Data Element

Incarceration History
Description

In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility? ☐ Yes ☐ No ☐ I choose not to answer this question

Comment

Reaffirming support for SDOH data elements

The National Association of Community Health Centers (NACHC) remains steadfast in its commitment to advocating for and prioritizing Social Determinants of Health (SDOH) data elements. Recognizing the critical role that these factors play in shaping the clinical outcomes of community health center patients, NACHC continues to emphasize the need for comprehensive, accurate, and interoperable SDOH data. By reaffirming our support for these essential elements, we aim to drive informed decision-making, policy development, and targeted interventions that address the root causes of health disparities. This underscores NACHC's belief in the transformative potential of SDOH data in building healthier, more equitable communities.

See attached letter of support containing comments on data elements across USCDI submissions and versions.

2023-09-20 NACHC USCDIv5 Letter of Support_11.pdf

Incarceration History as SDOH data element under USCDIv4 or ISA

NACHC would like to resupport this data element for consideration / inclusion to USCDIv4. 

Incarceration history is an important data element that captures information that provide critical insights into a patient's health history and social determinants of health, particularly for individuals who have experienced incarceration. Incarceration can have significant impacts on a person's physical and mental health, including exposure to violence, trauma, and infectious diseases. It can also lead to social and economic disadvantages, which can in turn affect access to healthcare services and health outcomes. By standardizing the collection and sharing of incarceration history data across EHR systems, healthcare providers can better identify and address the healthcare needs of formerly incarcerated individuals, ultimately improving their overall health and well-being. In addition, this data can be used to inform public health efforts and research on the health impacts of incarceration, leading to more effective healthcare policies and interventions.

Incarceration History as SDOH data element under USCDI or ISA

NACHC 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. 

2022-09-30 NACHC USCDIv3 Letter of Support_9.pdf

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