Improving SDOH Collection and Usage: Success Stories From Three Health Systems

From For the Record

As health care organizations increasingly recognize the critical link between patient health and social determinants of health (SDOH), a new initiative aims to showcase the innovative strategies employed by three leading health systems to enhance SDOH data collection and usage. This initiative is part of the AHIMA broader campaign, Data for Better Health, which seeks to raise awareness about the importance of SDOH in improving health outcomes.

Despite a shared understanding of the significance of SDOH data, health systems face varying levels of success in their collection and application efforts. “Everyone’s at a different point on this journey,” says Lauren Riplinger, JD, AHIMA chief public policy and impact officer. “While larger entities are making strides by integrating SDOH into their missions, smaller practices and rural hospitals often encounter unique challenges.”

To address these challenges, AHIMA is convening experts and sharing best practices from organizations that have successfully navigated the complexities of SDOH data collection. During the upcoming AHIMA24 conference, taking place from October 27-29 in Salt Lake City, leaders from UCLA Health, University of Utah Health, and Northwell Health will share their experiences and insights.

UCLA Health: A Focus on Equitable Care
UCLA Health has made significant advancements in SDOH data collection since the Joint Commission began scrutinizing equitable care practices. By fostering collaboration between clinical coding teams and providers, UCLA Health improved the assignment of Z codes, leading to enhanced understanding of the social drivers affecting patient health. Their initiatives include the Gender Health Program and the Homeless Healthcare Collaborative, which has delivered care to over 27,000 patients since 2022. “The impact of improved data collection has positively affected our patients and their outcomes by providing more access to care,” says Maria Caban Alizondo, PhD, MOL, RHIT, FAHIMA.

University of Utah Health: Uncovering Hidden Needs
At the University of Utah Health, a study revealed that 40% of emergency department patients had unmet social needs. In response, UHealth implemented SDOH screening protocols and enhanced data capture processes. Andrea Dahl, MS, RHIA, CDIP, highlights the importance of identifying “gems” within patient charts that indicate social risks, allowing for more comprehensive coding and support for vulnerable populations. “Acting on SDOH needs takes sensitivity, trust, resources, and patience for a good outcome,” Dahl emphasizes.

Northwell Health: Building a Collaborative Framework
Northwell Health’s SDOH initiative began with a focus on pediatric patients and quickly expanded to address food insecurity through the establishment of food pharmacies. The organization faced challenges related to documentation and staff training but overcame these hurdles by creating e-learning modules for health care professionals. “Having buy-in from the clinical team, the revenue cycle team, and data analysts was crucial,” says Chanice Husbands, MBA, CCS. Their efforts have led to successful initiatives addressing gun violence prevention and maternal health disparities.

The presentations from these health information leaders will provide valuable insights into the practical applications of SDOH data and the collaborative efforts required to drive meaningful change in health care delivery.