Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, Nov. 1-3, 2017 in Washington, DC. Find out more about this forum at www.usnewshot.com.

1. Centers for Disease Control and Preven1on
U.S. News & World Report Best Hospitals:
Healthcare of Tomorrow
Leandris Liburd, PhD, MPH
Associate Director for Minority Health and Health Equity
Addressing the Social Determinants of Health
November 2, 2017

3. § Health dispari1es are differences in health outcomes and their determinants between
segments of the populaFon, as defined by social, demographic, environmental, and
geographic aHributes. (Truman BI et al. RaFonale for regular reporFng on health dispariFes and
inequaliFes—United States. MMWR Surveill Summ. 2011;60(suppl):3-10.)
§ Social determinants of health are condiFons in the environments in which people
are born, live, learn, work, play, worship, and age that affect a wide range of
health, funcFoning, and quality-of-life outcomes and risks. (Healthy People 2020 Social
Determinants of Health)
§ Health equity is the aHainment of the highest level of health for all people.
Achieving health equity requires valuing everyone equally with focused and
ongoing societal efforts to address avoidable inequaliFes, historical and
contemporary injusFces, and the eliminaFon of health and healthcare dispariFes.
(U.S. Department of Health and Human Services)
Defini1ons

4. Health
Disparities
Social
Determinants
of Health
Health Equity
Arriving at health equity
Problem Pathway Goal

5. Healthy People 2020: Social Determinants of Health
Topic Area
SDOH
Neighborhood and
Built Environment
Health and Health
Care
Social and
Community
Context
Education
Economic Stability

6. HP 2020 SDOH Key Issues- by SDOH Domain
§ Poverty
§ Employment
§ Housing stability
§ Food insecurity
§ High school
graduaFon rates
§ Enrollment in
higher educaFon
§ Early childhood
educaFon/
development
§ Language/literacy
§ Access to health
services
§ Access to primary
care
§ Health literacy
§ Quality of housing
§ Crime and
violence
§ Environmental
condiFons
§ Access to healthy
foods
§ Social cohesion
§ DiscriminaFon
§ Civic parFcipaFon
§ IncarceraFon

7. Anchor ins1tu1on engagement
Strategy for addressing SDOHs--
§ Pursuing an anchor mission-- consciously applying long-term, place-
based capital to promote the well-being of surrounding and
interconnected communiFes.
§ Extending acFviFes beyond normal individual level service towards
improving structural, systemic, and environmental condiFons affecFng
health.
§ Leveraging relaFonships, Fes, and intersecFons in innovaFve ways to
address needs and challenges.
Sources: NaFonal Academies of Sciences, Engineering, and Medicine. 2017. Communi'es in ac'on: Pathways to health equity.
Washington, DC: The NaFonal Academies Press. Doi: 10.17226/24624.
Dubb, S., McKinley, S., & Howard, T. 2013. The Anchor Dashboard: Aligning Ins'tu'onal Prac'ce to Meet Low-Income
Community Needs. Takoma Park, MD: The Democracy CollaboraFve at the University of Maryland.

8. Anchor
Institution
Core
Product
or
Services
Purchaser
Employer
Real
Estate
Developer
Cluster
Anchor
Work
Force
Developer
Community
Infrastructure
Builder
Tailoring core
products/services
to communi1es
Direc1ng ins1tu1onal
purchases towards
local businesses
Offering employment
opportuni1es to local
residents
Using real estate
development to anchor
local economic growth
S1mula1ng growth of
related businesses and
ins1tu1ons in communi1es
Addressing
workforce needs
of the cluster
Providing resources and
exper1se to build local
community capacity
Source: Adapted from Dubb, Steve (3/21/2014) Engaged UniversiFes, Engaged CommuniFes: Overview of Best PracFces. PresentaFon at UC
Berkeley. (accessed from Anchor Richmond, figure 5 at hHps://haasinsFtute.atavist.com/anchorrichmond)
Univ. Hospitals, Cleveland, OH: Redirected
portions of its laundry contract to help anchor the
environmentally friendly and employee-owned
startup, Evergreen Cooperative Laundry.
Univ. Hospitals, Cleveland, OH: Used new
procurement policies to coax established medical
suppliers back into the core city, resulting in new
local jobs for residents of low-income
neighborhoods.
Univ. Hospitals, Cleveland, OH: provided a jobs
pipeline called “Step Up to UH” for surrounding low-
income neighborhoods
Univ. Hospitals, Cleveland, OH: Partnered with a
community-based organization and local
workforce intermediary, to create a targeting
employment strategy for front-line positions .
Bon Secours Richmond Health System and Community Hospital:
Collaboratively provided grants to local entrepreneurs, support
affordable housing, increase access to locally grown fresh food,
advocate for a full-service grocery store and assist community
partners with expanding youth and child development services

9. Resources
§ Healthy People 2020 – Social Determinants of Health Topic Area:
www.healthypeople2020.gov
§ CLAS Standards (NaFonal Standards for Culturally and LinguisFcally Appropriate
Services in Health and Health Care): hHp://minorityhealth.hhs.gov/omh
§ A PracFFoner’s Guide for Advancing Health Equity:
hHp://www.cdc.gov/NCCDPHP/dch/health-equity-guide
§ CDC Social Determinants of Health Website: hHp://www.cdc.gov/socialdeterminants
§ Strategies for Reducing Health DispariFes MMWR (2014 and 2016):
hHp://www.cdc.gov/minorityhealth/chdir/strategies2014/strategies2014.html
hHp://www.cdc.gov/minorityhealth/strategies2016/index.html
§ Journal of Public Health Management and PracFce, Jan/Feb 2016, vol 22, no. 1 – Health
Equity
§ Oxford Bibliography:
hHp://www.oxfordbibliographies.com/browse?module_0=obo-9780199756797

10. For more informaFon, contact CDC
1-800-CDC-INFO (232-4636)
TTY: 1-888-232-6348 www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the
official posiFon of the Centers for Disease Control and PrevenFon.