CMS AHC Health Related Social Needs

← Back to Inventory Measures
Description Although CMS developed the AHC HRSN Screening Tool specifically for CMS’s AHC Model, it is appropriate and widely applicable for use across health care settings. The Hunger Vital Sign is embedded in this measure and can be used separately if desired.
Domain
Family Health
Health Equity
Topics
Caregiver Mental Health
Disabilities
Education
Employment
Family and Community Support
Financial Strain
Food Insecurity
Housing Instability
Interpersonal Safety
Physical Activity
Substance Use
Transportation Problems
Utility Help Needs
Data Type Parent/caregiver Proxy
Data Source Survey
Age
Availability Publicly available at no cost
Number of Items Administered using 26 items, including a 10-item core screener and 16-item supplemental screener.
Validated in CYSHCN No
Validated in any population Yes
Languages Arabic, Chinese, English, German, Japanese, Spanish, Other
Use Examples Bosold A, Abrams Weintraub T, Cowen K, Talwar-Hebert M, Abowd Johnson K, Barolín N. Health-Related Social Needs Screening: Promising Practices From the Accountable Health Communities Model. Health Promot Pract. 2025 Jan;26(1):33-38. doi: 10.1177/15248399231213582. Epub 2023 Dec 3. PMID: 38044572; PMCID: PMC11689788. Gray TW, Podewils LJ, Rasulo RM, Weiss RP, Tomcho MM. Examining the Implementation of Health-Related Social Need (HRSN) Screenings at a Pediatric Community Health Center. J Prim Care Community Health. 2023 Jan-Dec;14:21501319231171519. doi: 10.1177/21501319231171519. PMID: 37148221; PMCID: PMC10164847. Murray E, Roosevelt GE, Vogel JA. Screening for health-related social needs in the emergency department: Adaptability and fidelity during the COVID-19 pandemic. Am J Emerg Med. 2022 Apr;54:323.e1-323.e4. doi: 10.1016/j.ajem.2021.09.071. Epub 2021 Oct 1. PMID: 34654599; PMCID: PMC8492605.