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SDoH Dashboard Action Tool

Overview Health Outcome Dashboard SDoH Drilldown Dashboard Community Comparison Dashboard

Overview

“Health starts in our homes, schools, workplaces, neighborhoods, and communities.”1 Healthy People 2020, a government initiative, made it a goal to improve health by creating social and physical environments that promote good health for all. IMPAQ Health has joined in this goal by focusing on social determinants of health (SDoH).

SDoH “are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life.”2 IMPAQ understands that to improve community health outcomes, a key piece of the puzzle is understanding and addressing SDoH, yet resources for finding and using evidence-based SDoH information are limited. To address this gap, IMPAQ designed the SDoH Dashboard Action Tool, a data visualization tool that helps organizations and individuals better understand and find solutions based on which SDoH factors—such as food insecurity, neighborhood walkability, and teenage birth rates—are affecting population health at the local level.

The SDoH Dashboard Action Tool recently won major recognition from the Agency for Healthcare Research and Quality (AHRQ) in its Visualization Resources of Community-Level SDoH Innovation Challenge. Insights from this award-winning tool help users make informed decisions to improve health care access, quality, and equity. IMPAQ’s SDoH Dashboard Action Tool allows nuanced geographical analyses across a broad array of SDoH variables that empower users to identify population-level challenges and interventions to address these challenges. The SDoH Dashboard Action Tool can be a resource to help academic researchers, community-based organizations (CBOs) and policymakers understand, prioritize, and act on disparities.

Data Sources

The SDoH Dashboard Action Tool includes a comprehensive database containing linked health care measure data with free and publicly available SDoH datasets and is maintained using Tableau. Data from the SDoH Dashboard Action Tool are obtained from the American Community Survey (ACS), the Opportunity Atlas, Food Access Research Atlas, the National Walkability Index, and the CMS Mapping Medicare Disparities (MMD) Tool. The SDoH Dashboard Action Tool includes data that is at least 95% complete at the national level. We do not include an indicator if it is missing data for at least 5% of census tracts (for SDoH measures) or counties (for health outcomes). The SDoH Dashboard Action Tool also allows users to aggregate SDoH and health outcome data to the state and national levels for comparisons.

American Community Survey (ACS) is an ongoing survey that provides vital information on a yearly basis about our nation and its people. Information from the survey generates data that help determine how more than $675 billion in federal and state funds are distributed each year. 

The Opportunity Atlas captures social mobility data with longitudinal information at the neighborhood level. This data was measured by studying economic opportunity across geographic areas.

Food Access Research Atlas contains food access indicators using different measures of supermarket accessibility.

National Walkability Index dataset includes nationwide geographic data that ranks communities on their relative walkability.

CMS Mapping Medicare Disparities (MMD) Tool contains health outcome measures for disease prevalence, costs, hospitalization for 60 specific chronic conditions, emergency department (ED) utilization, readmissions rates, mortality, preventable hospitalizations, and preventive services.

Dashboards

The SDoH Dashboard Action Tool offers three unique dashboard views for users to explore SDoH and health outcomes within communities of their choice.

The Health Outcome Dashboard enables the user to focus on a selected health outcome and learn what evidence-based SDoH contribute to the health outcome’s prevalence rates in a community.

The SDoH Drilldown Dashboard enables the user to focus on a selected SDoH to further analyze how the SDoH affects the selected community.

The Community Comparison Dashboard enables the user to compare a community’s performance on a selected SDoH to another community of interest.

These dashboards allow a user to conduct multiple analyses using the SDoH Dashboard Action Tool to understand the impact of SDoH on health outcomes. For example, a user searching for model programs to implement in targeted communities in a county within the state can use the SDoH Dashboard Action Tool to evaluate community health status by answering questions such as:

  • What is the link between poor health outcomes and SDoH measures, such as a community’s access to healthy food?
  • What social factors characterize communities with good health outcomes that can be leveraged for social programming in communities with poor health outcomes?
  • How can a community prioritize implementation of social programs to improve health outcomes?

The user can evaluate the relationship between ED utilization, a health outcome measure, and percent of households with low access to healthy food, a SDoH measure. Once the user has identified a county of interest, the user can drilldown into the county to prioritize local neighborhoods for implementation of health-related interventions.

The SDoH Dashboard Action Tool facilitates a census tract–level analysis within a selected area. The user will have the option of downloading the dashboard and adding data sources unique to their community to further investigate the interactions of SDoH and health outcomes and consider potential interventions.

References

1 Healthy People 2020. (2019). Social Determinants of health. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/social-determ...

2 World Health Organization. (2019). Social determinants of health. Retrieved from https://www.who.int/social_determinants/en

 Evidence-based SDoH Literature

 SDoH Dashboard Action Tool User Guide