About this trial
Type 1 hybrid effectiveness-implementation study using a quasi-experimental, difference-in-difference (DID) design to deliver a comprehensive social needs screening and navigation program by integrating Community Health Workers (CHWs) into community pharmacies across under-resourced areas in Western New York (WNY).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Adult subjects ≥ 18 years
English speaking
Presenting to one of the participating pharmacies. For the pharmacies to be included, they must be enrolled within the Community Pharmacy Enhanced Services Network - NY (CPESN-NY) or associated with Tops Pharmacies. The pharmacies must have the ability to collaborate with Healthelink and referring partners (e.g., Wellconnected) and the staffing capacity to have a SDoH screening program with Community Health Worker Training. The pharmacies' physical address must be located within Erie County
Disqualifiers
Subjects ≤ 18 years
Trial design
Single group
Treatments tested in this trial
Social needs screenings and referrals
Other interventionCommunity pharmacies will distribute social needs screening surveys to patients and refer them to local community based organizations based off of identified needs.
Treatment groups
Trial outcomes
Primary outcomes
Effectiveness Outcomes
Primary effectiveness outcomes in composite healthcare utilization including hospital admissions and ED visits at 12 months, and we hypothesize that utilization will be reduced in subjects who receive a pharmacy social needs intervention.
Secondary outcomes
Cost Analysis
We will calculate interventions costs combined with cost savings from reduced utilization to calculate the net costs from a health system perspective.
Sponsors and contacts
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State University of New York at Buffalo
Lead sponsor
CPESN-NY Pharmacies
Collaborator
Tops Pharmacies
Collaborator
National Center for Advancing Translational Sciences (NCATS)
Collaborator