Metrics, Measures, and Instruments

We’ve gathered some of the available metrics, measures, and instruments relevant to research on screening and addressing social needs in health care settings. To the extent information is available to us, along with the actual instrument we provide a brief summary about where and when the tool has been used and links to any existing evidence about it.

Accountable Health Communities Screening Tool

2017
A. BilliouxK. VerlanderS. AnthonyD. Alley
From the National Academies of Medicine: "With input from a panel of national experts and after review of existing screening instruments, CMS developed a 10-item screening tool to identify patient needs in 5 different domains that can be addressed through community services (housing instability,...

IOM Recommended Social and Behavioral Domains and Measures for Electronic Health Records

2014
Committee on Recommended Social & Behavioral Domains & Measures for Electronic Health Records
Determinants of health—like physical activity levels and living conditions—have traditionally been the concern of public health and have not been linked closely to clinical practice. However, if standardized social and behavioral data can be incorporated into patient electronic health records (EHRs...

PRAPARE: Protocol for Responding to and Assessing Patients’ Assets, Risks and Experiences

2016
NACHCAssociation of Asian Pacific CHOsOregon Primary Care AssociationInstitute for Alternative Futures
The Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) was developed by NACHC and partners to help health centers and other providers collect the data needed to better understand and act on their patients’ social determinants of health. The PRAPARE...

Health Leads Social Needs Screening Toolkit

2016
Health Leads
Drawing on Health Leads' experience and recent federal guidelines, this toolkit provides screening best practices, a questions library, and a sample recommended screening tool for some of the most common unmet social needs: food insecurity, housing instability, utility needs, financial resource...

The Hunger Vital Sign: Best practices for screening and intervening to alleviate food insecurity

2016
Rebecca RottapelRichard Sheward
The Hunger Vital Sign(TM) (HVS) is a validated 2-question food insecurity screening tool that allows clinicians to accurately identify households at risk of food insecurity and address patient needs appropriately. Endorsed by the American Academy of Pediatrics, the tool is being used by hundreds of...

HealthBegins Upstream Risk Screening Tool

2017
This social needs screening survey contains questions on: education, employment, social support, immigration, financial strain, housing insecurity and quality, food insecurity, transportation, violence exposure, stress, and civic engagement. The survey also includes recommended screening frequency...

IHELP Pediatric Social History Tool

2017
IHELP is a screening tool initially presented by Kenyon et. al. in 2007 as a tool for collecting pediatric social histories. As a result, it includes both household needs (financial strain, insurance, hunger, domestic violence, housing stability and housing conditions) and several child-specific...

iScreen

2014
Gottlieb L, Hessler D, Long D, Amaya A, Adler N.
iScreen is a social screening instrument used in one randomized controlled trial on screening validity, acceptability, and modality. The instruments includes 23 questions covering 16 psychosocial domains, including health insurance, health care access, behavioral and mental health, educational...

WE CARE

2017
WE CARE (Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education) is a clinic-based screening and referral system developed for pediatric settings. The 12-question WE CARE screening tool assesses needs in 6 domains: parental educational attainment, employment, child care,...

WellRx ToolKit

2016
Janet Page-Reeves, PhDMolly Bleecker, MA
A validated 11-item questionnaire designed to be utilized at every patient visit, covering the domains of food insecurity, housing, utilities, income, employment, transportation, education, substance abuse, child care, safety, and abuse. Questions conform to “low literacy”. The questionnaire is...