Development of a level 1 geriatric outpatient social work screen in a veterans primary care clinic.
Patient Aligned Care Teams (PACT) provide primary care to veterans. We describe our experience in a PACT (average age 66, 98% men, 8 medications, 16% yearly hospitalization rate) using a nurse-administered screen to identify patients in need of intervention by a Masters-level Social Worker. Our screening results--98% Positive predictive value (included social work concerns) and 73% negative predictive value (excluded social work concerns)--suggest that the nurse accurately identified patients. Another 15% of patients were identified by the social worker. Similar screens used in interprofessional clinics could help target patients in need of further social work care.
a Veterans Healthcare Administration Tennessee Valley Healthcare System , Nashville , Tennessee , USA.
Carolyn K
CK
Smith
Lori
L
Emery
Angela
A
Williams
James S
JS
Powers
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D018802:Patient-Centered Care / Q000379:methods; D011320:Primary Health Care / Q000379:methods*; D012947:Social Work / Q000379:methods*; D014481:United States; D014493:United States Department of Veterans Affairs / Q000458:organization & administration; D014728:Veterans
chronic illness; quantitative; social work practice