Social care, encompassing behavior/mental and built-environment health, is integral to healthcare. NLP algorithms captured behavior/mental health from EHR notes; ArcGIS geocode algorithms captured built-environment health. We combined medical and social care factors from 104,038 diabetes patients (2012-2023). Our machine learning models predicting cardiovascular diseases uncover implications for personalized "whole person" intervention strategies.

Using ArcGIS, environmental factors including groceries, restaurants, parks, and trails were extracted using EHR data. Prior literature suggests where you live impacts well-being. Proximity algorithms were generated to determine whether environmental factors influence health outcomes.