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Perspectives and Innovations in Social Influencers of Health
Idaho Healthcare Summit
May 21, 2019
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Mayor Garret Nancolas• Mayor, City of Caldwell
Christa Rowland• Director of Community Impact,
United Way of Treasure Valley
Tami Fife• Chief Operating Officer, Terry Reilly
Health Services
Panelists
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Healthcare Accounts for Only 20% of
a Person’s Health & Well-Being
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Social Determinants/Influencers
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U.S. health care spend is almost entirely focused
on sick care, not preventive care or public health
Genetics 10%Social and
Economic Factors (35%)
Health Behaviors (25%)
Physical Environment
(10%)
Clinical Sick Care
20%
Clinical Sick Care
95%
Determinants of Health Percentage of Health Care Spend
Preventive & Public Health <5%
A.L. Sensenig. 2007. “Refining Estimates of Public Health Spending as Measured in the National Health Expenditures Accounts: The U.S. Experience.” Journal of Public Health Management and Practice 13 (2): 103-14.
The other 70%
Social
Influencers
of Health
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U.S. systematically overspends on health care and under-spends
on social care compared to other OECD countries
0%
5%
10%
15%
20%
25%
30%
35%
40%
FR SWE SWIZ GER NETH US NOR UK NZ CAN AUS
Healthcare Social Care
Spend as % of GDP
Sources: The Commonwealth Fund. E. H. Bradley and L.A. Taylor, The American Health Paradox: Why Spending More Is Getting Us Less, Public Affairs, 2013; Organization for Economic Co-operation and Development (OECD), “Life expectancy at birth,” 2013 from data.oced.org.
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…with resulting lower life expectancy among
OECD countries
0%
5%
10%
15%
20%
25%
30%
35%
40%
FR SWE SWIZ GER NETH US NOR UK NZ CAN AUS
Healthcare Social Care
83.0
Sources: The Commonwealth Fund. E. H. Bradley and L.A. Taylor, The American Health Paradox: Why Spending More Is Getting Us Less, Public Affairs, 2013; Organization for Economic Co-operation and Development (OECD), “Life expectancy at birth,” 2013 from data.oced.org.
82.581.7 81.781.0
82.478.881.6
80.7
82.382.4 Numbers above each bar indicate life expectancy
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Trinity Health Community Health and Well-Being objective is to
address the “other 70% - Social Influencers of Health”
Community Health & Well-Being Key Dimensions
Connecting the vulnerable and the poor to wrap-around services
Delivery of efficient and effective people-centered health care services
Policy, system and environmental change strategies to improve health
Clinical ServicesCommunity Engagement
Community Transformation
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• Health Care• Quality Health Care• Access to Health Care
Delivery & Assurance of:
• Healthy Behaviors• Health Education• Wellness &
Prevention• Coordination of Care
Supporting:
• Pre-K―Postsecondary Edu.• Social Cohesion• Neighborhood & Built
Environment• Community Safety• Economic Stability
Policy, Advocacy & Support for:
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How Do We Advance Health Equity?