Fig. 4: Cumulative impact of SDoH improvements on quality care gap completion.
From: Predicting quality measure completion among 14 million low-income patients enrolled in medicaid
APRN (advanced practice registered nurse), TANF (Temporary Assistance for Needy Families), SSI (Supplement Security Income), SSDI (Social Security Disability Insurance), AMM (antidepressant medication management), PBH (persistence of beta-blocker treatment after a heart attack), SPC (statin therapy for patients with cardiovascular disease), SPD (statin therapy for patients with diabetes), PCR (all-cause hospital readmissions), LBP (avoidance of unnecessary imaging for routine lower back pain), FUM30 (follow-up after emergency department visits for mental illness), PPC (prenatal and postpartum care visits), WCV (child and adolescent well-care visits). Cumulative impact of SDoH improvements on quality care gap completion: percentage improvement by quality measure type (panel a) and by care gaps with ≥10% improvement (panel b). The x-axis represents the relative cumulative improvement in care gap closure after sequentially improving SDoH factors, compared to the original dataset. Improvements were calculated as the percentage reduction in predicted non-compliance. SDoH improvements are ordered based on descending median impact, as shown in Fig. 3b. Figure 3b illustrates the individual contribution of each SDoH variable to gap closure. Color coding distinguishes SDoH categories: area-level factors (blue), healthcare access factors (green), and individual-level factors (red).
