eHI’s Data Analytics Workgroup met on June 17 to with an overview by two influential HIEs, New York’s Rochester RHIO and Maryland’s CRISP and discussed their initiatives using SDOH to connect people and organizations to community services to improve care.
Topics of discussion included:
- Creating a data framework to better organize, structure and share data
- Systems Integration Project to build cross sector data to exchange for social services, education, and health care organizations
- Developing collaborations with health systems and community-based organizations
The COVID-19 outbreak caused by the coronavirus has had a profound impact on our healthcare delivery and support systems, our economy, safety and overall way of life. The U.S. healthcare system is still in the throes of COVID-19 mitigation and treatment. As hospitals and health systems look to open their doors to non-COVID patients, what happens to our healthcare delivery system? Healthcare has had to pivot and did in many cases in ways never thought possible. The question remains - do we or can we go back to the way things were?
In this one and a half hour panel, we will discuss how healthcare providers, payers, pharmacies and life sciences businesses have shifted in how they provide care and services and what will be the long-term impact for our healthcare systems.
Health Care Markets LexisNexis Risk Solutions
Josh Schoeller is an industry thought leader and senior business leader with over 25 years of demonstrated success providing results-oriented operational and technical expertise and organizational direction. He has broad industry and vertical knowledge across Payer, Provider, Life Sciences and Pharmacy healthcare industries and has held key positions in Sales, Product, Operations and Technology leadership roles. Josh currently serves as Senior Vice President and GM of Healthcare. Josh has P&L responsibility and oversees all business functions including Sales, Marketing, Product, Delivery, Market Planning and Engineering for LexisNexis Health Care. Josh has literally grown up in the data hygiene, data integration and analytic decisioning space. His specific domain expertise spans big data, provider and identity data management and integration, application architecture, predictive analytics and decision support. His record of success working with multiple segments across healthcare has provided him the expertise to solve challenges faced by stakeholders at various levels within an organization, leading them to keep the big picture in focus while solving specific problems.
Senior Director Strategic Solutions
LexisNexis Risk Solutions
Rich is part of LexisNexis Healthcare’s Strategic Clients team. In his current role he provides industry and solution expertise on such topics as improving health outcomes, reducing the cost of care, and enabling consumerism. Over the last 20 plus years Rich has focused on the use of analytics and predictive modeling on healthcare and non-healthcare data. Rich has leveraged this background in industries such as benefit management, statistical software, FWA and HIT. In addition to LexisNexis Healthcare, Rich has worked as such companies as Optum (then Ingenix) SAS Institute and Change Healthcare (then Emdeon) in roles ranging from Industry Consultant to Sales Management. Rich is a graduate of the University of Illinois at Urbana-Champaign.
Ira Klein, MD, MBA, FACP
Senior Director of Quality, Strategy Customer Group
Johnson & Johnson
Ira Klein, MD, MBA, FACP, is the Senior Director of Health Care Quality Strategy in the Strategic Customer Group of J&J Health Care Services, advancing Janssen’s ability to deliver industry-leading value-based solutions to the new value-based marketplace. This work is facilitated by a personal record of having worked on a variety of national quality and policy committees in D.C., and with many medical specialty societies and patient advocacy groups. Previously, he was the National Medical Director for Clinical Thought Leadership at Aetna, capping a 10 year career in the National Payer space. During this time, he founded the Oncology Solutions team, creating and administering value based and medical home contracts in oncology, as well overseeing advanced analytics in population health for large self-insured employers.
Prior to Aetna, he led the quality, cost and care management area for the Bayshore Community Health System, including inpatient, outpatient, sub-acute, and long term care services. Prior to that, he was CMO of Elderplan, a CMS enacted Medicare Demonstration Project in NYC serving the frail elderly. He began his career practicing Internal Medicine for 7 years at Robert Wood Johnson Medical School as an Assistant Professor in the Division of General Internal Medicine.
Ira holds a BS from Rutgers University College of Pharmacy, an MD from University of Medicine and Dentistry of New Jersey – Robert Wood Johnson Medical School, and an MBA from Rutgers University, graduating with honors from all three programs.
CIO, Bridgecare Health Network, Mt. St. Raphael
Recognized as a Top Hospital and Health System CIO to know and named a Rising Star in Healthcare, Michael has extensive experience and a proven track record of driving increased levels of productivity, profits, high integrity customer relationship skills and expert problem-solving approaches. Michael currently serves on the advisory board for Prime Health and as a technology advisor for Self Care Catalyst. He is also an active member of the College of Healthcare Information Management Executives, a cybersecurity advisor to several healthcare startups and an active Speaker within the field of Health Information Technology.
Under Michael’s guidance and leadership, Mt San Rafael Hospital became one of the leading hospitals in the State of Colorado for leveraging advanced technology to enhance the patient and provider experience. With Michael’s innovative, driven approach, the hospital met HIMSS Analytics Stage Six recognition on the eight-stage HIMSS Analytics Electronic Medical Record Adoption Model, a feat only reached by thirty percent of U.S. hospitals. Leveraging advanced Information Technology to improve performance for value-based health care in the areas of infrastructure, business, administrative management, quality, safety, and clinical integration the Information Technology Department has also been presented the 2015, 2016, 2017, 2018 and 2019 Healthcare’s Most Wired Award which is given annually to the top hospitals in the country making the most progress in the adoption of Health Information Technology. Through Michael’s leadership, Mt. San Rafael achieved recognition as best overall organization from the 2019 Most Wired survey.
Anupam Goel, MD, MBA
Chief Health Information Officer
UnitedHealthcare Clinical Services
Anupam Goel is UnitedHealthcare Clinical Service’s Chief Health Information Officer. He’s a general internist with additional training in clinical informatics. He was the co-Principal Investigator for the San Diego Beacon Community connecting electronic medical record systems across the metropolitan area. Prior to joining UnitedHealthcare, he was the inpatient chief medical information officer at Advocate Health Care. He led the effort to move physicians from telephone transcription to voice-to-text using smartphones, an initiative that reduced transcription costs by over 50% in one year. He helped the organization win a HIMSS Davies award for using health information technology to drive business objectives. His professional interest is using technology to help individuals make decisions to minimize avoidable disability and sustain behavior change.
Andrew Renda, MD, MPH
Andrew Renda, MD, MPH is regarded within the industry as one of the leaders in clinical and community collaborations around population health strategies. A published author and speaker in the field of social determinants of health and chronic disease, Dr. Renda’s work strives to inform co-created solutions to improve community health. In his current role as Associate Vice President, Population Health for Humana, he leads four population health and social determinants of health work streams: Insights, Strategy & Execution, Analytics & Platforms, and Thought Leadership & Communications.
Dr. Renda has a B.S. in psychology and biology from the University of Kentucky where he was a National Science Foundation Undergraduate Fellow. He received his medical degree and a diploma in clinical psychiatry from the Royal College of Surgeons in Ireland, followed by a Master’s in Public Health from Harvard University.
View Slides Here
CVS Melds Opioid Support Into Social Determinants Network
CVS Health is melding a program designed to help those who’ve suffered an opioid overdose into its widening effort to address social determinants of health.
The effort by CVS Health and its Aetna health insurance unit comes as insurers roll out strategies to move into their communities and beyond the doctor’s office to reduce costs and improve outcomes.
The full Forbes article can be viewed at this link.
Bringing a Spotlight to the Influences of Social Determinants of Health
It is my distinct honor as President Elect for the American Association of Cancer Education (AACE) to write this editorial that highlights the importance of addressing social determinants of health (SDH) in cancer education research and practice, and to invite you to our upcoming conference. The 2020 International Cancer Education Conference (ICEC), held October 14–16, 2020, in College Park, MD, USA, centers on: “Using Cancer Education to Address Social Determinants of Health”. The conference, organized in partnership with three leading organizations: the AACE, the Cancer Patient Education Network, and European Association of Cancer Education, brings together multidisciplinary professionals to share transdisciplinary cancer education research, policy, and practice innovations across the cancer care continuum. Your participation in this meeting will further generate new ideas that consider “context” and transcend beyond individual factors in cancer prevention, early detection and diagnosis, treatment, survivorship, and end of life.
So what are social determinants of health and why should cancer education professionals care about them? The World Health Organization (WHO) defines social determinants of health as “the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels. Social determinants of health are mostly responsible for health inequities - the unfair and avoidable differences in health status seen within and between countries.” This powerful definition, widely supported by leading health organizations worldwide, outlines a lofty mandate for all engaged in the health care of individuals, families, and populations. As such, the impact for the field of cancer education is significant. All involved must proactively collaborate and exchange ideas to escalate our impact.
The full editorial can be downloaded below.
Advocacy, Social Determinants Must Be Part of Physician Training
During my medical school training, there was a brief mention of social determinants of health. We did not have dedicated curriculum and we were not taught to screen for societal issues. The American Medical Student Association and AAFP started my education on how societal issues and health policy ultimately affect the health of the public. From these "introductory courses," so to speak, I was inspired to pursue my Master of Public Health degree concurrent with my Doctorate of Osteopathic Medicine.
By being involved in these organizations and obtaining this additional graduate degree, my perspective of how medicine should be practiced and what additional skillsets a physician needs to learn changed. It became increasingly important to me that the next step of my training would include education in population health. So, I sought out a residency program where there was a focus on public health as it relates to physical health and well-being, and where I was given the opportunity to participate in activism on behalf of and alongside the patients I was seeing in office.
Had I not been a part of these medical organizations or trained at a residency program that teaches residents how systems of oppression and social factors of disease impact the lives of patients, I may have been yet another doctor who overlooked the actual cause of this patient's weight loss.
It is crucial that medical education integrate curricula around activism, advocacy and public health if we wish to truly train physicians to be able to take care of communities.
The full AAFP article can be viewed at this link.
ZIP Code v. Genetic Code: How Health Plans Can Use Technology to Address the Social Determinants of Health
When it comes to the state of our health in the U.S., the playing field is anything but level.
Study after study has shown that life circumstances, such as access to adequate food, education and healthcare, have a bigger impact on our health than our genetic makeup.
In other words, our healthcare destiny may depend more on our ZIP code than our genetic code.
The full Surescripts article can be viewed at this link.
Who Are the Key Players in Social Determinants of Health Strategy?
The healthcare industry has come to a consensus that the social determinants of health and population health are essential considerations for delivering on value-based care. But it takes a village, as the adage says, and organizations need to anticipate a number of stakeholders for making these programs a reality.
SDOH programs are inherently multi-stakeholder — they require the medical provider who will identify high-risk patients, fund sources, care coordinators or caseworkers, and the community-based partners that will help carry out interventions. Each of these stakeholders needs to be working in the same direction in order for programs to be successful.
The full Patient Engagement HIT article can be viewed at this link.
Envisioning a Better U.S. Health Care System for All: Reducing Barriers to Care and Addressing Social Determinants of Health
The American College of Physicians (ACP) has long advocated for universal access to high-quality health care in the United States. Yet, it is essential that the U.S. health system goes beyond ensuring coverage, efficient delivery systems, and affordability. Reductions in nonfinancial barriers to care and improvements in social determinants of health are also necessary. This ACP position paper calls for ending discrimination based on personal characteristics; correcting workforce shortages, including the undersupply of primary care physicians; and understanding and ameliorating social determinants of health. The ACP calls for increased efforts to address urgent public health threats, including injuries and deaths from firearms; environmental hazards; climate change; maternal mortality; substance use disorders; and the health risks associated with nicotine, tobacco use, and electronic nicotine delivery systems in order to achieve ACP's vision for a better U.S. health care system.
The full position paper can be downloaded below.
Whether you’re a payer, provider or government entity, social determinants are a critical component of healthcare and pharmaceuticals in the twenty-first century. Social determinants of health—or the social, economic and environmental factors of where we live and work such as social isolation, economic inequality, pollution and food deserts—are preventing too many people across the globe from living healthy lives.
In this webcast a panel of health experts will examine insights from PwC’s recent report: Action required: The urgency of addressing social determinants of health. The report leverages research and fieldwork, including a global survey of more than 7,900 people across 8 countries, interviews with healthcare organization leaders, analysis of more than 25 case studies, and input from our own health industries subject matter experts. All of this culminates into a PwC-perspective on how to succeed with a social determinants of health strategy.
- How to lead in social determinants of health: Five steps for bold action
- A deeper dive: Applying technology and data analytics to tackle social determinants of health
- Case study: Quantifying the health impact and ROI of Meals on Wheels - how Visiting Nurse Association (VNA) of Texas applied technology to quantify their program's impact
Benjamin Isgur - Health Research Institute Leader, PwC
Ben leads PwC's Health Research Institute. In this role, he oversees thought leadership and research initiatives for the firm and clients. He also consults with healthcare systems, trade associations, and policy groups on strategic planning, and industry intelligence and trends. Ben is a published writer and his research is often cited by health leaders across the industry. In addition, he frequently speaks on a range of topics, including physician-hospital alignment, government policy, medical cost trends, consumerism, academic medicine and digital health. Ben received a master's degree from the LBJ School of Public Affairs at the University of Texas at Austin where he was a US Department of Defense fellow.
Chris Culak - Vice President, Chief of Strategy and Development, VNA Meals on Wheels
Chris Culak joined VNA in October 2014, bringing with him more than 22 years of experience in fundraising and non-profit management. He came to VNA after implementing and managing programs for Dallas Children’s Advocacy Center, the National Audubon Society, Planned Parenthood, North Texas Food Bank and the American Heart Association. Chris holds a Bachelor of Science degree in Health Care Administration with a minor in Psychology from Texas State University in San Marcos. He and his wife Nichole live in the Oak Cliff area of Dallas with their daughter, Zoë, and son, Anders.