Key Terms
The conditions in the environments where people are born, live, learn, work, play affect a wide range of health, functioning, and quality-of-life outcomes and risks.
What are the social determinants of heath?
The closest store to Katie is 4 miles from her house, there are several fast food restaurants and convenient stores within a 1 mile radius.
What is a food desert?
Hudson River HealthCare worked alongside with the local Migrant Head Start program to fight this.
What is food insecurity?
Groups that are disproportionately affected by morbidity and mortality compared to other groups.
What are vulnerable populations?
Healthcare systems to provide high quality care at lower costs and both health care systems and providers are reimbursed based on patient outcomes.
What is value based reimbursement?
Poverty, employment status, access to employment, and housing stability.
What is economic stability?
Robert has been having trouble finding affordable and safe housing. He sleeps at friends' houses and shelters, during this time Robert has noticed a decline in is health.
What is housing instability?
90.7% of high schoolers
What is the target percentage of high school students who graduate in 4 years?
How much of health outcomes do social determinants of health determine?
The Affordable Care Act (ACA) encouraged the development of electronic health records (EHRs) to decrease healthcare costs and improve health outcomes by centralizing and improving the quality of patient information
Why was EHR widely implemented?
Family structure, social cohesion, perceptions of discrimination and equity, civic participation, and institutionalization.
What is social and community context?
Janice is black, low income, senior that has had chronic illnesses since she was 35 years old. Janice's conditions have worsened severely and it has started to affect her quality of life.
What are the outcomes of poor social determinants of health?
This group provides environmental health assessments and helps to improve housing stability in Kansas City.
What is the Children’s Mercy Kansas City Healthy Homes program?
Adjusting individual behavior by implementing more physical activity, better nutrition, less tobacco use, etc.
What are midstream issues?
A national effort to help health centers and other providers collect the data needed to better understand and act on their patients’ social determinants of health.
What is Protocol for Responding to and Assessing Patient Assets, Risks and Experiences (PRAPARE)?
Quality of housing, crime and violence, environmental conditions, and access to healthy foods.
What is neighborhood and built environment?
Michael has been to several doctors and emergency rooms over the last year. All of these medical centers are in separate networks but still have access to Michael's medical history.
What are electronic health records?
Utah’s Public Health Data Resource.
What is the Indicator-Based Information System for Public Health (IBIS-PH)?
Addressing social determinants of health before health treatment is needed.
What are upstream issues?
Creates identifies through geographic mapping of poverty and education level.
What is the Vulnerable Populations Footprint” Tool?
Preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations.
What are health disparities?
Theresa is a working mom who can't afford to regularly take off work for doctor visits. A new doctor office opens up in her neighborhood that offers late night appointments. Theresa can now visit her pcp without missing work.
What is health equity?
The ODPHP, NIH, CDC, HRSA, and NCHS are the lead federal agencies for this group.
Who are the members of the social determinants of health workgroup?
Chronic disease treatment, emergency services, dialysis, etc.
What are downstream issues?
Uses U.S. census variables at tract level to identify factors that are indicative of a community’s resilience or ability to recover after disaster.
What is The Social Vulnerability Index?