Table 3 Assessment of integration of SDOH data into care practices and use of EHR technology
| Â | Data Element | Frequency | Percentage |
|---|---|---|---|
Integration of SDOH data into care practices | |||
1 | Created reports or summarized patient-level SDOH data (n = 41) | ||
Yes | 19 | 46.34% | |
Not Described | 22 | 53.66% | |
Total | 41 | 100% | |
2 | Patient SDOH data was shared with the care team (n = 41) | ||
Yes | 14 | 34.15% | |
Not Described | 27 | 65.85% | |
Total | 41 | 100% | |
3 | Care team discussed SDOH results with patients (n = 41) | ||
Yes | 11 | 26.83% | |
Not Described | 30 | 73.17% | |
Total | 41 | 100% | |
4 | Used list or guide of community resources to facilitate referrals (n = 41) | ||
Yes (Database embedded in EHR) | 1 | 2.44% | |
Yes (Resources provided by provider or staff) | 1 | 2.44% | |
Yes (Generalized resource guide provided to patients) | 3 | 7.32% | |
Yes (Personalized resource guide provided to patients) | 6 | 14.63% | |
Yes (Support network) | 2 | 4.87% | |
Yes (Other) | 10 | 24.40% | |
Not Described | 18 | 43.90% | |
Total | 41 | 100% | |
5 | Had referral protocols (n = 41) | ||
Yes | 20 | 48.78% | |
Not Described | 21 | 51.22% | |
Total | 41 | 100% | |
6 | Patient referral practices used (n = 41) | ||
Yes (Gave patients a referral) | 12 | 29.27% | |
Yes (Helped patients make an appointment) | 3 | 7.32% | |
Yes (Warm Handoff) | 2 | 4.88% | |
Yes (Other) | 3 | 7.32% | |
Not clear | 2 | 4.88% | |
Not Described | 19 | 46.34% | |
Total | 41 | 100% | |
7 | Tracked referrals (n = 41) |  |  |
Yes (Through follow-up calls) | 5 | 12.20% | |
Yes (Other) | 8 | 19.51% | |
No (Didn’t track referrals) | 2 | 4.88% | |
Not Described | 26 | 63.41% | |
Total | 41 | 100% | |
8 | Had protocols on use of community-level SDOH data in referrals and patient management (n = 41) | ||
Yes | 0 | 0% | |
Not described | 41 | 100% | |
Total | 41 | 100% | |
Use of EHR technology in the integration | |||
9 | Stored and presented patient-level SDOH data in the EHR (n = 41) | ||
Yes | 10 | 24.40% | |
Not Described | 31 | 75.60% | |
Total | 41 | 100% | |
10 | Stored and presented community-level SDOH data in the EHR (n = 41) | ||
Yes | 0 | 0% | |
Not Described | 41 | 100% | |
Total | 41 | 100% | |
11 | Described staffing models and training resources in EHR (n = 41) | ||
Yes | 1 | 2.44% | |
Not Described | 40 | 97.56% | |
Total | 41 | 100% | |
12 | EHR-based tool included automated triggers or alerts (n = 41) | ||
Yes | 1 | 2.44% | |
Not Described | 40 | 97.56% | |
Total | 41 | 100% | |
13 | Had referral tracking tools in EHR (n = 41) | ||
Yes | 3 | 7.32% | |
No (Didn’t track referrals) | 1 | 2.44% | |
Not Described | 37 | 90.24% | |
Total | 41 | 100% | |
14 | Community resources lists were integrated into the EHR (n = 41) |  |  |
Yes | 2 | 4.88% | |
Not Described | 39 | 95.12% | |
Total | 41 | 100% | |