3 steps to identify & address SDOH

Given the costly effects of the social determinants of health (SDOH), it’s no surprise that many health plans have implemented programs, solutions, or resources that assist with food delivery, housing, transportation, social services, and other needs. But despite having these resources in place, plans face critical obstacles in identifying social barriers in the first place, creating workflows for resolving these barriers, and establishing a mechanism for ongoing monitoring to ensure interventions have taken place.

How can your organization overcome these challenges? In this tip sheet, we’ll share a three-step strategy for leveraging digital to better identify and close the loop on SDOH:

STEP 1: Uncover when someone has a social determinant barrier

STEP 2: Surface social determinant barriers to the care team

STEP 3: Triage the member to the right resource or benefit

STEP 1

Uncover when someone has a social determinant barrier

Care teams often struggle to reach, engage, and enroll underserved populations in care management through traditional telephonic outreach, since many members don’t have a home phone, may frequently change addresses, and are often unable to pick up calls during business hours. But with a digital health management platform, your organization can capture day-to-day information on member needs and behavior that you wouldn’t have access to otherwise. Here’s how to uncover SDOH by establishing a digital member engagement channel:

  • Use communication channels that make it easier to uncover insights, such as texting or video chat
  • Build a long-term relationship by supporting members’ whole health with personalized education
  • Deliver mobile surveys that can identify social determinant factors
Wellframe-SDoH-Survey
STEP 2

Uncover when someone has a social determinant barrier

Care teams often struggle to reach, engage, and enroll underserved populations in care management through traditional telephonic outreach, since many members don’t have a home phone, may frequently change addresses, and are often unable to pick up calls during business hours. But with a digital health management platform, your organization can capture day-to-day information on member needs and behavior that you wouldn’t have access to otherwise. Here’s how to uncover SDOH by establishing a digital member engagement channel:

The digitally-enabled workflow

STEP 3

Triage the member to the right resource or benefit

We know that health plans are investing in new partnerships as well as new staff members and resources to address a broader range of member needs. But these resources cannot be effectively utilized if members aren’t connected to them in the first place. As the first point of contact with the member, care managers should be equipped with a platform that enables them to seamlessly triage member needs and connect them to the right services, from specific health plan programs and resources to specialized staff, such as social workers, behavioral health specialists, dieticians or pharmacists.

By streamlining these resources through a digital health platform, the care manager is able to follow up with each staff member to confirm that the member’s social barriers were addressed. The care manager can also provide ongoing follow up and support to the member to make sure they have the health guidance and resources they need.

Triangle

Key takeaways

Though health plans are investing in benefits to address SDOH, most don’t have a way to actually connect members to the right resources at the right time. Make sure your organization has a digital health management strategy that can help you address social determinants by taking the following three steps:

STEP 1: Uncover when someone has a social determinant barrier

STEP 2: Surface social determinant barriers to the care team

STEP 3: Triage the member to the right resource or benefit

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HealthEdge Software to Acquire Digital Engagement Leader WellframeRead press release
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