Resource Details

SDOH Screening & Referrals to Support Diabetes Control

Screening & Coding, Care Team Optimization, Referrals to the Community & Closing the Loop

Year Developed: 2023

Resource Type: Archived Webinar.

Primary Audience: Administrative Staff Clinicians Enabling Staff Outreach Staff PCAs

Language(s): English

Developed by: National Nurse-Led Care Consortium (See other resources developed by this organization).

Resource Summary: In this three-part webinar series hosted by the National Nurse-led Care Consortium (NNCC), participants can expect to learn about the importance of SDOH screenings and whole-person wellness to improve diabetes management and outcomes. Presenters will share their knowledge of executing patient centered SDOH screening tools and referrals to support services while managing diabetes. This series will discuss implementing best practices for patient-centered approaches to care by utilizing SDOH screening and care team optimization and coordination.

Resource Details: By the end of this webinar series, participants will be able to: 1. Understand the importance of SDOH screening, data capture, and reporting for patients who are residents of public housing 2. Identify tools/resources to ensure consistency, productivity, and data capture when operationalizing SDOH screening workflows 3. Translate data to implement evidence-based strategies that close the loop between SDOH screening and diabetes care management for health centers who serve residents of public housing

Resource Topic: Emerging Issues, Health Information Technology (HIT)/Data, Promising Practice, , Value-Based Health Care Transformation

Resource Subtopic: , Operational Feasibility, Electronic Health Records (EHRs), Impact/Outcomes, , Social Determinants of Health (SDOH).

Keywords: Care Coordination, Clinical Coding, Documentation, Health Information Exchange (HIE), Screening.