Social Determinants of Health

A patient's socioeconomic status can have a profound impact on their health.

Social determinants of health (SDOH) are conditions in the places where people live, learn, work, and play that affect a wide range of health and quality-of life-risks and outcomes.

sdoh healthec

Source: Moving Health Equity Forward Committee, an action group of the Bruce Grey Poverty Task
Force, https://www.publichealthgreybruce.on.ca/Your-Environment/Healthy-Communities/Health-Equity

SDOH (inclusive of health behaviors and the physical environment) are estimated to account for at least 80% of the modifiable contributors to health outcomes. As the market moves toward a P4P or providers assumption of risk model, the economic argument for addressing SDOH becomes even more consequential. Addressing SDOH is a smart business decision that can significantly reduce cost and utilization.

Addressing the social determinants of health has become a central theme of today's medical services industry, with organizations across the healthcare spectrum taking a more holistic view of patients and the approaches used to connect the most vulnerable populations to the healthcare and community resources they need. With the shift from fee-for-service (FFS) to managed care, population health management becomes vital.

KLAS Recognition

As a participant in the 2019 KLAS Population Health Care Management Report, HealthEC was the only provider among the 13 top vendors reviewed to have all the necessary platform capabilities to manage the social determinants of health. HealthEC’s comprehensive approach is a leader in this field providing a seamless integrated approach generating meaningful and actionable intelligence.

Source: 2019 KLAS Population Health Care Management Report

With a keen eye on improving health outcomes and cost savings, HealthEC has pioneered the integration of social determinants of health for patients on our CareConnect platform, allowing care coordinators to assess the patient and their families or social support system, identify the addressable problems and plan to prevent barriers to care that interfere with individualized care plans. Our platform allows multiple programs and organization to jointly care coordinate SDoH.

Built-in Social Determinants of Health

HealthEC’s care coordination solution, CareConnect, includes built-in social determinants of health assessments, based on PRAPARE, that facilitate a more in-depth look at the socioeconomic and environmental circumstances that adversely affect patient health, allowing providers to close healthcare gaps and connect patients to the care and community resources they need. A longitudinal record with SDoH data is available, even as a member changes plan.

HealthEC’s SDoH module is customizable to include automated interventions for a response to the assessment. For example the answer to a concern of not having safe, affordable housing could automate the discussion with the state and county emergency housing unit or other community based entities that support families with housing needs.

  • Integrate community-based providers into care management programs
  • Mental health
  • Meals on Wheels
  • Soup kitchens/food banks
  • Church groups
  • Transportation services
  • Assignable tasks to all providers
  • Stratification with SDoH co-morbidities (conditions)
  • SDoH impact on utilization, cost, and outcomes


We recognize that social determinants of health are responsible for about 80% of health outcomes—and while we can’t fix them all, we can do our part

Source: https://www.northwell.edu/katz-institute-for-womens-health/articles/healthcare-inequalities-putting-nation-at-risk?utm_source=native&utm_medium=display&utm_campaign=kiwh_2020

Prince George's saw an in-patient cost savings of $432,963 in 2018 utilizing HealthEC's
Population Health Platform

Achieving Health Equity for Disadvantaged Populations

A growing understanding of how systematic racial inequality impacts healthcare access and outcomes has led to an unprecedented focus on health equity, with the goal of acquiring, aggregating, and analyzing data on social determinants of health to help identify and address the root causes of health disparities. During this webinar, experts from HMA and HealthEC provide a roadmap for how states, health plans, and providers can leverage data to support the design, development, and implementation of successful health equity initiatives.

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