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SDOH Screening & Referrals to Support Diabetes Control

Year Developed: 2023

Resource Type: Archived Webinar.

Primary Audience: Clinicians Enabling 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. Participants will learn best practices for replicating these patient-centered care plans and how to best use their staff for team-based management.

Resource Details: By the end of this webinar series, participants will be able to: Understand the importance of SDOH screening, data capture, and reporting for patients who are residents of public housing Identify tools/resources to ensure consistency, productivity, and data capture when operationalizing SDOH screening workflows 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: , Workforce, Health Equity

Resource Subtopic: , Development/Training, Operational Feasibility, Partnerships, Data Collection Mechanism, , Social Determinants of Health (SDOH).

Keywords: Care Coordination, Clinical Coding, Partnerships, Quadruple Aim (Formerly Triple Aim), Screening, Staffing and Onboarding, Team-Based Care.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.