Table 2. Selection criteria for social and behavioral determinants measures.
| Categories | Characteristics |
| Patient vs. Population/Neighborhood Focused | Relevant to patient or neighborhood level interventions |
| Health System Interventions (e.g., VHA PCMH) | |
| Bringing population issues into clinical services (e.g. PCP, care manager, or outreach nurse) | |
| Importance/Applicability | Patient or Population-based performance measures |
| Factors that are important to take into account for patient care and population health interventions | |
| Development of a Balanced Score Card for Patient Care and Population Health | Measures not related to clinical care (i.e., behavioral and social) |
| Focusing on population facets of clinical care (i.e., the full denominator of those in need not just those getting care) | |
| Focusing on interplay between patient care and population health interventions | |
| A type of structure oriented QI measure that will serve as a motivator to help build new infrastructure for data collection for patient care and population health (e.g., a metric assessing the collection of SES data in EHRs) | |
| Tools that will support not just the current interventions, but also future innovations | |
| Relevant to small areas, i.e. when defining communities, we can go beyond just county or zip code | |
| Range of temporality, some measures address short term outcomes, others address longer-term outcomes | |
| Overall Practicality and Strategic Value | Measurement areas previously addressed but where further work is needed |
| Could be accomplished with limited resources (e.g., not a new major neighborhood survey) | |
| Fills a gap on the comprehensive framework we developed | |
| Data Feasibility/Supports and Expands digital infrastructure | Data currently are available digitally or could be available in next few years |
| Capitalizes and expands on new data assets (e.g., EHR) | |
| Scientific Evidence/Measures Attributes | Some evidence that measures matter for health and welfare |
| Ideally some preliminary measurement work exists | |
| Some previous validation of accuracy/feasibility desirable | |
| Some previous measure standards/certification desirable |
Note: EHR: Electronic Health Record, PCMH: Patient-Centered Medical Home, PCP: Primary Care Provider, QI: Quality Improvement, SES: Socio-economic Status, VHA: Veterans Health Administration.