|Submitted By: Raymonde Uy / National Association of Community Health Centers (NACHC)|
|Data Element Information|
|Use Case Description(s)|
|Use Case Description||Income is a well-documented factor related to health outcomes. For example, it is associated with lower life expectancy. Financial resource strain that results from insufficient income has been shown to lead to stress, depressed mood, self-rated poor health, smoking, and other substance abuse behaviors.
Income is a significant determinant of health, impacting one’s ability not only to receive care but also from accessing the care they need
|Estimated number of stakeholders capturing, accessing using or exchanging||All federally qualified health centers (FQHCs) gather data about income. This encompasses, in 2019, 29 million patients at 1400+ FQHCs with more than 13000 health care delivery sites. The evaluation of social determinants of health, however, should be considered a required component of a patient-centered, value-based approach to care and therefore should be potentially relevant for any patient or care setting.|
|Maturity of Use and Technical Specifications for Data Element|
Z59.5 Extreme poverty (100% FPL or below)
Z59.6 Low income (200% FPL or below)
Z59.7 Insufficient social insurance and welfare support
Z72.4 Inappropriate diet and eating habits
365553008 - Finding of household income (finding)
365556000 - Finding of pattern of income (finding)
365552003 - Finding of income details (finding)
93025-5 - Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
|Current Use||Extensively used in production environments|
Community Health Centers, Health Center Controlled Networks and Primary Care Associations routinely capture these data elements in different electronic health record systems
|Number of organizations/individuals with which this data element has been electronically exchanged||5 or more. This data element has been tested at scale between multiple different production environments to support the majority of anticipated stakeholders.|
Commercial vendors including Aunt Bertha, UNITEUS and NowPow consume PRAPARE data and use it to link individual patients to social interventions.
|Restrictions on Standardization (e.g. proprietary code)||None|
|Restrictions on Use (e.g. licensing, user fees)||The PRAPARE tool has very minimal licensing and user fees.
|Privacy and Security Concerns||None|
|Estimate of Overall Burden||Low burden, especially for healthcare institutions that routinely cater to the target demographic and geographic catchment area.|
Social Determinants of Health
Information from the submission form
This data element captures the combined income of the patient and the family members he/she lives with.