Submitted by j_tufano on 2021-01-28
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Submitted by vshank on 2021-01-28
In Support of the Gravity Project’s Submission to Include Social
This field is for general comments on this specific data class. To submit new USCDI data classes and/or data elements, please use the USCDI ONDEC system: https://healthit.gov/ONDECSubmitted by JoshCaplan on 2020-12-23
Gravity Project ONC USDCI SDH
December 23, 2020 The Honorable Donald Rucker, M.D. National Coordinator for Health Information Technology U.S. Department of Health and Human Services 330 C Street SW, 7th Floor Washington, D.C. 20201 Re: The Gravity Project’s Submission To Include Social Determinants of Health (SDOH) in the U.S. Core Data for Interoperability, Version 2, for Better Care and Better Health Nationwide Dear Dr. Rucker: AcademyHealth welcomes the opportunity to provide input to the Office of the National Coordinator on behalf of the Gravity Project’s recent submission to include social determinants of health in the U.S. core data for interoperability. We are the professional home of more than 3,000 health services researchers, policy experts, and practitioners, and we strongly support the production, dissemination, and use of evidence to inform policy and practice. Our membership is highly engaged with research on racial/ethnic disparities that has helped to shape and produce the evidence base on the role of social determinants in predicting individual and population-based health outcomes as well as the healthcare costs associated with social and economic risks. We are aware of the limitations of the current data infrastructure for health services research and population health analytics and we applaud the work of the Gravity Project to strengthen the research community’s capacity for data-sharing and interoperability by introducing standardized data elements for SDOH. The Gravity Project grew out of recognition by a broad group of stakeholders, including AcademyHealth, that a coordinated strategy for achieving standardized data for SDOH capture in electronic health record (EHR) systems was urgently needed. AcademyHealth’s Vice President for Evidence Generation and Translation, Margo Edmunds, PhD, FAMIA, provided strategic advice in early meetings with key stakeholders during the planning stages for the Project and has served as a member of its Strategic Advisory Committee as the Project has evolved. Since its creation, the Gravity Project has provided critical leadership in convening appropriate stakeholders and coordinating a structured, efficient, and comprehensive approach to:- Understand the value and use of SDOH data for clinical care and population management;
- Analyze gaps in existing terminology and codes used to represent SDOH-related activities in clinical delivery settings;
- Develop standard terminology, vocabulary, and codes to refer to and implement SDOH concepts in the EHR context.
Submitted by cnewhall on 2020-12-21
Support of Gravity Project’s Submission to Include SDOH
Please find attached a letter on behalf of AmeriHealth Caritas submitted by Dr. Andrea Gelzer, Senior Vice President of Medical Affairs in support of the Gravity Project's submission to add SDoH as a new data class to the USCDI v2. Thank you.AmeriHealth Caritas Letter of Support-Gravity Project Submission USCDI_1.pdf
Submitted by MaraSchwartz on 2020-12-21
Gravity Project ONC USCDI SDH
The attached letter of support is submitted on behalf of Lyft from Nicole Cooper, DrPH, MPH Head of Healthcare Policy. Gravity Project ONC USCDI SDH is key to Lyft Healthcare's mission of helping people in the US get access to best transportation possible in order to reach their critical medical appointments. Every year, 3.6 million American's miss their medical appointments due to transportation challenges. Gravity Project ONC USCDI SDH is a critical step in ensuring these patients and more are able to get the care they need.Lyft to ONC on SDOH Data Class for USCDI (12-10-2020) (1).docx.pdf
Submitted by Dansby on 2020-12-18
Letter of Support for Gravity Project
We represent organizations that are focused on treating comorbid chronic diseases. We are acutely aware of the importance of Social Determinants of Health and the role that the Gravity Project is playing to advance healthcare science and delivery capabilities. We strongly support the Gravity Project with the attached Letter.Submitted by SHewner on 2020-12-18
The Gravity Project’s Submission To Include SDOH
December 17, 2020 By electronic submission The Honorable Donald Rucker, M.D National Coordinator for Health Information Technology U.S. Department of Health and Human Services 330 C Street SW, 7th Floor Washington, D.C. 20201 Re: The Gravity Project’s Submission To Include Social Determinants of Health in the U.S. Core Data for Interoperability, Version 2, for Better Care and Better Health Nationwide Dear National Coordinator Rucker: My name is Dr. Sharon Hewner, and I am a faculty member at the University at Buffalo School of Nursing. My research focuses on using health information exchange (HIE) to facilitate care coordination during care transitions for high need/high cost individuals. My coordinating transitions project used a simple 12 -item screening tool to assess social and behavioral determinants of health (SDOH) in a single primary care practice. Inclusion of this data transformed the way the primary care practice functioned. However, a major gap remained in including SDOH as part of the health concerns in a care plan that can be shared across settings. My current work expands the use of HIE to develop cross-sector care plans. I am working with the Buffalo City Mission (emergency shelter and medical respite) as a pilot site to use SBDH data to reduce emergency department recidivism. I see the work completed by the Gravity Project as critical to the success of integrating care across health, behavioral health and social service sectors. Furthermore, the Gravity Project has provided critical leadership in convening appropriate stakeholders and coordinating a structured, efficient, and comprehensive approach to:- Understand the value and use of SDOH data for clinical care and population management;
- Analyze gaps in existing terminology and codes used to represent SDOH-related activities in clinical delivery settings;
- Develop standard terminology, vocabulary, and codes to refer to and implement SDOH concepts in the EHR context.
Submitted by RiplingerL on 2020-12-17
Gravity Project ONC USCDI SDoH
Please find attached a letter on behalf of AHIMA submitted by Lauren Riplinger, VP, Policy & Government Affairs in support of the Gravity Project's submission to add SDoH as a new data class to the USCDI v2.Submitted by RiplingerL on 2020-12-17
Submitted by jenna.stern on 2022-04-29
Vizient comments SDoH
Outcomes: Vizient agrees with the use case description submitted to ONC by the Gravity Project. Overall, addition of the Outcomes element would allow for enhanced measurement of SDoH interventions, which may then also be used in the context of quality measurement. Also, the addition of an Outcomes element would allow for a more complete information, as currently available SDoH elements, which are included in different data classes, do not include outcomes (e.g., SDoH Assessment, SDoH Problems/Health Concerns, SDoH Goals, SDoH Interventions).