Social Determinants of Health Data and Summary

Based on the Accountable Health Communities (AHC) Health-Related Social Needs (HRSN) Screening Tool?  Distributed by the Centers for Medicare & Medicaid Services (CMS)

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Housing Issues

1. What is your living situation today?
  • Out of 77 providers, 24 answered “I have a place to live today, but I am worried about losing it in the future”.
  • Out of 77 providers, 13 answered “I do not have a steady place to live (I am temporarily staying with others, in a hotel, in a shelter, living outside on the street, on a beach, in a car, abandoned building, bus or train station, or in a park)”
2. Think about the place you live. Do you have problems with any of the following?
  • Out of 77 providers, 3 answered “Pests such as bugs, ants, or mice”.
  • Out of 77 providers, 3 answered “Mold”.
  • Out of 77 providers, 0 answered “Lead paint or pipes”.
  • Out of 77 providers, 2 answered “Lack of heat”.
  • Out of 77 providers, 0 answered “Oven or stove not working”.
  • Out of 77 providers, 1 answered “Smoke detectors missing or not working”.
  • Out of 77 providers, 1 answered “Water leaks”.
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Food Issues

3. Within the past 12 months, you worried that your food would run out before you got money to buy more
  • Out of 77 providers, 5 answered “Often true”.
  • Out of 77 providers, 54 answered “Sometimes true”.
4. Within the past 12 months, the food you bought just didn’t last and you didn’t have money to get more.
  • Out of 77 providers, 11 answered “Often true”.
  • Out of 77 providers, 45 answered “Sometimes true”.
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Transportation Issues

5. In the past 12 months, has lack of reliable transportation kept you from medical appointments, meetings, work or from getting things needed for daily living?.
  • Out of 77 providers, 39 answered “Yes”.
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Utilities Issues

6. In the past 12 months has the electric, gas, oil, or water company threatened to shut off services in your home?.
  • Out of 77 providers, 11 answered “Yes”.
  • Out of 77 providers, 1 answered “Already shut off”.
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Safety Issues

  • Out of 77 providers, 0 have personal safety issues from family or friends.(Based on scores from questions 7, 8, 9, and 10
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Financial Strain

11. How hard is it for you to pay for the very basics like food, housing, medical care, and heating?
  • Out of 77 providers, 9 answered “Very hard”.
  • Out of 77 providers, 58 answered “Somewhat hard”.
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Employment

12. Do you want help finding or keeping work or a job?
  • Out of 77 providers, 10 answered “Yes, help finding work”.
  • Out of 77 providers, 44 answered “Yes, help keeping work”.
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Family and Community Support

13. If for any reason you need help with day-to-day activities such as bathing, preparing meals, shopping, managing finances, etc., do you get the help you need?
  • Out of 77 providers, 26 answered “I could use a little more help”.
  • Out of 77 providers, 2 answered “I need a lot more help”.
14. How often do you feel lonely or isolated from those around you?
  • Out of 77 providers, 18 answered “Often”.
  • Out of 77 providers, 2 answered “Always”.
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Education

15. Do you speak a language other than English at home?
  • Out of 77 providers, 61 answered “Yes”.
16. Do you want help with school or training? For example, starting or completing job training or getting a high school diploma, GED or equivalent.
  • Out of 77 providers, 10 answered “Yes”.
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Physical Activity

Substance Use

19. How many times in the past 12 months have you had 5 or more drinks in a day (males) or 4 or more drinks in a day (females)? One drink is 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of 80-proof spirits.
  • Out of 77 providers, 41 answered “Never”.
  • Out of 77 providers, 15 answered “Once or Twice”.
  • Out of 77 providers, 17 answered “Monthly”.
  • Out of 77 providers, 3 answered “Weekly”.
  • Out of 77 providers, 1 answered “Daily or Almost Daily”.
20. How many times in the past 12 months have you used tobacco products (like cigarettes, cigars, snuff, chew, electronic cigarettes)?
  • Out of 77 providers, 72 answered “Never”.
  • Out of 77 providers, 1 answered “Once or Twice”.
  • Out of 77 providers, 1 answered “Monthly”.
  • Out of 77 providers, 1 answered “Weekly”.
  • Out of 77 providers, 2 answered “Daily or Almost Daily”.
21. How many times in the past year have you used prescription drugs for non-medical reasons?
  • Out of 77 providers, 74 answered “Never”.
  • Out of 77 providers, 1 answered “Once or Twice”.
  • Out of 77 providers, 2 answered “Monthly”.
  • Out of 77 providers, 0 answered “Weekly”.
  • Out of 77 providers, 0 answered “Daily or Almost Daily”.
22. How many times in the past year have you used illegal drugs
  • Out of 77 providers, 76 answered “Never”.
  • Out of 77 providers, 1 answered “Once or Twice”.
  • Out of 77 providers, 0 answered “Monthly”.
  • Out of 77 providers, 0 answered “Weekly”.
  • Out of 77 providers, 0 answered “Daily or Almost Daily”.
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Mental Health

23a. Little interest or pleasure in doing things?
  • Out of 77 providers, 26 answered “Several days”.
  • Out of 77 providers, 24 answered “More than half the days”.
  • Out of 77 providers, 3 answered “Nearly every day”.
23b. Feeling down, depressed, or hopeless?
  • Out of 77 providers, 36 answered “Several days”.
  • Out of 77 providers, 15 answered “More than half the days”.
  • Out of 77 providers, 4 answered “Nearly every day”.
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Disabilities

25. Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? (5 years old or older)
  • Out of 77 providers, 13 answered “Yes”.
26. Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor’s office or shopping? (15 years old or older)
  • Out of 77 providers, 13 answered “Yes”.
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