• Lighter touches like giving patients information or making referrals for short-term supports

• More intensive actions for patients with complex issues that involve case management, care plans, interventions, and connections to long-term community-based support

• Link patients to prescription assistance programs that help reduce medication costs
• Give patients information about local food banks, temporary housing, or transportation programs

Electronic health record (EHR) systems can support this process by:

• Sending patients brochures via email or mail
• Proposing organizations for referral via an inventory of community resources

You must accurately code SDOH to support this effort.