Social Determinants of Health

Studies have shown that social determinants of health (SDOH), including food, housing, environment, involvement in the criminal justice system and employment, are significant contributors to health outcomes, including individual health, population health, healthcare cost and provider satisfaction.  However, SDOH have traditionally been treated as a separate domain from health services, with the result being poor coordination and worse outcomes.   Following are the core questions we seek to address:

  1. How do we measure the association between SDOH and health outcomes, including service utilization and cost, and what does that tell us?
  2. What are the evidence-based practices that address SDOH, and how consistently are they applied?
  3. What role can technology can play in addressing SDOH and advancing an integrated continuum of care?
  4. How can technology contribute to improving outcomes and sustainability for all stakeholders?

An Analysis of the impact SUPPORT Act of 2018 on health information technology

In October, 2018, President Trump signed the SUPPORT Act, a bi-partisan bill comprising 120 separate provisions intended to address the opioid crisis. The Act includes several provisions that encourage technology-enabled patient engagement and care collaboration, including SDOH. This paper analyzes the SUPPORT Act to better understand the impact of the SUPPORT Act on HIT to advance the vision of fully integrated care.

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A person holding a cardboard homeless sign

Survey of evidence-based practices and technology usage in Permanent Supportive Housing Programs.

This paper presents findings from a national survey of organizations that offer homeless people permanent supportive housing services following the Housing First model. The survey, conducted in April, 2019, asked what supporting services are offered, such as for substance use disorder, mental health, physical health, criminal justice re-entry or employment, and what metrics are used to measure engagement and outcomes. The survey also asked about levels of adoption of technology as well as perceived benefits and barriers to the adoption of technology. Findings suggest there is a gap between policy objectives and practice objectives in achieving the dual goals of reducing homelessness and improving health while lowering cost.

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Measuring the Association between food/housing insecurity and health status: An analysis using the Behavioral Risk Factor Surveillance System.

Studies show that food and housing insecurity associates with poor health. But, quantifying these relationships is difficult. In this study, we used data from the Behavioral Risk Factor Surveillance System, an annual cross-sectional survey of health and social behaviors, to measure the association between people who always/usually, sometimes or rarely/never worry about having enough money for food or housing and self-reported health status. We also compared patterns among states.

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We’re looking for a few industry leaders, early adopters, who will help us design, test, and report their experience with the new proVizor Care Platform.
  • Participation as a use case community in our Care Unit Analysis requirements documents
  • A requirements analysis and implementation guide specific to your organization and community
  • Two years of licenses for the proVizor platform , starting when you go live
  • No cost for the requirements and implementation guide, and 50% discount on the first two years license fees paid in advance
  • Guarantee that the price will not rise.   Guarantee that if the price is lowered, your price will be adjusted to the lower price
  • Your organization will receive a percentage of the license fees for any organization that chooses your proVizor configuration as its starting template.
  • Participate in our forum as we define the technology requirements for the first set of Care Units
  • Take part in early product review testing and evaluation
  • Participate in evaluation of training materials
  • Once you are satisfied, go live in your practice.
  • Participate in user experience surveys
  • Participate in the ongoing forum discussion as new members join
  • Publish the results of your experience, either individually or as part of the community