Monday, September 18, 2023

Unlocking the Power of Social Determinants of Health

by Ronda Dun, RHIA

Social Determinants of Health. Do you know what it is? Do you know the importance of Social Determinants of Health and capturing data to improve the quality of healthcare that is provided to you and your family? Social Determinants of Health as defined by The World Health Organization are a person's birth, growth, work, lifestyle, aging, and anything that affects everyday living. 

Data on Social Determinants of Health enable healthcare practitioners to treat the patient as a whole, rather than just their symptoms.  To put things into perspective, suppose a patient visits his primary care physician and the practitioner asks no questions about the patient's lifestyle or employment, only about the symptoms or problems for which the patient is being treated. The doctor prescribes antidepressants and anxiety medicine. The provider blew a chance to figure out what was causing the problem. Interaction with the patient would have led to gaining insight into what is causing the patient's depression or anxiety. The provider may have discovered that the patient is distressed and nervous as a result of a loss of hours at work and the concern of not being able to care for the family. The provider might have given the patient information on food assistance or referred the patient to the Department of Human Services. The Department of Human Services gives access to programs that can help you earn extra training and education to advance your profession. So many aspects of the things that occur in our daily lives affect our health.

Any healthcare provider that treats a patient has the ability to collect socioeconomic determinants of health data. This data can be obtained over the phone or in person before each appointment. During office visits, the provider can collect the data, which can then be included in the record. The data that is collected by healthcare professionals must be kept, processed, and disposed of properly. It is important that healthcare facilities develop and implement rules and standards to control how data is gathered, kept, processed, and disposed of in order to observe the social determinants of health. Healthcare professionals must collect information on social determinants of health in order to identify populations afflicted by certain illnesses. Z codes from ICD-10-CM, which range from Z55 to Z65 and are utilized for Social Determinants of Health data, are used by medical record coders to interpret the information in the electronic health record. The collection of data for socioeconomic determinants of health Z codes aids in the improvement of healthcare quality, service connection, and patient satisfaction. With this knowledge, healthcare providers will be able to send patients to other specialists who can better meet their individual needs. More information regarding the Z codes for social determinants of health can be found on the CMS.gov website.

Data governance for socioeconomic determinants of health involves more than just gathering data. For the purpose of delivering the appropriate clinical decision-support treatments, it is critical that the data is actually used. It is also necessary for accurate data accumulation across practices, EHR systems, and communities. In order to record the determinants in a form that is suitable for clinical treatment, quality improvement, and research, medical standards will need to decide on appropriate methods.

As a medical coding auditor, I've seen that it is not coded if a socioeconomic variable does not demand or impact the patient's care during a visit. It is not coded if the ICD-10-CM guidelines do not state that a Z code should be used. Documentation of socioeconomic determinants of health is most prevalent in mental health services but is uncommon in primary care visits. Unlocking the Power of Social Determinants is crucial to promote health and reducing health imbalances brought on by social and economic disadvantages. Improvements cannot be made until data is collected to illustrate what the public needs to improve treatment quality. It is critical to establish best practices and methods for collecting data on socioeconomic determinants of health.

 


About the Author
 

Ronda Dun, RHIA, graduated August 4, 2023, earning a bachelor's degree in health information management from the University of Cincinnati, and she is currently enrolled in the master's program in health informatics. Ronda has been working for the Consolidated Coding Unit at the VA Medical Center in Huntington, West Virginia, for little over five years. She is currently an Outpatient Medical Record Technician (MRT) Auditor ensuring the coding accuracy of ICD-CM, CPT and HCPCS code assignment as well as provides continuing education to the coders. She strives to find a role in Information Governance or Data Analytics.