SOCIAL DETERMINANTS
OF HEALTH

Align enterprise approaches to successfully address Social Determinants of Health (SDOH) through purpose-built interventions and impactful community engagement

50-80% of health outcomes are driven by non-health related factors, such as physical environment or socioeconomic factors.

Many healthcare organizations are now increasing their focus on non-health factors and integrating new approaches into their core enterprise functions.

No singular functional area can address SDOH by itself; a cohesive, enterprise wide strategy is required for organizations to address SDOH factors. Additionally, deep understanding of local community (e.g., block level) dynamics and engagement of community based organizations as partners is a critical success factor.

Common issues we help our clients solve

How do our SDOH capabilities compare to those of other organizations? Where are priority gaps relative to the market?

What would a customized enterprise SDOH strategy look like given our footprint, objectives, priorities, and desired investment range?

What is the business case and value for a given set of SDOH initiatives? What are the KPIs to measure?

What are the best practices to incorporate SDOH management into our day to day operations (e.g., discharge planning, Care Management)?

Which geographies and communities should we focus our SDOH efforts?

SDOH have significant impact on affordability and quality outcomes

Social determinants of health are key root cause drivers of health outcomes. Health outcomes are determined as much by non-health related factors as they are by healthcare and health behaviors. Healthcare organizations are just now increasing their focus on non-health factors.

50-80%

Of health outcomes are driven by non-health related factors, such as physical environment or socioeconomic factors

20-50%

Of health outcomes are affected by health care services and health behaviors

Source: Institute for Clinical Systems Improvement

Aligning on a SDOH strategy

A cohesive (SDOH) strategy requires executive alignment questions across a few core dimensions. We help clients drive to internal alignment by focusing on the most critical questions.

Source: Oliver Wyman analysis

A cohesive, enterprise wide SDOH strategy spans 6 internally and externally focused areas

External

  1. Community development and partnership: Convene partners to improve health in communities and partner with CBOs and local organizations to better leverage and enhance service delivery
  2. Marketing and Communication: Develop marketing materials and communications that highlight our SDOH efforts
  3. Public Policy and Lobbying: Inform and influence government at varying levels via public policy and lobbying to support SDOH efforts

Internal

  1. Enterprise operations: Integrate SDOH into daily operations and infuse SDOH into the DNA of the company culture
  2. Data, analytics, and reporting: Develop and execute data, analytics, & reporting to inform and measure SDOH efforts
  3. Funding approach: Align corporate giving priorities to support funding for SDOH efforts; partner with other funding bodies

Case Studies

Oliver Wyman has deep experience analyzing SDOH data and aligning senior executives around an enterprise SDOH strategy

Developed a holistic SDOH enterprise strategy including a detailed initiative list of 30+ priority activities, multi year roadmap, and business case quantifying potential return up to $19M annual impact through improved outcomes and medical cost savings in Commercial LOB. Read more

Defined key metrics and created a performance management infrastructure to measure progress against SDOH and racial health equity metrics for two large health systems. Read more

Analyzed SDOH data spanning public and private sources and payer claims to identify priority communities for deep transformative efforts. Read more

Developed a framework to determine Health Equity Zones (HEZs) for a state government and recommended interventions to improve health equity within them. Read more

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