A resounding 80.3% of Staten Islanders living with a chronic illness experience a Social Determinant of Health (SDOH). The Robert Wood Johnson Foundation Commission to Build a Healthier America states that “where we live, learn, work and play can have a greater impact on how long and how well we live than medical care.” Building on that and motivated by their mission to transform the health of Staten Islanders, Staten Island PPS developed a Social Determinant of Health App which surveys community members on their social needs, prioritizes what matters to them and immediately connects clients to local resources.
The app will be launched on July 1, 2019 and will be used by all CBO, hospital, and select primary care partners. Partners using the new tool will begin rigorous training in care coordination, motivational interviewing, health literacy and SDOH prior to the go-live date.
Patients can expect to have both their medical and social needs addressed seamlessly at a variety of touch-points on the island. Once a need is identified, our partners will work on linkages and follow each case to ensure all needs are met. The data collected from this survey will be utilized to analyze the prevalent social determinant of health factors in various zip codes in Staten Island and in collaboration with NYSDOH implement population health improvement strategies.