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Centers and Programs

Mayo Clinic Housing-Based Socioeconomic Status (HOUSES) Program

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The Mayo Clinic Housing-Based Socioeconomic Status (HOUSES) Program has developed, validated and implemented a novel index for measuring individual socioeconomic status (SES) based on housing features. Young J. Juhn, M.D., M.P.H., with Mayo Clinic in Rochester, Minnesota, leads the HOUSES Program.

The program supports health research and policy pursuing healthcare delivery in the personal and social context of people and populations. Through scientific and technological innovation, the program maximizes health potential for people and populations across all socioeconomic backgrounds and eliminates health disparities.

The Mayo Clinic HOUSES Program enables large-scale, objective measurements of patient-level social determinants of health. These analyses enhance Mayo Clinic's capability to deliver high-value care and engage in high-quality research.

Goals of the Mayo Clinic HOUSES Program include:

  • Practicing methodological innovation.
  • Understanding the mechanisms underlying health disparities and differences in outcomes.
  • Translating scientific evidence into practice and policy.
  • Enabling precision medicine for population health.
  • Achieving high-value-based care and improving health equity.

Clinicians

HOUSES helps deliver precision care in a patient's social context.

Researchers

HOUSES helps investigators determine the impact of social determinants of health (SDH) and healthcare delivery on a large scale.

AI developers

HOUSES will assess and mitigate artificial intelligence bias related to SES, which impacts healthcare access and electronic health record quality.

Planners and administrators

HOUSES boosts value-based care and health equity.

Policymakers

HOUSES improves health equity through fairer pay-for-performance policy by more accurately capturing patient-level SDH.

HOUSES

Identifying and irradicating health disparities

Narrator: As healthcare providers search for ways to create more personalized healthcare plans, what if they could better understand the patient's socioeconomic status as a key element of social determinants of health, and identify those in need of greater support?

There is a way.

HOUSES Index from Mayo Clinic is a groundbreaking socioeconomic status metric that goes beyond traditional assessments with the ultimate goal of identifying and eradicating health disparities.

HOUSES Index relies on existing, individual housing data accessed from public records to assess individual-level socioeconomic status. It's an objective, standardized, and validated nation-wide metric that is current and contact-free.

The HOUSES Index reflects the variation in housing to provide a reliable measurement that is practical and easy to understand. The HOUSES Index is an essential tool recognized as a game-changer for those committed to transforming patient care.

Identifying those in need of additional support, the HOUSES Index enables healthcare teams to personalize healthcare plans, particularly for at-risk populations. Unlike other metrics, the HOUSES Index does not rely on self-reported data, hard-to-access personal information, or patient contact, making it incredibly convenient.

For payers and healthcare providers it facilitates a more equitable distribution of resources accross the healthcare ecosystem. And, for researchers, the HOUSES Index is an indespensible tool in identifying where intervention is most helpful. It also works to assess cumulative, environmental exposure and detect and mitigate AI biases. For patient care transformation, fair reimbursement policies, and responsible research, the HOUSES Index is indespensible.

Simply put, it ensures that high-value care is accessible to all because everyone deserves quality care, regardless of where they call home.

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