 This study investigates the use of a statewide admission, discharge, and transfer feed, ADT, to assess equity in access to programs for high-needs patients at Vanderbilt University Medical Center, VUMC. The results show that VUMC-only visit screening criteria have high sensitivity for identifying high-need patients, with minimal selection bias when depending on same-site utilization. Further research is needed to understand how biases vary by site and durability over time. This article was authored by Francis Salvador Balucan, Benjamin French, Yappingcha, and others.