Our Services and Programs

The Social Determinants of Health (SDOH) are all of the external factors that affect our members’ health and well-being outside of the doctor’s office, and these factors are critical for us to understand our members’ healthcare management needs.

Determinants:

Contributing Social Factors

Food

Hunger, Access to Healthy Food Options, Food Deserts, Access to Healthy Restaurants, Lack of Nutritional Counseling.

Economic Stability

Employment, Income, Expenses, Debt, Medical Bills, Support, Legal Barriers, Job Training

Health Care System

Health Coverage, Provider Availability and Access, Provider Linguistic and Cultural Competency, Quality of Care, Behavioral Services, Homecare, Access to Pharmacy, Program Eligibility Issues.

Neighborhood and Physical Environment

Housing, Transportation, Safety, Parks, Playgrounds, Walkability, Zip Code / Geography.

Education

Literacy, Language, Early Childhood Education, Vocational Training, Higher Education, Computer Skills, Poor Public Schools, Poor Performing Children.

Community and Social Context

Social Integration, Support Systems, Community Engagement, Discrimination, Gentrification, Smoking, Stress, Drug Addiction, Alcoholism. Abusive Relationships

Our SDOH program processes will track the workflow of the Social Determinants of our members’ health and the required social services, program management and coordination needed to remediate and remove these impediments to our clients’ members’ health care.