DATA MANAGEMENT TECHNOLOGY &


the UK spends 15% of its GDP on social care and 8% on healthcare. While the US spends 9% on social care and 16% on healthcare. For total spending on social and healthcare combined, we are comparable to other countries. It is the ratio of social to health expenditures where we are way off. However, research tells us that social conditions – for example, the social determinants of health (SDOH) – predict 80% of patients’ clinical outcomes, because only 20% is influenced by clinical care.


“As one of the nation’s leading healthcare systems, we are always looking for more advanced and effective ways to improve patient and community health.”


Take the real-life example of a mother living in


the US for 30 years, an undocumented immigrant, dealing with curable breast cancer who had successful surgery and started chemotherapy. Part of the way through her course of chemotherapy, she disappeared. Most in the healthcare community would consider her a non-compliant patient. But a change in perspective is needed to better understand how to improve her health.


Further investigation found that her landlord


learned of her immigration status and threatened to change her locks if she left her apartment. So, she had to choose between being homeless and receiving chemotherapy. She chose not to be homeless. At the same time, she converted curable cancer into a possible reoccurrence in the future. This was very costly to her and the healthcare system. Fortunately, her cancer was prevented because her issue was identified correctly and she was connected to low-cost legal services.


This is a social determinant of health that


negatively affected an outcome. Unless you address that social determinant, the patient is not going to get better.


Data-driven tools to address the social determinants of health Northwell Health works to improve the health outcomes of people in its most vulnerable communities by coordinating efforts with community organisations, non-profit groups and public-private partners. Traditionally, healthcare systems look at clinical risk, such as whether someone could develop diabetes or high blood pressure. We are creating a social risk index for factors, such as whether someone lives in an


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