WEBVTT

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Hi, I'm Lina Heng,
and I'm joined by Raj Madhure,

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an SDOH expert.

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Today, we'll be discussing
social determinants of health

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and their impact
on population health outcomes.

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Thank you for having me.
It's a pleasure to be here.

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It's a pleasure to have you.

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So let's start with the basics.

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What are the specific SDOH

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that we need to address
in our population, Raj?

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SDOH are the social conditions
that people have

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that can impact
their health outcomes.

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There's a growing recognition
in the healthcare industry

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that if I don't address
an individual's social care needs,

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they can't be healthy.

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So we address
these needs individually,

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and then we look at how we're doing

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in improving those
at a population level.

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That's good to know.

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So how can we
actually obtain this data

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so that we know
what the impacts are?

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We start by screening.

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The best practice in our industry

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is for providers and health plans
to screen individuals,

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at the point of clinical care,

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to be asking them
about their social care needs.

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The industry has standardized
around Prepare

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as the screener that everyone uses.

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And then post screening,
we have the referral itself.

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What referrals are made,

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information associated
with the referral

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and then, ultimately,
how that individual was served.

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We can then enrich that data
with predictive analytics,

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using the information
that's publicly available,

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to make sure that
we're helping the right people

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in addressing their needs.

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That makes sense.

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Now, I'm curious, how can we
actually use that technology

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to improve our understanding

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and implement
those effective interventions?

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I think the thing to remember
is that hospitals

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have been doing
social care for years.

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There used to be phone books

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that would be sitting
at the hospital reception.

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Over time, you had databases
and spreadsheets,

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but fundamentally
it was the same thing.

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By using
a closed-loop referral workflow,

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we can collect, analyze, and share
information on SDOH factors.

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We can use predictive data

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to identify those individuals
who are at risk

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for poor health outcomes
and then target interventions.

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And then we can wrapper that
around other types of programs

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that Optum and others do,
things like telehealth

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to improve the individual's
access to health care

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and to address barriers
like transportation.

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That makes sense. 
Now, I'm just curious,

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how can we actually engage
our employees and stakeholders

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so we can implement the solution?

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One of the things our customers
are sometimes surprised by

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is how much social care
happens out in public.

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We are doing press releases
and community events

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alongside every implementation.

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The fact is, none of this works

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unless the community
is aware of what we're doing.

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And what's really neat
is a lot of times

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we're plugging into relationships

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that our customers have
out in communities.

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This could be social groups,

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church organizations
that they are engaging with

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in their personal lives.