Archives     Advertise     Editorial Calendar     Subscribe     Contact Us    


Social Determinants: A Technological Approach


 
Trenor Williams, MD

Trenor Williams, MD - founder and former CEO of clinical HIT and advisory management firm Clinovations before selling it to The Advisory Board Company in 2015 - has recently launched Socially Determined. The company features a service-enabled tech platform that integrates the social determinants of health with clinical data through the use of comprehensive care pathways and advanced analytics.

Noting he feels passionately both personally and professionally about the role social determinants play in an individual's health, Williams explained his new venture was born of three beliefs. The first, he said, is that social determinants "have a legitimate impact on healthcare outcomes, healthcare utilization, and healthcare spend." Number two, Williams stated, is the belief "that despite our best efforts, we don't capture that information for each of our patients; and even if we do, it's not in a codified and consistent way."

He continued, "That feels like there's a real business opportunity to do the right thing in healthcare, especially when you layer on the third piece ... there are more and more risk-based contracts. We decided to launch Socially Determined to try to be part of the solution."

In conversations with municipalities, health systems, community organizations and insurers, Williams said there is a broad acceptance that social risk factors do matter and most stakeholders are trying to figure out where investments should be made to result in a demonstrable difference.

"We believe a part of the solution is going to be enabled by technology," Williams noted. But, he pointed out, the first step is to get the data. He said the three key sources of data are clinical information from providers and insurers, public data from municipalities and sources including the CDC, and from an often overlooked source ... patients, themselves. "There is so much in healthcare where we're designing solutions about them not with them," he said of patient input. "We believe strongly that they are a valuable and critical component of this solution."

The second step, Williams said, is to make sense of the data through risk scoring. Patients are scored in four major categories and subcategories and also receive a global score. A patient without a car, for example would have a higher transportation risk. In addition to the individual score, Williams said health systems could look at larger populations like Medicaid patients and discern patterns, such as finding more than a third have food insecurities. "Health systems need help prioritizing the investments they make and the resources they put to use," he noted.

The third, and perhaps most difficult piece, is putting together a care management and referral plan based on the data. Williams was quick to say this piece couldn't fall solely on the physician but would require a broader care team including social workers and case managers. By overlaying community resource information into a technology platform that works with current EHR systems, Williams said it becomes possible to link patients at the point of care to critical supports within the community.

"We believe that this area outside of the hospital, outside of the clinic - in the community - is the place that's going to make a real difference in healthcare outcomes and people's lives," he concluded.

 
Share:

Related Articles:


Recent Articles

Cancer Care on the Cutting Edge

Nashville physician-scientists are helping lead the way in advancing cancer care.

Read More

The Evolution of Senior Living

The senior living industry is undergoing a makeover as baby boomers shift focus from medical-directed care to hospitality-driven services.

Read More

When Basic Science Becomes a Breakthrough

Noted immunologists joined forces at the recent International Cancer Immunotherapy Conference to discuss the importance of fostering and funding basic science.

Read More

Dr. Meredith McKean Brings New Hope, More Options for Melanoma Patients

Oncologist Meredith McKean, MD, MPH, overseeing Sarah Cannon's Melanoma Research Program

Read More

ONcology Rounds

News of note in cancer research, treatment and partnerships.

Read More

Ascension Saint Thomas Opens Cancer Center

Ascension Saint Thomas recently celebrated the grand opening of their comprehensive new cancer center on the Midtown campus.

Read More

NMGMA 10 Minute Takeaway

Medicare Part B representative from Palmetto GBA offered updates and resources to navigate compliance.

Read More

Improving Quality, Lowering Cost of Care for Seniors

Five years into the Medicare Shared Savings Program, more and more ACOs are beginning to demonstrate the ability to improve quality while lowering costs.

Read More

Planning Ahead: Patients & Power of Attorney

The time to think about a durable power of attorney is long before it's needed. Barbara Moss discusses the importance of the document in healthcare.

Read More

Council on Aging Honors Middle Tennesseans

The Council on Aging (COA) of Middle Tennessee hosted their 27th Annual Sage Awards on Oct. 29. With a belief that aging should be celebrated and embraced and that older adults have a lifetime of wisdom and experience to offer communities, the Sage Awards are presented each year to older adults who have made outstanding contributions to Middle Tennessee.

Read More

Email Print
 
 

 

 


Tags:
Clinovations, Social Determinants of Health, Socially Determined, Technology Enabled Solutions, Trenor Williams
Powered by Bondware
News Publishing Software

The browser you are using is outdated!

You may not be getting all you can out of your browsing experience
and may be open to security risks!

Consider upgrading to the latest version of your browser or choose on below: