Danielle D Jones, MPH Manager, Center for Diversity and Health Equity
2 2017 Social Determinants of Health (SDOH) Survey About the Survey • Purpose is to inform the AAFP of the prevalence of this issue among our members and the patients they serve • Identifies • family physicians’ perceptions of SDOH • activities of primary care clinics (screening, referral, advocacy) • barriers and needs • Results (Available at www.aafp.org/everyone) • Four in 10 indicated this is either an ‘essential’ or ‘high’ priority issue • Nearly 60% are screening patients for SDOH and making referrals to social service resources • Family physicians are establishing high impact partnerships to address the issue with the help of: • community-based organizations (35%) • health insurers (13%) • philanthropic organizations (15%)
AAFP Strategic Priority • The mission of the AAFP is to improve the health of patients, families, and communities by serving the needs of members with professionalism and creativity. • The AAFP aims to take a leadership role in addressing diversity and social determinants of health (SDOH) as they impact individuals, families, and communities across the lifespan and to strive for health equity.
2017-18 Priorities • Raising awareness of the affect of SDOH and establishing best practices for SDOH screening • Developing strategies for coordinating with community based organizations • Developing workflows that incorporate the primary care practice team • Advocacy initiatives that support policy at the local, State and Federal levels • Provide recommendations for payment models • FMX Expanded Learning Sessions and informational webinars to support members continuing medical education • Topic issue briefs to engage multi-sector stakeholders
5 Our Purpose • Create and support a culture of health equity to empower family physicians • Collaboration with family physicians, their practice teams, chapters, and other partners • Offer tools and resources to help educate family physicians • Support research and policy development to support advocacy • Encourage workforce diversity
6 Tools and Resources Delivery Formats Topics • Impact of SDOH • In-person • Screening for SDOH risks • Webinars • Referral to community resources • Issue Briefs • Incorporating practice teams • Policy Statements • Advocacy • Position papers • Best practices • Conference abstracts • Overcoming challenges and • Workshops barriers • Journal submissions • SDOH Payment Principles
7 AAFP SDOH Toolkit Module 1 Focuses on the Family Physician and Screening • Overview of the social determinants of health • Role of the primary care team • Description of core social needs • Screening tools for patients and providers • List of resources • Published January 2018
8 AAFP SDOH Toolkit Module 2 Focuses on Team Based Approaches for Addressing SDOH • Defining key SDOH terms • Developing a culture of health equity • Evaluating your current system • Getting buy-in from stakeholders • Creating an implementation plan • Published April 2018
9 AAFP Neighborhood Navigator • Launched July 2018 • Connecting people with programs and support in their communities • Driving awareness of the tool to our members and the patients they serve through AAFP’s patient facing website
10 Principles to Address the Social Determinants of Health in Alternative Payment Models • Principle #1: APMs should support • Principle #4: To minimize practices’ efforts to identify and administrative burden on providers address social determinants that are and patients, SDoH data should shown to impact health outcomes. be collected by leveraging existing mechanisms. • Principle #2: The incorporation of variables representing SDoH in APMs should be founded on • Principle #5: To ensure APMs evidence-based research methods. improve access, quality, and • Principle #3: Health information health equity, practices should technology (HIT) platforms should receive appropriate resources and facilitate SDoH data collection from support to identify, monitor, and medical records and other sources assess SDoH. to support improved clinical decision making, care coordination, quality measurement, and population health management.
11 2018-19 Priorities • Health Equity Roundtable in Washington DC • Community engagement and advocacy resource Fall 2018 • Speaker’s Bureau • Health Equity Fellowship Program • 2018-19 SDOH Annual Survey • The Business Case for Health Equity • Health Equity Curricular Toolkit • 2019 Health Equity Summit (Albuquerque, NM October 2019)
12 Questions?
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