Aspects of Social Determinants of Health: Defining and Sharing
This article delves deeper into various aspects of data handling, and who is working in these fields.
Defining SDoH
Lyd Paull-Flores, senior director, healthcare at GCOM, summarizes the social determinants of health in an article:
Economic stability
Economic access and quality
Social community and context
Healthcare access and quality
Neighborhood and built environment
A few different organizations have undertaken to categorize SDoH. The most comprehensive initiative, cited by several of my interviewees, is the Gravity project. Dr. Marc Rabner, chief medical officer of the nonprofit CRISP Shared Services (CSS), is on the technical advisory committee for Gravity and told me that the standard is mature, but that organizations are adopting it slowly. He also pointed out that there is no requirement or incentive for using the standard.
Jason Rose, CEO of AdhereHealth, also pointed to the Social Vulnerability Index (SVI) measured by the Centers for Disease Control at the ZIP code level.
The ICD standard, used universally to assign diagnostic code for billing purposes, also includes some SDoH-related codes that begin with a Z. Rabner estimates that these codes appear in only 3-4% of patient records, but that their use is growing. Rahul Sharma, CEO of HSBlox, points out that doctors haven’t been trained to use the Z codes, but that training will improve. Dr. Victor Lee, vice president of clinical informatics at Clinical Architecture, says that LOINC also has a smattering o...
Source: EMR and HIPAA - Category: Information Technology Authors: Andy Oram Tags: Analytics/Big Data C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Regulations Care Management Clinical Architecture CRISP GCOM Gender Harmony Gravity Project HDUs Source Type: blogs
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