by Luke Shulman

Non-clinical factors including social determinants of health (SDOH) are responsible for, depending on the source, 20%, 60%, 70%, 80% of a persons overall health. (for more on the weighting debate see Different Perspectives on Assigning Weights to Determinants of Health)

Whether a person is made directly sick through environmental exposure or lacks the means to engage in a complex treatment plan, these factors all combine to seriously determine outcomes. As health organizations adopt value-based payment schemes social determimnants impact the bottom line and deserve greater attention from value-seeking organizations.

Social Chart

Algorex Health recently summarized the California Health Care Foundation’s market intelligence report on social determinants which highlighted the need for organizations to acquire SDOH data and effectively pair outputs with local services.

Acquiring SDOH data is a critical problem. Having a staff member inquire about these issues during a patient visit can increase visit time by up to nine minutes.

Making the Contrast

Data has revolutonized the financial, retail and marketing sectors. While Silicon-Valley firms are tracking every click and website, they do not rely solely on their own data the way healthcare organizations soley rely on their EHR and claims information.

There are marketplaces and brokerages that help groups target consumers who have a south facing rooftop (satellite TV) or have a car over 5 years old (new car incentives).

At Algorex Health, we curate these data sources and apply the best academic models of social determinants to identify risk factors and impactable outcomes.

Our Social Determinants platform has 18 specific models which use claims, clinical, and external data to identify the social, economic, and enviromental factors that affect patient decisions. Taken together, this is the most comprehensive suite for organizations to engage with data science.

Deep Dive Series

In this post, Algorex Health will present a deep dive post into each model detailing the underlying machinations and the oppurtunuity for Algorex Health clients.

Bookmark this page because we will update this page regularly with links tot he posts as they are written.

Models for Social and Environmental Factors

  1. Neighborhood Stress
  2. Food Security
  3. Household Toxic Stress
  4. Available Tranportaion

Models for Indvidual Behaviors

  1. Household Composition
  2. Person Isolationism
  3. Unstable Housing

Models for Engagement & Administration

  1. Appointment No-Show
  2. Member Reach Rate (Impactability)
  3. PCP Attribution
  4. Lifetime Value

Models for Complexity and Comorbidity

  1. CMS HCC Risk Adjustment
  2. Charlson Comorbidity Index
  3. LACE Readmission Index
  4. Elixhauser Comorbidity Index

Models for Coverage and Eligibility

  1. Govt Assistance