A handful of Idaho and Washington hospitals participated in our Caring Beyond Healthcare pilot project, which developed and implemented processes to identify patients with poor social determinants of health and connect them to the community’s existing services.
The pilot wrapped up in September 2018. We're sharing the project tools to help spread this intervention across the nation.
Download the project tools:Screening & Referral Form: English Spanish Patient Overview Flyer (English) |
BOOST 8Ps
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HOSPITAL
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IHI Readmission Risk Assessment (STAAR)
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LACE
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PAM
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Psychosocial Acuity Scale
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Your hospital is working hard to provide top-notch medical care. But some of your patients are discharged into a world where they don’t have adequate housing, reliable transportation, or access to healthy food.
How soon will you see them again, and will they be worse for the wear?
With the transition to accountable care, these patients’ problems become yours, too.
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