Using structured and unstructured data to identify patients’ need for services that address the social determinants of health

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Introduction Increasingly, health care providers are adopting population health management approaches that address the social determinants of health (SDH). However, effectively identifying patients needing services that address a SDH in primary care settings is challenging. The purpose of the current study is to explore how various data sources can identify adult primary care patients that are in need of services that address SDH. Methods A cross-sectional study described patients in need of SDH services offered by a safety-net hospital's federally qualified health center clinics. SDH services of social work, behavioral health, nutrition counseling, respiratory therapy, financial planning, medical-legal partnership assistance, patient navigation, and pharmacist consultation were offered on a co-located basis and were identified using structured billing and scheduling data, and unstructured electronic health record data. We report the prevalence of the eight different SDH service needs and the patient characteristics associated with service need. Moreover, characteristics of patients with SDH services need documented in structured data sources were compared with those documented by unstructured data sources. Results More than half (53%) of patients needed SDH services. Those in need of such services tended to be female, older, more medically complex, and higher utilizers of services. Structured and unstructured data sources exhibited poor agreement on patient SDH services need. Patients with SDH services need documented by unstructured data tended to be more complex. Discussion The need for SDH services among a safety-net population is high. Identifying patients in need of such services requires multiple data sources with structured and unstructured data.

Original languageEnglish (US)
Pages (from-to)101-106
Number of pages6
JournalInternational Journal of Medical Informatics
Volume107
DOIs
StatePublished - Nov 1 2017

Fingerprint

Social Determinants of Health
Information Storage and Retrieval
Health Services Needs and Demand
Health Services
Primary Health Care
Health
Patient Navigation
Safety-net Providers
Respiratory Therapy
Electronic Health Records
Social Work
Pharmacists
Health Personnel
Population
Counseling
Referral and Consultation

Keywords

  • Medical informatics
  • Primary health care
  • Social determinants of health

ASJC Scopus subject areas

  • Health Informatics

Cite this

@article{6348f50777094cc7ae5f741b106104e2,
title = "Using structured and unstructured data to identify patients’ need for services that address the social determinants of health",
abstract = "Introduction Increasingly, health care providers are adopting population health management approaches that address the social determinants of health (SDH). However, effectively identifying patients needing services that address a SDH in primary care settings is challenging. The purpose of the current study is to explore how various data sources can identify adult primary care patients that are in need of services that address SDH. Methods A cross-sectional study described patients in need of SDH services offered by a safety-net hospital's federally qualified health center clinics. SDH services of social work, behavioral health, nutrition counseling, respiratory therapy, financial planning, medical-legal partnership assistance, patient navigation, and pharmacist consultation were offered on a co-located basis and were identified using structured billing and scheduling data, and unstructured electronic health record data. We report the prevalence of the eight different SDH service needs and the patient characteristics associated with service need. Moreover, characteristics of patients with SDH services need documented in structured data sources were compared with those documented by unstructured data sources. Results More than half (53{\%}) of patients needed SDH services. Those in need of such services tended to be female, older, more medically complex, and higher utilizers of services. Structured and unstructured data sources exhibited poor agreement on patient SDH services need. Patients with SDH services need documented by unstructured data tended to be more complex. Discussion The need for SDH services among a safety-net population is high. Identifying patients in need of such services requires multiple data sources with structured and unstructured data.",
keywords = "Medical informatics, Primary health care, Social determinants of health",
author = "Joshua Vest and Shaun Grannis and Haut, {Dawn P.} and Paul Halverson and Nir Menachemi",
year = "2017",
month = "11",
day = "1",
doi = "10.1016/j.ijmedinf.2017.09.008",
language = "English (US)",
volume = "107",
pages = "101--106",
journal = "International Journal of Medical Informatics",
issn = "1386-5056",
publisher = "Elsevier Ireland Ltd",

}

TY - JOUR

T1 - Using structured and unstructured data to identify patients’ need for services that address the social determinants of health

AU - Vest, Joshua

AU - Grannis, Shaun

AU - Haut, Dawn P.

AU - Halverson, Paul

AU - Menachemi, Nir

PY - 2017/11/1

Y1 - 2017/11/1

N2 - Introduction Increasingly, health care providers are adopting population health management approaches that address the social determinants of health (SDH). However, effectively identifying patients needing services that address a SDH in primary care settings is challenging. The purpose of the current study is to explore how various data sources can identify adult primary care patients that are in need of services that address SDH. Methods A cross-sectional study described patients in need of SDH services offered by a safety-net hospital's federally qualified health center clinics. SDH services of social work, behavioral health, nutrition counseling, respiratory therapy, financial planning, medical-legal partnership assistance, patient navigation, and pharmacist consultation were offered on a co-located basis and were identified using structured billing and scheduling data, and unstructured electronic health record data. We report the prevalence of the eight different SDH service needs and the patient characteristics associated with service need. Moreover, characteristics of patients with SDH services need documented in structured data sources were compared with those documented by unstructured data sources. Results More than half (53%) of patients needed SDH services. Those in need of such services tended to be female, older, more medically complex, and higher utilizers of services. Structured and unstructured data sources exhibited poor agreement on patient SDH services need. Patients with SDH services need documented by unstructured data tended to be more complex. Discussion The need for SDH services among a safety-net population is high. Identifying patients in need of such services requires multiple data sources with structured and unstructured data.

AB - Introduction Increasingly, health care providers are adopting population health management approaches that address the social determinants of health (SDH). However, effectively identifying patients needing services that address a SDH in primary care settings is challenging. The purpose of the current study is to explore how various data sources can identify adult primary care patients that are in need of services that address SDH. Methods A cross-sectional study described patients in need of SDH services offered by a safety-net hospital's federally qualified health center clinics. SDH services of social work, behavioral health, nutrition counseling, respiratory therapy, financial planning, medical-legal partnership assistance, patient navigation, and pharmacist consultation were offered on a co-located basis and were identified using structured billing and scheduling data, and unstructured electronic health record data. We report the prevalence of the eight different SDH service needs and the patient characteristics associated with service need. Moreover, characteristics of patients with SDH services need documented in structured data sources were compared with those documented by unstructured data sources. Results More than half (53%) of patients needed SDH services. Those in need of such services tended to be female, older, more medically complex, and higher utilizers of services. Structured and unstructured data sources exhibited poor agreement on patient SDH services need. Patients with SDH services need documented by unstructured data tended to be more complex. Discussion The need for SDH services among a safety-net population is high. Identifying patients in need of such services requires multiple data sources with structured and unstructured data.

KW - Medical informatics

KW - Primary health care

KW - Social determinants of health

UR - http://www.scopus.com/inward/record.url?scp=85029684819&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85029684819&partnerID=8YFLogxK

U2 - 10.1016/j.ijmedinf.2017.09.008

DO - 10.1016/j.ijmedinf.2017.09.008

M3 - Article

C2 - 29029685

AN - SCOPUS:85029684819

VL - 107

SP - 101

EP - 106

JO - International Journal of Medical Informatics

JF - International Journal of Medical Informatics

SN - 1386-5056

ER -