TABLE A-1
Social Need Screening Tools Comparison Table
AHC-Tool | HealthBegins | Health Leads | |||||||
---|---|---|---|---|---|---|---|---|---|
Number of social needs questions | 19 | 24 | 10 | ||||||
Number of non-social needs questions | 8 | 4 | 0 | ||||||
Patient or clinic population | Medicare and Medicaid | Non-specific | Non-specific | ||||||
Reading level | 8th grade | 11th grade | 6th grade | ||||||
Reported completion time | NR | NR | NR | ||||||
Additional languages | |||||||||
Scoring | Y | Y | N | ||||||
Cost | Free | Free | Free | ||||||
Benefitsa | |||||||||
Caregiver responsibilitiesa | |||||||||
Child care access and affordabilitya | 1 | ||||||||
Civic engagementa | 1 | ||||||||
Clothinga | |||||||||
Disabilitiesa | 2 | ||||||||
Educationa | 1 | 3 | |||||||
Employmenta | 1 | 1 | |||||||
Financial straina | 1 | 2 | |||||||
Food insecuritya | 2 | 1 | 1 | ||||||
Health care/medicine access and affordabilitya | 1 | ||||||||
Housing insecurity/instability/homelessnessa | 1 | 2 | 1 | ||||||
Housing qualitya | 1 | 1 | |||||||
Immigration/migrant status/refugee statusa | 1 | ||||||||
Incarcerationa | |||||||||
Incomea | |||||||||
Interpersonal violencea | 4 | 4 | |||||||
Literacya | 1 | ||||||||
Neighborhood safetya | 1 | ||||||||
Power of attorney/guardianshipa | |||||||||
Social supporta | 2 | 5 | 1 | ||||||
MLP IHELLP | Medicare Total Health Assessment Questionnaire | NAM Domains | PRAPARE | WellRx | Your Current Life Situation |
---|---|---|---|---|---|
10 | 9 | 12 | 17 | 10 | 19 |
0 | 30 | 12 | 4 | 1 | 10 |
Non-specific | Medicare beneficiaries | Non-specific | Community health centers | Primary care | Non-specific |
8th grade | College | 6th grade | 8th grade | 2nd grade | 9th grade |
NR | 10–20 min | NR | NR | NR | NR |
Spanish | Spanish | ||||
N | N | N | N | N | N |
Free | Free | Free | Free | Free | Free |
1 | |||||
1 | |||||
1 | 1 | 1 | |||
1 | |||||
1 | 2 | 1 | 1 | ||
1 | 1 | 2 | |||
1 | 1 | ||||
2 | 1 | 1 | 3 | ||
2 | 2 | ||||
2 | 1 | 2 | 1 | 2 | |
1 | 1 | 1 | |||
2 | 2 | ||||
1 | |||||
3 | 1b | 1 | |||
3 | 4 | 1 | 2 | 3 | |
1 | |||||
1 | 1 | 1 | |||
1 | 1 | ||||
2 | 4 | 1 | 5 | ||
AHC-Tool | HealthBegins | Health Leads | |
---|---|---|---|
Stressa | 1 | 1 | |
Transportationa | 1 | 1 | 1 |
Utilitiesa | 1 | 1 | |
Veteran statusa | |||
Health behaviors/behavioral health/health status | MH, PA, SU | DP, PA | |
Desire for assistance/urgent needs | Integrated into some domains; see domain-specific questions | Integrated into “civic engagement”; see domain-specific question | 2 stand-alone questions |
NOTE: AA = alcohol abuse; AHC = Accountable Health Community; DP = dietary pattern; HS = health/functional status; MH = mental health (including depression); MLP IHELLP = Medical-Legal Partnership Patient Screening Tool; NAM = National Academy of Medicine; NR = not reported; PA = physical activity; PRAPARE = Protocol for Responding to and
Assessing Patients’ Assets, Risks and Experiences; SA = substance abuse; SU = substance use; TU = 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 (accessed April 4, 2019). Used with permission from Laura Gottlieb and Caroline Fichtenberg.
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):601–607.
Gundersen, C., E. E. Engelhard, A. S. Crumbaugh, and H. K. Seligman. 2017. Brief assessment of food insecurity accurately identifies high-risk U.S. adults. Public Health and Nutrition 20(8):1367–1371.
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):e26–e32.
IOM (Institute of Medicine). 2014. Capturing social and behavioral domains and measures in electronic health records: Phase 2. Washington, DC: The National Academies Press.
MLP IHELLP | Medicare Total Health Assessment Questionnaire | NAM Domains | PRAPARE | WellRx | Your Current Life Situation | ||||
---|---|---|---|---|---|---|---|---|---|
2 | 1 | 1 | 2 | ||||||
1 | 1 | 2 | |||||||
2 | 1 | 1 | |||||||
1 | |||||||||
A, DP, HS, MH, PA, TU | A, MH, PA, TU | A, SA | |||||||
Integrated into “immigration”; see domain-specific question | 1 stand-alone question | Integrated into some domains; see domain-specific questions | 2 standalone questions | ||||||
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