000009494 001__ 9494
000009494 005__ 20240124114323.0
000009494 0247_ $$2DOI$$a10.6083/9k41zf23v
000009494 037__ $$aETD
000009494 245__ $$aCharacterizing social determinants of health data extracted from EHR flowsheets in a small health system
000009494 260__ $$bOregon Health and Science University
000009494 269__ $$a2022
000009494 336__ $$aCapstone
000009494 502__ $$bM.S.
000009494 520__ $$aSocial determinants of health (SDoH) are becoming more recognized for their influence on health and illness. However, SDoH information capture within the electronic health record (EHR) is still in early stages, with clinical workflows and data standards undefined. Recent studies of SDoH data quality have found variations in format, structure, and utility. This study aimed to characterize at a high level SDoH data from a small regional health system. Data was assessed relative to recognized domains for SDoH data capture, data quality attributes of completeness and plausibility, and for patterns related to organizational and clinical workflows. Data completeness was found to be low when measured at the levels of patient and encounter. However, there was clear evidence for increasing data capture over the study timeframe. Meaningful conclusions about SDoH data plausibility were not clear, though there is potential for further study in this area. Clinical guidelines for data capture and data standards are needed to ensure that SDoH data effectively support clinical care, population health, care coordination, and research.
000009494 650__ $$aMethods$$022159
000009494 650__ $$aDocumentation$$018012
000009494 650__ $$aElectronic Health Records$$038928
000009494 650__ $$aData Accuracy$$011271
000009494 650__ $$aHealth Status Disparities $$037944
000009494 6531_ $$aorganization & administration
000009494 6531_ $$adata quality
000009494 6531_ $$asocial determinents of health
000009494 691__ $$aSchool of Medicine$$041369
000009494 692__ $$aDepartment of Medical Informatics and Clinical Epidemiology$$041422
000009494 7001_ $$aHickerson, Laura L.$$uOregon Health and Science University$$041354
000009494 8564_ $$9b950212f-0dd2-401b-a697-bd8040093f18$$s444741$$uhttps://digitalcollections.ohsu.edu/record/9494/files/Hickerson.Laura.2022.pdf
000009494 905__ $$a/rest/prod/9k/41/zf/23/9k41zf23v
000009494 909CO $$ooai:digitalcollections.ohsu.edu:9494$$pstudent-work
000009494 980__ $$aTheses and Dissertations