TY - JOUR
T1 - Performance of an EMR screening tool for social determinants of health
AU - Scott, Malik
AU - Aggarwal, Sarthak
AU - Koch, Michael
AU - Strelzow, Jason
AU - Hynes, Kelly
AU - Stepan, Jeffrey G.
N1 - Publisher Copyright:
© The Author(s) 2025. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
PY - 2025/7/1
Y1 - 2025/7/1
N2 - Objectives: We aimed to compare the Epic®social determinants of health (SDOH) “wheel” to validated SDOH questionnaires in the domains of transportation security and financial toxicity to determine its accuracy in risk stratifying patients. Methods: We enrolled patients presenting to orthopaedic clinics at an urban tertiary care center, the University of Chicago Medical Center. Patients completed two validated surveys (the COmprehensive Score for financial Toxicity (COST) questionnaire and Transportation Security Index (TSI) questionnaire) and their Epic equivalents. The sensitivity and specificity of each Epic domain was calculated using validated questionnaires as the gold-standard. Results: 203 patients completed the transportation surveys while 199 completed the financial toxicity surveys. In the domain of financial toxicity, Epic’s sensitivity and specificity were 35% 53%, respectively. In the domain of transportation security, Epic’s sensitivity and specificity were 53% and 94%, respectively. Conclusions: The Epic SDOH wheel demonstrated poor sensitivity in both domains studied, suggesting limitations in its ability to serve as an effective screening tool.
AB - Objectives: We aimed to compare the Epic®social determinants of health (SDOH) “wheel” to validated SDOH questionnaires in the domains of transportation security and financial toxicity to determine its accuracy in risk stratifying patients. Methods: We enrolled patients presenting to orthopaedic clinics at an urban tertiary care center, the University of Chicago Medical Center. Patients completed two validated surveys (the COmprehensive Score for financial Toxicity (COST) questionnaire and Transportation Security Index (TSI) questionnaire) and their Epic equivalents. The sensitivity and specificity of each Epic domain was calculated using validated questionnaires as the gold-standard. Results: 203 patients completed the transportation surveys while 199 completed the financial toxicity surveys. In the domain of financial toxicity, Epic’s sensitivity and specificity were 35% 53%, respectively. In the domain of transportation security, Epic’s sensitivity and specificity were 53% and 94%, respectively. Conclusions: The Epic SDOH wheel demonstrated poor sensitivity in both domains studied, suggesting limitations in its ability to serve as an effective screening tool.
KW - electronic health records
KW - screening
KW - social determinants of health
KW - surveys and questionnaires
UR - https://www.scopus.com/pages/publications/105016908412
U2 - 10.1177/14604582251381237
DO - 10.1177/14604582251381237
M3 - Article
C2 - 40992396
AN - SCOPUS:105016908412
SN - 1460-4582
VL - 31
JO - Health Informatics Journal
JF - Health Informatics Journal
IS - 3
M1 - 14604582251381237
ER -