1. Social Determinants of Care The following module is designed as a basic overview of the social determinants of care for providers of healthcare, particularly those in a patient-centered medical home. At the end of this module, the reader should be able to: – Define “social determinants of care” – Name 3 major components of the social determinants of care – Outline potential areas where patient centered care can impact the social determinants of care

2. Every day in patient care… Social Determinants of Health The complex, integrated, and overlapping social structures and economic systems that are responsible for most health inequities. These social structures and economic systems include the social environment, physical environment, health services, and structural and societal factors. Social determinants of health are shaped by the distribution of money, power, and resources throughout local communities, nations, and the world. CDC.gov

3. What are the Social Determinants of Care?

4. Patients do not have to live in abject poverty to be affected *Family of 4 = 23,050 in 2012 Median Charleston 2011 = 50,133 (US Census)

5. Social Determinants are “Hereditary”

6. Where can the PCMH make a difference? MSW Nursing Policy MDPatient PharmD

7. Affordable Care Act sets up changes POPULATION HEALTH MANAGEMENT Volume 13, Supplement 2, 2010

8. The PCMH can focus on Personal Behavior Self management – encouraging healthy lifestyles Medication management – education and strategizing for adherence

9. UK – Proposed solutions (April 2013)

10. Example of Behavioral Intervention Addiction.Addiction. 2012 Jun;107(6):1066-73.

11. Behavioral and Prevention Interventions: Focus on Action Nutrition/diet Smoking cessation Diabetes teaching Hypertension teaching Reflux lifestyle control Vaccines Etc.

12. Questions I have read each slide in this module and understood its content – True – False