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Optimizing care coordination to address social determinants of health needs for dual-use veterans.

Heidi SjobergWenhui LiuCarly RohsRoman A AyeleMarina McCreightAshlea MayberryCatherine Battaglia
Published in: BMC health services research (2022)
We developed and implemented a program addressing dual-users' SDOH needs post non-VA ED discharge. Social workers connected dual-users to needed follow-up care and resources which reduced fragmentation and adverse outcomes.
Keyphrases
  • healthcare
  • quality improvement
  • palliative care
  • mental health
  • public health
  • emergency department
  • pain management
  • affordable care act
  • health information
  • risk assessment
  • climate change