New Centers for Medicare and Medicaid Services (CMS) guidelines will require Prospective Payment System (PPS) hospitals to report their strategic commitment to health equity, such as engagement in social needs screening, as part of their quality reporting. Using American Hospital Association survey data, we will explore the following questions:

1. What, if any, social needs are being screened for in noncore, micropolitan, and metropolitan PPS hospitals overall and stratified by other characteristics (e.g., ownership status, Accountable Care Organization (ACO) participation, community characteristics)?
2. Is there concordance between what social needs are being screened and either internal programs/strategies or external partnerships to address those needs?