Development and Usability of a Social Determinants of Health Dashboard in School-based Health.

School-based health centers are ideally placed to identify social determinants of health, social risk factors, and social needs. It is unclear whether school-based health center nurse practitioners consider social determinants of health information, possibly related to lack of data availability. We sought to develop an informatics tool that presents information about social determinants of health and social risk factors in school-based care, with the first use case of children at risk for asthma exacerbations. With user-centered design, we developed an innovative informatics tool for future use in school-based health centers. We used rapid prototyping and iteration with feedback from school-based health practitioners on its usability and usefulness. We conducted usability testing and qualitative interviews for feedback. Our participants rated the tool as excellent usability and very likely to recommend to others. While there are a variety of challenges in user-centered design, this study highlights an example of a tool that presents social determinants of health and social risk factors in a useful and usable way. Clinical implications include integrating geospatial data into care delivery, with the goal of further research to incorporate this tool in preventative education to decrease exacerbations, health inequities, and medical expenditures.