Everson, Jordan, Vaishali Patel & Bob Phillips. The Digital Health Divide for Populations that have been Marginalized. (Nov 13, 2023). Health IT Web. https://www.healthit.gov/buzz-blog/health-information-exchange-2/the-digital-health-divide-for-populations-that-have-been-marginalized
ONC has consistently that rates of interoperable exchange for smaller, rural, and independent hospitals have notably lagged behind other hospitals. For example, in both 2017 and 2021, rural hospitals were 23 percentage points less likely to engage in interoperable exchange compared to urban hospitals. A fundamental challenge we identified is that there are several ways to identify hospitals that disproportionately treat economically and socially marginalized populations. In our research, we assessed four ways based upon key federal, state, and local government programs:
Medicaid caseload
Medicare Disproportionate Share Hospital (DSH) Index
Uncompensated care burden
Critical Access Hospital (CAH) designation
Social Deprivation Index (SDI)
A fifth measure is the Social Deprivation Index (SDI) A relatively new type of measure, SDI draws on US census data about social drivers of health that collectively reflect the relative deprivation of a geographic area and its residents – and that have been validated to predict health outcomes better than poverty alone...
Notes:
Is it possible to map this? Has HHS?
Interesting that they adopted drivers instead of determinants. That was suggested in an earlier UCLA presentation at the Health IT Summit, I believe.
--Added by Bev on November 17, 2023
Federal Reserve/FDIC/OCC report on distressed or underserved geographies
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