Increasing Social Determinants of Health Screening Rates Among Six Endocrinology Centers Across the United States: Results From the T1D Exchange Quality Improvement Collaborative

Authors

Ori Odugbesan
Trevon Wright
Nana-Hawa Yayah Jones
Selorm Dei-Tutu
Mary Pat Gallagher
Emily DeWit
Roberto E Izquierdo
Marisa Desimone
Nicole Rioles
Osagie Ebekozien

Publication Date

1-1-2024

Journal

Clinical Diabetes

DOI

10.2337/cd23-0060

PMID

38230332

PMCID

PMC10788654

PubMedCentral® Posted Date

10-31-2023

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Abstract

Social determinants of health (SDOH) are strongly associated with outcomes for people with type 1 diabetes. Six centers in the T1D Exchange Quality Improvement Collaborative applied quality improvement principles to design iterative Plan-Do-Study-Act cycles to develop and expand interventions to improve SDOH screening rates. The interventions tested include staff training, a social risk index, an electronic health record patient-facing portal, partnerships with community organizations, and referrals to community resources. All centers were successful in improving SDOH screening rates, with individual site improvements ranging from 41 to 70% and overall screening across the six centers increasing from a baseline of 1% to 70% in 27 months.