SAS social determinants of health

social determinants of health include factors such as

AS SEEN

Access to healthcare

Social support

Socioeconomic status

Education

Employment

Neighborhood/physical environment

t/f: there are a growing number of initiatives to address social determinants of health within and outside of the health care system

true. policies both outside of healthcare and within (medicare, medicaid)

examples of initiatives within the healthcare system that focus on addressing social determinants of health

-multi-payer federal and state initiatives

- Medicaid-specific initiatives: Center for Medicare and Medicaid Innovation (CMMI), Medicaid delivery system and payment reform initiatives

- Managed care plans and providers= identify and address social needs

what effect could the trump administration have on social determinants of health policies

may limit resources and initiatives

-limit individuals' access to assistance programs and reduce resources available to address social determinants of health

(ex: enforcing and expanding work requirements associated with public programs and reducing funding for prevention/ public health)

t/f: Social determinants of health are the conditions in which people are born, grow, live, work and age

true

t/f: health care is the strongest determinant of health, directly correlating to outcomes such as mortality, morbidity, and life expectancy

false. its a weak determinant of health. health outcomes are driven by array of factors-> genetics, behaviors, social/ environmental , smoking, diet

t/f: Policies and practices in non-health sectors have impacts on health and health equity

true.

ex: availability of public transport affects access to employment/ affordable foods/ heath care

_____________ is an approach that incorporates health considerations into decision making across sectors and policy areas

"Health in All Policies"

t/f: There continues to be growing recognition of the relationship between neighborhoods and health, with zip code understood to be a stronger predictor of a person's health than their genetic code

true

what are accountable health communities? who created this?

- connect ppl on medicaid/medicare with community services to address social needs

- established by Center for Medicare and Medicaid Innovation (CMMI), which was established by the ACA

SIM initiative

State Innovation Models

- initiative that provides financial and technical support to states for the development and testing of state-led, multi-payer health care payment and service delivery models that aim to improve health system performance

what are some of the actions that the 11 states included in SIM are taking

- establish links btwn primary care and community-based organizations and social services

- creating local entities to identify health needs and establish links to community service

DSRIP initiatives

"Delivery System Reform Incentive Payment"

- medicaid funding for providers to address social needs and factors

(ex: new york-> DSRIP projects aimed at ensuring housing)

health homes option

under medicaid; states can establish health homes to coordinate care for people with chronic conditions

t/f: states can use Medicaid funds to pay for room and board

false. while states cannot use Medicaid funds to pay for room and board, Medicaid funds can support a range of housing-related activities, including referral, support services, and case management

medicaid managed care organizations (MCOs)

- many states require MCOs to address social determinants of health as part of contractual agreement

(ex: Nebraska requires MCOs to have staff trained on social determinants of health and be familiar with community resources; plans are also required to have policies to address members with multiple biopsychosocial needs)

under the ACA, what must non-profit hospitals do every 3 years

not-for-profit hospitals are required to conduct a community health needs assessment (CHNA) once every three years and develop strategies to meet needs identified by the CHNA

t/f: Some providers have adopted screening tools within their practices to identify health-related social needs of patients.

true