Abstract: Determinants of health (DoH) are central to a successful population health management strategy. The interoperable exchange of determinants of health (DoH) data is challenging due to complex factors including multiple recommendations, multiple tools with varying domains and lack of documented reliability, lack of scoring and cutpoints to make data actionable, and lack of terminology code sets for storing assessments and findings. This presentation describes a strategy that permits scoring by DoH domain to create interoperability and equivalency across tools, settings, and populations. The three-tier scoring strategy converts DoH data to: (Tier 1) be used immediately at point of care by identifying DoH needs or risk factors, (Tier 2) be consumed within analytics, algorithms and for secondary analysis, and (Tier 3) produce total scores that reflect DoH burden across populations and settings within a healthcare system or community. The strategy supports the six uses recommended by the National Academy of Medicine, provides flexibility in choice of DoH tool, and leverages the power of DoH in healthcare delivery. Visualizations of the scoring strategy for each tier will be presented.

Describe the new knowledge and additional skills the participant will gain after attending your presentation.: 1. Discuss the complexities associated with the assessment, storage and use of determinants of health in the electronic health record (EHR).
2. Describe strategies that permit scoring by domain to create equivalency across instruments, settings and populations.

Authors:

Ruth Wetta (Presenter)
Cerner Corporation

Roberta Severin, Cerner Corporation