Social Determinants in the Medical Setting: Public Health Practice in Action Kyle Davidson, MPH Director of Population Health Management

I drank the Kool Aid. Have you? Social Determinants of Health… Available at:

We spend way more…

And get less bang for it… Available at

Then the biggest change in a generation…

Health Care Reform comes to the state level…

Metrics and Quality Measurements: Determining value in a reform landscape

A question of mission. Why are we here? Better measures exemplify better care… Available at:

Transformation: Movement to Value

Sea Mar and CHC’s. We’ve got a model! Patient Centered Medical Home…

What is Population Health Management? The next step in team based care… “An approach to care that uses information on a group of patients within a primary care practice or group of practices to improve the care and clinical outcomes of patients within that practice.” – Agency for Healthcare Research and Quality

SDOH at Sea Mar Fiestas Patrias: Build Community Latino/CHC Lobby Day: Policy advocacy Books/toys distribution Health Fairs: Community Based Care Care Management, Health Education, Community Health Workers, MSS, WIC