Screening for Social Determinants of Health in Populations with Complex Needs: Implementation Consideration

Resource Location:

Authors: Caitlin Thomas-Henkel and Meryl Schulman, Center for Health Care Strategies

This resource examines how organizations participating in Transforming Complex Care, a multisite national initiative funded by the Robert Wood Johnson Foundation, are assessing and addressing Social Determinants of Health (SDOH) for populations with complex needs. It reviews key considerations for organizations seeking to use SDOH data to improve patient care.

Included: 1) selecting and implementing SDOH assessment tools 2) collecting patient level information related to SDOH; 3) creating workflows to track and address patient needs; 4) identifying community resources and tracking referrals.