Ambulatory

Social Determinants of Health - SDOH

Click here for a PDF version of the tip sheet

Social Determinants of Health (SDOH) are broadly defined as social and environmental factors that affect patients' health status. Both the National Academy of Medicine (NAM) and CMS have released guidelines for SDOH factors that should be documented in EHRs. Based on these guidelines, Epic has integrated clinically validated assessments into the system, including the following domains:

  • Alcohol Use
  • Financial Resource Strain
  • Housing Stability
  • Physical Activity
  • Stress
  • Transportation Needs
  • Depression
  • Food Insecurity
  • Intimate Partner Violence
  • Social Connections
  • Tobacco Use

 

The social determinants of health questions will no longer appear in the History section of the navigator, and will now have its own section within the Rooming Tab. Data will now be captured in a flowsheet format.

 

To view the latest values entered, click on the arrow next to the section title. Clicking on the title itself will create a new entry.


History Activity

Users will be able to see the level of concern/risk for each factor in SDOH within the History activity.

 

Users can update SDOH information as needed from the history activity, as long as they are within an encounter. If a user is viewing the History activity outside of an encounter, the system will prompt the user to select an encounter upon clicking on one of the SDOH links to update documentation.

Bringing SDOH information into the note

SDOH values will be brought into the note when pulling the usual patient’s social history smartlink in NoteWriter. The information will include the level of concern/risk for each specific factor.

 

SDOH in Storyboard for Behavioral Health and OB/GYN Specialties

In Departments with OB/GYN and Behavioral Health specialties, the storyboard will display a Social determinants section. Users can access the SDOH activity by clicking on the icons.

Each SDOH factor appears as a colored segment in a circle, with the color corresponding to the patient's level of risk for that factor.

  • Red indicates high risk.
  • Orange indicates medium risk
  • Green indicates low or no risk
  • White indicates no data has been collected

UChart Tip Sheet Last Updated 12/1/2020

If you require additional assistance, please contact the UChart Help Desk at 305-243-5999, Option 2 or UChartHD@med.miami.edu.