Screening Tools

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

The Accountable Health Communities Health-Related Social Needs Screening Tool

2018
Centers for Medicare and Medicaid Services
This tool was developed for use in the Center for Medicare and Medicaid Innovation's Accountable Health Communities (AHC) Model . The original version, published in May 2017, included 10 questions covering five domains: housing instability, food insecurity, transportation difficulties, utility...

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...

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...

Health Leads Social Needs Screening Toolkit

2018
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...

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...

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...

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...

Kaiser Permanente's Your Current Life Situation Survey

2017
Kaiser Permanente
Kaiser Permanente's Your Current Life Situation (YCLS) survey was developed to capture a range of social and economic needs, including living situation, housing, food, utilities, childcare, debts, medical needs, transportation, stress, and social isolation. Download the PDF > Yellow highlights...

Total Health Assessment Questionnaire for Medicare Members

2017
Kaiser Permanente
The Medicare Total Health Assessment (MTHA) is a survey used at several Kaiser Permanente locations to assess several things, including food insecurity, in the elderly. The survey is offered to Medicare Advantage members in advance of Annual Wellness Visits that are a CMS-mandated benefit offering...