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Appendix 173 PREPUBLICATION COPYâUncorrected Proofs
TABLE A-1â Social Need Screening Tools Comparison Table 174 Â Medicare Your Total Health Current Health Assessment NAM Life AHC-Tool HealthBegins Leads MLP IHELLP Questionnaire Domains PRAPARE WellRx Situation Number of 19 24 10 10 9 12 17 10 19 social needs questions Number of 8 4 0 0 30 12 4 1 10 non-social needs questions Patient or clinic Medicare Non-specific Non- Non-specific Medicare Non- Community Primary Non-specific population and specific beneficiaries specific Health care Medicaid Centers Reading level 8th grade 11th grade 6th grade 8th grade College 6th grade 8th grade 2nd grade 9th grade Reported NR NR NR NR 10â20 min NR NR NR NR completion time Additional Â Â Â Â Â Â Spanish Spanish Â languages Scoring Y Y N N N N N N N Cost Free Free Free Free Free Free Free Free Free PREPUBLICATION COPYâUncorrected Proofs Benefitsa Â Â Â 1 Â Â Â Â Â Caregiver Â Â Â Â Â Â Â Â 1 responsibilitiesa
Child care Â Â 1 Â Â Â 1 1 1 access and affordabilitya Civic Â 1 Â Â Â Â Â Â Â engagementa Clothinga Â Â Â Â Â Â 1 Â Â Disabilitiesa 2 Â Â Â Â Â Â Â Â Educationa 1 3 Â 1 Â 2 1 1 Â Employmenta 1 1 Â 1 Â Â 1 2 Â FinancialÂ straina 1 2 Â Â Â 1 Â Â 1 Food insecuritya 2 1 1 Â 2 Â 1 1 3 Health care/ Â Â 1 Â Â Â 2 Â 2 medicine access and affordabilitya Housing 1 2 1 2 1 Â 2 1 2 insecurity/ instability/ homelessnessa Housing 1 1 Â 1 1 Â Â Â 1 qualitya Immigration/ Â 1 Â 2 Â Â 2 Â Â PREPUBLICATION COPYâUncorrected Proofs migrant status/ refugee statusa Incarcerationa Â Â Â Â Â Â 1 Â Â Incomea Â Â Â 3 Â 1b 1 Â Â 175 continued
TABLE A-1âContinued 176 Â Medicare Your Total Health Current Health Assessment NAM Life AHC-Tool HealthBegins Leads MLP IHELLP Questionnaire Domains PRAPARE WellRx Situation Interpersonal 4 4 Â 3 Â 4 1 2 3 violencea Literacya Â Â 1 Â Â Â Â Â 1 Neighborhood Â 1 Â Â Â Â 1 1 1 safetya Power of Â Â Â 1 1 Â Â Â Â attorney/ guardianshipa Social supporta 2 5 1 Â 2 4 1 Â 5 Stressa 1 1 Â Â 2 1 1 Â 2 Transportationa 1 1 1 Â Â Â 1 1 2 Utilitiesa 1 Â 1 Â Â Â 2 1 1 Veteran statusa Â Â Â Â Â Â 1 Â Â Health MH, PA, DP, PA Â Â AA, DP, HS, AA, MH, Â AA, SA Â behaviors/ SU MH, PA, TU PA, TU behavioral health/ health PREPUBLICATION COPYâUncorrected Proofs status
Desire for Integrated Integrated 2 stand- Integrated 1 stand-alone Â Â Integrated 2 stand- assistance/ into some into âcivic alone into âImmi- question into some alone urgent needs domains; engagementâ; questions grationâ; see domains; questions see see domain- domain-spe- see domain- domain- specific cific question specific specific question questions questions NOTE: AA = alcohol abuse; AHC = Accountable Health Communities; DP =Â dietary pattern; DU =Â drug use; HC =Â health confidence; HS =Â health/ functional status; MH =Â mental health (including depression); MLP IHELLP = Medical-Legal Partnership Patient Screening Tool; NAM = National Academy of Medicine; NR = not reported;Â NS = non-specified; PA =Â physical activity; PRAPARE = Protocol for Responding to and Assessing Patientsâ Assets, Risks and Experiences; SU = substance use; TU =Â tobacco use. a Number refers to number of screening questions about the specified social need. b Geocoded. SOURCE: UCSF (University of California, San Francisco). SIREN: Social Interventions Research and Evaluation Network. 2019. https://sirenetwork. ucsf.edu. Used with permission from Laura Gottlieb and Caroline Fichtenberg. PREPUBLICATION COPYâUncorrected Proofs 177
178 INTEGRATING SOCIAL CARE INTO THE DELIVERY OF HEALTH CARE REFERENCES Baer, T. E., E. A. Scherer, E W. Fleegler, and A. Hassan. 2015. Food insecurity and the burden of health-related social problems in an urban youth population. Journal of Adolescent Health 57(6):601â607. Gundersen, C., E. E. Engelhard, A. S. Crumbaugh, and H. K. Seligman. 2017. Brief assess- ment of food insecurity accurately identifies high-risk U.S. adults. Public Health and Nutrition 20(8):1367â1371. Hager, E. R., A. M. Quigg, M. M. Black, S. M. Coleman, T. Heeren, R. Rose-Jacobs, J. T. Cook, S. A. Ettinger de Cuba, P. H. Casey, M. Chilton, D. B. Cutts, A. F. Meyers, and D. A. Frank. 2010. Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics 126(1):e26âe32. IOM (Institute of Medicine). 2014. Capturing social and behavioral domains and measures in electronic health records: Phase 2. Washington, DC: The National Academies Press. PREPUBLICATION COPYâUncorrected Proofs