Determinants of health - like physical activity levels and living conditions - have traditionally been the concern of public health and have not been linked closely to clinical practice. However, if standardized social and behavioral data can be incorporated into patient electronic health records (EHRs), those data can provide crucial information about factors that influence health and the effectiveness of treatment. Such information is useful for diagnosis, treatment choices, policy, health care system design, and innovations to improve health outcomes and reduce health care costs.
Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 identifies domains and measures that capture the social determinants of health to inform the development of recommendations for the meaningful use of EHRs. This report is the second part of a two-part study. The Phase 1 report identified 17 domains for inclusion in EHRs. This report pinpoints 12 measures related to 11 of the initial domains and considers the implications of incorporating them into all EHRs. This book includes three chapters from the Phase 1 report in addition to the new Phase 2 material.
Standardized use of EHRs that include social and behavioral domains could provide better patient care, improve population health, and enable more informative research. The recommendations of Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 will provide valuable information on which to base problem identification, clinical diagnoses, patient treatment, outcomes assessment, and population health measurement.
Institute of Medicine. 2014. Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2. Washington, DC: The National Academies Press. https://doi.org/10.17226/18951.
|2 Selection of Domains for Consideration||43-54|
|3 Identified Candidate Domains||55-126|
|4 Measures Reviewed for Each Candidate Domain||127-226|
|5 Recommended Core Domains and Measures||227-236|
|6 Implementation Issues||237-254|
|7 Looking Toward the Future||255-272|
|Appendix A: Domains Reviewed But Not Selected for the Candidate Set||273-318|
|Appendix B: Privacy Concerns Related to Inclusion of Social and Behavioral Determinants of Health in Electronic Health Records||319-336|
|Appendix C: Agendas of Public Meetings||337-344|
|Appendix D: Committee Biographies||345-352|
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