Health outcomes aren’t determined only by the medications prescribed or consultations given in a provider’s office. As we are increasingly aware, only 10 to 20 percent of an individual’s outcomes are driven by medical care alone. The remaining 80-90 percent is driven by what’s called social determinants of health (SDoH) or, the environmental and social factors at play in our lives and our communities. It’s in addressing these factors – and tracking the related metrics – that present an effective way to drive better outcomes and instill health equity. The COVID-19 pandemic has put into stark contrast our collective ability to combat and overcome public health crises – crises which are largely affected by health equity and SDoH.
This year, 3M launched its 3M™ Social Determinants of Health (SDoH) Analytics technology platform that works with 3M™ Clinical Risk Groups to identify medically complex populations with social risk. Unlike other classification systems used by some Medicaid programs (i.e. Chronic Illness and Disability Payment System), 3M CRGs are a patient-centered clinical categorical model for assigning risk. This powerful combination of data allows payers and providers to identify at-risk patient populations from both a medical and social perspective, supplying a clearer path to more effective and long-lasting, assistance. Simply put, integrating clinical and social risk allows providers and plans to more effectively care for members.
When it comes to actionable insights that can lead to fundamental change, the power of SDoH boils down to a combination of data that provides both a 360 degree view of a population’s health from a clinical perspective, and a snapshot of potential risk based on social factors. Based on these findings, providers and/or payers can connect individuals with existing community resources that proactively address the factors which so heavily predicate health outcomes.
With more than 35 years of experience working with clinical data using 3M CRGs and 3M™ Potentially Preventable Events, 3M provides expertise that, when integrated with social risk intelligence metrics from Socially Determined (a social risk analytics company) allows for integrated clinical, social and population health analytics at scale. 3M SDoH Analytics provides a complete picture of an individual, community and delivery network.
Are you ready to reimagine care delivery to be more equitable for everyone?
Community Care Plan (CCP) wanted to strengthen its member engagement and improve health outcomes by integrating social risk with other care coordination activities.
3M Health Information Systems has introduced a new technology platform that allows health care providers and payers to prioritize care and allocate resources for high risk individuals and patient populations. 3M™ Social Determinants of Health Analytics (3M SDoH) combines clinical, social and population health data to create a complete picture of patient health.
What problems can be solved when health plans collaborate with each other rather than compete? In this podcast from Inside Angle, we explore Project Link, a forum that brings health plans together to understand the impact of social determinants of health (SDoH) on their members. Michelle Jester, executive director of social determinants of health for America’s Health Insurance Plans (AHIP), describes innovative approaches to solving SDoH challenges achieved through health plan communication and collaboration.
L. Gordon Moore, MD
As the senior medical director of clinical strategy and value-based care for 3M Health Information Systems, L. Gordon Moore, MD, bridges the intersections of quality, technology, policy, payment, data, measurement and workflow. His lifelong interest and work in quality improvement are reflected in his many roles, including founding board member of a physician-hospital organization; quality officer; faculty member with the Institute for Healthcare Improvement; and co-leader of quality improvement initiatives with the New York City Department of Health & Mental Hygiene, the Washington State Department of Health and other managed care organizations.
Melissa Clarke, MD
Melissa E. Clarke, MD, CMQ, has extensive private sector experience in clinical transformation and population health working with health plans, third party payers, and clinical organizations. Within health care delivery transformation, Melissa has focused extensively on patient engagement, team-based care and quality outcomes.
Currently, Melissa is a clinical transformation physician consultant with 3M Health Information Systems (HIS), where she develops transformation roadmaps for a variety of health plan, payer and clinical system partners. In this role she collaborates with client clinical leadership and provides subject matter expertise to catalyze the clinical transformation process within clinical organizations for rapid, quantifiable and sustainable results.
The brands listed above are trademarks of 3M.