Patients of healthcare organizations are referred to the most effective resources for their health and wellbeing needs.
% of patients screened for social determinants of health at annual and preventative visits
Current Value
60.6%
Definition
Comparison
Story Behind the Curve
What factors have a positive impact:
- There is a desire and committment among healthcare systems to do this work
- Providers recognize the benefits of their patients gaining access to needed resources
- Reimbursements for affordable care/cost savings reimbursement
- Grant funding from PrimeWest Health supports this work
- Smaller healthcare systems can make administrative/system-level decisions locally
What factors have a negative impact:
- Health care systems do not have a screening process built into their agency
- Time to develop
- Time to train
- Smaller healthcare systems work through contracted EMR companies - less control over their system funcionality
- Limited staff focused on population health initiatives in smaller healthcare systems
- Providers feel they have too much on their plate/overwhelmed already
Partners
- Horizon Public Health
- PrimeWest Health - Funder
- Statewide Health Improvement Partnership - Leader
- Alomere Health
- Lake Region Healthcare of Grant, Douglas, and Stevens Campuses
- Glacial Ridge Health Systems
- Stevens Community Medical Center
- Sanford Wheaton Medical Center & Clinic
- Sanford Health Sioux Falls - Advisor
What Works
- Working with health care organization where current relationships exist
- Education on why this is important
- Shared collaboration with partners, both supporting the work together
- Subject matter experts to help guide the project
- Internal project champions at each partner
- Supporting initiatives with funding
- Clearly identifying who is responsible for reporting data
- Identifying who has the greatest capacity to implement change within each partner organization
- Sharing patient stories of success/testimonies
- Updating/reforming policies and EMR functionalities to standardize the process
Action Plan
Step 1: Meet with helath care systems to assess desire and capacity to participate and solidify partnerships.
Step 2: Research and secure funding to support this initiative.
Step 3: Create timeline and implementation plan.
Step 4: Begin working with health care systems to imlpement screening at each site.
Step 5: Monitor and evaluate progress and update implementation plan according to feedback.
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