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A safe and sustainable environment is central to human health and well-being for all ______.
A safe and sustainable environment is central to human health and well-being for all ______.
communities
Environmental exposures exacerbate health outcomes and are directly correlated with social ______.
Environmental exposures exacerbate health outcomes and are directly correlated with social ______.
circumstances
Disparities in access to affordable housing that is safe and healthy undermine community ______.
Disparities in access to affordable housing that is safe and healthy undermine community ______.
health
The concentration of pollution and hazardous waste increases health risks for communities facing ______.
The concentration of pollution and hazardous waste increases health risks for communities facing ______.
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The Biden-Harris Administration is advancing policies to better protect overburdened communities from ______.
The Biden-Harris Administration is advancing policies to better protect overburdened communities from ______.
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Executive Order 13985 is aimed at advancing racial equity and support for ______ communities.
Executive Order 13985 is aimed at advancing racial equity and support for ______ communities.
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To achieve equity across government, it is important to engage with members of underserved ______.
To achieve equity across government, it is important to engage with members of underserved ______.
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Environmental justice concerns include issues related to racial discrimination and ______ zoning.
Environmental justice concerns include issues related to racial discrimination and ______ zoning.
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The Thriving Communities Network is an initiative designed to guide place-based technical assistance and capacity building resources to ______.
The Thriving Communities Network is an initiative designed to guide place-based technical assistance and capacity building resources to ______.
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The Blueprint for Addressing the Maternal Health Crisis focuses on strengthening economic and social supports for people before, during, and after ______.
The Blueprint for Addressing the Maternal Health Crisis focuses on strengthening economic and social supports for people before, during, and after ______.
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The first-ever U.S. National Plan to End ______-Based Violence advances a multi-sectoral approach to tackle this issue.
The first-ever U.S. National Plan to End ______-Based Violence advances a multi-sectoral approach to tackle this issue.
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Addressing social and structural factors that contribute to health inequities is critical for preventing and addressing ______-based violence.
Addressing social and structural factors that contribute to health inequities is critical for preventing and addressing ______-based violence.
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The Biden-Harris Administration convened the first White House Conference on Hunger, ______, and Health in over 50 years.
The Biden-Harris Administration convened the first White House Conference on Hunger, ______, and Health in over 50 years.
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The National Strategy on Hunger, Nutrition, and Health outlines actions to end hunger and increase healthy eating by ______.
The National Strategy on Hunger, Nutrition, and Health outlines actions to end hunger and increase healthy eating by ______.
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The Biden-Harris Administration garnered more than $______ billion in commitments from non-governmental organizations to help end hunger.
The Biden-Harris Administration garnered more than $______ billion in commitments from non-governmental organizations to help end hunger.
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The focus on social needs includes actions to increase screening for ______ risk factors.
The focus on social needs includes actions to increase screening for ______ risk factors.
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Backbone organizations manage community-based partnerships formed across sectors such as health care, housing, social services care, and ______.
Backbone organizations manage community-based partnerships formed across sectors such as health care, housing, social services care, and ______.
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Backbone organizations face challenges such as funding instability, limited technical capacity, and ______.
Backbone organizations face challenges such as funding instability, limited technical capacity, and ______.
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The Biden-Harris Administration is advancing several initiatives to bolster ______ organizations.
The Biden-Harris Administration is advancing several initiatives to bolster ______ organizations.
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Improving data collection is critical, so the Administration will support backbone organizations in identifying best practices for equitable data collection, protection, and ______.
Improving data collection is critical, so the Administration will support backbone organizations in identifying best practices for equitable data collection, protection, and ______.
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Community care hubs are a type of ______ organization that receive support to strengthen their infrastructure.
Community care hubs are a type of ______ organization that receive support to strengthen their infrastructure.
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President Biden believes that every American should have an equal opportunity to lead a full and ______ life.
President Biden believes that every American should have an equal opportunity to lead a full and ______ life.
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Engagement from all segments of society is necessary, including governments, philanthropies, businesses, and ______.
Engagement from all segments of society is necessary, including governments, philanthropies, businesses, and ______.
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The Administration will distribute new ______ to support emerging and existing backbone organizations.
The Administration will distribute new ______ to support emerging and existing backbone organizations.
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CMS will support provider screening and referral for ______ where feasible.
CMS will support provider screening and referral for ______ where feasible.
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The IRS updated the instructions to Schedule H (Form ______) which guides hospitals on reporting activities.
The IRS updated the instructions to Schedule H (Form ______) which guides hospitals on reporting activities.
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Hospital spending on food security, nutrition, and other ______ may be allowable community-building activities.
Hospital spending on food security, nutrition, and other ______ may be allowable community-building activities.
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If reporting the activity as a community-building activity, the hospital must describe how it promotes the health of the ______ it serves.
If reporting the activity as a community-building activity, the hospital must describe how it promotes the health of the ______ it serves.
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Nonprofit hospital organizations are required to spend a portion of their operating funds serving community ______.
Nonprofit hospital organizations are required to spend a portion of their operating funds serving community ______.
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CDC has developed revisions to the existing CDC non-research ______ template to incorporate health equity guidance.
CDC has developed revisions to the existing CDC non-research ______ template to incorporate health equity guidance.
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A main goal of these efforts is to improve awareness regarding the flexible use of health-related funding to address ______ for all people.
A main goal of these efforts is to improve awareness regarding the flexible use of health-related funding to address ______ for all people.
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Recommendations include guidance for incorporating data on drivers and markers of health ______ in the populations of focus.
Recommendations include guidance for incorporating data on drivers and markers of health ______ in the populations of focus.
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Mothers and young children are at risk of poor short- and long-term health outcomes resulting from increased rates of a variety of HRSNs: food insecurity, inadequate ______, and poor access to health care.
Mothers and young children are at risk of poor short- and long-term health outcomes resulting from increased rates of a variety of HRSNs: food insecurity, inadequate ______, and poor access to health care.
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Through the Early Childhood Comprehensive Systems Program, HRSA fosters the development of integrated, comprehensive maternal and early childhood systems of care that provide equitable access to social and health ______ during the prenatal period to age three.
Through the Early Childhood Comprehensive Systems Program, HRSA fosters the development of integrated, comprehensive maternal and early childhood systems of care that provide equitable access to social and health ______ during the prenatal period to age three.
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The program strengthens state, county, and local non-governmental organizations that work to connect health care and social support ______.
The program strengthens state, county, and local non-governmental organizations that work to connect health care and social support ______.
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ACF currently funds community-based primary prevention demonstration ______ to encourage provision of coordinated services.
ACF currently funds community-based primary prevention demonstration ______ to encourage provision of coordinated services.
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Many of these services address SDOH, including navigation and access to benefits as part of a '______ shop' service array and referral system infrastructure.
Many of these services address SDOH, including navigation and access to benefits as part of a '______ shop' service array and referral system infrastructure.
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Grant recipients operate as backbone organizations, coordinating funding from multiple private and public sources to develop a ______-like infrastructure that supports screening individuals for social and/or health-related needs.
Grant recipients operate as backbone organizations, coordinating funding from multiple private and public sources to develop a ______-like infrastructure that supports screening individuals for social and/or health-related needs.
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The Choice Neighborhoods program leverages public and private dollars to support locally driven strategies serving struggling ______ to improve the lives of residents.
The Choice Neighborhoods program leverages public and private dollars to support locally driven strategies serving struggling ______ to improve the lives of residents.
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Many of these programs incorporate backbone organizations to coordinate the network of health and social care ______ that are available in at-risk neighborhoods.
Many of these programs incorporate backbone organizations to coordinate the network of health and social care ______ that are available in at-risk neighborhoods.
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The U.S. Playbook addresses social ______ of health.
The U.S. Playbook addresses social ______ of health.
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This document is introduced by the Domestic Policy ______.
This document is introduced by the Domestic Policy ______.
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One of the pillars includes supporting flexible funding for social ______.
One of the pillars includes supporting flexible funding for social ______.
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Housing security is linked to health ______.
Housing security is linked to health ______.
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The playbook includes a purpose section titled 'Purpose of the ______'.
The playbook includes a purpose section titled 'Purpose of the ______'.
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Appendix A discusses a whole of government ______.
Appendix A discusses a whole of government ______.
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The importance of education access is elaborated on in the section regarding health ______.
The importance of education access is elaborated on in the section regarding health ______.
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One of the goals of the playbook is to expand data gathering and ______.
One of the goals of the playbook is to expand data gathering and ______.
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The playbook presents a comprehensive strategy for addressing social determinants of health.
The playbook presents a comprehensive strategy for addressing social determinants of health.
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Data interoperability is a priority aim of the Administration to tackle social determinants of health.
Data interoperability is a priority aim of the Administration to tackle social determinants of health.
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The playbook aims exclusively at individual-level interventions without considering community impact.
The playbook aims exclusively at individual-level interventions without considering community impact.
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Federal agencies are working to invest in data collection and sharing infrastructure.
Federal agencies are working to invest in data collection and sharing infrastructure.
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Recognition of environmental exposures is not included as part of data collection efforts in the playbook.
Recognition of environmental exposures is not included as part of data collection efforts in the playbook.
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Screening for health-related social needs is commonly standardized within health care systems.
Screening for health-related social needs is commonly standardized within health care systems.
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The playbook proposes actions specifically around the economic factors affecting health.
The playbook proposes actions specifically around the economic factors affecting health.
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Pillar 1 of the playbook addresses improving health care services only within hospitals.
Pillar 1 of the playbook addresses improving health care services only within hospitals.
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The Biden-Harris Administration has developed a national mental health strategy to improve understanding and treatment of mental health in the United States.
The Biden-Harris Administration has developed a national mental health strategy to improve understanding and treatment of mental health in the United States.
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Poor physical health has no association with increased rates of mental health problems.
Poor physical health has no association with increased rates of mental health problems.
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President Biden's initiative on women's health research aims to address health disparities that primarily affect men.
President Biden's initiative on women's health research aims to address health disparities that primarily affect men.
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The U.S. Department of Health and Human Services has a mission that enhances health and well-being by addressing social determinants of health.
The U.S. Department of Health and Human Services has a mission that enhances health and well-being by addressing social determinants of health.
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One of the goals of the Biden Administration's health initiatives is to ignore the health consequences of socioeconomic status.
One of the goals of the Biden Administration's health initiatives is to ignore the health consequences of socioeconomic status.
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Mental health care is considered an important part of overall health care according to the national health strategy.
Mental health care is considered an important part of overall health care according to the national health strategy.
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The White House Initiative on Women’s Health Research is designed to slow down the process of understanding women's health issues.
The White House Initiative on Women’s Health Research is designed to slow down the process of understanding women's health issues.
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Creating healthy environments for people with mental health challenges is a goal of the national mental health strategy.
Creating healthy environments for people with mental health challenges is a goal of the national mental health strategy.
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The Thrifty Food Plan was reevaluated, resulting in a decrease in maximum SNAP benefit amounts for a family of four.
The Thrifty Food Plan was reevaluated, resulting in a decrease in maximum SNAP benefit amounts for a family of four.
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USDA's summer electronic benefit transfer program is intended to provide children with consistent access to nutritious foods.
USDA's summer electronic benefit transfer program is intended to provide children with consistent access to nutritious foods.
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USDA is collaborating with CMS to improve data services for benefits delivery.
USDA is collaborating with CMS to improve data services for benefits delivery.
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The USDA's mission is not related to the Biden-Harris Administration’s National Strategy on Hunger, Nutrition, and Health.
The USDA's mission is not related to the Biden-Harris Administration’s National Strategy on Hunger, Nutrition, and Health.
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The USDA is aiming to simplify enrollment and recertification for nutrition assistance programs.
The USDA is aiming to simplify enrollment and recertification for nutrition assistance programs.
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The Consolidated Appropriations Act of 2023 authorized a temporary summer benefit program for children.
The Consolidated Appropriations Act of 2023 authorized a temporary summer benefit program for children.
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USDA's initiatives include updating nutrition standards in schools to provide students with less healthy food options.
USDA's initiatives include updating nutrition standards in schools to provide students with less healthy food options.
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Future USDA initiatives will explore strategies to facilitate cross-enrollment between SNAP and Medicare.
Future USDA initiatives will explore strategies to facilitate cross-enrollment between SNAP and Medicare.
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Nearly four in ten people experiencing homelessness are White.
Nearly four in ten people experiencing homelessness are White.
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Rural areas saw an increase in homelessness of 5.7% in 2022.
Rural areas saw an increase in homelessness of 5.7% in 2022.
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Gender-based violence is not a significant factor contributing to homelessness for families and children.
Gender-based violence is not a significant factor contributing to homelessness for families and children.
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Individuals experiencing homelessness have lower odds of death compared to those who are housed.
Individuals experiencing homelessness have lower odds of death compared to those who are housed.
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Housing instability is associated with increased rates of mental health challenges.
Housing instability is associated with increased rates of mental health challenges.
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Providing supportive housing to those with substance use disorder has no impact on emergency room visits.
Providing supportive housing to those with substance use disorder has no impact on emergency room visits.
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Women experiencing homelessness do not face higher risks of sexual assault.
Women experiencing homelessness do not face higher risks of sexual assault.
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Federal and state agencies have sought to address the crisis of housing instability and homelessness.
Federal and state agencies have sought to address the crisis of housing instability and homelessness.
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Federal support for open industry standards aims to enhance the integration of social determinants of health (SDOH) data.
Federal support for open industry standards aims to enhance the integration of social determinants of health (SDOH) data.
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The SDOH Data Working Group will be an independent body not linked to the Chief Data Officers Council.
The SDOH Data Working Group will be an independent body not linked to the Chief Data Officers Council.
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Maintaining individual privacy is not considered important when collecting social information.
Maintaining individual privacy is not considered important when collecting social information.
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High-quality data management is essential for organizations serving underrepresented communities in research.
High-quality data management is essential for organizations serving underrepresented communities in research.
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Infrastructure investments are expected to hinder quality referrals between social care services and health care delivery organizations.
Infrastructure investments are expected to hinder quality referrals between social care services and health care delivery organizations.
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The United States Core Data for Interoperability (USCDI) includes SDOH as part of its national data standard.
The United States Core Data for Interoperability (USCDI) includes SDOH as part of its national data standard.
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Improved data quality does not influence service delivery or research advancements.
Improved data quality does not influence service delivery or research advancements.
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The Administration is taking actions to create a more connected health and social care ecosystem.
The Administration is taking actions to create a more connected health and social care ecosystem.
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Federal agencies partner with private organizations and public service entities to reduce persistent SDOH data gaps.
Federal agencies partner with private organizations and public service entities to reduce persistent SDOH data gaps.
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The SDOH Clinical Care FHIR Implementation Guide aims to decrease real-world testing and evaluation processes.
The SDOH Clinical Care FHIR Implementation Guide aims to decrease real-world testing and evaluation processes.
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The Enterprise-wide Veteran Social Determinants Health Framework Integrated Project Team evaluates six SDOH including food insecurity and housing instability.
The Enterprise-wide Veteran Social Determinants Health Framework Integrated Project Team evaluates six SDOH including food insecurity and housing instability.
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Improving veteran outcomes involves identifying best practices tied to collected social determinants.
Improving veteran outcomes involves identifying best practices tied to collected social determinants.
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CBOs are equipped with clear measures of SDOH problems without the need for evidenced-based data standards.
CBOs are equipped with clear measures of SDOH problems without the need for evidenced-based data standards.
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The focus on closing data gaps in SDOH is a priority for multiple federal agencies including the VA and HHS.
The focus on closing data gaps in SDOH is a priority for multiple federal agencies including the VA and HHS.
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The initiative for the SDOH data collection is limited to internal stakeholders within the VA.
The initiative for the SDOH data collection is limited to internal stakeholders within the VA.
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SDOH data gathering is essential to addressing health disparities faced by communities.
SDOH data gathering is essential to addressing health disparities faced by communities.
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Study Notes
Executive Summary
- Improving health requires addressing social determinants of health (SDOH).
- SDOH are conditions in people's environments that affect health, functioning, and quality of life outcomes.
- Social needs, like financial strain, unstable housing, food insecurity, and lack of access to healthcare, increase risk for serious health conditions.
- Environmental factors, including exposure to pollutants, also impact health.
- The Biden-Harris Administration is committed to improving health by addressing SDOH.
- The playbook outlines federal agency actions to break down organizational silos focused on SDOH.
- The strategy aims to improve social circumstances of individuals and communities for better health outcomes.
Table of Contents
- An outline of the publication's structure, detailing sections and page numbers.
Links Between SDOH and Health Outcomes
- Social determinants account for a significant percentage (up to 50%) of county-level health outcomes.
- Socioeconomic factors (like poverty and lack of jobs) significantly affect health metrics like life expectancy and likelihood of developing chronic diseases.
- Food insecurity is linked to a higher risk of chronic illness and poor mental health outcomes.
- Lower educational attainment is associated with shorter life expectancy.
- Environmental injustices disproportionately affect certain demographics, leading to higher rates of health issues like lead poisoning and cancer.
Housing Security
- Housing insecurity is a major challenge linked to adverse health outcomes.
- Many Americans experience inadequate housing due to factors like high costs and limited availability.
- Homelessness affects various demographics, with significant disparities.
Food Security
- Food insecurity affects millions of Americans, impacting their health through malnutrition and increased risk for chronic diseases.
- Food insecurity is linked to worse health outcomes for children and families.
- Government programs like SNAP (supplemental nutrition assistance) and food pharmacies play a key role in improving food security and health outcomes.
Education Access
- Increased educational attainment is correlated with improved health outcomes, including reduced mortality rates.
- Significant disparities in education access persist by various demographics.
Healthy Environment
- Environmental hazards, including pollution and climate change, negatively impact health outcomes, especially in vulnerable communities.
- Equitable access to clean water, clean air, and green spaces is crucial for community health.
Key Federal Actions To-Date
- The playbook outlines executive orders and other actions taken to address SDOH issues.
- Initiatives focus on equity, particularly targeting racial disparities in health outcomes.
Purpose of the Playbook
- This document is a framework for actions and strategies to address SDOH collaboratively across different sectors.
- The playbook aims to encourage innovation, engagement, and collaboration between sectors.
- The goal is to develop practical solutions that achieve better health outcomes.
Playbook Actions (Pillar 1)
- Expand Data Gathering and Sharing: Improving data collection is crucial to effectively address social issues.
- Support Flexible Funding: The flexible use of funds is essential to address social needs and promote coordinated resource use.
- Support Backbone Organizations: The development of community-based organizations is critical for efficient and effective coordination of healthcare services in order to address community needs.
Playbook Actions (Pillar 2)
- Expand Data Gathering and Sharing: Improving data collection is crucial to effectively address social issues.
- Support Flexible Funding: The flexible use of funds is essential to address social needs and promote coordinated resource use.
- Support Backbone Organizations: The development of community-based organizations is critical for efficient and effective coordination of healthcare services in order to address community needs.
Playbook Actions (Pillar 3)
- Expand Data Gathering and Sharing: Improving data collection is crucial to effectively address social issues.
- Support Flexible Funding: The flexible use of funds is essential to address social needs and promote coordinated resource use.
- Support Backbone Organizations: The development of community-based organizations is critical for efficient and effective coordination of healthcare services in order to address community needs.
Appendices
- Supplementary information, details, and supporting documents about the specific programs and initiatives presented in the publication.
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Explore the intricate connections between environmental factors and health outcomes in communities, especially for overburdened populations. This quiz delves into policies and initiatives aimed at achieving racial equity and addressing the maternal health crisis within the realm of environmental justice.
