SHM Converge Scientific Abstract ePoster Gallery-Development of a Novel Observation Tool to Assess Medical Team Behavior in Addressing Social Drivers of Health on Inpatient Rounds

Development of a Novel Observation Tool to Assess Medical Team Behavior in Addressing Social Drivers of Health on Inpatient Rounds

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Pdf Summary

The project developed a novel observation tool to assess how inpatient medical teams address social drivers of health (SDoH) during rounds. Because SDoH strongly affect outcomes such as readmissions and mortality after discharge, the authors aimed to create a flexible way to measure team behaviors and identify educational needs or the impact of future interventions.<br /><br />The tool was built using the National Academies of Medicine, Engineering, and Sciences (NASEM) “5As” framework for integrating social care into medicine: Awareness, Adjustment, Assistance, Alignment, and Advocacy. A Delphi method was used to refine the tool. The pilot version includes 8 encounter-information items and 17 SDoH-related items focused on awareness, adjustment, and assistance. Alignment and advocacy were not included because they were rated below the threshold for reliable observation during rounds. A “free notes” item was also included despite being below the clarity threshold, because it could capture useful narrative details.<br /><br />Overall, the authors present this as a structured but flexible tool for observing social care behaviors in inpatient settings. Next steps include piloting the tool to evaluate interrater reliability and collecting baseline data.

Asset Subtitle

Emily Murphy

Meta Tag

Author List Christine Santiago, Deena Haque, Elizabeth Petersen, Emily Murphy, Janet D. Record, Nancy Choi, Pouneh Nasseri, Som Saha, Stephen D. Persell, Suzanne Grieb

Category Innovations

Concept Observation Tool

Concept Social Determinants of Health

Concept NASEM 5As Framework

Concept Awareness

Concept Adjustment

Distinguished Non-Finalist

Presenter Organization Johns Hopkins University School of Medicine

Presenting Author Emily Murphy

Track Education

Keywords

social drivers of health

inpatient medical teams

observation tool

rounds

NASEM 5As framework

Delphi method

social care integration

interrater reliability

hospital discharge outcomes

educational needs

Observation Tool

Social Determinants of Health

NASEM 5As Framework

Awareness

Adjustment