Danielle D Jones, MPH Manager, Center for Diversity and Health - - PowerPoint PPT Presentation

Danielle D Jones, MPH Manager, Center for Diversity and Health Equity

2017 Social Determinants of Health (SDOH) Survey

About the Survey

• Purpose is to inform the AAFP of the prevalence of this

issue among our members and the patients they serve

• Identifies
• family physicians’ perceptions of SDOH
• activities of primary care clinics (screening, referral,

advocacy)

• barriers and needs

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• Results (Available at www.aafp.org/everyone)
• Four in 10 indicated this is either an ‘essential’ or ‘high’

priority issue

• Nearly 60% are screening patients for SDOH and

making referrals to social service resources

• Family physicians are establishing high impact

partnerships to address the issue with the help of:

• community-based organizations (35%)
• health insurers (13%)
• philanthropic organizations (15%)

AAFP Strategic Priority

• The mission of the AAFP is to improve the health of

patients, families, and communities by serving the needs

• f members with professionalism and creativity.
• The AAFP aims to take a leadership role in addressing

diversity and social determinants of health (SDOH) as they impact individuals, families, and communities across the lifespan and to strive for health equity.

2017-18 Priorities

• Raising awareness of the affect of SDOH and establishing best

practices for SDOH screening

• Developing strategies for coordinating with community based
• rganizations
• Developing workflows that incorporate the primary care practice

team

• Advocacy initiatives that support policy at the local, State and

Federal levels

• Provide recommendations for payment models
• FMX Expanded Learning Sessions and informational webinars to

support members continuing medical education

• Topic issue briefs to engage multi-sector stakeholders

Our Purpose

• Create and support a culture of health equity to

empower family physicians

• Collaboration with family physicians, their practice

teams, chapters, and other partners

• Offer tools and resources to help educate family

physicians

• Support research and policy development to support

advocacy

• Encourage workforce diversity

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Tools and Resources

Topics

• Impact of SDOH
• Screening for SDOH risks
• Referral to community resources
• Incorporating practice teams
• Advocacy
• Best practices
• Overcoming challenges and

barriers

• SDOH Payment Principles

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Delivery Formats

• In-person
• Webinars
• Issue Briefs
• Policy Statements
• Position papers
• Conference abstracts
• Workshops
• Journal submissions

AAFP SDOH Toolkit Module 1

Focuses on the Family Physician and Screening

• Overview of the social determinants of health
• Role of the primary care team
• Description of core social needs
• Screening tools for patients and providers
• List of resources
• Published January 2018

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AAFP SDOH Toolkit Module 2

Focuses on Team Based Approaches for Addressing SDOH

• Defining key SDOH terms
• Developing a culture of health equity
• Evaluating your current system
• Getting buy-in from stakeholders
• Creating an implementation plan
• Published April 2018

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AAFP Neighborhood Navigator

• Launched July 2018
• Connecting people with

programs and support in their communities

• Driving awareness of

the tool to our members and the patients they serve through AAFP’s patient facing website

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Principles to Address the Social Determinants of Health in Alternative Payment Models

• Principle #1: APMs should support

practices’ efforts to identify and address social determinants that are shown to impact health outcomes.

• Principle #2: The incorporation of

variables representing SDoH in APMs should be founded on evidence-based research methods.

• Principle #3: Health information

technology (HIT) platforms should facilitate SDoH data collection from medical records and other sources to support improved clinical decision making, care coordination, quality measurement, and population health management.

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• Principle #4: To minimize

administrative burden on providers and patients, SDoH data should be collected by leveraging existing mechanisms.

• Principle #5: To ensure APMs

improve access, quality, and health equity, practices should receive appropriate resources and support to identify, monitor, and assess SDoH.

2018-19 Priorities

• Health Equity Roundtable in Washington DC
• Community engagement and advocacy resource Fall 2018
• Speaker’s Bureau
• Health Equity Fellowship Program
• 2018-19 SDOH Annual Survey
• The Business Case for Health Equity
• Health Equity Curricular Toolkit
• 2019 Health Equity Summit (Albuquerque, NM October 2019)

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Questions?

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