Montefiore Health Systemís two-tiered assessment screening program to measure social determinants of health (SDOH) positivity in its predominantly high-risk, government-insured population is inspired by existing initiatives within its own organization.
Download this HINnovation profile to learn more about Montefiore's SDOH screening rollout.
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This profile is an excerpt from Assessing Social Determinants of Health: Screening Tools, Triage and Workflows to Link High-Risk Patients to Community Services, which outlines Montefiore's approach to identifying SDOH markers such as housing, finances, healthcare access and violence that drive 85 percent of patients' well-being, and then connecting high-need individuals to community-based services.
In this 25-page resource, Amanda Parsons, MD, MBA, vice president of community and population health at Montefiore Health System, walks through her organization's SDOH initiative, from screening ramp-up to challenges and considerations to initial findings and next steps.
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P.S. -- You may also be interested in these SDOH resources from HIN: