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Social Determinants of Health

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The Alliance for the Determinants of Health is a demonstration in Washington and Weber counties in Utah that is taking a three-pronged, cross-sector approach of awareness, assistance, and alignment in addressing social need as a public health priority. Awareness starts with screenings for social determinants of health among high-risk SelectHealth Community Care (Medicaid) members. The screenings are done across a variety of collaborating clinical sites which identify individuals with social needs and connect them to services with the assistance of a community health worker (CHW). CHWs provide peer education and navigation with culturally competent support. The Alliance is a community collaborative that is aligning screening efforts and coordination of care through a continuum of medical, behavioral health and social services. These unique providers are using a digital platform to create closed loop referrals as well as share and track data. By addressing the impact social determinants have on medical outcomes, the Alliance’s objective is to reduce overall health costs, improve community well-being, and become a model for change that can be scaled to other communities.

Presented by Amber Rich and Angela Choberka from Intermountain Healthcare at the 2020 CAP Utah / Region 8 Virtual Conference held of June 24, 2020.

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