A selection of tools and resources for health center use
Screening Tools & Resources
A growing number of health centers systematically screen patients for the non-clinical barriers that interfere with their patients' ability to lead healthy, productive lives. Some clinics screen their entire patient population, and others prefer to focus on a smaller subset of patients like those with uncontrolled chronic conditions.
Screening and Workflow Tools to Consider
OPCA created Empathic Inquiry a patient-centered approach for social needs screening based off of 9 Patient Centered Principles for Social Needs Screening
In partnership with the NACHC and AAPCHO, OPCA has developed a screening tool - Protocol for Responding to and Assessing Patients' Assets, Risks and Experiences (PRAPARE) to use in learning more about a patient’s context. To learn about the screening tool and it's implementation toolkit visit: http://www.nachc.org/research-and-data/prapare/
OPCA Workflow Builder
Data and Clinical Workflow Crosswalk
Sample workflow alternatives to screen patients for SDH:
- Social Interventions Reseach & Evaluation Network created a guide called Community Resource Referral Platforms: A Guide for Health Care Organizations of emerging technology platforms for refering patients to social service organizations
Data Collection Tool
- OPCA crosswalked ICD-10 Z codes and PRAPARE questions to help clinical teams add information from social screening to the problem list and EMR for claims and/or population health management.
- PRAPARE Social Needs Data Dashboard Sample
Tools & Resources for CHC-Community Partnerships
- Medical-Legal Partnerships integrates legal care into primary care to improve health. As the website notes, "Many of [the social determinants] can be traced to laws that are unfairly applied or under-enforced, often leading to the improper denial of services and benefits that are designed to help vulnerable people.”
- Reach Out and Read - "prescribe a book, change a life" - promotes early literacy and school readiness in primary care. The organization has an Oregon chapter.
- Oregon Food Bank - The Oregon Food Bank partners with clinics and health systems to implement a validated two-question food security screening questionnaire. They provide options for assisting food insecure patients with connections to local food and nutrition resources through multilingual tools that can be integrated into your electronic health record. For materials tailored to your region, contact Lynn Knox, clinical outreach & training coordinator.
- Partners for a Hunger-Free Oregon is a statewide organization that works with communities to end hunger before it begins. They provide resources, technical assistance for medical providers, and educational opportunities.