Social Determinants of Health Screening and Interventions (SDOH)

Patient Perceptions of Care: The Effects of Social Determinants of Health

The primary objective of this study is to connect patients with community resources to improve social determinants of health. Secondary objectives are improving patient satisfaction within the trauma and general surgery service, enhancement of physician-patient communication, betterment of surgery department Hospital Consumer Assessment of Healthcare Providers and Systems scores, and increased understanding of correlations between patient satisfaction and social determinants of health.

The investigators hypothesize that (1) directed screening and intervention can have a positive effect for patients and hospitals, (2) directed patient advocacy will have an effect on patients' perception of care, (2) social determinants of health will have an effect on patients' perception of care, and (4) traumatic injury and acute surgery will have an effect on patients' perception of care.

Study Overview

• Status: Unknown
• Conditions: Quality of Life; Patient Satisfaction; Social Determinants of Health
• Intervention / Treatment: Other: Social Determinants of Health Referrals

Detailed Description

The investigators will be conducting this study as a prospective, non-randomized quality improvement study that will look at patients 18 years of age and older who are admitted under the trauma and general surgery specialties. Patients will be identified through admission to the trauma or general surgery service or referred to surgery services.

Eligible patients will be identified and approached by the study team. Once the informed consent is completed, patients will be given a Social Determinants of Health Screening Tool, an Hospital Consumer Assessment of Healthcare Providers and Systems Feedback Tool, and an short form health survey (SF-12) Quality of Life Questionnaire. Feedback from the Hospital Consumer Assessment of Healthcare Providers and Systems results will be given immediately to the relevant teams (nurses, doctors, etc.) to address the patient's concerns. Prior to discharge, the patients will also be given referrals to designated community resources. On day 15 (+/- 7 days) after discharge, the patients will receive a follow up phone call where they will be asked if they have utilized the Social Determinants of Health Referrals. Participants will also be given a second Hospital Consumer Assessment of Healthcare Providers and Systems Feedback Survey at this time. On day 30 (+/- 7 days) after discharge, the patients will receive a follow up phone call where the participants will be asked if they utilized the Social Determinants of Health Referrals. Participants will also be given a second short form health survey (SF-12) Quality of Life Survey at this time.

• Study Type: Interventional
• Enrollment (Anticipated): 300
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Ohio
    • Toledo, Ohio, United States, 43614
      • University of Toledo Medical Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• 18 years of age or older
• Admitted to the trauma or general surgery services
• Live within Lucas County (for county referrals)
• Patient or legally authorized representative agrees to participate and is willing to sign informed consent

Exclusion Criteria:

• Anyone less than 18 years old
• Any patient or legally authorized representative unwilling to sign informed consent
• Anyone who lives outside of Lucas County or expresses unwillingness to use referral services

Study Plan

How is the study designed?

Design Details

• Primary Purpose: OTHER
• Allocation: NA
• Interventional Model: SINGLE_GROUP
• Masking: NONE

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Social Determinants of Health; Intervention will be the Social Determinants of Health Referrals.	Other: Social Determinants of Health Referrals; Patients who screen positive for any of the Social Determinants of Health will be given information for referral to any of the community resources that apply to their situation.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patient Satisfaction Questionnaire	evaluation of patient satisfaction of hospital and staff by patient questionnaire, abbreviated hospital consumer assessment of healthcare providers and system (HCAHPS)	Within 15 days of discharge
Patients community services Questionnaire	evaluation of patients needs outside the hospital, social determinants of health screening tool will be utilized to assess the patients needs for various community services, including public transport, food banks, shelters	Within 30 days of discharge
Patient satisfaction of health status Questionnaire	evaluate the patients perception of their own health with a short form health questionnaire (SF-12)	within 30 days of discharge

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Communication between patient and health care givers Questionnaire	patients will evaluate the communication of the hospital staff with an abbreviated hospital consumer assessment of healthcare providers and system (HCAHPS)	Within 15 days of discharge
Abbreviate Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Data	data will be collected on patients satisfaction level of hospital and staff	Within 15 days of discharge

Collaborators and Investigators

• Sponsor: University of Toledo Health Science Campus
• Investigators: Principal Investigator: Heather Klepacz, MD, University of Toledo

Study record dates

Study Major Dates

• Study Start (ACTUAL): May 14, 2018
• Primary Completion (ANTICIPATED): May 1, 2020
• Study Completion (ANTICIPATED): May 1, 2020

Study Registration Dates

• First Submitted: June 20, 2018
• First Submitted That Met QC Criteria: September 4, 2018
• First Posted (ACTUAL): September 7, 2018

Study Record Updates

• Last Update Posted (ACTUAL): September 12, 2019
• Last Update Submitted That Met QC Criteria: September 10, 2019
• Last Verified: September 1, 2019

More Information

Terms related to this study

• Other Study ID Numbers: SDOH Study

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED
• IPD Plan Description: Data collection is still in early stages. Further discussion will be needed before a decision is finalized.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No