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Quality Enhancement Plan (QEP) Resource Portal

The resource portal is intended to provide resources in support of the educational program development and implementation towards social determinants of health (SDOH).

Statistics

Statistics on Health Disparities in Memphis, TN

Memphis, TN

Poverty Rates

2016 Poverty Fact Sheet (Data from 2015 ACS) - This report is based on the data from the 2015 American Community Survey. The overall poverty rate for Memphis city is 26.2%. The full report includes graphs, details on demographics, and a discussion on poverty trends. 

Medically Underserved Regions

The city of Memphis is part of a Medically Underserved Area (MUA) classified by the US Department of Health and Human Services. Below, the map shows Shelby County and the purple area in the middle represents the MUA population in the heart of Memphis. 

Health Disparities

Shelby County, TN

Poverty Rates

2016 Poverty Fact Sheet (Data from 2015 ACS) - This report is based on the data from the 2015 American Community Survey. The overall poverty rate for Shelby County is 20.1%. The full report includes graphs, details on demographics, and a discussion on poverty trends. 

TN Health Outcomes and Health Factors Ranking - Produced by Robert Wood Johnson Foundation, countyhealthrankings.org publishes Tennessee Rankings Data (2010-2017) for 95 counties. The ranking data include a summary report in PDF, and Health Outcomes and Health Factors in downloadable excel file

Medically Underserved Regions

Health Disparities

2016 Drive Your County to the Top Ten - This report compares how Shelby county ranks compared to the top 10 counties in Tennessee on a wide range of economic and healthcare related factors.

Mobilizing for Action through Planning and Partnerships (MAPP) Strategic Health Priority for Shelby County, TN: Health disparities and social determinants of health were selected by MAPP as areas for improvement through strategic planning and a community of practice approach. Resources include a brochure and Vision and Value Statements

Statistics on Health Disparities in TN

Poverty Rates

Feeding America is an organization dedicated to raising awareness of food insecurity in America.  Using their website you can explore data collected from their annual Map the Meal Gap project. Overall food insecurity data for Tennessee in 2015. Food Insecurity data for Tennessee by County in 2015.  Interactive food insecurity data map for Tennessee in 2015.

Medically Underserved Regions

Tennessee Department of Health Safety Net Report - This report focuses on primary care, behavioral health, case management and emergency dental services to uninsured adults age 19-64. It includes information on Health Care Provider Shortage Areas (HPSAs) across the state.

Health Disparities

2016 drive your county to the top ten special report.  This report compares how Shelby county ranks compared to the top 10 counties in Tennessee on a wide range of economic and healthcare related factors.

America's Health Rankings: United Health Foundation Tennessee 2016 data.

2014 Report on understanding County health trends -  ten health-related measures for each county are displayed in this report.  Each county has an individual report displaying which health measures are improving and which measure are not improving. Numbers for population, median household income, unemployment, over 65 and minority population are also included.

County Health Rankings and Roadmaps: A Robert Wood Johnson foundation program.  State of Tennessee summary report. Shelby County Data.

Seeing is Believing: Patterns of Life Expectancy, Poverty, Equity & Health in Shelby County TN: A presentation at the 2016 National Association of City and County Health Officials (NACCO). The presenters are Dr. Lilian Ogari and Dr. David Sweat from the Office of Epidemiology & Infectious Diseases of the Shelby County Health Department. 


 

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Literature

Definition

As defined by the HealthPeople 2020, 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. Conditions (e.g., social, economic, and physical) in these various environments and settings (e.g., school, church, workplace, and neighborhood) have been referred to as “place.” In addition to the more material attributes of “place,” the patterns of social engagement and sense of security and well-being are also affected by where people live. 

Office of Disease Prevention and Health Promotion.(2017). Social determinants of health.  Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health

Figure 39-1. Five-domain Model of Social Determinants of Health

Office of Disease Prevention and Health Promotion.(2017). Healthy People 2020: Midcourse review data on social determinants of health. Retrieved from https://www.cdc.gov/nchs/data/hpdata2020/HP2020MCR-C39-SDOH.pdf

Literature on the history of SDOH (24 references. For the complete list, click the link on the left)

  1. ​Geiger, H. J. (2017). The political future of social medicine: Reflections on physicians as activists. Academic Medicine, 92(3), 282-284. doi:10.1097/acm.0000000000001538
  2. deShazo, R. D., & Parker, S. B. (2017). The underappreciated doctors of the American civil rights movement. Part I: Theodore Roosevelt Mason Howard, MD. American Journal of the Medical Sciences, 354(1), 17-21. doi:10.1016/j.amjms.2017.05.017
  3. Williams, D. R., Mohammed, S. A., & Shields, A. E. (2016). Understanding and effectively addressing breast cancer in African american women: Unpacking the social context. Cancer, 122(14), 2138-2149. doi:10.1002/cncr.29935
  4. Waitzkin, H. (2016). John D. Stoeckle and the upstream vision of social determinants in public health. American Journal of Public Health, 106(2), 234-236. doi:10.2105/ajph.2015.302936
  5. deShazo, R. D., Smith, R., Minor, W. F., & Skipworth, L. B. (2016). An unwilling partnership with the great society part II: Physicians discover malnutrition, hunger and the politics of hunger. American Journal of the Medical Sciences, 352(1), 120-127. doi:10.1016/j.amjms.2016.04.004
  6. deShazo, R. D., Minor, W. F., Smith, R., & Skipworth, L. B. (2016). An unwilling partnership with the great society part I: Head start and the beginning of change in the white medical community. American Journal of the Medical Sciences, 352(1), 109-119. doi:10.1016/j.amjms.2016.04.003
  7. Brosco, J. P. (2016). Child rights and clinical bioethics: Historical reflections on modern medicine and ethics. Perspectives in Biology and Medicine, 58(3), 356-364. doi:10.1353/pbm.2016.0003
  8. Beaulieu, M. D. (2016). The perils and the promise of proximity: Dr Ian McWhinney lecture, 2016. Canadian Family Physician, 62(12), 964-968.
  9. Malqvist, M. (2015). Preserving misconceptions or a call for action?-A hermeneutic re-reading of the nativity story. Global Health Action, 8, 30386. doi:10.3402/gha.v8.30386
  10. Malinowski, B., Minkler, M., & Stock, L. (2015). Labor unions: A public health institution. American Journal of Public Health, 105(2), 261-271. doi:10.2105/ajph.2014.302309​

 

Literature on SDOH/Graduate Education (41 references. For the complete list, click the link on the left)

  1. Sharma, M., Pinto, A. D., & Kumagai, A. K. (2018). Teaching the social determinants of health: A path to equity or a road to nowhere? Academic Medicine, 93(1),25030. doi:10.1097/acm.0000000000001689
  2. Van den Heuvel, M., Martimianakis, M. A., Levy, R., Atkinson, A., Ford-Jones, E., & Shouldice, M. (2017). Social pediatrics: Weaving horizontal and vertical threads through pediatric residency. BMC Medical Education, 17(1), 12. doi:10.1186/s12909-016-0845-4
  3. Sopoaga, F., Zaharic, T., Kokaua, J., & Covello, S. (2017). Training a medical workforce to meet the needs of diverse minority communities. BMC Medical Education, 17(1), 19. doi:10.1186/s12909-017-0858-7
  4. Pettignano, R., Bliss, L., McLaren, S., & Caley, S. (2017). Interprofessional medical-legal education of medical students: Assessing the benefits for addressing social determinants of health. Academic Medicine, 92(9), 1254-1258. doi:10.1097/acm.0000000000001581
  5. Paul, E. G., Curran, M., & Tobin Tyler, E. (2017). The medical-legal partnership approach to teaching social determinants of health and structural competency in residency programs. Academic Medicine, 92(3), 292-298. doi:10.1097/acm.0000000000001494
  6. Chang, A. Y., Bass, T. L., Duwell, M., Berger, J. S., Bangalore, R., Lee, N. S., . . . El-Bayoumi, J. (2017). The impact of "see the city you serve" field trip: An educational tool for teaching social determinants of health. Journal of Graduate Medical Education, 9(1), 118-122. doi:10.4300/jgme-d-16-00212.1
  7. Tobin-Tyler, E., & Teitelbaum, J. (2016). Training the 21st-century health care team: Maximizing interprofessional education through medical-legal partnership. Academic Medicine, 91(6), 761-765. doi:10.1097/acm.0000000000000943
  8. Noone, J., Wros, P., Cortez, D., Najjar, R., & Magdaleno, L. (2016). Advancing health equity through student empowerment and professional success: A statewide approach. Journal of Nursing Education, 55(6), 316-322. doi:10.3928/01484834-20160516-03
  9. McCalmont, K., Norris, J., Garzon, A., Cisneros, R., Greene, H., Regino, L., . . . Kaufman, A. (2016). Community health workers and family medicine resident education: Addressing the social determinants of health. Family Medicine, 48(4), 260-264.
  10. Duong, D. B., Sullivan, E. E., Minter-Jordan, M., Giesen, L., & Ellner, A. L. (2016). A model for training medical student innovators: The Harvard medical school center for primary care abundance agents of change program. Medical Education Online, 21(1), 30662. doi:10.3402/meo.v21.30662
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Resources by Category

Doody's Collection on SDOH

  1. Cultural Competence in Health Education and Health Promotion, 2nd Edition  (Library has 1st Edition. WA 18 C968 2008)
  2. Race, Ethnicity, and Health: A Public Health Reader, 2nd Edition. (Library has 1st Edition. WA 300 R1183 2002
  3. Social Determinants of Health Among African-American Men  (Perm Reserves. RA448.5N4 S66)
  4. Health Promotion Programs : From Theory to Practice (WA 590 H4396 2010)
  5. Health Issues in the Black Community [e- book]
  6. Minority Populations and Health : An introduction to Health Disparities in the United States (WA 300 L399m 2005)
  7. Gender, Race, Class, and Health : Intersectional Approaches  (WA 300 G325 2006)

AccessMedicine has rich resources related to SDOH. 

MINDER CollectionMinority and Diversity Educational Resources (216 titles)

Ratcliff, K. S. (2017). The social determinants of health : Looking upstream. Cambridge, UK: Polity. (Online access limit to 3 seats)

Committee on Educating Health Professionals to Address the Social Determinants of Health, Board on Global Health, Institute of Medicine, & National Academies of Sciences, Engineering, and Medicine. (2016). A framework for educating health professionals to address the social determinants of health. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK395983/

 

Original literature used to develop the topic:

  1. Reeve, C., Woolley, T., Ross, S. J., Mohammadi, L., Halili, S. B., Jr., Cristobal, F., . . . Neusy, A. J. (2017). The impact of socially-accountable health professional education: A systematic review of the literature. Medical Teacher, 39(1), 67-73. doi:10.1080/0142159X.2016.1231914  PMID: 27797293
  2. Palsdottir, B., Barry, J., Bruno, A., Barr, H., Clithero, A., Cobb, N., . . . Worley, P. (2016). Training for impact: The socio-economic impact of a fit for purpose health workforce on communities. Human Resource Health, 14(1), 49. doi:10.1186/s12960-016-0143-6   PMID:27523088
  3. Andermann, A., & Clear Collaboration. (2016). Taking action on the social determinants of health in clinical practice: A framework for health professionals. CMAJ: Canadian Medical Association Journal, 188(17-18), E474-E483. doi:10.1503/cmaj.160177 PMID: 27503870
  4. Westerhaus, M., Finnegan, A., Haidar, M., Kleinman, A., Mukherjee, J., & Farmer, P. (2015). The necessity of social medicine in medical education. Academic Medicine, 90(5), 565-568. doi:10.1097/ACM.0000000000000571   PMID: 25406609
  5. O'Brien, M. J., Garland, J. M., Murphy, K. M., Shuman, S. J., Whitaker, R. C., & Larson, S. C. (2014). Training medical students in the social determinants of health: The health scholars program at Puentes de Salud. Advances in Medical Education and Practice, 5, 307-314. doi:10.2147/AMEP.S67480  PMID:25278787
  6. Ezeonwu, M., Berkowitz, B., & Vlasses, F. R. (2014). Using an academic-community partnership model and blended learning to advance community health nursing pedagogy. Public Health Nursing, 31(3), 272-280. doi:10.1111/phn.12060 PMID: 24720659
  7. U.S. Department of Health and Human Services. (2010). Healthy people 2020: An opportunity to address societal determinants of health in the united states.   Retrieved from https://www.healthypeople.gov/sites/default/files/SocietalDeterminantsHealth.pdf

SDOH/History  (Link to MyNCBI Collection)

SDOH/Graduate Medical Education (Link to MyNCBI Collection)

The Advisory Committee on Training in Primary Care Medicine and Dentistry. (2016). Addressing the social determinants of health: The role of health professions education. Retrieved from https://www.hrsa.gov/advisorycommittees/bhpradvisory/actpcmd/actpcmd_13th_report_sdh_final.pdf. 

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Robert Wood Johnson Foundation: Messaging guide: A new way to talk about the social determinants of health 

The document contains three chapters and two appendices.

Chapter 1 explains the process and research behind the creation of this guide.
Chapter 2 shares 7 lessons learned about communicating around the social determinants of health, six ways to talk about the social determinants of health, and a glossary of "other terms" to use in place of typical phrasing.
Chapter 3 discusses how to effectively communicate facts and data with this new frame around the social determinants of health.
Appendix A outlines Democratic and Republican perspectives on the social determinants of health, and provides communications strategies and common ground between the parties.
Appendix B details a study that attempted to identify ways of talking with the general public about the social determinants of health, and includes keys to effective messaging on social determinants.

 

Education-Centered Medical Home (ECMH): A learning module, created by the Northwestern University Feinberg School of Medicine, provides students with early and comprehensive educational exposure to team-based medicine in an authentic outpatient environment. Students work with the same preceptor and peers over four years to help care for patients and measure their progress. This learning model helps students build a professional identity as early as the first year of medical school, offers 360-degree assessment opportunities, and allows for patients, peers and preceptors to give feedback on the student's progress in their eight core competencies.

Health Extension Toolkit:  A learning module, led and created by the University of New Mexico, consists of 6 chapters and involves learning communities over 10 states.

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