300127
Assessing and addressing the social determinants of health in community health centers and other community settings
To address this need, the National Association of Community Health Centers, Association of Asian Pacific Community Health Organizations, Oregon Primary Care Association, and Institute for Alternative Futures created a standardized patient risk assessment tool focused on the SDH. Using the County Health Rankings as a framework, the partners developed a paper-based tool that is free for any interested provider and are now creating an open access Electronic Health Record template. To determine which SDH domains and measures to include in the tool, the partners reviewed the literature, assessed existing health risk assessment tools, engaged diverse stakeholders, and sought feedback from an advisory group of experts.
This presentation will present the tool, how it was developed, and how it can be used by any provider organization to better understand and manage their patient populations. The tool’s potential long term impact will also be discussed, such as using standardized data to advocate for policy changes that address the SDH, test the impact of population-based interventions, and ensure adequate payment that provides fair compensation for caring for at-risk patients and that more fully supports the integration of clinical and non-clinical care.
Learning Areas:
Chronic disease management and preventionPlanning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related public policy
Public health or related research
Learning Objectives:
Describe the importance and impact of collecting and standardizing patient-level data on the social determinants of health.
Identify which social determinants of health domains and measures are linked to health outcomes and utilization as identified through the literature, an environmental scan, and stakeholder input.
Discuss how data on patient risk profiles has been used to inform and expand operations beyond clinical care for population health management and to promote sustainability of interventions.
Keyword(s): Community Health Centers, Risk Factors/Assesment
Qualified on the content I am responsible for because: I am the manager of this project and have been involved in every step and activity of this project, from writing the grant, developing the workplan, executing the project, conducting the literature review, conducting the interviews, leading the meetings, and developing the tool and protocol. I know all of the details of this project, the results, and how we arrived at those results.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.