1. Panel Discussion: Tackling Social Determinants of Health
Lead • Empower • Innovate
Panel Discussion: Tackling Social Determinants of Health
Panelists:
Devin Bulger, Executive Director, Comfort Food Community
Kim Cook, Executive Director, Open Door Mission
Michael Countryman, Executive Director, The Family Counseling Center
Lee Rivers, Executive Director, Community Connections of Franklin County
Moderator:
Jessica Chanese
Community Engagement Manager, AHI
September 21, 2017

2. What Are Social Determinants of Health?
Social determinants of health are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life. According to the World Health Organization, roughly 80% of factors influencing health outcomes can be categorized as non-medical social determinants.

3. Social Determinants in Rural Areas
Rural risk factors for health disparities include geographic isolation, lower socio-economic status, higher rates of health risk behaviors, and limited job opportunities.
Higher rates of chronic illness and poor overall health are found in rural communities when compared to urban populations.
Many rural residents face barriers related to access to housing, transportation, and foods that are safe, healthy, and affordable.
While these barriers affect all rural residents, those living in poverty are the most adversely impacted.

4. Community Based Organizations Addressing Social Determinants
Community Based Organizations (CBOs) are key to addressing social determinants of health because they have:
Access to individuals who may not be engaging with the health care system.
Trusted relationships with community members.
Understanding of regional strengths, needs, and culture.
Insight into, and connectivity with, community service providers, programs, and resources.
“Many CBOs have years of experiencing improving SDH (Social Determinants of Health). This expert understanding of community needs, coupled with support and clinical expertise of a provider network, could make a significant impact on population health and generate savings for the entities involved.”
NYS DOH Path toward Value Based Payment: Annual Update, NYS DOH MRT, June 2016: Year 2 , p. 42.

5. Social Determinants Interventions and Value Based Payment
“The overall well-being of individuals, families, and communities should be the driving purpose of a health care system. Viewed from that lens, addressing social determinants of health (SDH) should come naturally to health care providers…However, these interventions are traditionally seen as beyond the scope of health care. The VBP effort by NYS provides a unique opportunity to transform this perception and practice.”
(A Path Toward Value Based Payment: Annual Update, New York State Roadmap for Medicaid Payment Reform, NYS DOH MRT, June 2016: Year 2, p. 41).
Interventions to address social determinants of health:
Are proven to improve health outcomes for individuals with chronic and acute conditions;
Can prevent some health conditions from developing;
Are less costly than medical interventions.

6. Social Determinants of Health and Value Based Payment

7. Social Determinants of Health and Value Based Payment

8. Panel Discussion: Tackling Social Determinants of Health
Lead • Empower • Innovate
Panel Discussion: Tackling Social Determinants of Health
Panelists:
Devin Bulger, Executive Director, Comfort Food Community
Kim Cook, Executive Director, Open Door Mission
Michael Countryman, Executive Director, The Family Counseling Center
Lee Rivers, Executive Director, Community Connections of Franklin County
Moderator:
Jessica Chanese
Community Engagement Manager, AHI
September 21, 2017