"Community vital signs": Incorporating geocoded social determinants into electronic records to promote patient and population health

Andrew W. Bazemore, Erika Cottrell, Rachel Gold, Lauren S. Hughes, Robert L. Phillips, Heather Angier, Timothy E. Burdick, Mark A. Carrozza, Jennifer Devoe

Research output: Contribution to journalArticle

50 Scopus citations


Social determinants of health significantly impact morbidity and mortality; however, physicians lack ready access to this information in patient care and population management. Just as traditional vital signs give providers a biometric assessment of any patient, "community vital signs" (Community VS) can provide an aggregated overview of the social and environmental factors impacting patient health. Knowing Community VS could inform clinical recommendations for individual patients, facilitate referrals to community services, and expand understanding of factors impacting treatment adherence and health outcomes. This information could also help care teams target disease prevention initiatives and other health improvement efforts for clinic panels and populations. Given the proliferation of big data, geospatial technologies, and democratization of data, the time has come to integrate Community VS into the electronic health record (EHR). Here, the authors describe (i) historical precedent for this concept, (ii) opportunities to expand upon these historical foundations, and (iii) a novel approach to EHR integration.

Original languageEnglish (US)
Pages (from-to)407-412
Number of pages6
JournalJournal of the American Medical Informatics Association
Issue number2
StatePublished - Mar 1 2016



  • Electronic health records
  • Residence characteristics
  • Social determinants of health
  • Socioeconomic factors

ASJC Scopus subject areas

  • Health Informatics

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