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based organizations) partnerships to identify social needs and invest in communities ( Byhoff et al., 2017 ). A number of screening tools are available to collect data about social needs ( Billioux, Verlander, Anthony & Alley, 2017 ; Morone, 2017 ; Persaud, 2018 ). For example, the Centers for Medicare and Medicaid Center for Medicare and Medicaid Innovation created the 10-item tool, Accountable Health Communities (AHC) Health Related Social Needs (HRSN) Screening Tool ( Billioux et al., 2017 ). Providers and healthcare systems can use the AHC HRSN screening tool to assess social needs

 

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