SOCIAL DETERMINANTS OF HEALTH IMPACTS HEALTH OUTCOMES: PRAPARE TOOL IMPLEMENTATION IN A COMMUNITY PRIMARY CARE PRACTICE

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Creator
  • Lynch, Shelley
    • Affiliation: School of Nursing
Abstract
  • BACKGROUND: Social determinants of health (SDOH) substantially impact a person’s health status. There is an increased focus on screening and providing resources for SDOH. This Doctor of Nursing Practice (DNP) project aimed to implement an evidence-based screening tool for the SDOH in a primary care practice. METHODS: The Johns Hopkins Nursing Evidenced Based Practice model and the Plan Do Study Act method of quality improvement were used for this project. A literature review and listserv query were conducted to identify SDOH screening tools.INTERVENTION: The primary aim of this quality improvement project was to increase screening rates for the social determinants of health from 0% to 50% compliance by utilizing the PRAPARE tool in a small urban health center during new patient and annual physical exams over 12 weeks. A community health worker (CHW) was identified, trained, and licensed during the academic detailing. This quality improvement project aimed to create referrals and community resources for the SDOH domains identified during screening.RESULTS: Of the 85 patients who had physical exams, the practice administered the PRAPARE tool to 81 (95.29%) patients; four patients were missed (4.71%). Of the 81 screenings completed, eight had positive screens on the PRAPARE tool (9.87%). Of the eight positive screens, 100% of the patients had follow-ups with CHW or community referral.CONCLUSION: This project proved successful as it surpassed the benchmarks set during the proposal for increased screening for the SDOH and resulted in supportive interventions and referrals.
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  • In Copyright - Educational Use Permitted
Advisor
  • Kellish, Ashley
  • Sharpe, Leslie
  • Street, Nancy
Degree
  • Doctor of Nursing Practice
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2022
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