• Stephanie Serafino, Melinda Rajoria, Melanie A Gold, and Samantha Garbers.
• HIV Center for Clinical and Behavioral Studies; Division of Gender, Sexuality, and Health, New York State Psychiatric Institute and Columbia University, New York, New York, USA.
• J Eval Clin Pract. 2021 Aug 1; 27 (4): 1004-1008.

RationaleNational organizations have called for routine collection of data on sexual orientation and gender identity (SOGI) in clinical settings to track access to and quality of care provided to sexual and gender minority patients to improve health outcomes. However, there are limited data on this implementation for among adolescent populations.MethodsA secondary data analysis from seven school-based health centers (SBHCs) in New York City explored SOGI documentation for 8888 adolescent patients in 2015 to 2018. Using Electronic Health Records, SBHC medical providers' implementation rate of patient SOGI documentation was assessed. Trends in SOGI documentation were reviewed.ResultsAt 18-month post-EHR modification and training, SOGI documentation increased and was sustained at 47%. Those documented as female were significantly more likely to have SOGI documentation compared to those documented as male (36% vs 26% for SO; 36% vs 25% for GI).ConclusionsThis study identified incomplete data collection in SOGI documentation among adolescents receiving medical and mental health services in SBHCs.© 2020 John Wiley & Sons, Ltd.

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