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This page highlights related SDH projects and initiatives that inform the work of the Gravity Project.  Types of related projects include publications, organizations, standards, standards based initiatives, collaboratives, guides, state based initiatives, screening tools and indicators, and related policies.

If you are aware of additional projects and initiatives to include here, please send web information to gravityproject@emiadvisors.net

Please note:  if you would like to sort this list, hover your cursor over a column header:  Reference or Resource Name/URL or Reference or Resource Type.  Click on this header to sort alphabetically A-Z (click again to sort Z-A).

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Reference or Resource Name/URL

Reference or Resource Type

211 San Diego Community Information Exchange (CIE)

State-Based Data Initiatives

Academy of Nutrition and DieteticsNational Collaboratives and Guides

Addressing Social Determinants of Health via Medicaid Managed Care Contracts and Section 1115 Demonstrations

National Collaboratives and Guides

AMA Integrated Health Model Initiative (IHMI) Improving Social Determinants of Health Datasets

Standards and Standards Based Initiatives

American Dental Association: Core Data Set for Communication Among Dental and Other Health Information SystemsStandards and Standards Based Initiatives

American Hospital Association Social Determinants of Health Guides

National Collaboratives and Guides

American Medical Association Integrated Health Model Initiative (IHMI) Improving SDOH Datasets

National Collaboratives and Guides

C-CDA on FHIR, FHIR US Core ProfilesStandards and Standards Based Initiatives

California’s San Mateo County Health System SDOH Integration

State-Based Data Initiatives

Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2National Collaboratives and Guides

Centers for Disease Control and Prevention 500 Cities Project

National Collaboratives and Guides

Cerner Social Determinants Innovation CollaborativeNational Collaboratives and Guides

CMS Accountable Health Communities Screening Tool

Screening Tools and Indicators

CMS Comprehensive Primary Care Plus Health IT Requirements

Related Policies

CMS Quality Payment Program Final Rule

Related Policies

Community Health Initiatives at American Hospital Association (AHA)

National Collaboratives and Guides

Community Resource Referral Platforms: A Guide for Health Care Organizations

Publications
Da Vinci CDex Document-Based AND Data-Based ExchangeStandards and Standards Based Initiatives

Data Across Sectors for Health (DASH)

National Collaboratives and Guides

Data Exchange Standards for Improved Interoperability of Multiple Human Service Programs

Related Policies

electronic Long-Term Services and Supports (eLTSS) Initiative

Standards and Standards Based Initiatives

Evaluation of Housing for Health Permanent Supportive Housing ProgramPublications
FHIR ResourcesStandards and Standards Based Initiatives

Gateway Health Social Determinants of Health for Risk Stratification

State-Based Data Initiatives

Health Leads Questionnaire

Screening Tools and Indicators

HHS Administration of Children and Families:  Program Instruction ACF-OA-PI-13-01  and ACF Confidentiality Toolkit

National Collaboratives and Guides

HL7 Bidirectional Services eReferrals (BSeR) FHIR Implementation Guide

Standards and Standards Based Initiatives

HL7 C-CDA 2.1 Companion Guide (currently in ballot process–must log in to HL7.org to access)Standards and Standards Based Initiatives
HL7 CDA(R) RS Implementation Guide: C-CDA R2.1 Supplemental Templates for Nutrition, Release 1Standards and Standards Based Initiatives
HL7 Model-Based Transformation Services Project Standards and Standards Based Initiatives

HL7 Patient Care Work Group Social Determinants of Health in Care Planning

Standards and Standards Based Initiatives

Home and Community Based Services (HCBS) funded under State Medicaid 1915(c) Waiver Programs

Related Policies

Homeless Management Information System (HMIS)Standards and Standards Based Initiatives
HUD Continuum of Care ProgramEducation and Training
HUD ESG: Emergency Solutions Grants ProgramEducation and Training
HUD Inventory Management System / PIH Information Center (IMS/PIC)Standards and Standards Based Initiatives
ICD-10-CM Official Guidelines for Coding and Reporting FY 2019

Standards and Standards Based Initiatives

Integrating Social Care into the Delivery of Health Care:  Moving Upstream to Improve the Nation's Health

Publications

LOINC Social Determinants of Health

Standards and Standards Based Initiatives

Lyft Initiative: Eliminating transportation as a barrier to healthcare

National Collaboratives and Guides

Medicaid Information Technology Architecture (MITA)

National Collaboratives and Guides

NACHC PRAPARE

Screening Tools and Indicators

National Committee on Vital and Health Statistics (NCVHS): Measuring Health at the Community Level:  Data Gaps and Opportunities – Workshop Summary and Overview

National Collaboratives and Guides

National Information Exchange Model (NIEM)

Standards and Standards Based Initiatives

National Interoperability Collaborative (NIC)

National Collaboratives and Guides

National Quality Forum: National Quality Partners Social Determinants of Health Data Integration

National Collaboratives and Guides

National Quality Forum:  Social Determinants of Health:  Measuring Food Insecurity and Housing Instability

National Collaboratives and Guides

NCVHS Measurement Framework for Community Health and Well-Being

Screening Tools and Indicators

North Carolina Story Map

State-Based Data Initiatives

ONC 2015 Edition Social, Psychological, and Behavioral Data Criterion

Related Policies

Open Referral

Standards and Standards Based Initiatives

Open Source Vulnerability Index Scoring APIs and source codeScreening Tools and Indicators

Patchwise Labs

Publications

Patient Centered Assessment Method (PCAM)

Screening Tools and Indicators

Policies for Action (P4A)

National Collaboratives and Guides

PRAPARE Tool TrainingEducation and Training
Redefining Health for the Well-Being of ChildrenPublications

Section 2402(a) of the Affordable Care Act – Guidance for Implementing Standards for Person-Centered Planning and Self-Direction in Home and Community-Based Services Programs

Related Policies

SIREN Compendium of Medical Terminology Codes for Social Risk Factors

Standards and Standards Based Initiatives

SNAP Program

National Collaboratives and Guides

SNOMED CTStandards and Standards Based Initiatives

Social Interventions Research & Evaluation Network (SIREN)

Organizations

Social Needs Network for Evaluation and Translation (Sonnet): Social Needs Intervention

National Collaboratives and Guides

Texas HASA HIE Social Determinants of Health to Patient EHRs Pilot Project

State-Based Data Initiatives

The National Academy of Medicine Recommended Social and Behavioral Domains and Measures for EHRs

Screening Tools and Indicators

The National Human Services Interoperability Architecture (NHSIA)

Standards and Standards Based Initiatives

The Praxis Project: Social Determinants of Health Equity Project

National Collaboratives and Guides

University of Maryland Safe Environment for Every Kid (SEEK) tool

Screening Tools and Indicators

Urban Institute SDOH Initiative

State-Based Data Initiatives

Utah Alliance for the Determinants of Health

State-Based Data Initiatives

Veteran’s Affairs:  VISN1 Screening Tool and Resource Guide

Screening Tools and Indicators

WE CARE Survey

Screening Tools and Indicators

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