Journal: Journal of health care for the poor and underserved

Article Title: Using Health Information Technology to Bring Social Determinants of Health into Primary Care: A Conceptual Framework to Guide Research

doi: 10.1353/hpu.2018.0071

Figure Lengend Snippet: Box 1.

Article Snippet: ASSESS: Act on Social Determinants Using EHR Tools in Safety Net Settings. Building on the Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE), a national effort to help health centers collect the data needed to better understand an act on their patients social needs, OCHIN is collaborating with Kaiser Permanente Center for Health Research b to demonstrate the feasibility of creating EHR-based SDH data collection and presentation tools that can be used to document patient-reported SDH data, and facilitate and track referrals to community resources; and to evaluate uptake, use, and impact of the SDH tools in 3 pilot sites. Funder: National Institutes of Diabetes and Digestive and Kidney Diseases (09/01/2015 – 08/31/2017) , Step 1: (i) Understand which patient-reported SDH have the biggest impact on health are most important to collect in primary care settings; (iv) Identify the most effective workflows to facilitate the collection of patient- reported SDH information. Step 2: (i) Develop EHR-based tools for presenting and summarizing patient-reported SDH information; (ii) Assess whether, how, and where to present community-level data in EHRs; (iii) Identify where in the workflow these data are available and who on the primary care team should have access to this information. Step 3: (iii) Develop tools to facilitate referrals to community resources based on patient-reported SDH needs; (iv) Develop strategies to help primary care practices integrate up-to-date information on community resources into their EHRs..

Techniques:

Journal: Journal of health care for the poor and underserved

Article Title: Using Health Information Technology to Bring Social Determinants of Health into Primary Care: A Conceptual Framework to Guide Research

doi: 10.1353/hpu.2018.0071

Figure Lengend Snippet: Box 2.

Article Snippet: ASSESS: Act on Social Determinants Using EHR Tools in Safety Net Settings. Building on the Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE), a national effort to help health centers collect the data needed to better understand an act on their patients social needs, OCHIN is collaborating with Kaiser Permanente Center for Health Research b to demonstrate the feasibility of creating EHR-based SDH data collection and presentation tools that can be used to document patient-reported SDH data, and facilitate and track referrals to community resources; and to evaluate uptake, use, and impact of the SDH tools in 3 pilot sites. Funder: National Institutes of Diabetes and Digestive and Kidney Diseases (09/01/2015 – 08/31/2017) , Step 1: (i) Understand which patient-reported SDH have the biggest impact on health are most important to collect in primary care settings; (iv) Identify the most effective workflows to facilitate the collection of patient- reported SDH information. Step 2: (i) Develop EHR-based tools for presenting and summarizing patient-reported SDH information; (ii) Assess whether, how, and where to present community-level data in EHRs; (iii) Identify where in the workflow these data are available and who on the primary care team should have access to this information. Step 3: (iii) Develop tools to facilitate referrals to community resources based on patient-reported SDH needs; (iv) Develop strategies to help primary care practices integrate up-to-date information on community resources into their EHRs..

Techniques: