ABSTRACT

While Electronic Medical Records (EMRs) are an important mechanism used to document patient information and service provision, most interfaces prioritize collection of information required for medical billing purposes, rather than complexities of behavioral and social service needs. An emphasis on encounter data renders it challenging for social workers (SWs) to communicate statistically compelling explanations of contributions to team-based care and overall value to the health system. This paper reports outcomes of feasibility, acceptability, and appropriateness of integrating a validated psychosocial acuity metric into standardized social work (SW) documentation at a large, pediatric quaternary hospital in the northeastern United States. Approximately 20% (N = 42) of departmental SWs participated in an open pilot trial wherein participants were first trained in scale administration, utilized it for a circumscribed period following training, and evaluated implementation outcomes. Across five unique practice settings, results showed that the metric was feasible, acceptable and appropriate for use; 78% of participants were in favor of integrating it into the EMR interface as a required component of SW documentation. Assessing psychosocial acuity in every documented patient encounter facilitates intermittent review of psychosocial acuity at individual, setting, and programmatic levels and opportunities to evaluate how SW interventions address psychosocial acuity.

摘要

虽然电子病历 (EMR) 是用于记录患者信息和服务提供的重要机制，但大多数界面优先考虑收集医疗计费所需的信息，而不是复杂的行为和社会服务需求。对遭遇数据的强调使得社会工作者 (SW) 难以就对基于团队的护理的贡献和对卫生系统的整体价值进行统计上令人信服的解释。本文报告了美国东北部一家大型儿科四级医院将经过验证的社会心理敏锐度指标整合到标准化社会工作 (SW) 文档中的可行性、可接受性和适当性的结果。大约 20% (N = 42) 的部门 SW 参加了一项公开试点试验，其中参与者首先接受了规模管理培训，在培训后的有限时间内使用它，并评估实施结果。在五个独特的实践设置中，结果表明该指标是可行的、可接受的并且适合使用；78% 的参与者赞成将其集成到 EMR 界面中，作为 SW 文档的必需组件。在每次记录的患者遭遇中评估社会心理敏锐度有助于在个人、环境和计划层面对社会心理敏锐度进行间歇性审查，并有机会评估 SW 干预如何解决心理社会敏锐度。并评估实施结果。在五个独特的实践设置中，结果表明该指标是可行的、可接受的并且适合使用；78% 的参与者赞成将其集成到 EMR 界面中，作为 SW 文档的必需组件。在每次记录的患者遭遇中评估社会心理敏锐度有助于在个人、环境和计划层面对社会心理敏锐度进行间歇性审查，并有机会评估 SW 干预如何解决心理社会敏锐度。并评估实施结果。在五个独特的实践设置中，结果表明该指标是可行的、可接受的并且适合使用；78% 的参与者赞成将其集成到 EMR 界面中，作为 SW 文档的必需组件。在每次记录的患者遭遇中评估社会心理敏锐度有助于在个人、环境和计划层面对社会心理敏锐度进行间歇性审查，并有机会评估 SW 干预如何解决心理社会敏锐度。