation Pending
06 May 2022Editorial Decision: Revise Minor
03 Aug 20221st Revision Received
10 Aug 2022Reviewer(s) Assigned
10 Aug 2022Submission Checks Completed
10 Aug 2022Assigned to Editor
22 Aug 2022Review(s) Completed, Editorial Evaluation Pending
23 Aug 2022Editorial Decision: Accept