Addressing the Social Determinants of Health

The Wellbeing Care Community platform unites community-based organizations, health, social services and more to address Community Care Coordination needs.

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Researchers believe social determinants drive more than 80 percent of health outcomes.

Medical care alone is insufficient to improve health. Current methodology only accounts for 10-20 percent of the modifiable contributors to improved health outcomes. The remaining 80 to 90 percent are sometimes broadly referred to as the SDoH, which encompasses health-related behaviors, socioeconomic factors and environmental factors. (source: National Academy of Medicine – SDoH 101

Addressing the social determinants of health will require a comprehensive effort among community partners (see figure 1). The eTransX Wellbeing Care Coordination system has built in modules, assessments, and success pathways. These strategies help address the social determinants from the community level down to the individual/household level.

Effective screening to identify needs and the ability to then immediately connect, enroll, and guide individuals to a broad array of services and programs is paramount to not only personal success, but also making full use of a region’s investments in existing services and solutions. Wellbeing Care Community unites medical, behavioral, and social service providers on a true operational level with community services and programs like never before.

A Shared Community-Based Wellbeing Coordination System

To help people and communities reach their full potential; eTransX has developed a cloud based integrated system that connects key stakeholders at both the community and personal household levels. Resulting goal is to capture and share actionable information and facilitate cross sector collaboration. The following illustrates how the eTransX Wellbeing Care Community system can be deployed at the community, neighborhood, and regional levels.

Better Health Outcomes

eTransX’ Wellbeing Care Community (WCC) system provides a unique community-based person-centric, cross-sector data sharing solution that helps community-based anchor or backbone organizations scale community initiatives to improve health, social, and economic outcomes. WCC bridges silos by serving as a trusted community information exchange, coordinating the work of multiple organizations working across sectors “so that the right hand knows what the left hand is doing.” WCC results in improved outcomes for people and communities by using evidence-based best practices, reducing duplication of effort, and lowering operational costs.

WCC allows providers to build and manage personalized success pathways to address the social determinants of health, preventative health, chronic disease management, and mental health. This includes managing and tracking referrals and engaging with friends, family, community health workers, and other personal support network members. WCC provides a broader and deeper focus that improves both short and long-term personal health outcomes.

Figure 1 – Source: The Alliance for the Determinants of Health, Intermountain Health Utah, 2020