Social Determinants of Health

Many hospitals are addressing social determinants of health to influence population health outcomes. Socioeconomic and environmental factors determine 50 percent of a person's health outcomes. Social determinants are the conditions in the places where people live, learn, work, and play that affect a wide range of health risks and outcomes. This includes housing, food security, public safety, transportation, and economic stability. These factors may limit access to services or make it difficult to obtain health resources.

Improving Outcomes for Specific Patient Populations and Conditions

Population health management involves targeting specific patient populations––such as people with diabetes, maternal health issues, or cancer. Providers collaborate to create specific standardized treatment goals and interventions. Hospitals track specific populations through:

  • Detailed reports from health insurers
  • Patient medical records
  • Nurse care managers
  • Community health workers
  • Social workers 

 

Chris Espersen, HAP Leadership Summit Speaker 2019

 

Food Insecurity

The direct connection between food security and proper nutrition, and better health is well-documented. Yet, in Pennsylvania, more than one in ten Pennsylvanians are food insecure.In Pennsylvania,

  • Food insecurity is reduced (by one-fifth overall, and one-third for children) when families get SNAP
  • Compared to low-income adults without SNAP, those who participate in SNAP have 25 percent less in health care expenditures
  • Low-income adults who struggle with chronic disease and participate in SNAP have even greater reductions in health care expenditures 

 

Health Disparities

HAP developed a county-specific map highlighting which counties are above and below the state mean for greater awareness of health disparities.

 

HAP Contacts

For more information, contact Robert Shipp III, PhD, BSN, RN, NEA-BC, vice president, workforce & clinical affairs. Media inquiries should be directed to Kim Yakowski, manager, media relations.

 


HAP News


June 09, 2025

How Medicaid Cuts Affect Maternal Health

The tug of war between potential cost savings via cuts and preserving Medicaid reveal ramifications to maternal health. A new report by The Commonwealth Fund finds that cuts would erode maternal health access, quality, and equity and leave providers at risk of closure.

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