Integrating social care in the EHR in an FQHC: Reach and equity 2 years post–integration

automated reporting, measurement, or tracking.Participants noted that use of structured fields such as dot phrases or procedures codes is increasing, but is not yet systematic or standardized, limiting this format's efficacy.Participants also reported substantial challenges with ascertaining referral status even if documentation used structured data, suggesting that such fields are not yet optimized for referral follow-up use.Regardless of documentation approach, participants noted that close partnerships with CBOs underlie referral success and emphasized the importance of documentation methods that promote these relationships.Conclusion: EHR tools for documentation among care teams addressing health-related social needs have not kept pace with the rise in such services.The experiences of those providing these services must inform the development of such tools, which will in turn support better care for patients with health-related social needs.