
Executive Summary
A statewide survey of Arkansas healthcare providers was conducted to understand their use of social determinants of health (SDOH) screening tools. Social determinants of health—the underlying social contextual, and environmental drivers of health—can affect individual health more than healthcare services. Surveying current practices, challenges, and opportunities for collecting and using SDOH
data can inform state health policies to improve SDOH integration within the Arkansas healthcare ecosystem.
The survey instrument was developed by the Arkansas Department of Health with partners from the University of Arkansas for Medical Sciences, the University of Arkansas, Fayetteville, and the University of Arkansas at Little Rock. Completed surveys were obtained from 145 providers representing 1376 hospitals, clinics, and healthcare facilities statewide with a survey completion rate of 91.8%.
Most responding organizations (87.1%) reported screening patients for SDOH-related needs. Commonly addressed needs are Food Insecurity, Housing Issues, and Transportation Issues consistent with national priorities. While providers screen at a high rate, there is a gap in referring patients for services and providing services directly:
-
79.5% screen for food insecurity, 60.7% make referrals for it, and 18.9% provide direct food-related services.
-
77.9% screen for housing issues, 52.5% make referrals, and only 4.9% provide direct housing services.
-
77.0% screen for transportation issues, 56.6% make referrals, and 15.6% provide direct transportation services.
While providers demonstrate strong motivation and substantial adoption of SDOH screening, systemic infrastructure gaps and resource constraints limit the ability to translate screening into meaningful patient outcomes. Addressing these barriers will require a coordinated strategy emphasizing collaborative infrastructure, sustainable financing, and workforce capacity building.
Major policy recommendations to improve the ecosystem for screening and providing SDOH services in Arkansas include:
-
Strengthen community-based partnerships: Invest in social and community-service capacity to address social needs and to promote formal partnerships with healthcare providers.
-
Develop sustainable SDOH financing models: Integrate reimbursement mechanisms for screening, referrals, and coordination to ensure continuity of services.
-
Standardize SDOH tools and data exchange: Promote validated screening tools and data sharing through interoperable systems.
Arkansas healthcare providers are committed to improving population health. Realizing a coordinated system of SDOH screening and services to improve population health requires statewide leadership to build collaborations between providers and service organizations helping clients with SDOH issues. Implementation of infrastructure and reimbursement strategies in Arkansas is essential to translate policy into action.
Access Full Survey Here: SDOH_Final Arkansas

Because of your dedication to connecting, sharing, and using data, Arkansas patients are benefiting in meaningful and measurable ways every single day. Together, we are building a more connected healthcare ecosystem that places patients at the center of care and empowers providers with timely, actionable information.
A Unified Network of Women’s Health Providers
Improving Maternal Health Through Better Information
A Shared Vision for Healthier Communities
About Unified Women’s Healthcare:
About Women’s Health Associates of NWA:
About Conway Women’s Health Center:
This recognition highlights SHARE HIE’s leadership in advancing interoperability and data exchange across Arkansas’s healthcare ecosystem. As the state’s only statewide Health Information Exchange (HIE), SHARE connects more than 4,000 healthcare organizations and 128 hospitals, representing thousands of providers. Through real-time exchange of clinical data, including ADT (admission, discharge, transfer) notifications, laboratory results, radiology reports, progress notes, discharge summaries and continuity of care documents (CCDs), SHARE empowers providers to make informed decisions at the point of care. From hospitals and primary care clinics to behavioral health providers, EMS agencies, and payers, SHARE ensures that the right information is accessible when and where it’s needed most.
The SHARE HIE team firmly believes that true progress in healthcare happens through collaboration, communication, and partnership. By actively engaging with hospitals, clinics, behavioral health providers, long-term care facilities, payers, and community organizations, SHARE fosters an environment of shared learning and trust. The team prioritizes listening to partners’ needs, understanding their challenges and tailoring solutions that deliver real value. Whether it’s enhancing clinical workflows, improving data quality, or supporting interoperability goals, SHARE’s success is built on the strength of relationships and a shared commitment to improving health outcomes across Arkansas.


Looking Ahead
Through the integration, ADT (Admission, Discharge, Transfer) notifications, laboratory results, radiology reports, progress notes, and CCD (Continuity of Care Documents) flow directly from the nursing homes into SHARE. Access Medical Clinic Arkansas LTC providers are documenting when they see a patient in their Athena One EMR, which is fully integrated with SHARE at their respective facilities they serve. This ensures that providers have a complete, up-to-date view of each resident’s health status without the delays and information gaps that often come with transitions of care.
One of the most powerful features of this partnership is real-time event notifications. When a nursing home or rehab patient visits the emergency department (ED), is admitted to the hospital (IP), or returns to the facility, SHARE alerts the provider. This immediate visibility allows the provider to schedule timely follow-ups, often the next day, ensuring continuity of care and reducing the risk of complications.
About Access Medical Clinic Arkansas LTC: Access Medical Clinic is a leading family practice and urgent care providing a complete complement of care and treatment options for patients throughout Arkansas, Alabama, Oklahoma, Tennessee, Texas, Georgia, North Carolina, and Indiana.
Little Rock, Arkansas- July 2025 The State Health Alliance for Records Exchange (SHARE), Arkansas’ only statewide health information exchange housed under the Arkansas Department of Health, is proud to announce a landmark integration with the U.S. Department of Veterans Affairs (VA) via the eHealth Exchange—the nation’s largest query-based health information network, connecting federal agencies and healthcare organizations for secure, interoperable data exchange.
About the U.S. Department of Veterans Affairs – Health Care for Veterans: The Veterans Health Administration (VHA) is the nation’s largest integrated healthcare system, delivering care to over 9.1 million enrolled Veterans annually. Its network includes 1,380 healthcare facilities—comprising 170 medical centers and 1,193 outpatient clinics—dedicated to providing accessible, high-quality care to Veterans across the country.
“Connecting to SHARE has expanded our ability to care for the whole patient,” said Holly Monroe, Director of the Father Bob Allen Charitable Clinic. “We now have insights into their recent hospital visits, labs, and medications—information that helps us avoid duplication and provide more effective, continuous care, especially for those with chronic conditions.”
About Father Bob Allen Charitable Clinic: Father Bob Allen Charitable Clinic is a nonprofit medical clinic that serves uninsured low-income patients in Union County, AR. We provide primary medical care, routine lab work, medication assistance, diabetes education, weight loss programs, annual wellness visits, EKGs, and more. Our prescription assistance program is available to both clinic and non-clinic patients, therefore, we can assist qualifying adults with a prescription program no matter their provider.
LHC Group operates a comprehensive network of home health, hospice, and community-based service locations across Arkansas. These facilities are strategically situated to serve patients statewide, including in cities such as Little Rock, Hot Springs, Fort Smith, Jonesboro, Conway, Pine Bluff, Benton, Fayetteville, Springdale, Searcy, El Dorado, Texarkana, Harrison, Batesville, Russellville, Mountain Home, Camden, and Paragould.
About LHC Group, Inc.- LHC Group, Inc. is a leading national provider of in-home healthcare services, offering quality, value-based care to patients primarily within the comfort and privacy of their homes. Founded in 1994 as a single home health agency in small-town America, LHC Group has grown to deliver home health, hospice, and home- and community-based services across 38 states and the District of Columbia, reaching 68 percent of the U.S. population aged 65 and older.
About The Children’s Clinic