Data Element

Transportation Insecurity

A condition in which one is unable to regularly move from place to place in a safe and timely manner because one lacks the material, economic or social resources necessary for transportation. (Alix Gould-Werth, Jamie Griffin & Alexandra K. Murphy, “Developing a New Measure of Transportation Insecurity: An Exploratory Factor Analysis,” 11(2) Survey Practice , p. 1 (2018).) Currently under consideration by and in process with the Gravity community.


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.

2023-09-20 NACHC USCDIv5 Letter of Support_2.pdf

Transportation Insecurity is a key SDOH data element

NACHC support for the inclusion of "Transportation Insecurity" as a required data element for interoperability across electronic health records systems for USCDI. Healthcare providers in community health centers have seen firsthand the significant impact that transportation insecurity can have on a patient's health outcomes.

An example of a code that represents transportation insecurity is the ICD-10-CM code Z59.82.

By standardizing the collection and sharing of information on transportation insecurity across electronic health records systems, healthcare providers can better identify patients who may face transportation barriers to accessing healthcare. This information can help providers tailor their care to the unique needs of their patients, such as by providing information on transportation resources or scheduling appointments at more accessible locations.

Furthermore, incorporating transportation insecurity as a required data element can help to address healthcare disparities and improve health equity. Patients who lack adequate transportation may face barriers in accessing preventive care, chronic disease management, and other essential healthcare services. By capturing this information and ensuring its interoperability, healthcare providers can work to mitigate the impact of transportation insecurity on patient outcomes.

Transportation Insecurity as SDOH data element under USCDI or IS

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_15.pdf

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