TY - JOUR
T1 - "Community vital signs"
T2 - Incorporating geocoded social determinants into electronic records to promote patient and population health
AU - Bazemore, Andrew W.
AU - Cottrell, Erika K.
AU - Gold, Rachel
AU - Hughes, Lauren S.
AU - Phillips, Robert L.
AU - Angier, Heather
AU - Burdick, Timothy E.
AU - Carrozza, Mark A.
AU - DeVoe, Jennifer E.
N1 - Publisher Copyright:
© The Author 2015.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Social determinants of health significantly impact morbidity and mortality; however, physicians lack ready access to this information in patient care and population management. Just as traditional vital signs give providers a biometric assessment of any patient, "community vital signs" (Community VS) can provide an aggregated overview of the social and environmental factors impacting patient health. Knowing Community VS could inform clinical recommendations for individual patients, facilitate referrals to community services, and expand understanding of factors impacting treatment adherence and health outcomes. This information could also help care teams target disease prevention initiatives and other health improvement efforts for clinic panels and populations. Given the proliferation of big data, geospatial technologies, and democratization of data, the time has come to integrate Community VS into the electronic health record (EHR). Here, the authors describe (i) historical precedent for this concept, (ii) opportunities to expand upon these historical foundations, and (iii) a novel approach to EHR integration.
AB - Social determinants of health significantly impact morbidity and mortality; however, physicians lack ready access to this information in patient care and population management. Just as traditional vital signs give providers a biometric assessment of any patient, "community vital signs" (Community VS) can provide an aggregated overview of the social and environmental factors impacting patient health. Knowing Community VS could inform clinical recommendations for individual patients, facilitate referrals to community services, and expand understanding of factors impacting treatment adherence and health outcomes. This information could also help care teams target disease prevention initiatives and other health improvement efforts for clinic panels and populations. Given the proliferation of big data, geospatial technologies, and democratization of data, the time has come to integrate Community VS into the electronic health record (EHR). Here, the authors describe (i) historical precedent for this concept, (ii) opportunities to expand upon these historical foundations, and (iii) a novel approach to EHR integration.
KW - Electronic health records
KW - Residence characteristics
KW - Social determinants of health
KW - Socioeconomic factors
UR - http://www.scopus.com/inward/record.url?scp=84963772539&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84963772539&partnerID=8YFLogxK
U2 - 10.1093/jamia/ocv088
DO - 10.1093/jamia/ocv088
M3 - Article
C2 - 26174867
AN - SCOPUS:84963772539
SN - 1067-5027
VL - 23
SP - 407
EP - 412
JO - Journal of the American Medical Informatics Association
JF - Journal of the American Medical Informatics Association
IS - 2
ER -