Policy
Health-Related Social Needs
Social Drivers of Health
Others
100

Historically known as food stamps, this program is California’s version of the federal Supplemental Nutrition Assistance Program (SNAP)

What is CalFresh

100

Individual-level social and economic barriers that directly impact health outcomes.

What are Health-Related Social Needs (HRSN)?

100

This social factor strongly predicts readmissions and poor recovery after discharge.

What is housing instability?

100

Collecting SOGI and demographic data in the EHR helps organizations track this

What is equity or disparities?

200

Through this state program, participating farmers' markets will match your CalFresh dollars (often up to $10 or $15 per visit) to help you buy locally grown fruits and vegetables.

What is Market Match? 

200

This can lead to weakened immunity, poor wound healing, increased ED use, and reduced medication effectiveness.


What can Food Insecurity lead to?

200

This lack of access to nutritious food can impair wound healing and medication adherence.

What is food insecurity?

200

Treating complications like DKA without addressing social or structural causes is called what type of care?

What is downstream care?

300

Because standard CalFresh benefits cannot be used for hot, prepared foods, California created this exception for older adults (60+), individuals with disabilities, and people experiencing homelessness.

What is the Restaurant Meals Program?

300

This screening tool stands for “Protocol for Responding to & Assessing Patients' Assets, Risks, and Experiences.”

What is PRAPARE?

300

This social factor caused Jordan to ration insulin, contributing to DKA

What is food insecurity?


300

This type of data collection helps personalize care and improve preventive screening for LGBTQ+ patients.

What is Sexual Orientation and Gender Identity (SOGI) data collection?

400

This massive transformation of the Medi-Cal system focuses on whole-person care by covering "non-medical" Community Support programs like housing and medically tailored meals.

what is CalAIM?

400

This CalAIM program provides intensive, coordinated support for high-risk patients with complex medical and social needs.

What is Enhanced Care Management (ECM)?

400

 Using the wrong name or pronouns in healthcare can create this barrier for LGBTQ+ patients.

What is stigma or discrimination?

400

Creating safe environments, using inclusive language, and respecting pronouns are examples of this type of care approach.

What is culturally competent or inclusive care?


500

In 2024, this California county became the first to implement a Medi-Cal program providing targeted care coordination and medication to incarcerated individuals starting 90 days before their release.

What is Santa Clara County? 

500

This concept requires recognizing how systemic policies and social structures influence health outcomes rather than blaming individual patients.

What is Structural Competence?  

500

Missed appointments due to transportation or cost are examples of this type of barrier.

What is access barrier?

500

This post-hospital program provides short-term recovery housing for patients experiencing homelessness.

What is medical respite care?

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