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

For an overview of this quality measure, see the following presentation:

SDOH metric grounding for CCOs and providers: Slides / Recording (11/8/22)

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.