Submitted by nedragarrett_CDC on 2022-09-29
CDC's Consolidated Comment for USCDI v4
- To Use Case Description Section please add the following text at the begining of the section ;
- Differences in SDOH contribute to the stark and persistent disease disparities in the United States among racial, ethnic, and socioeconomic groups, systematically limiting opportunities for members of some groups to be healthy. While public health crises and economic uncertainty may focus attention on disparities, health inequities have persisted across generations because of structural policies and practices that have systematically limited health access and opportunities. It is crucial to capture data elements on risks and drivers of inequity for leading health conditions (such as Education level) as often captured in the social history for patient management and of importance for population health supports. The healthcare and public health missions and duties are supported by electronic health information (EHI) measurements around health behaviors, social determinants, equity, and outcomes. These data elements support equity and well-being benefiting individual and population level health. They address domains including SDOH drivers, risk factors and protective behaviors (e.g., physical activity as a vital sign and food as medicine), vulnerability indices, systematic race and ethnicity reporting, and medical outcomes of consequence.
- Healthy People 2030. Social determinants of health have a major impact on people's health and well-being — and they're a key focus of Healthy People 2030.Healthy people 2030 domains for SDOH (as well as some other domains of interest to us) include: Economic Stability; Education Access and Quality; Health Care Access and Quality; Neighborhood and Built Environment; Social and Community Context. People with higher levels of education are more likely to be healthier and live longer. Healthy People 2030 focuses on providing high-quality educational opportunities for children and adolescents — and on helping them do well in school as it impacts their health outcomes throughout life. Therefore, this data element is important for informing future public health action. It is critical to focus on achieving health equity by reducing disparities.
- To Estimated number of stakeholders capturing, accessing using or exchanging section please add at the beginning:
- The data exchange will benefit 329.5 million entire (US population number (2020)). SDOH cross-cuts all people, all practices as well as organizations, federal agencies, and partners. It is of priority to the federal government, HHS, healthcare and public health and the people served. This data class (and the elements contained within it) are pertinent to all stakeholders that directly partner with patients toward improving patient health and stakeholders who gather, aggregate, and use data to make decisions on policy, programs, and resources toward the improved health of populations (Gravity).
- Applicable Standard(s) please add ;
- Current educational attainment (NHANES) LOINC® code 63504-5 https://www.healthit.gov/isa/representing-level-education
Submitted by RUy on 2022-09-30
Education as SDOH data element under USCDI or ISANACHC would like to resupport this data element for consideration / inclusion to USCDIv3. All federally qualified health centers (FQHCs) gather SDOH data, which includes a focus on this data element through the PRAPARE screening tool. This data is relevant to and encompasses in 2019 29 million patients at 1400+ FQHCs with more than 13000 health care delivery sites. If this data element is not considered for addition to USCDI, we would like to comment on it's addition to ISA as a coded data element under SDOH, with applicable standards and representation accross ICD-10-CM, SNOMED-CT and LOINC. Please see attached document supporting this.