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The Social Determinants of Health

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Dominic Rodriguez

on 26 October 2018

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Transcript of The Social Determinants of Health

Primary Care Nursing Addressing The Social Determinants of Health

Maternal and Infant Health

Office of School and Adolescent Health
Prevention and Control of Infectious Diseases

Motor Vehicle Safety

Health is “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” (World Health Organization)

What are some ways you impact the health of others?
Public health is “what we as a society do to collectively assure the conditions in which people can be healthy.” (Institute of Medicine, 1988)

Our mission is to promote health and wellness, improve health outcomes, and assure safety net services for all people in New Mexico.
Lets talk impact
Many factors combine to affect the health of individuals and communities. Despite annual health care expenditures projected to exceed $3 trillion, health outcomes in the United States continue to fall behind other developed countries.1 Recent analysis shows that, although overall spending on social services and health care in the United States is comparable to other Western countries, the United States disproportionately spends less on social services and more on health care.2 Though health care is essential to health, research demonstrates that it is a relatively weak health determinant.3 Health behaviors, such as smoking and diet and exercise, are the most important determinants of premature death (Figure 1). 4
Clinical Opportunities
How big of a ripple will you make?
Dominic Rodriguez MSN, RN
Pediatric ER
Nursing Instructor
School Nurse
Director of Nursing Services
The Nursing Process
Assessment
What kind of nurses do we have in the audience?
Diagnosis -
Primary Care ? Public Health?

WHY?
Hospitals
Primary Care
Planning Phase
What are we planning for?
What can we do as educators?
Implementation
Evaluation

Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. It includes the promotion of health, the prevention of illness, and the care of ill, disabled and dying people.
U.S. health care spending increased 4.3 percent to reach $3.3 trillion, or $10,348 per person
1 France
2 Italy
3 San Marino
4 Andorra
5 Malta
6 Singapore
7 Spain
8 Oman
9 Austria
10 Japan

32 Australia
33 Chile
34 Denmark
35 Dominica
36 Costa Rica
37 United States of America
38 Slovenia
39 Cuba
SDOH Game
How Do The SDOH Impact Health?
Stress- Impact on Health?
Dr. Tony Iton Healthy Communities
What can we do about stress?
Wait for further instructions


If you picked the number 1, 3, or 8 you must wait.

All other numbers- see salmon colored sheet and begin.
Top Priorities -

Potential barriers and solution-
1= no car, 2= unstable employment,
3= didn’t graduate high school, 4= low income housing
5= job with health insurance but cant afford the deductibles
6= Graduated College- works as an engineer, 7= a strong social support network, 8= New in town- no friends or family.
SECONDARY CARE
TERTIARY CARE
PRIMARY CARE
https://www.nytimes.com/2018/02/08/well/family/olympics-olympians-norwich-vermont-parents-children-sports.html

Family Planning
PHD/FHB/Family Planning Program
One Nurse Practitioner and Two Nurses at the Program level.
Clinics that provide FPP services are in PHOs (44 PHOs and 3 SBHC outreach sites; and 19 PA sites; for a total of 66 sites where nurses provide services).

Geographical areas of impact/ where nurses are located: As listed above, all but two counties in NM have title X FPP clinic services available.

Areas of Health impact include: Family Planning services to reduce unplanned pregnancies, especially to low-income clients.


PHOs, FQHCs, SBHCs, Universities, etc.
Related statistics if available: Please see our website and IBIS: https://nmhealth.org/about/phd/fhb/fpp/
https://ibis.health.state.nm.us/indicator/view/BirthTeen.15_19.Cnty.html
Partners
89 School Districts
NM PED
NM HSD
NM DHI
CYFD
UNM Department of Pediatrics
UNM Department of Psychiatry
El Centro Family Health
Presbyterian Medical Services
Hildago Medical Services
Mora Valley Community Health
Pecos Valley Medical Center
La Casa de Buena Salud
Las Clinicas del Norte
La Clinica de Familia
First Nations Community Health
De Baca Family Practice Clinic
REC IX
REC VI
REC IV
Apex Evaluation
New Mexico Alliance for School-Based Health Care
New Mexico Asthma Coalition
New Mexico Immunization Coalition
NM School Nurses Association
National Alliance for School-Based Health Care
National Association of School Nurses
DOH Family Planning
DOH immunization program
DOH CMS
DOH PHO
DOH Health Promotion
Stress
The Division, Bureau, Program you work in: Public Health Division, Health Services Bureau, Office of School and Adolescent Health



SHAs serve as consultants for and liaisons between RHOs, 89 school districts, 500 school nurses, and 350 school health assistants statewide for whom RHOs have statutory (24-1-4(B)) responsibility of provision of medical oversight to ensure compliance with the statute.

In school year 2016-2017, 50 OSAH supported School-Based Health Centers located in 28/33 counties provided over 51,000 primary care, behavioral health and oral health visits for over 17,000 students.
Questions?
Husband and a Father
Full transcript