Table 1.

SWOT Analysis of the Initiative

Strengths	Weaknesses
Presence of health disparities champions	Complex organizational structure
Access to dedicated IT resources	Mandates to streamline scheduling and registration
Buy-in from leadership	Limited space for collecting SDH in clinics
Enterprise-supported patient portal	Low percentage of patients using the patient portal
Commitment to create firewalls to protect data and ensure use to improve quality	Limited experience managing at-risk groups
Prior experience collecting SDH for research
Deployment of registries
Opportunities	Threats
Expansion of the value-based purchasing portfolio	Competing demands for IT resources
Improve quality of care and pay-for-performance gaps	Multiple requests for EHR-based surveys
Intramural and extramural recognition of the impact of SDH on outcomes and metrics	Potential changes in leadership and prioritiesLack of guidelines on how to use SDH in clinical operations
Development of better risk models
Community partnerships	Privacy and legal concerns
	Lack of buy-in by clinic personnel

EHR, electronic health record; IT, information technology; SDH, social determinants of health; SWOT, strengths, weaknesses, opportunities, threats.