Date Approved


Graduate Degree Type


Degree Name

Nursing (D.N.P.)

Degree Program

College of Nursing

First Advisor

Christina Quick DNP, APRN, CPNP-AC/PC, CHSE

Second Advisor

Susan Strouse PhD, RN

Academic Year



Background: Social determinants of health (SDOH) impact the health and well-being of patients. This quality improvement (QI) project aimed to implement a standardized screening process at a rural pediatric primary care clinic.

Methods: This project used the Plan-Do-Study-Act method. Outcomes included patients identified with SDOH needs at baseline and three months after implementation of the screening process. Project measures included number of patients screened, interventions, and reimbursement three months post-implementation.

Intervention: A standardized screening process was implemented using an adapted screening tool to identify and address needs.

Results: Implementation of a screening process successfully identified the needs of patients seen for well-child visits: 71% of patients were screened, 15% had positive screenings, resources were given for 67% with positive screenings, and follow-up was completed for 44% of positive screenings.

Conclusion: The standardized screening process improved screening rates, interventions, and reimbursement for pediatric patients in rural pediatric primary care.

Available for download on Friday, April 23, 2027