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Interviews centered on just how each organization incorporated EHR-based SDH screening into hospital workflows, and elements that impacted use of this training change. Factors that facilitated effective integration of EHR-based SDH testing were (1) exterior bonuses and motivators that caused introduction of this screening (eg, grant demands, encouragement from professional organizations); (2) existence of an SDH assessment advocate; and (3) maintaining flexibility with regard to workflow a