Our Impact
Proud Achivements of SOMOS
and its Network Providers
OVER
HEALTH CARE PROVIDERS
IN THE NETWORK
0
+
OVER
1 MILLION+
PATIENTS SERVED
OVER
↓
100
%
REDUCTION IN PREVENTABLE HOSPITAL READMISSIONS
OVER
1 MILLION+
PEOPLE TESTED
0
VACCINATION SITES IN MINORITY COMMUNITIES
OVER
1 MILLION+
REDUCTION IN PREVENTABLE HOSPITAL READMISSIONS
PUBLIC
SAFETY REOPENED
SCHOOLS
OVER
2 MILLION +
DISTRIBUTED FOOD RATIONS
FIRST
MULTILINGUAL
CALL CENTER & WEBSITE
IMPACT
REPORT
20
23
EMPOWERING EQUITY:
SOMOS Community Care’s Path to Health Equity in New York
NYC Poverty Tracker
The Bronx has the
highest poverty rates
in the state
THE SOUTH BRONX
COMPRISED OF
0
%
BLACK AND
LATINO FAMILIES*
*According to census data.
Mott Haven in
the South Bronx
is one of the most
poverty-stricken
and job-needy
districts in the
country
where nearly
0
%
of adults
more than
0
%
of children live in poverty.
Death rate is about 30% higher in the poorest NYC neighborhoods
Than in wealthier neighborhoods.
Eliminating health
disparities in NYC
would save thousands
of lives each year.
Some factors that influence these health disparities are:
Social and physical
environmental
conditions,
opportunities, and
stressors that
impact health
Limited access
to primary
and preventive
health care
Quality of
health care
received
SOMOS and its network providers address the social inequalities that give rise to health inequity.
Social Determinants of Health
Social determinants of health are the non-medical factors that impact an individual’s overall health.
80%
of what impacts a
person’s health are
non-clinical factor
40%
SOCIAL/ECONOMIC
· Education
· Employment
· Income
· Family
· Social Support
· Employment
· Income
· Family
· Social Support
30%
BEHAVIORS
· Tabacco
· Diet
· Exercise
· Alcohol
· Drug Use
· Sexual Activity
· Diet
· Exercise
· Alcohol
· Drug Use
· Sexual Activity
10%
ENVIROMENT
· Air Quality
· Water
· Housing
· Transit
· Water
· Housing
· Transit
There are systemic differences in the opportunities our community has to achieve optimal health, leading to unfair and avoidable differences in their health outcomes and overall well-being.
SOMOS tackles deep structural health inequities in our communities by building capability and designing innovative transformations for a robust network of independent community-based clinical and social care providers in New York.
SOMOS and its comprehensive network of providers are actively working towards achieving optimal, whole-person health and well-being within the broader social, political, and economic environment of our communities.
NEIGHBORHOOD &
BUILT ENVIROMENT
ECONOMIC
STABILITY
EDUCATION ACCESS
& QUALITY
SOCIAL & COMMUNITY
CONTEXT
HEALTH CARE ACCESS
& QUALITY
SOMOS's vision is to provide access to an equitable, linguistically, and culturally relevant public system that delivers compassionate health and well-being to New Yorkers.
We achieve this by
To sustain the network providers’ ability to engage in effective, targeted preventive and whole-person care SOMOS:
- Supports a network of clinical and social providers to collaboratively provide 360 care to community members.
- Secure bidirectional exchanges and critical connectivity, centralized Information Technology (IT) system, and enhanced the Electronic Health Record (EHR) systems, and provide robust data collection and analytics thereby allowing for the application of quality metrics and performance measures.
- Provides critical practice transformation and capacity-building activities for its network providers including expanding Patient-Centered Medical Homes (PCMH), assisting in closing care gaps, care management, care coordination, and deploying Community Health Workers (CHWs).
- Reaches, meaningfully engages, and sustains the active participation of patients in their health, by engaging in advertising, marketing, communications, education, events, digital marketing, patient-use tools, health fairs and events, research and data, and strategic partnerships.
