As the situation in Ukraine evolves, businesses should be mindful of potential risks to their people, assets, operations, or supply chains in the region and globally. Marsh, as part of the Marsh McLennan family of companies, has created a page with information, tools, and resources related to the Russia-Ukraine conflict. Please visit the page for the latest information.

Evaluate needs

Begin with evaluating your organization’s needs.


The first step to understanding the impact of social determinants of health on your team is to perform an assessment. 

  • Add social needs questions to your benefits or well-being assessment. One publicly available and validated assessment that incorporates questions related to social determinants of health is the PRAPARE questionnaire or Protocol for Responding to and Assessing Patient Assets, Risks and Experiences. By incorporating questions in an anonymous survey, you will be able to get a sense of the types of social gaps by location and role. Contact your MMA health management consulting team for resources. 
  • Use publicly available data that measures social risks. The Centers for Disease Control, Robert Wood Johnson Foundation, Kaiser Family Foundation, County Health Rankings, and other state and federal entities measure social risks using several metrics related to hunger, education, poverty, access to housing, transportation, safety, and more. These metrics are publicly available by zip code and/or county. Consider incorporating these data sets when determining overall benefit and well-being strategy by location. MMA can help navigate different data available in your area.
  • Understand the living wage by community. Explore the living wage, per community, by using a tool such as the MIT Living Wage Calculator, which factors in the typical expenses for the community such as rent, gas, childcare, taxes, and food. It also includes typical annual salaries by occupation. 

Listen to employees

Ensure forums exist, such as wellness committees or focus groups, where employees can provide insights into employee needs in the community that cannot be measured in a survey. If these are not yet a part of your organization, consider creating small group sessions with leaders or informal leaders, such as wellness champions, to create such opportunities for conversation. 

Social determinants of health playbook steps

Behavioral change programs that aim to promote well-being and medical benefits alone will not be as effective if social determinants are not addressed. By addressing the social determinants of health, organizations can enhance the overall well-being of team members and their families by levelling the playing field so that all employees have an opportunity to thrive. This playbook explains where to start, what to do, and shares resources on how to do it. We will focus on four steps.