Perspectives and Innovations in Social Influencers of Health
Idaho Healthcare Summit
May 21, 2019
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
Healthcare Accounts for Only 20% of
a Person’s Health & Well-Being
Social Determinants/Influencers
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.
©Trinity Health 2019, All Rights Reserved
…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
©Trinity Health 2019, All Rights Reserved
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
©Trinity Health 2019, All Rights Reserved
• 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:
How Do We Advance Health Equity?