Archive: Social determinants of health (SDOH) social needs screening and referral technical assistance

SDOH Learning Collaborative Playbook archive

This resource is an optional tool for CCOs to complete the work outlined in the technical specifications.

Year 2: 2024 SDOH Screening and Referral Metric: Learning Collaborative Playbook (PDF)
Year 1: 2023 SDOH Screening and Referral Metric: Learning Collaborative Playbook (PDF)
Appendix A: Action planning tool (fillable Word doc)
Appendix B: Project charter template (fillable Word doc)
Appendix C: Sample survey questions for social needs screening partners (fillable Word doc)

Screening and referral practices

Addressing referral resources and gaps through use of REALD: Slides / Recording (5/30/24)
Social needs screening training resources (December 2023)
Referral practices and resources: Slides / Recording (3/28/23)

Data collection and sharing

Electronic Health Records, Chart Review and Claims-related Data for Component 2 Reporting: Slides / Recording (1/21/25)
CCO coding and value-set round table discussion

Slides / Recording (6/14/24)
Slides / Recording (6/18/24)

Optimizing data sharing systems: Slides / Recording (5/23/24)
Data coordination between social services and CCOs: Slides / Recording (3/18/24)
Data sharing at point of care: Slides / Recording (2/16/24)
Using aggregated REALD data: Recording (12/8/23)
Community information exchange (CIE) and other platforms: Slides / Recording (5/30/23)
Data collection and sharing: Slides / Recording (5/2/23)

Other topics

Building community-based organization (CBO) capacity and engagement with CIE: Slides / Recording (10/23/24)
Aligning SDOH metric with the 1115 waiver and other upstream initiatives: Slides / Recording (4/12/24)
Payment arrangements for social needs screening and referral: Slides / Recording (1/23/24)
Written agreements for social needs service provision (December 2023)
EOCCO Frontier Veggie Rx: Recording (10/27/23)
Health and social care integration: sustainable partnerships: Slides / Recording (10/24/23)

Measure background

SDOH Measurement Work Group's final report (February 2021)
Background Research in Social Needs Screening (August 2020)

Contact: Rachel Burdon (Rachel.E.Burdon@oha.oregon.gov)

Return to the main SDOH screening and referral metric technical assistance webpage.