1. Upstream Medicine

2. Program Goals

3. Case Study

5. What Could Have Caused Mrs M's Hospitalization?

6. The Triple/Quadruple Aim of Healthcare

7. The Triple/Quadruple Aim of Healthcare (cont)

8. The Quadruple Aim of Healthcare

10. The Social Determinants of Health and Upstream Medicine

11. Social Factors, Like Food Insecurity, Drive Health Behaviors and Poor Outcomes

12. Relationship Between T2D, Food Insecurity, and Hospital Admissions

13. No Social Determinant Integration = No Quadruple Aim of Healthcare

14. How Can We Help Patients Like Mrs M?

15. A NEW STORY OF US

17. A Workforce Model for US Health Care

18. Get Ready, Get Set, Go Upstream

22. Social Determinant Interventions Which of the following best describes the degree to which social determinants (eg, food insecurity) and interventions are integrated and defined in your clinical practice?

26. How Many Healthcare PDSAs Address Social Factors?

27. Upstream QI Project Example FoodRx: A Campaign to End Hunger and Improve Outcomes for Mrs M and Patients Like Her

28. Pick a Starting Point: Upstream QI Matrix Example: T2D and Food insecurity

29. Upstream QI Workflow Example

30. Screening for Food Insecurity

31. Social Screening Tools – 2015 Review

32. Payers Are Considering Upstream Factors

33. Key Messages