Address the social determinants of health with data interoperability

In all areas of healthcare delivery – the payer, the provider, the seller, the buyer, there is a constant gap in customer service. From tools such as cost-based care, chronic disease management, business services, diagnosis, and long-term patient care, to health-based healthcare teams that provide detailed information on patient behavior patient and pay attention to all patients and not just the condition.

For the company, it’s an extension: Healthcare has become an uncommon area, alien to the broad spectrum of media, collaboration, and collaboration expected by the healthcare provider.

But having a complete picture of a patient, including behavior and environmental factors that affect daily health, is crucial to achieving the benefits of sharing based on effective care.

This challenge extends beyond the functional performance that can be achieved by meeting with the patient. Consider: Healthcare is only 10-20% of health outcomes, while decision-makers and environmental and social events account for 80-90% of outcomes.

In particular, only 80 percent can be broken down as follows:

• About 40% is due to social conditions.

• 10 percent for the environment

• 30 percent for healthy behavior

In summary, these terms describe the social determinants of care (“SDOH”), which the World Health Organization defines as “the condition in which a person is born, grows, works, lives and years, as well as many skills in the system and configuration conditions of daily life, including social, behavioral and environmental health “.

The main areas of SDOH include:

• Economic stability

• Education

• Public and private state

• Medical demonstrations and access to care.

• Environment

There is ample opportunity to close the gap in care and affect people’s health outcomes through SDOH, but the challenge is to place the patient outside of traditional healthcare settings. Home and community services that address environmental issues such as housing, finances, crime, education, travel, housing conditions, and food shortages have been shown to improve health outcomes and reduce the cost of housing attention.

For example, hospitals can leverage SDOH data to better diagnose and treat high-risk patients, as well as patients with chronic diseases, before a medical event occurs. Patient involvement and intervention occur more quickly than in times of public health crisis and systemic stress, such as infectious diseases.

The key is to enable SDOH data, to include unstructured medical data in a patient record. But SDOH data is often limited to systems that limit its access, production, and business value. It is a multifaceted problem, which begins with awareness: there is a complete understanding of the value and catalog of SDOH data for hospital care and public health management.

Then there is the term data processing: patient interaction, description terms, and code that add a process of complexity to the collection, removal, and interpretation of SDOH data. Finally, a big boost: organizing, at the community level, public participation for daily health. That means patient data must flow between payers, employers, patients, and community infrastructure.

At the basic level, the framework for including SDOH in the healthcare record includes an interactive infrastructure, which captures SDOH data regardless of source or process and makes it operational during care.

Best of all, the interactive software provides a common data dictionary that facilitates the interpretation and transmission of important health information and eliminates classifications, technologies, and cultures that impede the sharing of hospital data among all caregivers, including the community. Currently, a number of interactive functions are applied to the data. They include:

• Speed   Medical Interface (FHIR), a protocol compatible with HL7 that allows the exchange of medical information from an integrated system. FHIR creates a common language where any hospital system can connect and distribute data.

• Argonaut Project, a personal plan to promote company acceptance of newly developed partnerships (based on FHIR).

• DaVinci Program, a private company initiative to help taxpayers and healthcare providers access and adopt FHIR data standards.

• CARIN Alliance, a multi-sector association promoting the ability of consumers and their caregivers to access digital healthcare through an open API.

• Blue Button, a CMS system that allows Medicare beneficiaries to browse the Internet and download their own medical records.

The cybersecurity service (SIREN) seeks to identify what data is stored and combine useful values to identify those who determine the health-related health data. This approach focuses on three areas of social risk: lack of food, lack of housing and well-being, and access to transportation.

Carefully viewed from a technology perspective, the interactive infrastructure can connect the existing care space from a consistent data system to a non-traditional data model, but to connect non-traditional community-based environmental data in the patient record, a high degree of crossover -section. -System integration.

SDOH relationships require planning to identify, measure, and activate social factors. To achieve this, tools such as human intelligence, natural language processing, patient balance, and special diagnostics, telemedicine, remote patient monitoring, and self-care, records management, and algorithms can strengthen the ability to interact and interact with people at risk on a variety of platforms social and public health services.

To be effective, the SDOH plan must have a wide range of stakeholders, including healthcare systems, public health, community providers, public and private payroll, social services, analysts, retailers, regulatory bodies, and customer care. Technology is not a key component of SDOH implementation, it is a catalyst for data exchange and activation.

The following example describes how data in a closed-loop SDOH integration system can be incorporated into the patient experience and human health.

It is still an early stage for integrating health data with SDOH, and there are significant barriers to incorporating SDOH into the patient experience. In the case of SDOH data integration with the EHR system, in addition to an extensive discussion of data standards, code coding, and patient interaction, it should be remembered that EHR is a clinical health care system, not intended to integrate with caregivers.

At the end of the day, SDOH’s relationship with the EHR system will continue to grow and will have different goals among marketers. In terms of systems, SDOH introduces unknown operating systems to operational service providers. Employees will find themselves interacting with community members outside of the traditional health service delivery system.

Furthermore, there is a lack of clear political guidelines, as well as financial incentives to implement the SDOH license. But from a price-based perspective, this will change so that SDOH standards, compliance, and clear business judgment are achieved.

The new relationship continues to address SDOH and in general and its components. Ten years ago, HHS launched Healthy People 2020, which was set as a goal of creating a framework to capture SDOH in the patient experience, as well as the current Health Benefits Plan that you can test and provide qualified social work beneficiaries now.

The sponsors also form a community association that advocates for the various components of the SDOH. Anthem launched a collaborative program (Take Action for Health) with the National Urban League, City of Hope, and Pfizer to improve breast cancer and heart care in the United States region and across the country. Humana has set strong goals to build community trust, establish behavior change, reduce costs and improve health in seven cities by 20 percent by 2020, Kaiser Permanente continues in the “Whole Health” program to screen patients depending on your social needs. He sent them the necessary treasures in their country.

Going forward, Frost and Sullivan estimate that by the end of 2020, 40% of US healthcare systems and business owners will use “public relations decision” data of some kind in assessment research risk management, patient outreach, and business decision-making. Consequently, Frost predicts that by 2020, partnerships will eventually lead to further progress in terms of government policy, customer acceptance, and IT customer care.

To have full integration of SDOH data into the hospital record, a lot needs to be done to avoid the cultural, financial, and technical problems that have crept into the facility. But payers and employers find that partnering with community members can provide patients with a higher quality system of care and, ultimately, better outcomes.

SDOH data is a key factor to unlock the value of partnerships, to establish personalized programs outside of hospital care to improve the health of a significant number of people, as well as to collaborate what is the motivation for the data to work correctly, in the right place, at the right time.