RWJBarnabas Health Launches Nation's First Universal Social Determinants of Health Program
"What defines our health is so much greater than genetics or clinical care; 80% of all health outcomes are due to social, behavioral, and environmental factors that are the social determinants of health," said
Select sites within the RWJBH system will pilot the comprehensive program to screen all patients for SDOH, including food security, access to housing, educational opportunities, smoking and substance use, transportation and other social and environmental factors. Just like temperature, weight, or blood pressure, HBH will assess all patients for factors that contribute to chronic disease, removing stigma around questions on housing, safety, or nutrition.
Once a patient is screened, care providers are able to utilize partner technology to create individually tailored resources based on the patient's individual needs and "e-prescribe" patients to connect them directly to services and supports, such as the federal
In alignment with the system's commitment to not only identify but to also address the adverse SDOH, HBH will ultimately be phased in across each
"Health Beyond the Hospital provides ongoing service and touchpoints between patients and providers to ensure that we are working together to address not just physical and mental health, but also social, economic and other factors that get in the way of thriving," said
Using NowPow, HBH will be able to connect people with personalized services that are highly matched to both their health and social needs, as well as age, gender, eligibility, location, languages spoken, and insurance coverage. HBH will also work closely with community-based and government organizations to "close the referral loop," utilizing NowPow to track patient engagement throughout the process so that providers and community-based partners are able to monitor the outcome of referrals and follow-up as needed.
"At NowPow, we help people know where to go and build the connections to get them there," said
Playing a critical role in patient follow up, ConsejoSano will help reach
"ConsejoSano will work with
Training across select teams throughout the
Watch video here (https://youtu.be/W1ANUnvhN6Y)
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