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Filed under: Health Economics, Research & Development | Tagged: Social Determinants of Health, Social Determinants of Health Data, Value-Based care, VBC |
The Leading Business Education Network for Doctors, Financial Advisors and Health Industry Consultants 
Running to the Ball
The Shiny Object of Social Determinants of Health.
Ann Miller RN MHA
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OH MY – SDoH?
https://www.linkedin.com/pulse/eventually-social-determinants-nightmare-cms-other-health-bowman/?trackingId=agQKcXJzcbJ3F53YyfFABw%3D%3D
Dr. David E. Marcinko, MBA
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SDoH
The biggest lesson from COVID-19 is that healthcare alone cannot improve the health and wellbeing of communities of color. In fact, Black workers face two of the most lethal preexisting conditions for the coronavirus – racism and economic inequality .
Social determinants of health do not happen in a vacuum – they occur in the context of individual and neighborhood resources and the opportunity structures in communities where people of color live. The biggest lessons from the dual crisis of a global pandemic and systemic racial injustice is that we can’t improve health and wellbeing of communities of color unless we also pay attention to both social determinants of health and social determinants of equity which are driving racial disparities in healthcare. Social determinants of equity involve looking at policies, practices, norms and values in our medical care and public health systems through a racial equity lens. It requires us to be monitoring inequality in opportunities and making the connection between social inequities to disparities in health outcomes.
Health plans, health systems, and other institutions have an important role to play in eliminating barriers to SDoH and reducing healthcare disparities. Yes, the healthcare sector has the financial capital to make strategic investments in SDoH and related care coordination tools, like online platforms. However, focusing on SDoH alone will not reduce racial disparities in healthcare. Social determinants of health occur in the context of individual and neighborhood resources and the opportunity structures in communities where people of color live.
Change happens at the speed of trust, and while individual health practitioners may have the trust of their patients, the healthcare sector as a whole does not. The financial capital the healthcare sector brings to the table is critical, however, if we want to move the dial on racial disparities in healthcare we need to leverage social capital built over the years by the social services sector. Unfortunately, some in the healthcare sector are forging ahead alone, sometimes re-creating SDoH services networks that at best serve just their members or patients, and at worst, are duplicative.
Health plans, health systems, and other institutions should view the social sector as a force multiplier, “boots on the ground” to help people navigate the health system and SDoH. We all know our health system is complicated, and frankly, complicated systems can discriminate against vulnerable populations in effect, if not by intent. If the healthcare sector is truly committed to value-based care, now is the time to come to the table and make long-term investments in social sector partners that are building and delivering neighborhood resources, and creating new opportunity structures for under-resourced communities. These investments should be for general operating support and for services like outreach and engagement and navigation supports – services people need, but rarely reimbursed by payers and never adequately funded by government and philanthropic grants.
The pandemic has caused economic downturns in nearly every state, which will likely translate into cuts in government spending on SDoH and community resources at the very time when we need it the most. Now is the time for bold action. Is your health plan or health system ready to move from talk to action?
via Barbara Otto – CEO
Smart Policy Works
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