Social Determinants of Health Data – SDOH Solutions https://www.sdohsolutions.com Better Data Better Outcomes Thu, 21 Sep 2023 12:16:21 +0000 en hourly 1 https://wordpress.org/?v=6.7.5 https://www.sdohsolutions.com/wp-content/uploads/2020/08/cropped-SDOH-Solutions-Logo-1-1-32x32.png Social Determinants of Health Data – SDOH Solutions https://www.sdohsolutions.com 32 32 SDOH Software CMS Data Needs https://www.sdohsolutions.com/sdoh/sdoh-software-cms-data-needs/ https://www.sdohsolutions.com/sdoh/sdoh-software-cms-data-needs/#respond Mon, 18 Jan 2021 21:14:10 +0000 https://www.sdohsolutions.com/?p=549

Working with SDOH Software CMS Data Needs

As of January 7th, 2021 CMS issued guidance on opportunities in Medicaid and CHIP to address Social Determinants of Health.  This guidance focuses on services and support that can address SDOH needs.

According to the article “SDOH have been shown to impact health care utilization and cost, health disparities, and health outcomes. Current research indicates that some social interventions targeted at Medicaid and CHIP beneficiaries can result in improved health outcomes and significant savings to the health
care sector.“

How can health plans gain insights on the individual needs that a member has related to SDOH conditions?  Currently the options are very limited.

Our Member Management System SDOH Software allows organizations to load member driven data files into our cloud solution.  Then we compare your members to common SDOH conditions all the way down to a Census tract.  Then target your members to identify, track and improve their outcomes while maintaining a database of those conditions you have tracked for each person.

SDOH Software CMS Data Tracking

Get ahead of CMS and start building out a database of unique SDOH needs of your members.  

Report out to your local, state and federal healthcare agencies the actual conditions your member are faced with.  Work with CMS on SDOH reimbursements to design programs that improve health and outcomes.  According to CMS there are a few SDOH programs that Medicaid provides could implement:

  • Transportation
  • Meal Delivery
  • Education 
  • Employment Services
  • Housing support
  • 1115 Demonstration Projects

Our SDOH software CMS data can give you the insights you need to provide critical information to government agencies.  No need for Excel files trying to track information on a small group of individuals.  

Partner agencies can be leveraged to address SDOH and is encouraged in the SDOH CMS guidance – 

“When developing and implementing a strategy to address SDOH, the state Medicaid agency should work with other state agencies to leverage all federal funding the state receives to address SDOH.”

SDOH Software CMS Data
SDOH Software CMS Data

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Learn More – What are Social Determinants of Health?

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Types of SDOH Data – 3 Levels of SDOH Data

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Social Determinants of Health Insurers Need Data

Where can you find social determinants of health data insurers can actually use?  More and more emphasis is being placed on the impact of social determinants, however, most companies are struggling with how to start.

Population health Conditions for people include economic situations, food and housing insecurity, social conditions and health literacy.

The conditions that people live in and their knowledge of when to seek health care is very important to improve health conditions.  If an individual does not know the proper level of care to seek for a medical condition for themselves or their family members.  They often seek care in a ER resulting in higher priced costed in the healthcare system for all parties.  

By knowing your members unique challenges with social determinants of health insurers can improve outcomes and overall population health.  One person at a time.

Impacts of insurers knowing social determinants of health for members:

  • Reducing claim amounts and number of claims filed
  • Reduction in readmission rates
  • Improve Quality Measures
  • Increased health literacy for members to make better choices
  • Improved use of specialized services
  • Decrease ER utilization and Increased Urgent Care
  • Better baseline health of the population

 

Social Determinants of Health Insurers
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Get a Free – SDOH Software Demo 

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Learn More – What are Social Determinants of Health?

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Read our Blog – 3 Ways to Improve SDOH 

Types of SDOH Data – 3 Levels of SDOH Data

Follow the WHO on Social Determinants of Health (SDOH)

Read More at Insurance News – Why Insurers Should Care

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Top 3 Areas to Improve Social Determinants of Health

 

Healthcare organizations can start to improve social determinants of health (SDOH) by understanding the needs of the community in regard to population health.

Employment to Improve Social Determinants of Health

 

Having a job that enables someone to support themselves or their family is the foundation to improve social determinants of health.   For those luck enough to have jobs that include health benefits they have better opportunities for improved health.  However, not everyone has a job that includes health benefits.  These people working part-time or contract labor need options to access affordable healthcare.

When patients or members are underemployed or unemployed they may not have access to healthcare or if they do the cost of healthcare is not affordable and requires a significant portion of their income to actually use.  Because of this they may delay using the services or not use the services at all.

Healthcare providers and payers can work in their local communities to help support job education and training programs.  They can identify and create internship programs that help people get required skills to get higher paying jobs.  What programs are in your area already that you can leverage?

Housing to Improve Social Determinants of Health

 

Where people live and the conditions of their housing is another critical element to improve social determinants of health in populations.  Healthcare organizations need to understand where their members live and what services are nearby to provide a positive housing situation.  Healthcare providers and payers can work with local community groups to improve the housing availability in their local community.

Once you have identified a person that is in need of housing.  You must have a method to connect them to the local resources that can best help their unique situation.  Without this type of help, overall health will not be able to improve on an individual level.  What can you do as a medical professional or healthcare payer to partner with local groups to ensure people that need assistance can get the help they need?

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Transportation to Improve Social Determinants of Health

 

Lack of transportation or reliable transportation options is a critical need to improve social determinants of health outcomes.  Without a means to travel to required appointments or pick up prescription drugs.  People are not able to get the care they need when they need it.  Lack of care will lead to increase claims, higher risk of health issues, and emergency rooms being utilized as the first line of care.

Luckily telehealth is becoming more acceptable due to the COVID pandemic.  Telehealth visits enable more care than previously available to those that are transportation challenged.  Access to this service can help with initial diagnosis and some aspects of preventative care.  However, it does not replace an in-person wellcare visit complete with labs.

Transportation issues also impact the ability for people to access other services in the community.  Inability to access to grocery stores, pharmacies, religious gathering or community centers limits a person’s ability to get additional assistance that may be available to them.

Improve Social Determinants of Health

 

Improving social determinants of health can lead to better health outcomes for individuals and communities. For example, improving access to nutritious food through policies such as providing incentives for grocery stores to open in underserved areas, can lead to decreased rates of obesity and chronic diseases such as diabetes. Providing access to affordable housing can also lead to improved health outcomes by reducing stress, improving mental health, and decreasing the risk of exposure to environmental hazards.

Additionally, access to education and employment can improve health outcomes by increasing income and economic stability, which can lead to better access to healthcare, healthier living conditions, and decreased exposure to stressful environments.

Overall, addressing social determinants of health is essential to improving health outcomes and reducing health disparities, as it can lead to more equitable and healthier communities.

3 Ways to Improve Social Determinants of Health
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Social Determinants of Health Data Source Overview

Gathering the various resources that have bits social determinants of health data sources is a challenge.  Local healthcare organizations need access to timely and accurate data to positively identify impacted members or patients.  How to collect, store and leverage SDOH data is difficult.

3 Levels of Social Determinants of Health Data Sources

National Data

Social Determinants of Health data collected at a national level includes information collected through large scale national efforts such as Census. 

State Data

Social Determinants of Health data collected at a state level includes information collected through state agencies through aggregation of county or local resources. 

Local Data

Social Determinants of Health data collected at a national level includes information collected through local organizations.

Examples of social data includes:
  • Chronic Disease Indicators
  • Chronic Kidney Disease
  • Housing 
  • Disability Data
  • Pregnancy Health
  • Heart Disease
  • Economic Indicators
  • Unemployment
  • Education

Learn more at the CDC – Social Determinants of Health Data

Social Determinants of Health Data Levels
Social Determinants of Health Data Levels
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