Post on 07-Jul-2015
description
4010, Moorpark Avenue, #205, San Jose, California 95117
November 24, 2014
Various studies have been done on past decades
about the social and behavioral factors influencing
people’s health. Despite the strong evidence, social
and behavioral factors are not well addressed in
clinical care; especially EHRs that do not record
more about social and behavioral factors.
Patient data in EHR is very helpful for public health
agencies and researchers in analyzing the
effectiveness of treatment. Limited availability of
social and behavioral data in EHRs results in delay
of on-set in treating disease and improved well-
being.
If standardized social and behavioral data are
recorded in EHRs, it would be more helpful in
preventing the disease, maintaining public’s health,
providing better patient care, improving population
health and more informative research study.
To do that, IOM [Institute of Medicine] formed a
committee to identify the social and behavioral
domains that is to be included as core measures for
all EHRs. Race/Ethnicity, alcohol use, tobacco use
and residential address are already in part of EHR
data collection. In addition to these, there are eight
more measures recommended by IOM committee
which are as follows
Education
Financial resource strain
Stress
Depression
Physical activity
Social isolation
Intimate partner violence [for women of
reproductive age]
Neighborhood median household income
IOM committee earlier came up with 17 domains for
social and behavioral factors. Out of which, the above
8 are mentioned as core. However, for betterment we
feel to grab few more from those 17 domains.
Employment details
Dietary patterns
Work Conditions
Environmental exposures
CMS and ONC are in process of framing Stage 3
Meaningful use measures which are expected to start
by 2017, the core social and behavioral domains are
expected to be a part of it.
The inclusion of these factors provides
More effective treatment
More effective population management for
health care systems and public health agencies
Discovery of pathways that link social and
behavioral factors to diseases.
Now, EHR vendors have to decide upon the factors to
be included in their own application for better patient
care and effectiveness.
Social and Behavioral Data
in Electronic Health Record
4010, Moorpark Avenue, #205, San Jose, California 95117
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