Lessons Learned in Addressing Community Health and SDOH

Jacob Reider, MD, CEO, Alliance for Better Health. The State of New York initiated a program to encourage community coalitions to collaborate together to address the underlying social determinants of health (SDoH) that have been shown to result in higher healthcare costs and reduced life expectancy. The Alliance for Better Health in Troy, NY is one example of a community-based organization that has partnered with area hospitals including Trinity Health, federally qualified health centers (FQHCs), and social service organizations (e.g., food banks, homeless shelters, etc.) to facilitate referrals and follow-up to ensure better health status. Dr. Reider shares the Alliance’s experience with this unique coalition, the technology tools that support the ongoing communication, and the health-related outcomes that have been achieved.