Perspectives and Innovations in Social Influencers of Health

Idaho Healthcare Summit

May 21, 2019

Mayor Garret Nancolas• Mayor, City of Caldwell

Christa Rowland• Director of Community Impact,

United Way of Treasure Valley

Tami Fife• Chief Operating Officer, Terry Reilly

Health Services

Panelists

Healthcare Accounts for Only 20% of

a Person’s Health & Well-Being

Social Determinants/Influencers

U.S. health care spend is almost entirely focused

on sick care, not preventive care or public health

Genetics 10%Social and

Economic Factors (35%)

Health Behaviors (25%)

Physical Environment

(10%)

Clinical Sick Care

20%

Clinical Sick Care

95%

Determinants of Health Percentage of Health Care Spend

Preventive & Public Health <5%

A.L. Sensenig. 2007. “Refining Estimates of Public Health Spending as Measured in the National Health Expenditures Accounts: The U.S. Experience.” Journal of Public Health Management and Practice 13 (2): 103-14.

The other 70%

Social

Influencers

of Health

©Trinity Health 2019, All Rights Reserved

U.S. systematically overspends on health care and under-spends

on social care compared to other OECD countries

0%

5%

10%

15%

20%

25%

30%

35%

40%

FR SWE SWIZ GER NETH US NOR UK NZ CAN AUS

Healthcare Social Care

Spend as % of GDP

Sources: The Commonwealth Fund. E. H. Bradley and L.A. Taylor, The American Health Paradox: Why Spending More Is Getting Us Less, Public Affairs, 2013; Organization for Economic Co-operation and Development (OECD), “Life expectancy at birth,” 2013 from data.oced.org.

©Trinity Health 2019, All Rights Reserved

…with resulting lower life expectancy among

OECD countries

0%

5%

10%

15%

20%

25%

30%

35%

40%

FR SWE SWIZ GER NETH US NOR UK NZ CAN AUS

Healthcare Social Care

83.0

Sources: The Commonwealth Fund. E. H. Bradley and L.A. Taylor, The American Health Paradox: Why Spending More Is Getting Us Less, Public Affairs, 2013; Organization for Economic Co-operation and Development (OECD), “Life expectancy at birth,” 2013 from data.oced.org.

82.581.7 81.781.0

82.478.881.6

80.7

82.382.4 Numbers above each bar indicate life expectancy

©Trinity Health 2019, All Rights Reserved

Trinity Health Community Health and Well-Being objective is to

address the “other 70% - Social Influencers of Health”

Community Health & Well-Being Key Dimensions

Connecting the vulnerable and the poor to wrap-around services

Delivery of efficient and effective people-centered health care services

Policy, system and environmental change strategies to improve health

Clinical ServicesCommunity Engagement

Community Transformation

©Trinity Health 2019, All Rights Reserved

• Health Care• Quality Health Care• Access to Health Care

Delivery & Assurance of:

• Healthy Behaviors• Health Education• Wellness &

Prevention• Coordination of Care

Supporting:

• Pre-K―Postsecondary Edu.• Social Cohesion• Neighborhood & Built

Environment• Community Safety• Economic Stability

Policy, Advocacy & Support for:

How Do We Advance Health Equity?