Implementing and Sustaining Systematic Social Determinants of Health Screening and Referral to Resources in the Maternity Unit

Document Type

Presentation

Loading...

Media is loading
 

Publication Date

11-8-2023

Comments

Presentation: 49:15

Abstract

Social determinants of health (SDoH) screening is recommended by the American Academy of Pediatrics and the American College of Obstetrics and Gynecology. In pregnant mothers, it can potentially improve the health of two generations by identifying and addressing unmet social needs. However, this practice remains underutilized in most maternity units and NICUs. To address this gap in care, the team aimed to implement systematic screening for SDoH in the maternity unit over a six-month period and sustain the improvement one year later, each to > 80% of mothers admitted for delivery. A quality improvement initiative was conducted from May to October 2021 and again from January to August 2023. Utilizing a standard screening tool and Plan-Do-Study-Act (PDSA) cycles, SDoH screening was integrated into the clinical workflow and sustained through an electronic health record (EHR) transition. The outcome measure was the percentage of mothers screened. Run charts were used to depict screening rates monthly and assess the effect of PDSA cycles. In the first six months, the rates of systematic SDoH screening increased from 0% to 82%. One year later, the median screening rate was sustained at 87%. The number of positive screens ranged from 18% with initial implementation, to 34% with sustained screening one year later. Resources were available in multiple languages along with social worker support to address identified needs. Leveraging existing staff, the SDoH screening intervention was able to implement and sustain systematic screening of mothers admitted to the maternity unit over a period of two years.

Language

English

This document is currently not available here.

Submit Feedback on Presentation

Share

COinS