Social Determinants of Health (Social Needs Screening) Use Case

The Social Determinants of Health (Social Needs Screening) use case allows organizations to send data to Michigan Health Information Network Shared Services (MiHIN) and to other care team members and participating organizations to support care coordination and population health.

Use Case Summary, Implementation Guide and Supporting Documents

Social Determinants of Health (SDOH) Use Case Summary

Social Determinants of Health (SDOH) Use Case Implementation Guide (updated on 09/20/23)

SDOH file specification (updated on 7/18/23; changes are backwards compatible except for column headers on the file) 


About this Use Case

“Social determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.” [1]

In an effort to better understand the link between social needs and individual health and well-being, more data is needed across and within organizations caring for people in the community.

The MiHIN Social Needs Screening Use Case (SDoH) is a first step in building a knowledge infrastructure that streamlines the process of sharing needed and permissible information across communities and throughout the State of Michigan-and it continues to evolve as the national and regional landscapes do.

    Important updates to HEDIS measures that were put into effect in January 2023 are being reflected in changes to the data specifications to ensure the quality and standardization of the data for use in clinical, policy and payment level analysis.

    Considering reviewing  The Download – NCQA: To Improve we Must Measure – December 2022 (Use Case specific starts at 1:01) and learn more about our Cross Sector Data Sharing work here.

    [1] “Social Determinants of Health,”, accessed October, 17, 2018,

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