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Project Title:

Recommended Social and Behavioral Domains and Measures for Electronic Health Records
PIN: IOM-BPH-12-09        

Major Unit:

Institute of Medicine

Sub Unit: Board on Population Health and Public Health Practice

RSO: Helsing, Karen

Subject/Focus Area: Health and Medicine

Project Scope
The Institute of Medicine will convene a committee to identify domains and measures that capture the social determinants of health to inform the development of recommendations for Stage 3 meaningful use of electronic health records (EHRs).  The committee's work will be conducted in two phases and produce two products.   As part of its work, the committee will:

Phase 1.
Identify specific domains to be considered by the Office of the National Coordinator.

Specify criteria that should be used in deciding which domains should be included

Identify core social and behavioral domains to be included in all EHRs

Identify any domains that should be included for specific populations or settings defined by age, socioeconomic status, race/ethnicity, disease or other characteristics

 A brief phase 1 report will be produced and submitted to the sponsors by the end of March 2014. 

Phase 2

 The committee will consider the following questions: 
1.What specific measures under each domain specified in Phase 1 should be included in EHRs?  The committee will examine both data elements and mechanisms for data collection.

2. What are the obstacles to adding these measures to the EHR and how can these obstacles be overcome?

3.What are the possibilities for linking EHRs to public health departments, social service agencies, or other relevant non-healthcare organizations?  Identify case studies, if possible, of where this has been done and how issues of privacy have been addressed.

A final report that includes the Phase 1 report and addresses the Phase 2 questions will be the final product and will be released by the end of October 2014.

The committee will make recommendations where appropriate.

The project is sponsored by the National Institutes of Health, the Centers for Disease Control and Prevention, Centers for Medicare and Medicaid Services, The Substance Abuse and Mental Health Services Administration, the Robert Wood Johnson Foundation, the Lisa and John Pritzker Family Fund, the California HealthCare Foundation, Blue Shield of California Foundation, and the Department of Veterans Affairs.

The approximate start date for the project is July 15, 2013.

Project Duration: 18 months    

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Contact the Public Access Records Office to make an inquiry, request a list of the public access file materials, or obtain a copy of the materials found in the file.

Committee Membership
Committee Membership

 Meeting 1 - 09/24/2013
 Meeting 2 - 11/25/2013
 Meeting 3 - 12/17/2013
 Meeting 4 - 02/06/2014
 Meeting 5 - 02/26/2014
 Meeting 6 - 04/08/2014
 Meeting 7 - 05/19/2014
 Meeting 8 - 06/26/2014
 Meeting 9 - 07/17/2014
 Meeting 10 - 09/17/2014


Reports having no URL can be seen
at the Public Access Records Office
Capturing Social and Behavioral Domains in Electronic Health Records: Phase 1
Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2