{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T14:46:39Z","timestamp":1782312399255,"version":"3.54.5"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T00:00:00Z","timestamp":1780790400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess documentation of social risk International Classification of Diseases, 10th Revision (ICD\u201010) Z\u2010codes among hospitalized homeless shelter users in New York City (NYC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Setting and Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional analysis of hospitalizations among individuals experiencing homelessness using 2019 statewide administrative data from New York.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources and Analytic Sample<\/jats:title>\n                    <jats:p>\n                      New York Statewide Planning and Research Cooperative System (SPARCS) inpatient discharge data linked to NYC homeless shelter addresses. Hospitalizations were identified by matching geocoded discharge addresses to shelter locations (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200913,105).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Principal Findings<\/jats:title>\n                    <jats:p>Among 13,105 hospitalizations, 27% had at least one Z\u2010code documented and 23% included a homelessness Z\u2010code. In adjusted analyses accounting for hospital\u2010level clustering, documentation was highest for mental and behavioral health hospitalizations and lowest for maternal health admissions. Documentation was lower among women, younger patients, racial and ethnic minority groups, privately insured patients, and patients treated in private nonacademic hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Z\u2010code documentation among hospitalized individuals experiencing homelessness is low and varies across clinical, demographic, and institutional groups. Improving documentation completeness is important as reimbursement and equity\u2010focused policies increasingly rely on accurate Z\u2010code capture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1475-6773.70142","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T05:00:34Z","timestamp":1780894834000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Under\u2010Documentation of Z\u2010Codes in Hospitalizations of Homeless Shelter Users in New York City"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4139-1798","authenticated-orcid":false,"given":"Laila","family":"Alsabahi","sequence":"first","affiliation":[{"name":"New York City Department of Health and Mental Hygiene  Long Island City New York 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