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 System

JMIR Medical Informatics
Elham HatefHadi Kharrazi

Abstract

Most US health care providers have adopted electronic health records (EHRs) that facilitate the uniform collection of clinical information. However, standardized data formats to capture social and behavioral determinants of health (SBDH) in structured EHR fields are still evolving and not adopted widely. Consequently, at the point of care, SBDH data are often documented within unstructured EHR fields that require time-consuming and subjective methods to retrieve. Meanwhile, collecting SBDH data using traditional surveys on a large sample of patients is infeasible for health care providers attempting to rapidly incorporate SBDH data in their population health management efforts. A potential approach to facilitate targeted SBDH data collection is applying information extraction methods to EHR data to prescreen the population for identification of immediate social needs. Our aim was to examine the availability and characteristics of SBDH data captured in the EHR of a multilevel academic health care system that provides both inpatient and outpatient care to patients with varying SBDH across Maryland. We measured the availability of selected patient-level SBDH in both structured and unstructured EHR data. We assessed various SBDH in...Continue Reading

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Citations

Jul 13, 2020·The Journal of Medical Humanities·Kirsten Ostherr
Jan 12, 2021·Ethnicity & Health·Bethann Mangel Pflugeisen, Jin Mou
Jan 13, 2021·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Lisa M McElroy, Allan D Kirk
Jan 19, 2021·Seizure : the Journal of the British Epilepsy Association·Barbara M DeckerPouya Khankhanian
Aug 24, 2020·Archives of Gerontology and Geriatrics·Anand K BeryHadi Kharrazi
May 15, 2021·Population Health Management·Amy McQueenMatthew Kreuter
May 22, 2021·Journal of Biomedical Informatics·N J KaneM A Hoffman
Mar 19, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·Elyse C LasserLisa Ross DeCamp
Jun 27, 2021·Journal of Biomedical Informatics·Ruth M ReevesWendy Chapman
Sep 2, 2021·Annual Review of Biomedical Data Science·Bethany Percha
Sep 23, 2021·Journal of the American Medical Informatics Association : JAMIA·Michael WangJulia Adler-Milstein
Oct 7, 2021·Journal of the American Medical Informatics Association : JAMIA·Braja G PatraJyotishman Pathak

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