1. Using Neighborhood and Community Data to Promote Health
Metro Denver Partnership for Health Equity & Climate Summit
November 1, 2018

2. A Health Equity – SDOH – Data Model The Denver Regional Equity Atlas
Outline 1.
About Shift 2.
A Health Equity – SDOH – Data Model 3.
The Denver Regional Equity Atlas

3. who we are PEOPLE PLACE PURPOSE people, place, and purpose
We’re focused on forging partnerships
with socials change organizations to
create lasting impact for low-income
children and families
PLACE
Shift’s services and products are all
purpose-built to serve the seven-county
Denver metro region.
PURPOSE
Our easily accessible data and analysis
helps our partners take on the most
pervasive social issues with confidence,
clarity and empathy. 

4. our work
Issue areas

5. A Health Equity SDOH Platform
Who it is intended to serve
MAKING THE CASE:
SUPPORT THE USERS AND KNOW THE AUDIENCE
Funder – The Colorado Trust
Users – Public health professionals, human services agencies, and nonprofits
Audience – Anyone who is in a position of power to address an inequity in a community

6. Health Equity Framework
The approach – sdoh and structural factors
UPSTREAM
DOWNSTREAM
SOCIAL
INEQUITIES
INSTITUTIONAL
INEQUITIES
LIVING
CONDITIONS
RISK
BEHAVIORS
DISEASE &
INJURY
MORTALITY
Class
Race/Ethnicity
Gender
Sexual Orientation
Corporations &
Businesses
Government Agencies
Schools
Laws & Regulations
Not-for-Profit
Organizations
Physical Environment
Land Use
Transportation
Residential Segregation
Exposure to Toxins
Economic & Work
Environment
Employment
Income
Retail Businesses
Occupational Hazards
Social Environment
Experience of Class,
Racism, Gender,
Immigration
Culture – Ads – Media
Violence
Service Environment
Health Care
Education
Social Services
Smoking
Poor Nutrition
Low Physical
Activity
Violence
Alcohol & Other
Drugs
Sexual Behavior
Communicable
Disease
Chronic
Injury (Intentional
& Unintentional)
Infant Mortality
Life Expectancy
Source: American Academy of Family Physicians – Center for Diversity and Health Equity

7. A Social Determinants of Health Data Model
An overview
Social Determinants of Health
Structural Factors
Social Environment
Economic Environment
Natural/ Built Environment
Pollution
Housing
Access to health food
Safety
Recreation
Racial segregation
History of redlining
Experiences of discrimination (hate crimes)
Stories of historical discrimination
Stories of hope
Health Behaviors & Outcomes
Life expectancy
Asthma
Overweight/Obesity
Diabetes
Leading cause of death
Low birth weight
ACEs
Median wages vs. H&T costs
Foregone spending (loss of public revenues)
Wages at $15/hr
Job/Wage growth
GDP gains with racial equity
Education
Transit
Political engagement

8. Denver Regional Equity Atlas
Data to support case making to stakeholders

9. Data & Storytelling 17,000 Residents 81% Hispanic Majority <60%AMI
Westwood’s bus service case study
17,000 Residents
81% Hispanic
Majority <60%AMI
Stories highlighted
need to access:
Jobs
Health Facilities

10. Westwood Neighborhood Impact
Critical transportation service provides access to opportunity

11. Upcoming Work A Health Equity SDOH Platform Key Differences?
Rea 3.0
A Health Equity SDOH Platform
Will support the rebuilding of the Denver Regional Equity Atlas
Timeline: 2019 discovery and development – 2020 launch
Key Differences?
Integrating stories and narrative back that were lost from the 1.0 version
Activating a broader base (beyond MHC) to hopefully understand other facets of impact in communities

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13. Thank You