ACS SDOH Health System Assessment Tool

The assessment tool will assist health systems to assess their current practices and capacity to screen patients for social determinants of health (see: Screening for Social Determinants of Health Guide).

Instructions: Read the statement under each category and select by clicking the answer that best reflects your organization's current status.

Organization Name:

Email Address:

Tier 1 - Fundamental Components

System Leadership

1. The commitment of leadership in this health system to address SDOH...

1... is not visible or communicated.

2... is rarely visible; the communication around the importance of addressing SDOH is rare and inconsistent.

3... is sometimes visible and sometimes discussed in meetings; or is visible in some areas and invisible in others.

4... is strong with full commitment to the work of screening for SDOH and linking patients to resources.

Please select an option above to proceed.

System Prioritization

2. Screening and addressing SDOH...

1... is not a priority at this time.

2... is a low priority compared to the other work done in the clinical setting.

3... is important, but there are other initiatives that are more important.

4... is a central focus of the health system.

Please select an option above to proceed.

Champions

3. Responsibilities for supporting and implementing SDOH screening...

1... have not been assigned to designated champions.

2... have been assigned to champions, but no resources have been committed.

3... have been assigned to champions with available resources, but dedicated time is needed.

4... have been assigned. Available resources and dedicated time for implementation.

Please select an option above to proceed.

Tier 2 - Implementation Resources

Staffing

4. Staffing to support SDOH screening and referral, such as case managers or patient navigators...

1... does not exist.

2... exists, but is already overburdened with other work.

3... exists - have limited time to support SDOH screening and referrals.

4... exists - is able to support SDOH screening and referrals.

Please select an option above to proceed.

Reimbursing Staff Time

5. The ability to reimburse staff time for screening for SDOH and supporting linkages to services...

1... is not possible.

2... has not been explored.

3... has been explored, but challenges remain.

4... is currently being done.

Please select an option above to proceed.

SDOH Screening - Topics and Tools

6. The health system...

1... has not selected or identified what SDOH to screen for or what screening tool to use.

2... has begun discussions of what SDOH to screen for or what screening tool to use.

3... has identified what SDOH to screen for but has not fully integrated screening tool.

4... has integrated a screening tool into their SDOH workflow.

Please select an option above to proceed.

Goal Setting and Measuring

7. Goals for SDOH screening and linkage to services...

1... have not been discussed.

2... have been discussed, but no specific goals have been made.

3... have been discussed, and goals have been identified but not finalized or are not yet SMART or meet other goal measures.

4... are documented with SMART (specific, measurable, attainable, realistic, time-based) measures or meet other goal measures.

Please select an option above to proceed.

Tier 3 - Systems Integration

Workflows

8. Clinic workflows for screening patients for SDOH...

1... do not exist.

2... exist but are not followed.

3... exist but are inconsistently followed.

4... exist and are fully implemented.

Please select an option above to proceed.

EHR Integration

9. SDOH screening tools...

1... do not exist.

2... are all on paper and not integrated into the EHR.

3... are inconsistently entered into the EHR.

4... are systematically entered into the EHR.

Please select an option above to proceed.

Tracking and Monitoring Patients Screened for SDOH

10. The use of a system to track and monitor patients screened for SDOH...

1... has not been explored or is not possible with existing data systems.

2... is technically possible, but systems to get useful reports are not in place.

3... is possible and systems are in place to produce basic reports on a regular basis.

4... is possible, systems are in place, and reports are produced that allow for tracking screening and linkage.

Please select an option above to proceed.

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