SOCIAL DETERMINANTS of HEALTH
The World Health Organization defines Social Determinants of Health as the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels. The Social Determinants of Health are mostly responsible for health inequities.
Resources that enhance quality of life can have a significant influence on population health outcomes. Examples of these resources include safe housing, access to education, public safety, availability of healthy foods and local emergency/health services.
The magnitude and influence of Social Determinants of Health (SDOH) is a new territory in the medical community. A recent study from Connance, a Waystar company concluded Social Determinants of Health contributed to more than 50 percent of hospital readmissions. Innovative Healthcare Delivery (IHD) has been a pioneer in this space, tackling SDOH outside of hospital walls for the last seven years.
To address the far reaching influence of SDOH in the transitional care patient advocacy space, IHD developed proprietary transitional care technology that brings both the medical and social aspects of transitional care and patient advocacy into one system. The advantage of developing and utilizing a system that was built solely to manage transitions of care, its access to a meaningful predictive modeling tool that considers both clinical and Social Determinants of Health in its risk stratification. Along with the risk stratification tool, the platform fosters efficiencies in task management that is necessary for coordinating successful and timely post discharge care, based on the individualized needs of the patient. This systematic approach limits the potential for gaps in care, while providing targeted, yet personalized engagement with patients that results in improved outcomes and increased compliance. Technology is a critical component that is necessary to execute a successful transitional care program that achieves both cost savings and increased member satisfaction.
IHD’s proprietary, patient centric, transitional care platform was created to specifically meet the needs of effective transitional care on a large scale. The foundation in which the system was built upon, demands program compliance through a combination of predictive analytics and real-time alerts that identify situations of high risk or poor outcome.