\documentclass[10pt]{article}

\usepackage{fullpage}
\usepackage{setspace}
\usepackage{parskip}
\usepackage{titlesec}
\usepackage[section]{placeins}
\usepackage{xcolor}
\usepackage{breakcites}
\usepackage{lineno}
\usepackage{hyphenat}





\PassOptionsToPackage{hyphens}{url}
\usepackage[colorlinks = true,
            linkcolor = blue,
            urlcolor  = blue,
            citecolor = blue,
            anchorcolor = blue]{hyperref}
\usepackage{etoolbox}
\makeatletter
\patchcmd\@combinedblfloats{\box\@outputbox}{\unvbox\@outputbox}{}{%
  \errmessage{\noexpand\@combinedblfloats could not be patched}%
}%
\makeatother


\usepackage{natbib}




\renewenvironment{abstract}
  {{\bfseries\noindent{\abstractname}\par\nobreak}\footnotesize}
  {\bigskip}

\titlespacing{\section}{0pt}{*3}{*1}
\titlespacing{\subsection}{0pt}{*2}{*0.5}
\titlespacing{\subsubsection}{0pt}{*1.5}{0pt}


\usepackage{authblk}


\usepackage{graphicx}
\usepackage[space]{grffile}
\usepackage{latexsym}
\usepackage{textcomp}
\usepackage{longtable}
\usepackage{tabulary}
\usepackage{booktabs,array,multirow}
\usepackage{amsfonts,amsmath,amssymb}
\providecommand\citet{\cite}
\providecommand\citep{\cite}
\providecommand\citealt{\cite}
% You can conditionalize code for latexml or normal latex using this.
\newif\iflatexml\latexmlfalse
\providecommand{\tightlist}{\setlength{\itemsep}{0pt}\setlength{\parskip}{0pt}}%

\AtBeginDocument{\DeclareGraphicsExtensions{.pdf,.PDF,.eps,.EPS,.png,.PNG,.tif,.TIF,.jpg,.JPG,.jpeg,.JPEG}}

\usepackage[utf8]{inputenc}
\usepackage[english]{babel}



\usepackage{float}








\begin{document}

\title{SOCIAL DETERMINANTS OF HEALTH SCREENING AND MITIGATION STRATEGIES: A
CYSTIC FIBROSIS QUALITY IMPROVEMENT PROCESS}



\author[1]{Deirdre Jennings}%
\author[2]{Rhonda List}%
\author[2]{Heather Bruschwein}%
\author[2]{Martina Compton}%
\author[2]{Lindsay Somerville}%
\author[2]{Lauren Williamson}%
\author[2]{Rachel Murray}%
\author[2]{Brielle Evangelista}%
\author[3]{Dana Albon}%
\affil[1]{University of Virginia Health System}%
\affil[2]{University of Virginia}%
\affil[3]{UVA}%


\vspace{-1em}



  
  \date{May 19, 2024}


\begingroup
\let\center\flushleft
\let\endcenter\endflushleft
\maketitle
\endgroup





\selectlanguage{english}
\begin{abstract}
Introduction: Lower socioeconomic status is associated with
significantly poorer outcomes in weight, lung function, and pulmonary
exacerbation rates in People with CF (PwCF). Global aim: We aim to
reduce health disparities and inequities faced by PwCF by screening for
and addressing unmet social needs. Specific aims: We aimed to increase
routine Social Determinants of Health (SDoH) screening of eligible PwCF
from 0\% to 95\% and follow-up within two weeks for those PwCF who
screened positive and requested assistance from 0\% to 95\% by December
31, 2021. Methods: The Model for Improvement methodology was employed. A
process map and a simplified failure mode effects analysis chart were
created for the screening and SDoH follow-up process. Those who screened
positive for SDoH and requested assistance, a follow-up contact was made
to offer intervention. Intervention: Adult PwCF who had at least one UVA
Clinic encounter in 2021 were screened for SDoH. The SDoH screening tool
included eight domains: housing, food, transportation, utilities,
health-care access, medication access, income/employment and education.
Follow-up was completed with all PwCF who screened positive for SDoH.
Results: A total of 132 of 142, (93.0\%) PwCF eligible for screening
completed the SDoH screening. Of the PwCF who completed screening, 56
(42.4\%) screened positive for SDoH. A follow-up rate of 100\% was
achieved in June 2021 and maintained through December 2021. Conclusion:
Implementing screening for SDOH and follow-up to mitigate social
difficulties in adult PwCF at UVA was successful and could be reproduced
at other CF care center.%
\end{abstract}%



\sloppy


\textbf{Hosted file}

\verb`SDoH Screening and Mitigation Strategies a CF QI Process.docx`  available at \url{https://authorea.com/users/466257/articles/560594-social-determinants-of-health-screening-and-mitigation-strategies-a-cystic-fibrosis-quality-improvement-process}\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/Image-1/Image-1}

\end{center}
\end{figure}\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/Image-2/Image-2}

\end{center}
\end{figure}\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/Image-3/Image-3}

\end{center}
\end{figure}\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/Image-4/Image-4}

\end{center}
\end{figure}

\textbf{Hosted file}

\verb`Table 1.docx`  available at \url{https://authorea.com/users/466257/articles/560594-social-determinants-of-health-screening-and-mitigation-strategies-a-cystic-fibrosis-quality-improvement-process}

\textbf{Hosted file}

\verb`Table 2.docx`  available at \url{https://authorea.com/users/466257/articles/560594-social-determinants-of-health-screening-and-mitigation-strategies-a-cystic-fibrosis-quality-improvement-process}

\selectlanguage{english}
\FloatBarrier
\end{document}

