Optimizing care coordination to address social determinants of health needs for dual-use veterans.
Heidi SjobergWenhui LiuCarly RohsRoman A AyeleMarina McCreightAshlea MayberryCatherine BattagliaPublished 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.