Table 2 Practice Operations: Identifying and Assessing Social Needs
From: Home and community-based services coordination for homebound older adults in home-based primary care
Survey Question | N | N% |
|---|---|---|
Does your practice assess patient needs for HCBS? | ||
Yes | 98 | 98% |
No | 1 | 1% |
Unknown | 1 | 1% |
How are patient needs for HCBS assessed? (Select all that apply) | ||
Periodic ongoing reassessments | 86 | 88% |
Initial intake assessment | 76 | 78% |
Other | 12 | 12% |
Are HCBS needs documented in the care plan? | ||
Yes | 86 | 88% |
No | 9 | 9% |
Unknown | 3 | 3% |
What typically initiates a referral for HCBS? | ||
Healthcare provider recommendation / observation | 63 | 64% |
Caregiver request | 12 | 12% |
Social worker recommendation / observation | 8 | 8% |
Patient request | 6 | 6% |
Other | 9 | 9% |
How many of your patients or caregivers had HCBS needs (past 12 months) | ||
Most/All | 73 | 74% |
None/Few/Some | 25 | 26% |
What were the most common service needs? (Select all that apply) (Top 5 listed) | ||
Personal care (e.g., bathing, toileting, etc.) | 82 | 84% |
Medication adherence | 39 | 40% |
Caregiver supports / training | 37 | 38% |
Case management | 35 | 36% |
Transportation | 31 | 32% |