Abstract:
:The interoperable exchange of social-behavioral determinants of health data is challenging due to complex factors including multiple recommendations, multiple tools with varying domains, scoring, and cutpoints, and lack of terminology code sets for storing assessments and findings. This article describes a strategy that permits scoring by social-behavioral determinants of health domain to create interoperability and equivalency across tools, settings, and populations. The three-tier scoring strategy converts social-behavioral determinants of health data to (1) be used immediately at point of care by identifying social needs or social risk factors, (2) be consumed within analytics and algorithms and for secondary analysis, and (3) produce total scores that reflect social determinant burden and behavioral determinant burden across populations and settings within a healthcare system. The strategy supports the six uses recommended by the National Academy of Medicine, provides flexibility in choice of social-behavioral determinants of health tool, and leverages the power of social-behavioral determinants of health data in healthcare delivery.
journal_name
Health Informatics Jjournal_title
Health informatics journalauthors
Wetta RE,Severin RD,Gruhler Hdoi
10.1177/1460458219882265subject
Has Abstractpub_date
2020-06-01 00:00:00pages
1477-1488issue
2eissn
1460-4582issn
1741-2811journal_volume
26pub_type
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