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Clinical Decision Support and Care Plan Adjustment for Social Risks


HITEQ Highlights Webinar

Year Developed: 2023

Resource Type: Archived Webinar.

Primary Audience: Administrative Staff Clinicians PCAs
Secondary Audience: Board of Directors C-Suite (CEOs, CFOs, CIO, COOs, CMOs, etc.) Enabling Staff Outreach Staff

Language(s): English

Developed by: HITEQ (See other resources developed by this organization).

Resource Summary: When clinical teams have information on patients\' social risks (adverse social determinants of health), they can make care plan adjustments to account for those risks, e.g., by prescribing lower-cost medications.

Resource Details: When clinical teams have information on patients\' social risks (adverse social determinants of health), they can make care plan adjustments to account for those risks, e.g., by prescribing lower-cost medications. Come hear about a team that worked with stakeholders from primary care community health centers to develop a set of EHR-based tools intended to support making such adjustments in care for patients with hypertension and / or diabetes. This talk described the tool development process, results from pilot testing the tools in three clinic sites, and how the tools were revised in response to pilot process learnings.

Resource Topic: Emerging Issues, Promising Practice, , Telehealth, Clinical Issues, Health Equity

Resource Subtopic: , Access and Equity, Financial Models, COVID-19, Operational Feasibility, , Access and Equity, Financial Models, , , , , , Social Determinants of Health (SDOH).

Keywords: Access to Care, Accountable Care/Accountable Care Organizations, Asthma, Communication, Transparency, and Outreach, Community Engagement, Community Health Workers, Health Information Exchange (HIE), Health Systems, Hypertension, Implementation Tools, Non-Clinical Services, Patient Demographics, Patient Portals, Patient Satisfaction, Payment and Reform, Policies and Procedures, Quality Measures, Retention in Care, Strategic Planning.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.