Operationalizing social determinants of health across a county: exploring the 100% Community Framework

For nearly half a century, research has demonstrated the profound impact of social determinants of health (SDOH) on individuals' health, safety, education, and overall quality of life. However, there remains a significant gap in the literature regarding the practical implementation and operationalization of strategies to transform negative SDOH into positive ones. The complexity and scope of SDOH present challenges for community leaders and elected officials to address SDOH in measurable ways within cities, counties, or states. This article examines the 100% Community Model implementation through 100% New Mexico, a comprehensive SDOH project that employs surveys to assess adverse SDOH and implement a community-led engagement and capacity-building SDOH process. The initiative aims to develop and generate sustainable funding for counties to operationalize and address SDOH, creating a model for statewide implementation. By presenting the framework, baseline survey data, and implementation indicators, this research provides valuable insights into the practical application of SDOH theory that other communities and states seeking to improve population health outcomes can replicate.