Home-based Acute Care Change Package: Appendix

The MedStar Social Determinants of Health Analysis (April 2019) highlights the factors contributing to high healthcare utilization and efforts to prevent hospital admissions and readmissions. The report categorizes influences into health services, individual behavior, physical determinants, and social determinants. Individual behavior accounts for the largest share of factors impacting both high utilization and admission/readmission avoidance, representing over 50% in both categories. Social determinants such as food services, transportation, and financial assistance make up approximately 9%, while health services account for around 30-36%. The analysis underscores the importance of addressing individual behavior and social factors to improve patient outcomes and reduce healthcare utilization.