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Module #2: Top 3 Social Determinants of Health ( SDoH ) Food Insecurity. For more information on TCPI SANs please use this link : http://www.tcpisan.org /. HCDI Overview. HealthCare Dynamics, International – founded and led by clinicians
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Module #2: Top 3 Social Determinants of Health (SDoH)Food Insecurity For more information on TCPI SANs please use this link: http://www.tcpisan.org/
HCDI Overview • HealthCare Dynamics, International – founded and led by clinicians • 25+ years supporting CMS quality and population health programs • NICHE: Policy to Practice Strategy focused on health care delivery systems and the quality/cost for vulnerable populations • Customized learning and action platforms focused on clinicians, patients and health care systems HCDI-SAN Learning Library: Top 5 (SDoH) Overview Food Insecurity • The social determinants of health are the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels. The social determinants of health are mostly responsible for health inequities • These social factors may also affect the patient’s ability to self-manage and adhere to their shared decisions. • Looking at SDoH data can help practitioners better recognize the root causes that affect population health. • Food insecurity is defined as the disruption of food intake or eating patterns because of lack of money and other resources
Learning Objectives: Social Determinants of Health- Food Insecurity Upon completing review of this presentation, participant will be better able to: • Define the concept of “food desert” • Understand the underlying factors that contribute to food insecurity • Conceptualize how a proper diet contributes to a balanced lifestyle • Describe effects of food insecurity on health and well-being • Compare the prevalence of food insecurity nationally • Connect with local resources that address food insecurity
Overview: Social Determinants of Health • SDoH also refers to the bigger set of forces that shape the conditions of daily life of an individual. • These forces can be social norms, culture, social practices, economic policies, developmental agendas along with political systems of any state/nation • SDoH are considered as the root cause of our health and disease. • Often times it is also known as the ‘cause of the cause’.
Food Insecurity • Food Insecurity: According to the U.S. Department of Agriculture, food insecurity is defined as a household-level economic and social condition of limited or uncertain access to adequate food with either disrupted eating patterns or reduced food intake. Food insecurity affects more than 12.7 percent of U.S. households—that is more than 48 million Americans.
Food Insecurity Across the United States • More than 15 million U.S. children live in “food-insecure” households — having limited access to adequate food and nutrition due to cost, proximity and/or other resources. Low income individuals are at increased risk for both food insecurity and obesity. • Lower-income individuals often have limited access to affordable, healthier food options, living in neighborhoods with fewer grocery stores with less healthy options, and that have more available less expensive food options, such as processed or fast foods, are of lower nutritional value and are calorie-dense with added sugar and/ or fats.
The FoodInsecurity Cycle FOOD INSECURITY • Food insecurity is the most broadly-used measure of food deprivation in the United States. • Consistent access to adequate food limited by a lack of money and other resources at times during the year, is another way to view food insecurity.
Food Insecurity • Nutrition plays a key role in the health of individuals and communities. Many of the diseases we fight originate in part because of food issues, which happens to be one of the simplest things we can change.
Community Resources: Social Determinants of Health • Whether it’s access to food, transportation, financial services or education, addressing social determinants is a critical component of both quality of care and quality of life. Aunt Bertha is deploying this comprehensive approach, powered by technology, to help lead the way for patients in need and the people who serve them. https://www.auntbertha.com/
Community Resources: Food Insecurity • SNAP offers nutrition assistance to millions of eligible, low-income individuals and families and provides economic benefits to communities. SNAP is the largest program in the domestic hunger safety net. • The Food and Nutrition Service (FNS) works with state agencies, nutrition educators, and neighborhood and faith-based organizations to ensure those eligible for nutrition assistance can make informed decisions about applying for the program and can access benefits. • FNS also works with state partners and the retail community to improve program administration and ensure program integrity.
Community Resources: Food Insecurity • The WIC program provides supplemental foods, health care referrals and nutrition education for low-income women who are pregnant, breastfeeding and postpartum. • WIC also provides assistance to infants and children up to age 5 who are found to be at nutritional risk.
Community Resources: Food Insecurity Food Pantries By State (FOODPANTRIES.ORG)
Learning In Action: “Food For Thought” • How might having data on patient food insecurity rates affect how your office coordinates care? • Do you think that food insecurity is common among your patients? • Think of a recent patient case in which food insecurity might possibly have contributed to a problem or a poor health outcome. • What resources might be available in your community to help address food insecurity? • How might your practice be more efficient and effective in connecting patients with food banks and other such resources?
Questions?Uchenna OkoliSDoH@hcdi.com301-552-8803www.hcdi.com For more information on TCPI SANs please use this link: http://www.tcpisan.org/ 16
Learning & Action Network Acronym Guide: AAPM: Advanced Alternative Payment Models APM: Alternative Payment Models CEHRT: Certified Electronic Health Record Technology CFYH Tool: ‘Caring for Your Health’ Social Determinants Indicator Tool CMS: Centers for Medicare & Medicaid Services HCDI: HealthCare Dynamics International LAN: Learning and Action Network MACRA: Medicare Access and CHIP Reauthorization Act MIPS: Merit Based Incentive Payment System PTN: Practice Transformation Network QPP: Quality Payment Program REaL Data: Race Ethnicity and Language Data SAN: Support and Alignment Network SDoH: Social Determinants of Health TCPI: Transforming Clinical Practices Initiative