The Social Determinants of Health: Case Management's Next Frontier

As insurers and health organizations move toward value-based care models that incorporate population and community health, social determinants of health (SDoH) are becoming a point of focus in clinical practice. While the application of SDoHs is fairly new, the external social and economic conditions that affect a wide range of health risks and outcomes—such as where people are born, grow, work, and live—are not.

The Social Determinants of Health: Case Management’s Next Frontier is designed to help case managers develop strategies to manage and intervene with the populations predisposed to the risks associated with SDoHs. Not only does this new resource provide practical understanding and theory-based teaching around SDoHs, it also offers coding, assessment, and reimbursement tools for professionals in a clinical setting.

This book combines background information and practical application into one source. It fills the gap between determining what the SDoHs are and applying them to the daily work experience, providing practical tools to assist case managers with reporting ICD-10 Z codes and performing proactive assessments. The book will help readers:

• Develop strategies to incorporate SDoHs into clinical practice
• Understand the documentation and coding requirements for SDoHs
• Engage, assess, and intervene with SDoHs across varied populations
• Review examples of successful programs and practice with topic-specific case scenarios

Published: June 2019

Page count: 332
Dimensions: 8.5” X 11”
ISBN: 978-1-68308-899-8

About the Author

Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP, principal of EFS Supervision Strategies, LLC, empowers healthcare's transdisciplinary workforce through professional speaking, mentoring, and consultation. She has been an award-winning case management advocate for over 30 years.

Fink-Samnick has contributed to the industry's top educational resources for professional case managers and social workers, including books, chapters, and educational modules on ethical practice, ethical use of case management technology, competency-based case management practice models, workplace bullying and violence, collaborative care, Wholistic Case Management™, and the social determinants of health.

Table of Contents

Prologue: Introduction
Part One: Understanding the Social Determinants of Health (SDoH)

• Foundation and historical perspective
  • Relevant historical context
  • Definitions and foundational concepts
• Industry evidence
  • Disease states and populations
  • Ethical implications
• Population-based challenges
  • Evidence across populations
  • Social determinants of mental health
• Socio-political drivers
  • Readmissions
  • Immigration

Part Two: Leveraging Assessment

• Reimbursement
  • Costs and coding
  • Risk stratification
• Assessment tools
  • Use of electronic health records
  • Predictive analytics
• Wholistic Case Management™
  • Terminology and the Wholistic Case Management model
• Original interviewing and assessment models

Part Three: Programs and Application

• Successful programs
  • Types of programs and collaborations
  • Funding
• Direct application
  • Case scenarios

Chapter Previews

Check out these chapter previews for a full idea of what you can expect!