The American Academy of Nursing has released a policy brief that endorses the capturing of social and behavioral determinants of health in the electronic health record. The brief identifies several recommendations for healthcare industry leaders to foster standardization and promote interoperability.
The policy brief is published in the September/October issue of the academy’s journal, Nursing Outlook.
“There is strong evidence that social and behavioral factors influence health; however, they may not be addressed in clinical care for shared decision-making,” academy CEO Cheryl Sullivan said in a news release. “It is imperative that all stakeholders in healthcare collaborate to include this information in electronic records, including EHR vendors, health systems, providers and funders.”
Policy brief details
The policy brief states the academy’s support for recommendations put forth by the IOM in a 2014 report, “Capturing Social and Behavioral Domains and Measures in Electronic Health Records (Phase 1 and Phase 2).” Specific identified barriers prohibit the adoption of a standardized assessment panel of approximately 20 questions put forth by the IOM addressing alcohol use; race/ethnicity; residential address; tobacco use; median household income; depression; educational attainment; financial resource strain; intimate partner violence for women of reproductive age; physical activity; social isolation; and stress.
The brief also states, “The recommended action steps of multi-stakeholders will begin to address the global changes that must be made in clinical practice to assure EHRs capture and permit sharing of contextual patient information, promote shared decision-making, enhance appropriate interprofessional planning/providing of healthcare services and facilitate monitoring of patterns of health and outcomes of care for entire populations.”
Read the entire policy brief.