A Multicenter Retrospective Evaluation of Social Determinant of Health Z Code Usage among Pediatric Patients with Critical Care Visits during Pediatric Critical Care

Yoder, Lisa; Williams, Duane; Tian, Zizhong; Shen, Chan; Zhou, Shouhao; Thomas, Neal J.; Krawiec, Conrad

doi:10.1055/s-0043-1774719

Cited by 1 publication

(3 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among studies reporting patient race/ethnicity, SDoH Z-code documentation variation was observed for adult and pediatric patients reported as Black, White, Native American, Hispanic, and Other. 26 , 27 , 29 , 30 , 32 , 33 , 35 , 36 Among studies reporting trends based on geographic region, SDoH documentation was observed across all census regions (South, Midwest, Northeast, West) regardless of income quartile based on zip code. 26 , 27 , 28 Two studies showed that private (not-for-profit or investor-owned) hospitals had a lower proportion and odds of SDoH documentation than government, nonfederal hospitals.…”

Section: Resultsmentioning

confidence: 98%

“… 26 , 27 , 29 , 30 , 32 , 33 , 35 , 36 Among studies reporting trends based on geographic region, SDoH documentation was observed across all census regions (South, Midwest, Northeast, West) regardless of income quartile based on zip code. 26 , 27 , 28 Two studies showed that private (not-for-profit or investor-owned) hospitals had a lower proportion and odds of SDoH documentation than government, nonfederal hospitals. 27 , 28 One study showed that larger, private not-for-profit hospitals had at least 1 documented SDoH Z code.…”

Section: Resultsmentioning

confidence: 98%

“…Variation was observed regarding patient sex/gender, although SDoH Z codes were more frequently documented for males. 25 , 26 , 28-36 …”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Social determinants of health Z-code documentation practices in mental health settings: a scoping review

Hendricks-Sturrup,

Yankah,

2024

Health Affairs Scholar

View full text Add to dashboard Cite

Mental health remains an urgent global priority, alongside efforts to address underlying social determinants of health (SDoH) that contribute to the onset or exacerbate mental illness. SDoH factors can be captured in the form of International Classification of Disease, Tenth Revision, Clinical Modification [ICD-10 CM] SDoH Z codes. In this scoping review, we describe current SDoH Z code documentation practices, with a focus on mental health care contexts. Among 2,743,061,374 health care encounters noted across 12 studies in the United States, SDoH Z code documentation rates ranged from 0.5% to 2.4%. Documentation often involved patients under 64 years of age who are publicly insured and experience comorbidities, including depression, bipolar disorder and schizophrenia, chronic pulmonary disease, and substance abuse disorders. Documentation varied across hospital types, number of beds per facility, patient race/ethnicity, and geographic region. Variation was observed regarding patient sex/gender, although SDoH Z codes were more frequently documented for males. Documentation was most observed in government, nonfederal and private not-for-profit hospitals. From these insights, we offer policy and practice recommendations, as well as considerations for patient data privacy, security, and confidentiality, to incentivize more routine documentation of Z codes to better assist patients with complex mental health care needs.

show abstract