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E. Hatef, Xiaomeng Ma, Masoud Rouhizadeh, G. Singh, J. Weiner, Hadi Kharrazi (2020)
Assessing the Impact of Social Needs and Social Determinants of Health on Health Care Utilization: Using Patient- and Community-Level Data.Population health management
M. Pantell, D. Hessler, D. Long, Maoya Alqassari, Christine Schudel, Ellen Laves, Denisse Velazquez, A. Amaya, Patricia Sweeney, Abigail Burns, Francis Harrison, N. Adler, L. Gottlieb (2020)
Effects of In-Person Navigation to Address Family Social Needs on Child Health Care UtilizationJAMA Network Open, 3
P. Vega, Stephanie Losi, Linda Martinez, Allison Bovell-Ammon, A. Garg, T. James, Alana Ewen, M. Stack, Heloisa DeCarvalho, M. Sandel, R. Mishuris, Stella Deych, Patricia Pelletier, N. Kressin (2019)
Implementing an EHR-based Screening and Referral System to Address Social Determinants of Health in Primary CareMedical Care, 57
Maysoun Freij, Prashila Dullabh, S. Lewis, Scott Smith, Lauren Hovey, Rina Dhopeshwarkar (2019)
Incorporating Social Determinants of Health in Electronic Health Records: Qualitative Study of Current Practices Among Top VendorsJMIR Medical Informatics, 7
Min Chen, X. Tan, R. Padman (2020)
Social determinants of health in electronic health records and their impact on analysis and risk prediction: A systematic reviewJournal of the American Medical Informatics Association : JAMIA, 27 11
J. Ludwig, L. Sanbonmatsu, L. Gennetian, E. Adam, G. Duncan, Lawrence Katz, R. Kessler, J. Kling, S. Lindau, R. Whitaker, T. McDade (2011)
Neighborhoods, obesity, and diabetes--a randomized social experiment.The New England journal of medicine, 365 16
K. Chaiyachati, D. Grande, Jaya MPH (2016)
Health systems tackling social determinants of health: promises, pitfalls, and opportunities of current policies.The American journal of managed care, 22 11
(2021)
Epic’s EHR Optimization Mitigates SDOH, Promotes Care Coordination
E. Hatef, Hadi Kharrazi, Karin Nelson, Philip Sylling, Xiaomeng Ma, E. Lasser, K. Searle, Z. Predmore, Adam Batten, Idamay Curtis, S. Fihn, J. Weiner (2019)
The Association Between Neighborhood Socioeconomic and Housing Characteristics with Hospitalization: Results of a National Study of VeteransThe Journal of the American Board of Family Medicine, 32
A. Navathe, Feiran Zhong, Victor Lei, F. Chang, M. Sordo, M. Topaz, S. Navathe, R. Rocha, Li Zhou (2018)
Hospital Readmission and Social Risk Factors Identified from Physician NotesHealth Services Research, 53
E. Cottrell, Katie Dambrun, S. Cowburn, Ned Mossman, A. Bunce, M. Marino, Molly Krancari, Rachel Gold (2019)
Variation in Electronic Health Record Documentation of Social Determinants of Health Across a National Network of Community Health Centers.American journal of preventive medicine, 57 6S1
E. Hatef, Masoud Rouhizadeh, Iddrisu Tia, E. Lasser, F. Hill-Briggs, Jill Marsteller, Hadi Kharrazi (2019)
Assessing the Availability of Data on Social and Behavioral Determinants in Structured and Unstructured Electronic Health Records: A Retrospective Analysis of a Multilevel Health Care SystemJMIR Medical Informatics, 7
H. Krumholz, S. Bernheim (2014)
Considering the Role of Socioeconomic Status in Hospital Outcomes MeasuresAnnals of Internal Medicine, 161
A. Clark, M. Desmeules, W. Luo, A. Duncan, A. Wielgosz (2009)
Socioeconomic status and cardiovascular disease: risks and implications for careNature Reviews Cardiology, 6
D. Cohen, Tamar Wyte-Lake, D. Dorr, Rachel Gold, R. Holden, R. Koopman, Joshua Colasurdo, Nate Warren (2020)
Unmet information needs of clinical teams delivering care to complex patients and design strategies to address those needsJournal of the American Medical Informatics Association : JAMIA
A. Andermann (2016)
Taking action on the social determinants of health in clinical practice: a framework for health professionalsCanadian Medical Association Journal, 188
MS Pantell, D Hessler, D Long (2020)
Effects of in-person navigation to address family social needs on child health care utilization: a randomized clinical trialJAMA Netw Open, 3
Hannah Truong, Alina Luke, Gmerice Hammond, R. Wadhera, Mat Reidhead, Karen Maddox (2020)
Utilization of Social Determinants of Health ICD-10 Z-Codes Among Hospitalized Patients in the United States, 2016–2017Medical Care, 58
(2019)
Cerner Launches Social Determinants Innovation Collaborative with Over 30 Health Systems
Rachel Gold, A. Bunce, S. Cowburn, Katie Dambrun, Marla Dearing, M. Middendorf, Ned Mossman, Celine Hollombe, Peter Mahr, Gerardo Melgar, James Davis, L. Gottlieb, E. Cottrell (2018)
Adoption of Social Determinants of Health EHR Tools by Community Health CentersThe Annals of Family Medicine, 16
N. Adler, D. Cutler, J. Fielding, S. Galea, M. Glymour, H. Koh, D. Satcher (2016)
Addressing Social Determinants of Health and Health Disparities: A Vital Direction for Health and Health Care, 6
ObjectiveElectronic Health Records (EHRs) increasingly include designated fields to capture social determinants of health (SDOH). We developed measures to characterize their use, and use of other SDOH data types, to optimize SDOH data integration.Materials and MethodsWe developed 3 measures that accommodate different EHR data types on an encounter or patient-year basis. We implemented these measures—documented during encounter (DDE) captures documentation occurring during the encounter; documented by discharge (DBD) includes DDE plus documentation occurring any time prior to admission; and reviewed during encounter (RDE) captures whether anyone reviewed documented data—for the newly available structured SDOH fields and 4 other comparator SDOH data types (problem list, inpatient nursing question, social history free text, and social work notes) on a hospital encounter basis (with patient-year metrics in the Supplementary Appendix). Our sample included all patients (n = 27 127) with at least one hospitalization at UCSF Health (a large, urban, tertiary medical center) over a 1-year period.ResultsWe observed substantial variation in the use of different SDOH EHR data types. Notably, social history question fields (newly added at study period start) were rarely used (DDE: 0.03% of encounters, DBD: 0.26%, RDE: 0.03%). Free-text patient social history fields had higher use (DDE: 12.1%, DBD: 49.0%, RDE: 14.4%).DiscussionOur measures of real-world SDOH data use can guide current efforts to capture and leverage these data. For our institution, measures revealed substantial variation across data types, suggesting the need to engage in efforts such as EHR-user education and targeted workflow integration.ConclusionMeasures revealed opportunities to optimize SDOH data documentation and review.
Journal of the American Medical Informatics Association – Oxford University Press
Published: Sep 21, 2021
Keywords: social informatics; SDOH; EHR
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