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

2. 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

3. 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.

4. 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.

5. 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

6. 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.

7. 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.

8. 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!!!

9. 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.

10. 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

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

12. Discussion

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