CQL | The Council on Quality and Leadership

Social Determinants of Health Index: How Well Does Your Organization Score?

Social determinants of health are “conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks” (United States Office of Disease Prevention and Health Promotion, n.d., n.p.). 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. 

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CQL | The Council on Quality and Leadership recently developed a new tool to measure social determinants of health using the Personal Outcome Measures® (Friedman, 2019). (More information about the creation of the Social Determinants of Health Index can be found here.) The Social Determinants of Health Index is comprised of three factors:

Factor 1
Choice and Engagement
Factor 2
Person-Centeredness
Factor 3
Health and Safety
  • People interact with other members of the community
  • People participate in the life of the community
  • People perform different social roles
  • People choose where they work
  • People choose where and with whom to live
  • People exercise rights
  • People are treated fairly
  • People experience continuity and security
  • People have the best possible health
  • People are safe

Analysis of approximately 1,100 interviews with people with disabilities (certified interviews from 2017) indicated the average person had a score of 49.6% of social determinants present. As indicated by the Index, people frequently score higher on Health and Safety, compared to Choice and Engagement, or Person-Centeredness (see Table below).

The Social Determinants of Health Index (n = 1,078)

Factor 1
Choice and Engagement
Factor 2
Person-Centeredness
Factor 3
Health and Safety
40.3% 50.3% 69.4%


Scores for each Social Determinants of Health by Indicator

Indicator Choice and Engagement Person-Centeredness Health and Safety
 People interact with other members of the community 59.6%    
 People participate in the life of the community 45.9%    
 People perform different social roles 36.0%    
 People choose where to work 33.6%    
 People choose where and with whom to live 26.4%    
 People exercise rights   45.3%   
 People are treated fairly   54.1%   
 People are respected   52.3%   
 People experience continuity and security   49.5%   
 People have the best possible health     66.2% 
 People are safe     76.8% 

 

SOCIAL DETERMINANTS OF HEALTH INDEX ANALYSIS IN PORTAL

While the Social Determinants of Health can be calculated by hand, in PORTAL we have included an analytics template that will automatically calculate the Social Determinants of Health Index for agencies.  Here is an example of the PORTAL export:

Example of PORTAL SDOH Index

 

ANALYTICS BY SOCIAL DETERMINANTS OF HEALTH: STEP-BY-STEP DIRECTIONS

  1. Log in to your PORTAL account
  2. Click on the 'Analytics' tab at the top of your screen
  3. Select the 'SURVEYS' analytical tool
  4. Select the 'VIEWS Dashboard' option
  5. Select the ‘POM Social Determinants of Health Index’ analytics template.

 

FOR MORE INFORMATION ABOUT SOCIAL DETERMINANTS OF HEALTH SEE THE FOLLOWING RESOURCES:

 

Need Technical Assistance?

Mail Image/Icon   data@thecouncil.org

Phone Image/Icon   410.583.0060

 

 

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