Alliance for the Determinants of Health
The Alliance for the Determinants of Health is a three-year demonstration that began in January 2019 to determine the most effective method for addressing social need to improve health outcomes, equity, and affordability.
What is the Alliance for the Determinants of Health?
The Alliance for the Determinants of Health is a three-year demonstration that began in January 2019 to determine the most effective method for addressing social need to improve health outcomes, equity, and affordability. The goal is to implement best practices learned through the Alliance in other communities and to share the evaluation findings with a national audience.
Intermountain Healthcare committed a $12 million charitable contribution to support the Alliance's effort to address social need among SelectHealth Community Care members in Utah's Washington and Weber counties. Intermountain selected these locations based on size, health outcomes, community need, and community readiness.
The Alliance uses CMS' Accountable Health Communities model of awareness, assistance, and alignment:
- Awareness: Adult and pediatric patients are being screened for social need in clinical settings, including Intermountain Emergency Departments and clinics, community clinics, mental health centers, and other community-based organizations.
- Assistance: Members and other patients with reported needs are connected to community services based on reported need, acceptance of assistance, and availability of resources. A digital platform has been adopted to facilitate closed-loop referrals between community organizations. Additionally, funding has been used to deploy Community Health Worker (CHW) teams to assist members with social need and care coordination between clinical and social providers.
- Alignment: Alliance community organizations have aligned their efforts through data sharing, local steering committees and care coordinators across physical, mental, and social services for SelectHealth Community Care.
As the formal three-year evaluation period for the initiative concludes at the end of 2021, the most successful components of the Alliance, namely CHWs, discretionary funds, care coordination, and the community network use of a shared digital platform, have continued funding for an additional two years through original charitable contribution. The Alliance is positioned to maintain the progress made in these communities as adoption of long-term value-based care measures to address social determinants of health are incorporated into state and federal policy.
Learn more about the Alliance for the Determinants of Health here.