ACCESS, EXCHANGE, AND USE OF
SOCIAL DETERMINANTS OF HEALTH DATA IN CLINICAL NOTES
New
collection (Request for a new OMB Control Number)
No
Regular
10/28/2021
Requested
Previously Approved
36 Months From Approved
1,700
0
425
0
0
0
The Department of Health and Human
Services (HHS), Office of the Secretary, Office of the National
Coordinator for Health Information Technology (ONC), promotes the
access, exchange, and use of electronic health information to
improve health care. There are ongoing efforts to determine what
types of information should be recorded in patients’ electronic
medical records and how that information can be utilized to improve
health and healthcare. Data reflecting Social Determinants of
Health (SDOH) – the conditions in which people live, learn, work,
and play – is limited across healthcare yet is vital to collect and
understand for both individual care and public health. There is a
growing recognition that by capturing and accessing SDOH data
during the course of care, providers can more easily address
non-clinical factors, such as food, housing, and transportation
insecurities, which can have a profound impact on a person's
overall health. The 21st Century Cures Act (Cures Act) requires HHS
and ONC to improve the interoperability of health information.
ONC's Cures Act final rule identifies important data elements that
should be made electronically available and exchanged through the
use of health information technology (IT). In support of these
efforts, ONC seeks to better understand patients’ and health care
providers’ knowledge of SDOH, how SDOH data are currently
documented in the electronic health record and how this information
is used in patient care. Additionally, ONC seeks to understand
challenges experienced and preferences for SDOH data collection,
sharing and utilization from both the provider and patient
perspectives. A series of 20 focus groups, a mix of asynchronous
(discussion board) and synchronous (live), will be conducted among
groups of healthcare professionals (10 groups) and patients/care
partners (10 groups), representing various backgrounds,
demographics, and healthcare professions, to learn more about their
experiences and thoughts relating to the capture and utilization of
SDOH data. A prescreening questionnaire will be sent to 1,500
individuals and 200 of those 1,500 people will be chosen to
participate in the focus groups. Each individual will participate
in one 90-minute focus group. This is a 3-year request for OMB
approval.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.