Form C3 Synchronous Focus Group Interview Questions-Clinicians a

Form Approved

OMB No. 0955-XXXX

Exp. Date TBD

Access, Exchange, and Use of Social Determinants of Health Data in Clinical Notes (SDOH)

Synchronous Clinicians and Healthcare Professionals Focus Group:

Focus Group Guide

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Focus Group Interview Guide: Clinicians/Healthcare Professionals

Questions for Synchronous groups

Introductory sentences: The Center for Disease Control and Prevention describes social determinants of health as the conditions in the places where people live, learn, work, and play that affect a wide range of health and quality-of life-risks and outcomes.

1. Understanding Social Determinants of Health (SDOH)

1. Have you heard of Social Determinants of Health (SDOH)?

2. How would you define Social Determinants of Health?

3. What are some examples of Social Determinants of Health?

2. Current Social Determinants of Health information collection and documentation practices

1. Do you or someone in your practice ask patients about Social Determinants of Health?

   1. [probe – Who asks patients about Social Determinants of Health?]

   2. [probe - What kinds of Social Determinants of Health information are you or someone in your practice asking about?]

2. Do you ever get Social Determinants of Health information about individual patients from someone other than the patient, such as a community-based organization?

3. Does your practice use an Electronic Health Record?

4. Where do you document Social Determinants of Health information in the patient’s record?

5. What are your biggest concerns about talking to patients about Social Determinants of Health?

6. What are your biggest concerns about documenting Social Determinants of Health?

3. Using Social Determinants of Health Information

1. How do you/your care team use Social Determinants of Health information in your practice? Can you talk about a specific time when you used this information in the care of a patient?

2. How does your practice/health system utilize this information (e.g. For population health data tracking? For research purposes? To coordinate an individual’s care? Other?) (Probe if doesn’t come up: Does your practice/health system use Social Determinants of Health information to identify health disparities and opportunities to reduce them at the individual and/or practice level?)

1. Have you heard any concerns from patients about using their Social Determinants of Health information?

2. Do you routinely obtain Social Determinants of Health information about your patients from other clinicians or social services providers?

3. Do you have any concerns about using Social Determinants of Health information provided by other clinicians or service providers in providing patient care or care coordination?

4. Preferred Practices for Documenting Social Determinants of Health Information

1. What Social Determinants of Health information do you believe would be most useful to a patient’s care? Why would these be most useful?

2. In your opinion, what is the best way for Social Determinants of Health information to be collected?

3. In your opinion, what is the best way for Social Determinants of Health information to be documented?

5. Increasing Documentation and Use of Social Determinants of Health Information

1. What do you think would lead to more documentation of Social Determinants of Health information in your practice/in health systems?

2. What are barriers to collecting and documenting Social Determinants of Health information?

3. What barriers are there to utilizing Social Determinants of Health information for a patient’s care?

4. Are there policies/practices within a health system and in other entities (e.g. vendors, government, insurers, etc.) that could facilitate the documentation/utilization of Social Determinants of Health information? (Moderator ask if this didn’t come out in earlier questions in section IV or use this as probe.)

Parking Lot questions (if have time):

Do you currently send Social Determinants of Health information to others or get requests for Social Determinants of Health information?