Toward Health Equity and Diverse Engagement: How University of - - PowerPoint PPT Presentation
Toward Health Equity and Diverse Engagement: How University of Michigans Workplace Well-being Initiative Addresses Social Determinants of Health Ashley Weigl, MPH, MSW Karen Schmidt, MPH Director, MHealthy Associate Director, MHealthy
Ashley Weigl, MPH, MSW
Associate Director, MHealthy
Karen Schmidt, MPH
Director, MHealthy
MHealthy recognizes that: – health inequities exist in our employee population; – social determinants of health significantly impact health
– health and well-being programs must be engaging to our diverse population to ensure maximum participation.
Conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life
SDOH are responsible for most health inequities.
https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health
Source: County Health Rankings model - University of Wisconsin Population Health Institute (2016)
Slide produced by John Ayanian, MD, Director of the Institute for Healthcare Policy and Innovation at the University of Michigan, in a March 2018 presentation to the MHealthy Advisory Committee
Healthcare use for U-M full-time employees by income group, 2017 claims from Premier Care, Blue PPO, Blue CCM & HAP Rates per 1000 members <$35,000/yr >$35,000/y ⍙ Preventive visits 568 678
Other visits 3240 3117 +4% Mental health/substance visits 1341 1731
Emergency department visits 338 190 +78% Inpatient admissions 71 59 +20% Inpatient days 260 217 +20%
Slide produced by John Ayanian, MD, Director of the Institute for Healthcare Policy and Innovation at the University of Michigan, in a March 2018 presentation to the MHealthy Advisory Committee
Summary of Healthcare Costs & Use by Workers’ Income
1) Lower & higher-income workers have similar total health care spending 2) Lower-income workers use fewer preventive services & visits 3) Lower-income workers use fewer mental health / substance use visits 4) Lower-income workers use substantially more emergency department visits 5) Lower-income workers use more inpatient services
Slide produced by John Ayanian, MD, Director of the Institute for Healthcare Policy and Innovation at the University of Michigan, in a March 2018 presentation to the MHealthy Advisory Committee