Shorter ACEs assessments + SDOH in Medicaid Managed Care + FDA news + more
Naveen Rao
Forbes Contributor | Ecosystem Builder | Writer & Analyst | Responsible Neurotech Commercialization ????
Here are some snippets from the latest edition of The Dispatch, our weekly newsletter focused on social innovation for health.
In this issue, we highlight progress in addressing Adverse Childhood Experiences, or ACEs. It's a misconception that ACEs only affect disadvantaged populations. In fact, ACEs affect people from all walks of life, even physicians and nurses themselves. These negative experiences can have lasting impacts on one’s future brain development, immune system function, and physical health.
In a new post for our blog, Angela Dunn takes a look at ACEs and finds that the ACEs assessment is underutilized as a tool for social determinants of health. States' public policies also have a lot of catching up to do. The states in blue have statutes and resolutions in place to address ACEs and Trauma-Informed Policy. Read more about "ACEs: Assessing risk to individuals, families, and communities."
Map credit: Jenny Cooper, Project Director, Benchmarks’ Partnering for Excellence Initiative, April 2018
What is your state or municipality doing to address ACEs? As always, we'd love to hear your thoughts.
SDOH Tech: Interoperability Still a Hindrance, but Progress is Steady
Are developers building the solutions that providers and community organizations need to coordinate care when it comes to the social determinants of health? "Tending to social determinants of health with software" takes a look at the interoperability difficulties community organizations may have in implementing software for SDoH. Interoperability is key to "closing the loop" with feedback information after patients have visited community resources, so information can flow both ways.
Statistic of the Week
The US spends 88% of its money on healthcare and only 4% towards healthy behaviors. But 50% of healthy behaviors determine what makes us healthy.
At more than $10,000 per person, the US spends more than any other country on healthcare. Many other developed countries spend about half as much per person, yet they have better health outcomes. As part of the World Economic Forum Annual Meeting, Bruce Broussard, president and CEO for Humana, says other countries are doing a better job addressing social determinants of health in "What can America learn from Sweden about healthcare?"
What do the Swedes do differently? According to Swedish Commissioner Denny Vagero:
- Swedish public health policy aims to create social conditions to ensure good health for everyone.
- Economic vulnerability is just one piece of Sweden's holistic approach to health. Still, only 2% of high-need older adults in Sweden struggle with costs, while in the US, it’s 31%.
- Sweden’s integrated healthcare and social policies have helped them rank in the top 10 happiest countries in the 2018 World Happiness Report.
Notables: Our Reading Pile
- Will new FDA emphasis on real-world data benefit social determinants of health? (BiopharmaDive)
- Social Determinants of Health in the Digital Age (JAMA Network)
- HIPAA and Health Care Data Privacy - 2018 Year-in-Review (Lexology)
- Addressing Social Determinants of Health via Medicaid Managed Care Contracts (Center for Healthcare Strategies)
The Managed Care Cast, a podcast by the American Journal of Managed Care? (AJMC) regularly provides listeners with discussions on social determinants of health.
What are your favorite healthcare podcasts?
A convenient way to absorb information, podcasting is enjoying explosive growth. The most popular place to listen to a podcast is on the go, and 5G will soon turn new cars into supercomputers with uber-fast internet connections and much more. You'll also have a podcast button for your mobile phone that will synchronize with your car’s internet or Apple Watch for seamless listening.
The AJMC recently released its "Top 5" most-listened-to podcasts of 2018. The most popular podcast of the year talked about "Addressing Health through Housing Solutions." Housing issues are one of they key social determinants impacting health and contributing to health inequities.
Tell us about your favorite health-related podcast! We may even share it in an upcoming issue of The Dispatch.
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5 年Good stuff Naveen. Always good to see these pop up in my feed.
Health Tech Strategist - Policy and Operations
5 年Great post, Naveen. Keep an eye on what Oregon is doing on health complexity scoring-- essentially linking medical complexity with social complexity data (a good proxy for ACEs) to better identify children at higher risk for complex care needs:?https://www.oregon.gov/oha/HPA/dsi-tc/Pages/Child-Health-Complexity-Data.aspx . A recent webinar on the project gave a really good overview on initial opportunities along with data on the range of risk scores for children on publicly-funded health insurance.