What does SDOH Screening do?
SDOH Screening & Reporting
- Supports mandatory and voluntary screening and reporting of social determinants of health
- Simplifies Medicare and Medicaid reimbursement processes, ensuring compliance and ease of data submission
SDOH Data Sharing
- Shares SDOH assessments with care team to identify trends and analyze needs
- Empowers stakeholders to analyze, understand, and address specific community needs and utilization trends, effectively driving resources and personalizing benefits to close gaps in care
Assessment Insights
- Allows users to create new assessments and view previously completed SDOH questionnaires
- Identifies potential social needs with an orange flag icon, enabling targeted interventions and resource allocation
Personalized Intervention
- Helps providers identify and group high-risk patients for continuous monitoring and personalized intervention
- Improves long-term patient outcomes by directing patients to appropriate care settings while reducing unnecessary healthcare utilization
ICD-10 Codes
- Sources Z codes from ADT feeds corresponding to ICD-10 codes received by patient
- Facilitates precise documentation and categorization of social factors impacting patient health for better care coordination and analysis
Who can benefit the most from Access to Referral & Screening?
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Hospital systems and providers
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Federally Qualified Health Centers (FQHCs)
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Rural care providers
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Ambulatory and post-acute care providers
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Payers and managed care organizations (MCOs)
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Value-based care organizations and accountable care organizations (ACOs)
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Substance use disorder (SUD) treatment clinics
WVHIN Tools
WVHIN Portal
The WVHIN Portal is a secure, HIPAA-compliant web-based platform that serves as a centralized hub for clinical information. Integration with various EHR systems enables real-time access to valuable patient insights within your workflow, providing a complete medical history without juggling separate systems. Quickly launch applications or perform patient searches within the portal to view key data like diagnoses, lab results, medication histories, and critical patient alerts.
Population Explorer
Population Explorer is a valuable tool within the WVHIN portal that lets healthcare providers review detailed patient encounter histories without any additional login. Robust clinical information, referrals, and controlled substance monitoring data can be filtered or summarized into a snapshot. CSS* Event Notification Delivery (CEND) enables real-time alerts that can be customized to monitor patient admissions and critical health changes, accelerating care.
*In 2016, the WVHIN joined Crisp Shared Services (CSS) as their technology infrastructure partner. (https://www.crispsharedservices.org/)
SDOH
Under the Social Needs tab of the WVHIN portal, SDOH screening assessments provide details about social determinants of health, including food insecurity, housing instability, and financial demographics. Sourced from ADT feeds related to ICD-10 codes, this data supports mandatory and voluntary SDOH reporting to assist with Medicare and Medicaid reimbursements. These assessments can help analyze community needs, inform care decisions, and personalize benefits for members.
Consent Tool
WVHIN’s consent management solution enables the secure exchange of substance use disorder (SUD) data protected under 42 CFR Part 2. Electronic signatures let patients consent to share confidential SUD data with their care team to optimize treatment, offering flexible expiration dates that give patients control over their information. Once providers register signed consent from a patient, their SUD data integrates seamlessly into existing clinical workflows.
Reports & Alerts
WVHIN allows participants to customize a variety of alerts, notifications, and demographic reports to receive real-time data and insights about their patients. Through CEND ADT notifications, smart alerts, updated demographic data, HL7 LOINC (Logical Observation Identifiers Names and Codes)-coded lab files, WVSIIS (West Virginia Statewide Immunization Information System) immunization data, and Continuity of Care (CCD) documents, users can receive tailored push notifications to enable timely interventions, enhance patient outreach, and close critical gaps in care.