ENVIRONMENTAL DRIVERS STEPS TO POPULATION HEALTH PROCESS OUTCOMES
  • Social Determinants of Health
  • Patient Identification, Assessment, Stratification
  • Person-centered care design and processes
  • Partnerships & multi-stakeholder collaborations/collaboratives
  • Patient Engagement
  • Quality Improvement & Impact Evaluation
  • Policy and Payment Environment
  • Health Information Technology and Data Analysis
  • Community-level population health management

ENVIRONMENTAL DRIVERS

 

Social Determinants of Health (SDoH)
In describing Social Determinants of Health, the World Health Organization writes: “The social determinants of health are 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 – the unfair and avoidable differences in health status seen within and between countries.”  Improving population health requires that requires that the social, cultural, and economic forces that impact health status be assessed and addressed through community-level action. 

  • Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences (PRAPARE)
  • Social Determinants of Health Needs Assessment Survey and Staff Assessment (Colorado Community Health Network. 2015)
  • Policy Reports: An Overview of Food Insecurity Coding in Health Care Settings: Existing and Emerging Opportunities (Hunger Vital Sign National Community of Practice. January 2018)