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Social Determinants of Health (SDOH) Chart

Posted on June 28, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

It seems like my latest kick is talking about Social Determinants of Health (SDOH) and their impact on our health and the health system (Note: I blame Mandi Bishop for this). Many of you might remember that I recently asked if doctors ever cared about SDOH. The topic also came up in the recent Health Disruptors chat where I asked pointed questions about SDOH from a practicing doctor. Dr. Vanagon’s responses were quite insightful.

During that chat, I started listing off some of the possible social determinants of health. I knew my list was lacking and I figured someone else had created a much better list. As fate would have it, this list popped up on my social news feed:

Social Determinants of Health (SDOH) Chart

Does anyone else get a bit overwhelmed when you see a full list like this? However, it also displays huge opportunities since our current health system is working on such a small portion of this chart. We’re going to have to expand what we’re doing if we truly want to lower the cost of healthcare as we know it. Although, it’s also important to note that doctors can only influence so much of what impacts our health.

Which SDOH factors do you think it would be best for our health system to work on first?

When Did A Doctor Last Worry About Social Determinants of Health (SDOH)?

Posted on June 16, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’ve heard over and over the importance of social determinants of health (SDOH) and their impact on healthcare costs. The concept is fascinating and challenging. There are thousands of examples. A simple one to illustrate the challenge is the patient who arrives at the emergency room with a fever. The doctor treats the fever and then sends them back to their home where they have no heat and are likely to get sick again.

I ask all the doctors that read this blog, when was the last time you worried about these various social determinants of health (SDOH) in the care you provided a patient?

I’ll be interested to hear people’s responses to this question. I’m sure it would create some incredible stories from doctors who really care about their patients and go above and beyond their job duties. In fact, it would be amazing to hear and share some of these stories. We could learn a lot from them. However, I’m also quite sure that almost all of those stories would end with the doctor saying “I wasn’t paid to help the patient this way but it was the right thing to do.”

Let me be clear. I’m not blaming doctors for not doing more for their patients. If I were a doctor, I’m sure I’d have made similar decisions to most of the doctors out there. They do what they’re paid to do.

As I’ve been sitting through the AHIP Institute conference, I’m pondering on if this will change. Will value based reimbursement force doctors to understand SDOH or will they just leave that to their health system or their various software systems to figure it out for them?

I’m torn on the answer to that question. A part of me thinks that most doctors won’t want to dive into that area of health. Their training wasn’t designed for that type of thinking and it would be a tough transition of mindset for many. On the other hand, I think there’s a really important human component that’s going to be required in SDOH. Doctors have an inherent level of trust that is extremely valuable with patients.

What do you think of SDOH? Will doctors need to learn about it? Will the systems just take care of it for them?

Healthcare IT Twitter Roundup

Posted on March 17, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’m a huge fan of sucking the nectar out of Twitter and providing me own commentary on what people are sharing.


This would be a good step forward. Machine to machine communication can be a lot more accurate.


When you see some of the amazing things they’re starting to discover in genetics, you can see why many are focusing on genetics. However, Pat’s point is a good one that we should focus on other social determinants of health (SDOH) also since they can have a lot of impact.


This is where the cloud is so powerful. Cloud computing is going to be the solution to this problem.


I see more and more efforts to include the patient voice. Love this!

Social Determinants of Health (#SDOH)

Posted on July 28, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

In a recent chat that I think was hosted by HIMSS, they used the hashtag #SDOH. I’ll admit that the hashtag wasn’t familiar to me, so I was glad that they included a link to resources on the HIMSS Future Care website that defined #SDOH as Social Determinants of Health. Had you heard of this hashtag or term before?

I’d never heard of Social Determinants of Health before, but I’d certainly heard of some of the concepts. I think there is a lot to be said about how our social interactions can be used to determine our health. I think the real challenge with it is taking it from a conceptual idea and turn it into a science. Not to mention turning it into a science where technology could be applied.

What I just described is the perfect opportunity for an entrepreneur. Some of the best new companies take something really challenging and make it simple for the end user. I think that’s exactly what will happen with social determinants of health. With the plethora of social signals that are easily available and accessible now, a large mix of entrepreneurs will be able to work on this challenge. That’s really exciting for me.

The real question I have with social determinants of health is whether they’ll just be a consumer based application or whether the healthcare system will embrace these notions as well. My guess is that it will start as a consumer focused application and then as the science of SDOH matures, the rest of the healthcare system will start to accept and use it as well.

Have you seen applications of SDOH? Do you think social signals aren’t very valuable in determining someone’s health? Can they be leveraged reliably? Will we eventually see SDOH in EMR and EHR software?