PCR078: Use of the EHR to Address the Social Determinants of Health - Primary Care Learning Experiences in a Health System
Erin Westfall, DO; Marjan Jahani Kondori; Rosean Bishop, PhD; Rodney Erickson, MD; Thomas Thacher, MD
Erin Westfall, DO; Marjan Jahani Kondori; Rosean Bishop, PhD; Rodney Erickson, MD; Thomas Thacher, MD
Thanks for your terrific work on this research. The Robert Graham Center is very interested in this topic and looking for collaborators. Hope we can connect.
Thank you for your important contribution to identifying this technology and use gap. As Jack mentioned, we at the Robert Graham Center are planning work in this space in 2022 - look forward to future conversations.
Thank you! I would love to collaborate. I will reach out to your team.
What are your next steps? Are you connected to your IT team to allow the development of SDOH terms?
Thank you, Diane, for your question! Yes, we have created a team (s) to better address the SDOH. This includes IT, primary care and population health. We're specifically working to shorten our SDOH questionnaire to ensure that more people complete the questionnaire, building teams and workflow processes around screening and intervening on adverse SDOH, and also optimizing the Aunt Bertha/Find Help plugin to our EMR. This includes piloting a position that both assists teams in finding resources for our individual patients (at POC and/or asynchronously through phone, face to face or home visits) as well as working directly with community based organizations and public health to build capacity within those organizations to utilize the Find Help platform to facilitate bidirectional communication. We're hoping to influence EPIC to interface better with Find Help/AB so the closed loop communication can come right to the in basket of the care teams rather than via email. Finally, we've held educational conferences for staff and physicians on the basics of "how to" review and refer using the EPIC tools. Definitely a lot of work to do!
This is certainly critical information we need in primary care - not only for clinicians but also for researchers. I look forward to seeing more of your work in this area.
This is an important topic and well-done research study. Nice work. Thanks I contributed to Canadian research that used postal codes to identify patient to screen for poverty. A reminder popped up in the EMR to do so. A key aspect was that there were resource people (primarily SW) within the practice team to who referral could be made if the patient wished.
I'd agree that EHRs are lousy at capturing this but I don't know if that's really their role. I sort of feel that's my responsibility as the primary care physician.
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Dennis Baumgardner, MD
11/19/2021Thanks for your work on this interesting topic.