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MiCMRC Educational Webinar
Impact of Social Determinants of Health on Chronic Conditions
June 21, 2017
MiCMRC Care Management Educational Webinar:Impact of Social Determinants of Health on Chronic Conditions
Expert Presenter:
Melanie BrimMichigan Health Council
Facilitator: Rebecca Lindsay, MPH, CHESMichigan Community Health Worker Alliance (MiCHWA)
Disclosures• The planners have reported no relevant conflict of interest for
the purpose of the MiCMRC Educational webinar “Impact of Social Determinants of Health on Chronic Conditions”.
• There is no commercial support for this activity.• This webinar is available for CE credit until June 1, 2019 .• Participants who successfully view the entire live or recorded
webinar and complete the online CE process including required evaluation with email address will earn 1.0 contact hours.
• This continuing nursing education activity was approved by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91)
Instructions for Obtaining Nursing and Social Work CE CreditTo receive Nursing or Social Work 1.0 continuing education contact hour for “Impact of Social Determinants of Health on Chronic Conditions” for Today’s Live Webinar 6/21/2017 2:00 – 3:00 PM
• Attend the entire webinar
• Go to the Michigan Care Management Resource Center web site http://micmrc.org/webinars
• On the micmrc web site webinar page, locate the “Impact of Social Determinants of Health on Chronic Conditions” webinar information – Click the link titled To Request CE Credit Click Here– Complete the brief form, include your e-mail address, click submit
• This will generate an email message to you containing a link to complete the CE request and required evaluation form
• Follow instructions in the e-mail: Complete the evaluation and submit. This step generates an email to you containing the CE certificate
*Note: This webinar will be recorded. CE for viewing the recorded webinar will be available on http://micmrc.org/webinars soon. The recorded webinar will be available for Nursing and Social Work CE credit until June 1, 2019.
For technical assistance please e-mail: micmrc-requests@med.umich.edu
Click link shown to start CE process
Click on evaluation link to complete CE process
Impact of Social Determinants of Health on Chronic Conditions
Melanie Brim | Michigan Health Council
Definition of Determinants of Health
The range of personal, social, economic, and environmental factors that influence health status
Determinants of health fall under several broad categories Policymaking Social factors Health services
What impacts health
outcomes?
Social Determinantsof Health
Conditions in which people are born, grow, live, work and age
Adapted from: Healthy People 2020
Relationship between SDOH and health equity
Health Disparities
Challenges
Growing aging population
Increasing number of patients with chronic disease
Multiple co-morbidities
Complex care needs
Issues with access to health care
Lifestyle concerns
Primary prevention
Health literacy concerns
1 in 4Michigan residents will be older than
65 by 2020
92% of older adults have at least one chronic disease
Characteristics of chronic disease
Prolonged development and duration One that lasts 3 months or more
Not prevented by vaccines nor cured by medication
No spontaneous resolution
Progressive and worsens with age
Contributes to death and/or disability
Hinders independence
Heart disease
Stroke
Cancer
Type 2 diabetes
Obesity
Arthritis
End stage renal disease
Relationship between SDOH and chronic disease Social
Determinants of Health
Social Determinants
of Health
Chronic Disease
Social determinants of health impact health and strongly influence health outcomes in all areas of care, including chronic disease management
Social determinants across the life course
Case Study: Arnold
72 year old patient who lives by himself Income is $18,000/yearOn Medicare with no supplemental
insuranceHas diabetes, hypertension and COPDSees his primary care provider on an
infrequent basisHas an 8th grade educationServed in the U.S. Army
What does that tell us about Arnold?
Limited incomeLiteracy levelLimited social support Social isolationLimited access to transportationUncontrolled chronic illness Inadequate nutrition
Role of the Community Health Worker
Social Determinants of HealthScreening
In the past year was there a time when you needed to see a doctor but could not because it cost too much?
Do you ever eat less than you feel you should because there is not enough food?
In the past year have you had a hard time paying your utility bills?
Are you worried that in the next 2 months you may not have stable housing?
Do you ever need help reading hospital materials?
Health Education
Community Linkages
How will we know if we have made a difference?
Know your patient populationPlan systematic strategies to address
needsMeasure outcomesProvide feedback to the team and revise
plan
Measurable Outcomes for Arnold
Regular appointments with his primary care providers
Ability to take medications as prescribed
Target outcomes for chronic illnesses achieved
Participating in Meals on Wheels
Attending activities at the local Senior Center
Ability to demonstrate appropriate techniques
Receiving V.A. benefits
Social determinants of health documented in EHR
Contact Information
Melanie Brim
President & CEO
Michigan Health Council
Email: melanie.brim@mhc.org
Phone: 517.347-3332
29
Instructions for Obtaining Nursing and Social Work CE CreditTo receive Nursing or Social Work 1.0 continuing education contact hour for “Impact of Social Determinants of Health on Chronic Conditions” for Today’s Live Webinar 6/21/2017 2:00 – 3:00 PM
• Attend the entire webinar
• Go to the Michigan Care Management Resource Center web site http://micmrc.org/webinars
• On the micmrc web site webinar page, locate the “Impact of Social Determinants of Health on Chronic Conditions” webinar information – Click the link titled To Request CE Credit Click Here– Complete the brief form, include your e-mail address, click submit
• This will generate an email message to you containing a link to complete the CE request and required evaluation form
• Follow instructions in the e-mail: Complete the evaluation and submit. This step generates an email to you containing the CE certificate
*Note: This webinar will be recorded. CE for viewing the recorded webinar will be available on http://micmrc.org/webinars soon. The recorded webinar will be available for Nursing and Social Work CE credit until June 1, 2019.
For technical assistance please e-mail: micmrc-requests@med.umich.edu
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