{"id":68737,"date":"2021-08-02T08:47:22","date_gmt":"2021-08-02T15:47:22","guid":{"rendered":"https:\/\/www.qualityhealth.org\/bree\/?p=68737"},"modified":"2021-08-02T08:47:22","modified_gmt":"2021-08-02T15:47:22","slug":"sdohandequity","status":"publish","type":"post","link":"https:\/\/www.qualityhealth.org\/bree\/2021\/08\/02\/sdohandequity\/","title":{"rendered":"Taking Action on SDOH and Equity"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]As we get a glimpse of the light at the end of the pandemic tunnel this summer, I think back to the early stages of the pandemic when celebrities, government officials, and media framed the viral outbreak as the \u201c<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7224347\/\" data-cke-saved-href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7224347\/\">great equalizer<\/a>.\u201d A virus is incapable of discrimination, and many people (mostly coming from a place of privilege) believed SARS-COV-2 would transcend wealth, fame, race, and age. Instead, the effects of COVID-19 were informed by our country\u2019s social institutions, and we witnessed health and social outcomes stratified by race, class, and age. We watched as the pandemic followed well-worn patterns filtered through the prisms of social determinants of health (SDOH) and health equity.<\/p>\n<p>We know that SDOH, conditions in which we are <a href=\"https:\/\/www.who.int\/health-topics\/social-determinants-of-health#tab=tab_1\" data-cke-saved-href=\"https:\/\/www.who.int\/health-topics\/social-determinants-of-health#tab=tab_1\">\u201cborn, live, work, and play\u201d<\/a> contribute more to health outcomes than the delivery of clinical services. At the same time, <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/issue-brief\/disparities-in-health-and-health-care-5-key-question-and-answers\/\" data-cke-saved-href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/issue-brief\/disparities-in-health-and-health-care-5-key-question-and-answers\/\">preventable and unjust inequities in care<\/a>, especially due to racism, lead to worse health outcomes for people of color. The undeniable impact of SDOH and health equity is often included in high-level conversations by policy experts and C-suite executives, but goes largely unacknowledged during a patient\u2019s clinical care visit. Last year the Foundation for Health Care Quality took on the challenge to develop a community standard for assessing and addressing social determinants and health equity in clinical care.<\/p>\n<p>In our workgroup conversations and key stakeholder interviews, we explored a rapidly evolving health and social service ecosystem with emerging best practices, technologies, and cross-sector partnerships. We heard from <a href=\"https:\/\/about.kaiserpermanente.org\/community-health\/news\/kaiser-permanente-creates-covid-19-social-health-playbook\" data-cke-saved-href=\"https:\/\/about.kaiserpermanente.org\/community-health\/news\/kaiser-permanente-creates-covid-19-social-health-playbook\">health systems integrating community information exchanges into their workflows<\/a>, <a href=\"https:\/\/www.seattle.gov\/fire\/safety-and-community\/mobile-integrated-health\/health-one\" data-cke-saved-href=\"https:\/\/www.seattle.gov\/fire\/safety-and-community\/mobile-integrated-health\/health-one\">pilot programs working at the intersection of health and social services<\/a>, and <a href=\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2021\/03\/20210315_NCQA_Employer_Health_Equity_Guide.pdf\" data-cke-saved-href=\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2021\/03\/20210315_NCQA_Employer_Health_Equity_Guide.pdf\">health plans developing innovative mechanisms to improve health equity<\/a>. We quickly found that there is no one-size-fits-all solution to addressing health equity and social determinants, and instead developed a framework with five focus areas to target future activities. These focus areas include Planning, Identification, Tracking and Measurement, Follow-Up, and Incentives and Investments. We hope our initial work will help guide our state toward future collaboration and integration of health and social services.<\/p>\n<p>While we continue to drive our health system to address holistic healthcare, you can <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/05\/FHCQ-Bree-SDoH-Equity-Final.pdf\" data-cke-saved-href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/05\/FHCQ-Bree-SDoH-Equity-Final.pdf\">read our final report,<\/a> which was adopted by the Bree Collaborative in May 2021, and <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/05\/SDOH-Equity-Summary-2021.pdf\" data-cke-saved-href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/05\/SDOH-Equity-Summary-2021.pdf\">review our quick one-page summary<\/a>. We look forward to future collaboration to improve the health and well-being of all Washingtonians!<\/p>\n<p>Nick Locke, MPH<br \/>\nProgram Coordinator, Foundation for Health Care Quality[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"[vc_row][vc_column][vc_column_text]As we get a glimpse of the light at the end of the pandemic tunnel this summer, I think back to the early stages of the pandemic when celebrities, government&#8230;","protected":false},"author":130,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-68737","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/posts\/68737","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/users\/130"}],"replies":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/comments?post=68737"}],"version-history":[{"count":2,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/posts\/68737\/revisions"}],"predecessor-version":[{"id":68739,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/posts\/68737\/revisions\/68739"}],"wp:attachment":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/media?parent=68737"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/categories?post=68737"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/tags?post=68737"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}