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.


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 (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

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...

Addressing Food Insecurity: A Toolkit for Pediatricians

American Academy of PediatricsFood Research & Action Center
Developed by the American Academy of Pediatrics (AAP) and the Food Research & Action Center (FRAC), this toolkit was created to aid pediatricians in addressing patient food insecurity. It provides information about the prevalence of food insecurity, how food insecurity impacts children's health...

Implementing Food Security Screening and Referral for Older Patients in Primary Care: A Resource Guide and Toolkit

J. PoolerM. LevinV. HoffmanF. KarvaA. Lewin-Zwerdling
This resource guide from the AARP Foundation and IMPAQ International seeks to address some of the challenges of incorporating food security screening and referrals in primary care settings serving individuals aged 50 and older. The information provided is specific to that population wherever...

Medical-Legal Partnership Screening Guide

National Center for Medical-Legal PartnershipsThe Advisory Board Company
The National Center for Medical-Legal Partnership, with pro bono support from The Advisory Board Company, reviewed 80 tools used by medical-legal partnerships across the country to screen for patients’ legal need and then developed a common screening tool that can be used by hospitals and health...

Connecting Those at Risk to Care: The Quick Start Guide to Developing Community Care Coordination Pathways

Pathways Community HUB InstituteCommunity Care Coordination Learning Network
Once a community care coordinator (CCC) completes a comprehensive assessment of health, social, behavioral health, economic, and other factors that place the individual at increased risk the Pathway tool is used to confirm that interventions have been received by the individual and that identified...

National Center for Medical-Legal Partnerships Performance Measures Handbook

National Center for Medical-Legal Partnerships
Given the widespread growth of MLPs, it is necessary to evaluate both the performance and impact of MLPs. Such an evaluation will then identify areas of strength and areas of quality improvement. This handbook identifies seven performance measures and guides teams of health care and legal partner...

CHART-IT or, Capturing Health - An Attorney Reporting Tool for Impact Tracking

Keegan Warren-Clem, JD, LLMDiane M. Goffinet, JDAndrew M. Weaver, JD
This white paper is designed to provide a framework for legal services practitioners to incorporate health indicators and concepts into their daily work. The authors are lawyers who practice specifically in the medical-legal partnership context, which has significantly informed their thinking and...

"Health Care's Blind Side" Physician Questionnaire

Harris Interactive
This questionnaire was the basis for the Robert Wood Johnson Foundation's 2011 report " Health Care's Blind Side: The Overlooked Connection Between Social Needs and Good Health ". Questions include general attitudes on health care, current state of practice, impact of patient social needs and...