Social Determinants of Health Data Users Group Indiana Primary Health Care Association March 9, 2016 1pm EST

Agenda Review purpose and goals of group Overview of social determinants of health Overview of Infant Mortality and preterm birth Presentation by Nurse Family Partnership Discussion

Purpose of Group Provide a space for community organizations interested in addressing the social determinants of health to come together to share information and ideas, gain knowledge of community programs currently addressing SDH, and engage with partners to generate synergy.

Goals and Objectives By the end of June 2016 the group will learn about at least two specific Social Determinants of Health (SDH) and its impact on health. Members of the Data Users Group will hear presentations from organizations whose mission is dedicated to addressing specific SDH and how they can use them as leverage in addressing SDH within their own organizations. Provide data collection tools and resources to assist members in writing grants that address SDH.

What Influences Health? Clinical factors only account for 10-20% of health status of a population This figure is provided by the Robert Wood Johnson Foundation’s County Health Rankings. This model is used to assess population health. Only 10-20% of health is determined by healthcare, the rest is behavioral, environmental, and genetic factors Addressing SDH is not one industry alone can solve, requires several partners (this is why we are here today) Social and economic factors make up almost half of the factors that influence health Figure from Robert Wood Johnson Foundation County Health Rankings

What are Social Determinants of Health? SDH are “life-enhancing resources, such as food supply, housing, economic and social relationships, transportation, education, and health care, whose distribution across populations effectively determines length and quality of life.” Figure from Healthy People 2020 site. Figure from Healthy People 2020 site.

Why we are here today: Several Partners are Needed to Take Action The CDC report on “Promoting Health Equity” says that we should adopt an approach that requires developing partnerships with groups that traditionally may not have been part of public health initiatives including community organizations, government representatives, academia, businesses, and civil society.

REGISTRATION NOW OPEN AT INDIANAPCA.ORG!!! SAVE THE DATE!!! IPHCA’s Annual conference encourages community health centers and providers to tackle the root causes of health inequity by addressing social determinants of health. Conference will be held at the Marriot North in Indianapolis. Some of our key note speakers include:   Keynote Speaker: State dept. of Health Commissioner, Dr. Jerome Adams: social disparities and infant mortality  Keynote Speaker: Carmella Castellano-Garcia: social determinants and payment reform in California  Keynote Speaker: Lynn Fick Cooper- “Developing an Innovation Mindset” Registration now open on the indianapca.org webpage Contact Jason Bundy for more information $295 for members $345 for non-members REGISTRATION NOW OPEN AT INDIANAPCA.ORG!!!

Today’s Focus: Maternal/Child Health and Prenatal Health Infant Mortality is the number of babies who die during the first year of life per 1,000 live births based on the birth cohort. A woman’s prenatal care is associated with the likelihood of preterm birth and low birth weight. Low birth weight (less than 2500 grams)is the leading cause neonatal death, is often associated with social and health issues that are difficult to tackle. Based on survey responses, we will continue meetings by focusing on a specific health issue or social determinant of health and learn from organizations that are working to address it Hopefully this will lead to discussion and collaboration across industries Today we will focus on maternal and child health and the social determinants around prenatal care. Infant mortality has been a leading indicator for health of a nation. Infant mortality is defined by the death rate of babies per 1,000 live births before their first birthday. There are several causes of infant mortality such as birth defects, maternal complications, SIDS, and pre-term birth. According to the CDC, pregnancy-related outcomes are influenced by factors like race and ethnicity, age, income, and a woman’s health. Having timely and appropriate prenatal care can impact the likelihood of pre-term birth and low birth weight. Low birth weight is a baby born who weighs less than 2500 grams- 5 lbs 8 ounces. Whether a child is born with low birth weight is often associated with social and health issues that are difficult for the healthcare industry to tackle alone.

U.S.- Infant Mortality Rates United States ranks last in number of infant deaths compared to European countries Unfortunately, There were over 23,000 infant deaths in 2014

Indiana- Infant Mortality Rates In 2013, the infant mortality rate was 7.2 per 1,000 live births.

Discussion

Thank you! Quarterly meetings Next Meeting June 8th at 1PM