Economic Mobility - The NIC Collaboration Hub2024-03-28T14:16:51Zhttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/feed/category/Economic+MobilityDocs Keep Focus on Social Determinants of Health, Eye Reimbursementhttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/docs-keep-focus-on-social-determinants-of-health-eye-reimbursemen2020-11-09T19:13:52.000Z2020-11-09T19:13:52.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Highlights:</p>
<ul>
<li>Nearly three-quarters of doctors agree that social determinants of health will put the biggest strain on the healthcare industry come 2021, according to the third part of The Physicians Foundation 2020 Survey of America’s Physicians. Another 44 percent said addressing health equity and inequity will be key for ensuring patient access to care, the survey showed.</li>
<li>Forty-percent of physician respondents agreed that socioeconomic issues—income, job security, educational attainment, and family support—are the most pressing social determinants of health. These factors influence other downstream social determinants of health. Addressing income inequality could help address housing security issues, for example.</li>
</ul>
<p><a href="https://patientengagementhit.com/news/docs-keep-focus-on-social-determinants-of-health-eye-reimbursement" target="_blank">Read the article >></a></p></div>Building Equity by Supporting the Whole Student: Findings from Case Studies of Two Colleges in the Working Students Success Networkhttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/building-equity-by-supporting-the-whole-student-findings-from-cas2020-11-03T16:28:49.000Z2020-11-03T16:28:49.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>About:</p>
<p>Now more than ever, philanthropy seeks to use its grant making and voice to build and support equity for historically marginalized communities. Toward that end, postsecondary education is an important area of investment because it is a critical pathway to economic mobility and stability. At the same time, colleges are serving a growing number of students from historically underserved groups—including students experiencing poverty and students of color. The Working Students Success Network (WSSN) originates from the efforts of several national foundations to work collaboratively with community colleges to promote an equity agenda by offering holistic student supports and transforming their institutional culture. In this brief, we present findings from follow-up case studies of two of the original WSSN colleges (see Box 1 for details).</p>
<p>We organize the findings from the case studies in line with WSSN’s strategic themes of equity and holistic student supports. We conclude with a discussion of implications for colleges, funders, and other stakeholders interested in equitable postsecondary outcomes.</p>
<p><a href="https://www.mathematica.org/our-publications-and-findings/publications/building-equity-by-supporting-the-whole-student-findings-from-case-studies-of-two-colleges" target="_blank">Read the brief >></a></p></div>State of Homelessnesshttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/state-of-homelessness2020-10-19T13:50:30.000Z2020-10-19T13:50:30.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>This report is a snapshot of the data related to homelessness in the seven-county Denver metro region. This includes the counties of Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, and Jefferson. The report summarizes data on individuals, families, and youth experiencing homelessness while providing insights from those with lived expertise.</p>
<p><a href="https://d3n8a8pro7vhmx.cloudfront.net/mdhi/pages/2652/attachments/original/1602515777/StateofHomelessness_Final.pdf?1602515777" target="_blank">Read the report >></a></p></div>Race, Geographic Disparities in Childhood Wellness Opportunityhttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/race-geographic-disparities-in-childhood-wellness-opportunity2020-10-15T19:01:47.000Z2020-10-15T19:01:47.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Highlights:</p>
<ul>
<li>The notion that place can determine health is not a new one. A key premise in medicine’s recent focus on the social determinants of health is that zip code is a better indicator of health and wellness than genetic makeup.</li>
<li>“In the past decade increasingly strong evidence indicates that there has been a causal relationship between children’s neighborhood environment and educational attainment, employment, income, and health outcomes,” the researchers said. “In addition, a large body of research has documented high levels of racial residential segregation in US metropolitan areas and high levels of geographic concentration of both poverty and affluence.”</li>
<li>In other words, opportunity gaps were greatest within a singular community, the researchers said. All said, 91 percent of the opportunity gaps happen within a single metropolitan area, as opposed to between two different metropolitan areas. In 35 percent of metropolitan areas, the Child Opportunity Gap is higher than gaps between two different metropolitan areas.</li>
</ul>
<p><a href="https://patientengagementhit.com/news/race-geographic-disparities-in-childhood-wellness-opportunity?eid=CXTEL000000590793&elqCampaignId=16272&utm_source=nl&utm_medium=email&utm_campaign=newsletter&elqTrackId=c02d754bc1174fd68fddcc0bcbb89275&elq=baa34072db65444da7e8507af09b5c96&elqaid=17064&elqat=1&elqCampaignId=16272" target="_blank">Read the article >></a></p>
<p> </p></div>Listening to Californians with Low Incomes: Health Care Access, Experiences, and Concerns Since the COVID-19 Pandemichttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/listening-to-californians-with-low-incomes-health-care-access-exp2020-10-15T18:38:39.000Z2020-10-15T18:38:39.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Summary:</p>
<p>The COVID-19 pandemic has inflicted significant stresses on the physical, emotional, and financial well-being of California’s residents, especially the seven million Californians — approximately 18% of the state’s residents — living in poverty.</p>
<p>CHCF partnered with NORC, a national research organization, to conduct a statewide survey of the health care experiences of California’s residents, age 18 to 64, who had received health care since March 2019. The survey included an oversampling of residents with low incomes.</p>
<p>The survey, conducted in the summer of 2020, asked respondents about their health care concerns, experiences, and access before and during the COVID-19 pandemic, as well as about their experiences with racial discrimination and the impact of the pandemic on employment and insurance coverage. This initial report highlights a collection of key findings from the survey, focusing on health care access, mental health, telehealth experiences, pandemic-related stresses, and experiences with racial discrimination. Findings are presented for respondents with low incomes (defined as below 200% of the federal poverty level) compared to respondents with higher incomes (defined as 200% FPL or higher) whenever sample sizes are sufficient to allow this comparison. In cases where there is an insufficient sample size, overall findings are presented.</p>
<p>The initial report, as well as a zipped file of all of the charts from the report, is available for download below.</p>
<p>The full report, to be released in early 2021, will detail complete findings on respondents’ experiences with health and health care since the pandemic, including analyses of differences by a variety of demographics (including additional analyses by income, race, ethnicity, and insurance coverage and new analyses by region, gender, and language) as well as cross-tabular analysis of the impacts of the COVID-19 pandemic on respondents.</p>
<p><a href="https://www.chcf.org/publication/listening-californians-low-incomes/#summary" target="_blank">Read the report >></a></p></div>A Systematic Review of Interventions on Patients’ Social and Economic Needshttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/a-systematic-review-of-interventions-on-patients-social-and-econo2020-10-02T14:11:53.000Z2020-10-02T14:11:53.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Context:</p>
<p>Based on a growing body of research documenting inverse relationships between social adversity and health and well-being, social determinants of health (SDH)—including access to food, housing, transportation, and education—have sidled into the national discussion around healthcare improvement. Examples come from national bellwethers in healthcare services decision making. In 2014, the National Quality Forum launched a 2-year trial to examine how including patients’ social factors in risk adjustment models may change reimbursement and prospective payment rates. In 2015, the National Academy of Medicine (then the Institute of Medicine) Committee on Recommended Social and Behavioral Domains to Include in Electronic Health Records included education level, housing stability, and financial strain among measures recommended to be collected routinely in healthcare delivery.</p>
<p>The increasing awareness of the contribution of SDH to health has provoked questions about the impact of SDH interventions on the healthcare Triple Aim: improved patient experience of care, better population health, and reduced per capita costs. Recent reviews of experiments on SDH interventions undertaken in healthcare settings provide an overview of the existing range of interventions in this emerging field. There are more interventions to come. This year, the Center for Medicare and Medicaid Innovation will begin a 5-year $157-million grants initiative to support healthcare-based screening for social needs and community resource navigation for community-dwelling Medicare and Medicaid beneficiaries.</p>
<p>Despite the increasing experimentation around social and medical care delivery integration, little information has been compiled across studies about the impacts of these interventions or their comparative effectiveness. As health systems begin to more routinely integrate SDH programs into clinical practice, a strong evidence base could better inform dissemination efforts. With the assumption that effectiveness should guide future investments in this area, this qualitative systematic review examines the existing peer-reviewed literature on evaluations of interventions bridging social and medical care delivery.</p>
<p><a href="https://www.sciencedirect.com/science/article/pii/S0749379717302684#bib22" target="_blank">Read the article >></a></p></div>