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Social Determinants and Population Health: Redesigning Care Management to Bridge Clinical and Non-Medical Services

In Social Determinants and Population Health: Redesigning Care Management to Bridge Clinical and Non-Medical Services,

care teams will learn that by asking patients the right questions and listening carefully to their responses, they can begin to identify and address social determinants, dramatically impacting patient outcomes as well as their own financial success under value-based care.


Social Determinants and Population Health: Moving Beyond Clinical Data in a Value-Based Healthcare System
Defining the Social Determinants Challenge
Specifics of Social Determinants
Social Determinant Example 1: Social Isolation
Social Determinant Example 2: Technology
Social Determinant Example 3: Access to Care and Health Literacy
Social Determinant Example 4: Living Situation and Environment
Social Determinant Example 5: Economical and Cultural Context
Addressing SDH Through Integration
Addressing Social Determinants at an Organizational Level
Assessing Level of SDH Integration
SDH Case Study 1: Engaging ACO Patients in Technology-Enabled Surveys
SDH Case Study 2: Linking Community Resources to Clinical Resources
Q&A: Ask the Expert
Engaging the Physician Office in Social Determinants
Social Determinant Assessment Tools
Funding Social Determinant Assessments
Patient Honesty in Divulging Social Determinants
Glossary
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