Discover the Social Determinants of Health Data Model
Learning Objectives
- Describe the Health Cloud social determinants of health data model.
- Explain the purpose of different objects used in the social determinants of health data model.
Explore the Social Determinants of Health Data Model
As part of Charles’s enrollment in the pain management program, he received a pain management assessment survey (Survey). This survey helps the program team in proactively addressing potential risks, challenges, or opportunities that can affect Charles’s health outcomes.
Since patients can have a hard time getting to pharmacies to pick up their medication or going to doctors appointments to receive important care, access to transportation is considered a determinant of health. Some of the questions in the survey pertain to Charles’s access to transportation (Care Determinant). Some of Charles’s survey responses (Survey Response) indicate that he doesn’t have a car (Care Barrier) and he can’t pick up his prescriptions on time.
The Good Health Pharma care program team logs a case (Case) to find a ride service (Task) covered by Bloomington Health Plans, Charles’s health insurance provider. By securing transportation (Care Intervention) for Charles, they’ve helped him successfully overcome his transportation barrier. He’s now on track in his journey to better health!
This diagram illustrates how Charles’s lack of transportation scenario fits into the social determinants of health data model.
Here’s a look at the records, objects, and relationships in the social determinants of health data model based on Charles’s lack of transportation.
| This Record... | ...Is Related To |
|---|---|
| Charles’s Assessment Response (Survey Response) | Charles Green—Patient (Person Account) |
| Charles’s Assessment Response (Survey Response) | Pain Management Program Assessment (Survey) |
| Charles’s Access to Transportation (Care Determinant) | Access to Transportation (Care Determinant Type) |
| Charles’s Access to Transportation (Care Determinant) | Charles Green—Patient (Person Account) |
| Charles’s Access to Transportation (Care Determinant) | Charles’s Assessment Response (Survey Response) |
| Barrier-Determinant Association (Care Barrier Determinant) | Charles’s Access to Transportation (Care Determinant) |
| Barrier-Determinant Association (Care Barrier Determinant) | Charles Lacks Transportation to Pharmacy (Care Barrier) |
| Charles Lacks Transportation to Pharmacy (Care Barrier) | Charles Green—Patient (Person Account) |
| Charles Lacks Transportation to Pharmacy (Care Barrier) | Charles’s Assessment Response (Survey Response) |
| Charles Lacks Transportation to Pharmacy (Care Barrier) | Lack of Access to Transportation (Care Barrier Type) |
| Charles Lacks Transportation to Pharmacy (Care Barrier) | Address Transportation Issue (Case) |
| Lack of Access to Transportation (Care Barrier Type) | *ICD-10-CM Code Z59.8 (Healthcare Diagnosis) |
| Find ride service covered by Bloomington Health Plans (Task) | Address Transportation Issue (Case) |
| Find ride service covered by Bloomington Health Plans (Task) | Secure Transportation (Care Intervention Type) |
| Secure Transportation (Care Intervention Type) | *HCPCS Code A0100 (Healthcare Procedure) |
In this unit, you learned about the social determinants of health data model, which helps you gain insight into factors that influence wellness, adherence, and outcomes for a patient or member. You also saw how this, in turn, helps you intervene to address these barriers and improve health outcomes for patients and members. In the next unit, learn how the provider data model makes it easy for members, patients, and organizations to find the right provider in the right network.
