The American Academy of Pediatrics recommends food insecurity (FI) screening at all pediatric visits. Despite an existing EMR screening tool, how our pediatric providers screen FI and housing insecurity (HI) is unknown. Our objective was to collect formative data on FI and HI screening practices of UNMH pediatric providers to allow for the design of a quality improvement (QI) project.
We performed a baseline cross-sectional survey with UNMH pediatric residents and attendings in May 2020.
Fifty-two individuals completed the survey (40.4% attendings, 59.6% residents). In inpatient settings, 67.8% of residents and 33.3% of attendings screen FI occasionally or only if pertinent to the chief complaint. For HI, 48.4% of residents and 33.3% of attendings screen occasionally or only if pertinent. In outpatient settings, 29.1% of residents and 5.3% of attendings screen FI occasionally or only if pertinent. For HI, 32.2% of residents and 15.8% of attendings screen occasionally or only if pertinent. When asked if they knew where to find the current EMR screening tool results, 61.3% of residents and 42.9% of attendings were unaware of the current screening tool. In terms of documentation, 58.1% of residents and 28.6% of attendings document FI occasionally or only if pertinent. For HI, 64.6% of residents and 28.6% of attendings document occasionally or only if pertinent. When asked where they document the screening, the “Social History” was the most commonly reported response for residents (83.3%) and “Assessment and Plan” for attendings (52.9%).
We found that providers are unaware of current screening tools. Documentation practices are inconsistent. Based on these baseline results, our QI project will standardize the FI and HI screening and documentation practices in pediatric inpatient and outpatient settings.
Avila-Schroeder, Crystal; Kyle Randolph; Lorena Galvan; Ana Duran; and Maria Velazquez-Campbell. "Food and Housing Insecurity Screening Practices among UNMH Pediatric Providers." (2020). https://digitalrepository.unm.edu/hsc_2020_pediatric_research/20