Frequently Asked Questions
We have submitted a query to CMS and have yet to receive an answer.
Response from CMS:
Thank you for reaching out. The data for the SDOH measures does not have to be obtained from the EHR. Due to variability across hospital settings and the populations they serve, CMS is allowing hospitals flexibility with selection of tools to screen patients for the five healthcare related social needs (HRSNs): food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety. CMS is not specifying certain questions under each HRSN.
CMS suggests hospitals refer to evidence-based resources for comprehensive information about the most widely used HRSN screening tools. For example, the Social Interventions Research and Evaluation Network (SIREN) website, housed at the Center for Health and Community at the University of California, San Francisco, contains descriptions of the content and characteristics of various tools, including information about intended populations, completion time, and number of questions.
Social return on investment (SROI) is the measure of broader socio-economic outcomes in a singular monetary ratio to help identify the most impactful and cost-beneficial intervention. SROI is often used to measure and communicate investments’ social and environmental impact to stakeholders. In addition, it can be a valuable tool for investors to evaluate their investments’ effectiveness and identify improvement areas.
CMS quality support is used to submit questions, research previously asked questions and to search for CMS related articles.
Addressing differences in SDOH makes progress toward health equity, a state in which every person has the opportunity to attain their highest level of health. SDOH has been shown to have a greater influence on health than either genetic factors or access to healthcare services. For example, poverty is highly correlated with poorer health outcomes and higher risk of premature death. The impact is pervasive and deeply embedded in our society, creating inequities in access to a range of social and economic benefits—such as housing, education, wealth, and employment. These inequities put people at higher risk of poor health.