Integrating Data On Social Determinants Of Health Into Electronic Health Records
Open accessAbstract
As population health becomes more of a focus of health care, providers are realizing that data outside of traditional clinical findings can provide a broader perspective on potential drivers of a patient's health status and can identify approaches to improving the effectiveness of care. However, many challenges remain before data related to the social determinants of health, such as environmental conditions and education levels, are as readily accessible and actionable as medical data are. Key challenges are a lack of consensus on standards for capturing or representing social determinants of health in electronic health records and insufficient evidence that once information on them has been collected, social determinants can be effectively addressed through referrals or other action tools. To address these challenges and effectively use social determinants in health care settings, we recommend creating national standards for representing data related to social determinants of health in electronic health records, incentivizing the collection of the data through financial or quality measures, and expanding the body of research that measures the impact of acting on the information collected.
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Lacking is an established standardized set of determinants or method of capture to inform care delivery and optimization efforts.
“Lacking is an established standardized set of determinants or method of capture [5,13,14,19] to inform care delivery and optimization efforts.”
Lack of standardization for incorporating data from various screening tools and measures has limited the usefulness of the data within and across EHR systems.
“Lack of standardization for incorporating data from various screening tools and measures has limited the usefulness of the data within and across EHR systems [15].”
From Incorporating Social Determinants of Health in Electronic Health Records: Qualitative Study of Current Practices Among Top Vendors (2019) · cites this paper as [15]
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- Authors
- Cantor, M. N., & Thorpe, L.
- Affiliations
- NYU Langone Health (US)
- New York University (US)
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2018-04
- Volume
- 37
- Issue
- 4
- Pages
- 585-590
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- PMC
- PMC10995852
- OpenAlex
- W2796212360
- Cited by
- 308
- References
- 3
- Citations by year
- 2026: 27 · 2025: 41 · 2024: 33 · 2023: 42 · 2022: 39 · 2021: 48 · 2020: 40 · 2019: 30 · 2018: 7
- FWCI
- 39.41
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR001445)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
- Keywords
- social determinants of health, electronic health records, data integration, data standards, health information exchange, population health, referral systems, quality metrics, financial incentives, environmental factors, educational attainment
- MeSH terms
- Population Health, Data Collection, Humans, Referral and Consultation, Social Support, Electronic Health Records, Social Determinants of Health
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