With mounting interest around collecting and using social risk and protective factor data in health care settings, new challenges have emerged related to the capacity of existing medical terminology standards to effectively capture the necessary data. With funding from the Robert Wood Johnson Foundation and in partnership with the Social Interventions Research and Evaluation Network (SIREN), EMI Advisors, LLC has launched the Gravity Project, a national collaborative effort to help reduce barriers to interoperable social risk and protective factors documentation.
The Gravity Project will convene a public collaborative process from May to December 2019 to accomplish the following goals for the social domains of food security, housing stability and quality, and transportation access:
1. Develop use cases related to documenting social risk and protective factors data on screening, diagnosis, planning, and treatment/intervention activities;
2. Identify common data elements and their associated value sets to support the uses cases;
3. Develop a consensus-based set of code recommendations for capturing and grouping these data elements for interoperable electronic exchange and aggregation; and
4. Initiate an HL7® Fast Health Interoperability Resource (FHIR®) Implementation Guide based on the defined use cases and associated data sets.
Participation in the Gravity Project is open to all interested organizations and individuals.
The Gravity Project kickoff meeting will be held Thursday, May 2 from 4:00-5:00pm Eastern (1:00-2:00pm Pacific). Pre-registration is required. Click here to register for the kickoff meeting.
Project workgroup meetings will be held weekly on Thursdays from 4:00-5:00pm Eastern (1:00-2:00pm Pacific) beginning May 9, 2019. To join the Gravity Project and be included on the listserv, sign up here.
To learn more about the project and review project documentation, please visit the HL7 Gravity Project Confluence wiki.
Links to previous SIREN work on this topic, funded by Kaiser Permanente:
SIREN’s compendium of existing social determinants of health-related codes.
Documenting social determinants of health-related clinical activities using standardized medical vocabularies. JAMIA Open, December 2018.
Questions? Email GravityProject@emiadvisors.net.
EMI awarded the contract to advance standardization of Social Determinants of Health (SDOH) value sets within electronic health records on behalf of SIREN at the University of California in San Francisco.
SIREN’s mission is to catalyze and disseminate high-quality research that advances efforts to address social determinants of health (SDH) in healthcare settings.
SIREN projects are focused on:
Catalyzing high-quality research to fill evidence gaps through an innovation grants program and support for researchers in this field; Collecting, summarizing, and disseminating research resources and findings to researchers and other industry stakeholders via an interactive website and evidence library, reports, and meetings and presentations;
Increasing capacity to evaluate SDH interventions by providing evaluation, research, and analytics consultation services to safety-net and mission-aligned health systems.
The Network is supported by Kaiser Permanente and the Robert Wood Johnson Foundation and housed at the Center for Health and Community at the University of California, San Francisco.