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Resources | Projects | Social Determinants of Health Research

Social Determinants of Health Research

This research examines the social determinants of health of people with disabilities, which is key for health equity.

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An Overview of Research on Social Determinants of Health

Who Is Involved?

This research is conducted by CQL | The Council on Quality and Leadership.

When Did It Start?

We began this work in 2018 and continue this work today.

What Is The Project?

We utilize Basic Assurance® and Personal Outcome Measures® data to examine social determinants of health.

Why Was It Created?

We sought to understand the impact social determinants can have on health and quality outcomes, and by extension, people’s quality of life.

Where Is The Impact?

Our research suggests that by focusing on social determinants quality and outcomes will not only increase, but expenditures may also decrease.

How Does It Help The Field?

Providers can utilize the research, including the Social Determinants of Health Index, to determine where to target supports and services. This research also provides evidence-base for best practices.

Inside Our Research on Social Determinants of Health

Social determinants of health recognize that many factors can contribute to health beyond just health and safety. By examining social determinants of health we are better able to create social and physical environments that promote the health of everyone – it is necessary for health equity.

What Are Social Determinants of Health?

Social determinants of health are conditions, environments, and settings that impact not only health but also overall quality of life. “By working to establish policies that positively influence social and economic conditions and those that support changes in individual behavior, we can improve health for large numbers of people in ways that can be sustained over time. Improving the conditions in which we live, learn, work, and play and the quality of our relationships will create a healthier population, society, and workforce” (United States Office of Disease Prevention and Health Promotion, n.d.). Attention to social determinants of health is critical for health equity, especially for people who disabilities who face health disparities and inequities compared to nondisabled people. Attention to social determinants of health can promote the health and quality of life of people with disabilities.

Our Research

We have conducted a number of research activities related to social determinants of health. For example, we created the Social Determinants of Health Index so that organizations can measure the social determinants of health of those they support, as well as determine where to target supports. Aggregate Index data could also be utilized to compare the quality of different providers or states.

We also examine social determinants of health in the context of managed care, alternative payment models, and value-based payments. For example, our research has explored the impact of quality on outcomes, such as emergency room visits, abuse and neglect, injuries, medication errors, and behavioral events. Our findings suggest that respect, meaningful days, staff training, and many more social determinants have an impact on hospitalizations, injuries, medication errors, and behavioral issues. By focusing on social determinants, quality will not only increase, but there is also the potential for cost savings as attention to social determinants can improve people’s health.

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Featured Resource

Social Determinants of Health Infographics

These one-page infographics share how social determinants of health (SDOH) not only help promote health outcomes and health equity, but also increase people with IDD’s quality of life.

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Social Determinants of Health Research and Resources

1 in 4: Housing Insecurity of People with Cognitive Disabilities on Medicaid

1 in 4: Housing Insecurity of People with Cognitive Disabilities on Medicaid

September 29, 2022

We examined the pandemic experiences of people with cognitive disabilities.

Article
Energy Insecurity of People with Disabilities During the Pandemic

Energy Insecurity of People with Disabilities During the Pandemic

September 15, 2022

We examined people with disabilities’ energy insecurity, including compared to nondisabled people.

Article
Disparities in Social Determinants of Health Outcomes

Disparities in Social Determinants of Health Outcomes

December 13, 2021

We examined social determinants of health outcomes of people with disabilities

Article
Food Insecurity of People with Disabilities During the COVID-19 Pandemic

Food Insecurity of People with Disabilities During the COVID-19 Pandemic

July 15, 2021

We explored Medicare beneficiaries with disabilities’ pandemic access to food.

Article
Choosing Where to Live  Reduces Emergency Department Visits

Choosing Where to Live Reduces Emergency Department Visits

June 15, 2021

Choosing where and with whom to live in the community can improve people with IDD's health

Article
DSP Turnover Negatively Impacts the Health and Safety of People with IDD

DSP Turnover Negatively Impacts the Health and Safety of People with IDD

March 8, 2021

We explored how DSP turnover impacts people with IDD's emergency department use, abuse and neglect, and injuries

Article
Community Participation and Continuity and Security Reduce Emergency Department Visits

Community Participation and Continuity and Security Reduce Emergency Department Visits

February 9, 2021

We examined the relationship between quality outcomes and emergency department utilization

Article
The HCBS Settings Rule Can Improve Health and Safety of People with IDD

The HCBS Settings Rule Can Improve Health and Safety of People with IDD

December 10, 2020

We examined the relationship between the HCBS Settings Rule, and abuse/neglect, injuries, and emergency room visits

Article
The Impact of Social Determinants of Health on the Emergency Department Use of People with IDD

The Impact of Social Determinants of Health on the Emergency Department Use of People with IDD

July 22, 2020

We examine how social determinants can reduce the emergency department use of people with IDD

Article
Reducing ‘Challenging’ Behavior By Training Support Staff to Promote Dignity and Respect

Reducing ‘Challenging’ Behavior By Training Support Staff to Promote Dignity and Respect

July 7, 2020

Our study explored how dignity and respect can change behavior

Article
Ongoing Staff Development Improves the Health and Safety of People with IDD

Ongoing Staff Development Improves the Health and Safety of People with IDD

May 28, 2020

We explored the impact of ongoing staff development on abuse/neglect, emergency room visits, and injuries

Article
Ongoing Staff Development in Disability Services

Ongoing Staff Development in Disability Services

Learn how ongoing staff development initiatives can impact organizations, their staff members, and people with disabilities.

Webinar
Building The Framework For IDD Quality Measurement

Building The Framework For IDD Quality Measurement

Learn about value-based quality measures for people with IDD, in the shift to managed care

Guide
Introducing The Social Determinants of Health Index

Introducing The Social Determinants of Health Index

January 17, 2019

A close look at social determinants of health, along with a new free tool to measure them.

Capstone
Medicaid Managed Care: The Provider Impact

Medicaid Managed Care: The Provider Impact

This webinar shares an overview of Medicaid managed care, including the impact on people with IDD.

Webinar
Social Determinants of Health Index

Social Determinants of Health Index

Calculate the social determinants of health for people receiving services.

Guide
Social Determinants of Health Infographics

Social Determinants of Health Infographics

These infographics share how social determinants of health (SDOH) help increase people with IDD’s quality of life.

Guide
IDD MLTSS Workgroup

IDD MLTSS Workgroup

A workgroup is developing an understanding of value-based quality measures for people with IDD.

Project
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