Social Determinants of Health Roundtable 3: Collecting and Using Data to AddressSDoH in Your Patient Community

Patients with lower household income on average have a higher number of underlying chronic conditions, experience higher medical costs and utilization of medical care, including emergency services, and are hospitalized more often and for longer periods of time.    Health Centers can apply the data they have in house, and community-based data to drive their strategy to advance health equity. They can also use insights culled from the Healthy People 2030 Framework  and other data sources to identify health care disparities, find root causes, and craft targeted interventions that address issues related to social determinants of health (SDoH). Currently in its 5th iteration, Healthy People 2030 incorporates overarching goals, core objectives with targets, and tools for action into its framework that can be incorporated into your SDoH program planning and implementation efforts. 

Participants of this Roundtable will engage in a rich discussion with subject matter experts (SMEs) and health center staff at all levels to identify promising approaches, challenges, and successful strategies for collecting and using data to address the social determinants of health in their patient communities. The following topics will be discussed during the Roundtable: 

1.    Healthy People 2030 – SDoH-related Goals and Objectives 

• HP 2030’s Focus on SDoH – Overarching Goals and Related Objectives
• Using HP 2030 in Your Work 

2.    Collecting and Using Data to Address SDoH in Your Patient Community 

• Collecting Screening Data on Patients’ Social Needs
• Finding SDoH Data in Your electronic health records (EHRs)
• Using Population Management Data from Your EHRs 
• Using Outside Data to Gain Insights 
• Understanding Your Resources to Meet Identified Social Needs
• Understanding Your Referrals
• Building Collaborative Partnerships