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• Document in new SDH flowsheet through registration, chart, or screenings navigator
• Problem list with ICD-10 codes
• Other flowsheets, demographics/UDS
Where Should We Document Barriers Going Forward?
21
Recommendations for Documenting Barriers Items
22
Barriers Section Button Suggested Location
Activities of Daily Living PROMIS Global and Physical Flowsheets
Communication New SDH Flowsheet ("How do you learn best?") and comment in flowsheet as appropriate; language in demographics/registration
Domestic Violence New SDH Flowsheet ("Have you ever been physically or emotionally hurt or threatened by a spouse/partner…")
Employment Employment in demographics/registration
Financial New SDH Flowsheet ("How hard is it for you to pay…" including "Other")
Food New SDH Flowsheet ("How hard is it for you to pay…" - Food; +3 specific food insecurity and quality questions)
Health Literacy New SDH Flowsheet ("How do you learn best?") and comment in flowsheet as appropriate
Hearing Problem List; Hearing Screening in Navigator (if screening performed)
Housing New SDH Flowsheet ("How hard is it for you to pay…" - Rent/Mortgage Payment)
Lack of Social Support New SDH Flowsheet (marital/relationship status and social isolation and connection questions)
Legal Use other categories based on more specific need; record root SDH issues that are being addressed via legal means
Literacy New SDH Flowsheet ("How do you learn best?") and comment in flowsheet as appropriate
Mobility STEADI (fall risk screening) Flowsheet, PROMIS Flowsheets
Substance Abuse/Dependency Problem list; SBIRT/screening flowsheets
Transportation New SDH Flowsheet ("How hard is it for you to pay…" - Transportation)
Visually Impaired Problem List; Vision Screening in Navigator (if screening performed)
Collecting And Acting On SDH: A System Walkthrough
Two Scenario Walkthroughs:
In-clinic workflows
Outreach workflows
SDH And Follow-Up System Walkthrough
SDH Reports in Reporting workbench
©2016 Epic Systems Corporation. Used with permission.
Run Report and Send MyChart Portal Message
©2016 Epic Systems Corporation. Used with permission.
Sending request via MyChart to complete MyChart SDH Questionnaire
Department Appointment Report
©2016 Epic Systems Corporation. Used with permission.
Access to the SDH Flowsheet from Registration
©2016 Epic Systems Corporation. Used with permission.
Patient Schedule
©2016 Epic Systems Corporation. Used with permission.
SDH Flowsheet in Patient Chart
©2016 Epic Systems Corporation. Used with permission.
SDH Summary in Patient Chart
©2016 Epic Systems Corporation. Used with permission.
Add to SDH Problem List
©2016 Epic Systems Corporation. Used with permission.
Social Determinants on Problem List
©2016 Epic Systems Corporation. Used with permission.
Ordering Referral to Community Services
©2016 Epic Systems Corporation. Used with permission.
SDH Questionnaire in MyChart Portal
©2016 Epic Systems Corporation. Used with permission.
SDH Questionnaire in MyChart Portal
©2016 Epic Systems Corporation. Used with permission.
MyChart Responses in SDH Summary Section
©2016 Epic Systems Corporation. Used with permission.
Order Referral linked to SDH Diagnosis on Problem List (Housing Lack)
©2016 Epic Systems Corporation. Used with permission.
Reporting Workbench – Reports for Specific Positive Responses
©2016 Epic Systems Corporation. Used with permission.
Training wiki: https://forge.ochin.org/wiki/display/SSW/June+2016+Enhancement+Pack+-+Training
Scroll down to the Social Determinants of Health section in the table.
Where can OCHIN members find more information on these tools?
