1. Addressing Social Determinants of Health: Beyond the Clinic Walls
Improve health outcomes by addressing social determinants of health

2. Social determinants of health have up to 6x the impact on health as compared to clinical care. Addressing social determinants requires collaboration across medical care, public health, and social service providers.

3. What are social determinants of health?
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

4. Eight steps to addressing social determinants of health in your practice
Understand and engage your community.
Engage key leadership.
Assess your readiness.
Select and define your plan.
Assess SDOH at the patient level.
Link patient to SDOH resources.
Evaluate and Refine
Celebrate your success

5. Addressing Social Determinants
There are many social determinants of health and each can influence one another. It is best to begin by selecting one area of focus.
Select a social determinant to focus on
Choose a health outcome to track
Define your target patient population

6. The Effects of Addressing Social Determinants
Improve Health Outcomes
Improve Quality
Lower Costs
Enhance Joy at Work for Healthcare Providers

7. Tools/Resources available to your practice
The Accountable Health Communities Health- Related Social Needs Screening Tool
PREPARE: Protocol for Responding to and Assessing patient Assets, Risks, and Experiences
Social Determinants of Health Guide to Social Needs Screening Tool and Resources
Patient Centered Assessment Method
Dial 211 for Essential Community Services
Workflow Implementation

8. How is it working at other practices?
Bronx, NY
Alameda County, CA
Greenville, SC
Steps in Practice Summary = Location Featured Here
Summarize the description of the steps in practice section in a bulleted format
Keep it concise and straight to the point
Think about what information would be helpful to a practice manager that is presenting this information
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North Texas

9. “
You have to meet the patient where they’re at and recognize that the goal [they] might want to set may not be directly related to [their] medical condition, but looking a little bit further at the connections that can be made to other resources to address what is really important to them. ”
Damara Gutnick, MD
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10. For additional resources, frequently asked questions and implementation support, visit stepsforward.org